NATURAL GAS DISTRIBUTION MAIN & SERVICED LINE LOCATINGCONTRACT
This CONTRACT made and entered this f� day of February, 2013, by and between the CITY
OF CLEARWATER, FL (d/b/a Clearwater Gas System), a municipal corporation of the State
of Florida, 400 North Myrtle Avenue, Clearwater, FL, hereinafter called "CGS", and HEATH
CONSULTANTS INCORPORATED a DELAWARE corporation, 9030 Monroe Road,
Houston, TX, having hereinafter called the "CONTRACTOR".
WITNESSETH:
That the parties to this contract each in consideration of the undertakings, promises and
agreement on the part of the other herein contained, do hereby undertake, promise and agree as
follows:
The Contractor, and his or its successor, assigns, executors or administrators, in consideration of
the sums of money as herein after set forth to be paid by CGS and to the Contractor, shall and
will at their own cost and expense perform all labor, furnish all materials, tools, electronics,
devices and equipment for the following:
"Natural Gas Distribution Main & Service Line Locating"
As defined in RFP 04-13 in the amount of $300,000.
In accordance with such proposal and such other special provisions and drawings, if any, which
will be submitted by CGS, together with any advertisement, instructions to bidder, general
conditions, proposal and bond, which may be hereto attached, and any drawings if any, which
may be herein referred to, are hereby made a part of this contract, and all of said work to be
performed and completed by the contractor and its successors and assigns shall be fully
completed in a good and workmanlike manner to the satisfaction of CGS, the provision of the
services including but not limited to those services as described in Exhibit "A" attached hereto
and incorporated herein ("Scope of Services").
If the Contractor should fail to comply with any of the terms, conditions, provisions or
stipulations as contained herein within the time specified for completion of the work to be
performed by the Contractor, then CGS, may at its option, avail itself of any or all remedies
provided on its behalf and shall have the right to proceed to complete such work as Contractor is
obligated to perform in accordance with the provisions as contained herein. CGS shall recover
all costs of such remedial action from the contractor for their failure to perform.
THE CONTRACTOR AND HIS OR ITS SUCCESSORS AND ASSIGNS DOES HEREBY
AGREE TO ASSUME THE DEFENSE OF ANY LEGAL ACTION WHICH MAY BE
BROUGHT AGAINST CGS AS A RESULT OF THE CONTRACTOR'S ACTIVITIES OR
RELATED DEFICIENCIES ARISING OUT OF THIS CONTRACT AND FURTHERMORE,
IN CONSIDERATION OF THE TERMS, STIPULATIONS AND CONDITIONS AS
CONTAINED HEREIN, AGREES TO HOLD CGS FREE AND HARMLESS FROM ANY
AND ALL CLAIMS FOR DAMAGES, COSTS OF SUITS, JUDGMENTS OR DECREES
RESULTING FROM ANY CLAIMS MADE UNDER THIS CONTRACT AGAINST CGS OR
THE CONTRACTOR OR THE CONTRACTOR'S SUB-CONTRACTORS, AGENTS,
SERVANTS OR EMPLOYEES RESULTING FROM ACTIVITIES BY THE
AFOREMENTIONED CONTRACTOR, SUB-CONTRACTOR, AGENT SERVANTS OR
EMPLOYEES. UNLESS SUCH CLAIMS ARE A RESULT OF THE CITY'S NEGLIGENCE.
NOTHING HEREIN SHALL BE CONSTRUED TO WAIVE OR MODIFY THE
PROVISIONS OF SECTION 768.28, FLORIDA STATUTES, OR THE DOCTRINE OF
SOVEREIGN IMMUNITY.
In addition to the foregoing provisions, the Contractor agrees to conform to the following
requirements:
The term of this agreement shall begin March 1, 2013 and terminate on February 28, 2014.
Thereafter, this agreement may be renewed, up to three times, on a yearly basis, if
Contractor agrees to hold their prices/rates the same for the entire renewal period. Any
amendment must be made in writing and agreed to by both parties.
2. The Contractor agrees to receive the compensation/rates stated in the Proposal attached
hereto as Exhibit "B", in full compensation for furnishing material, tools, equipment and
labor necessary to perform Locate Services within CGS's Service Territory. CGS and
Contractor agree that there are no minimum requirements for purchase in this Agreement;
the Contractor, for such consideration, shall be responsible for all claims, causes of action,
loss or damages arising out of the nature of the work aforesaid or from any action of the
elements; or from any unforeseen obstruction or difficulties which may be encountered of
every description connected with the work, and furnishing the materials, until their final
completion and acceptance. UNLESS SUCH CLAIMS ARE A RESULT OF THE CITY'S
NEGLIGENCE. NOTHING HEREIN SHALL BE CONSTRUED TO WAIVE OR
MODIFY THE PROVISIONS OF SECTION 768.28, FLORIDA STATUTES, OR THE
DOCTRINE OF SOVEREIGN IMMLJNITY. Any increase ar decrease in compensation
shall be effective only when incorporated in a written amendment to this Contract, executed
by the Parties hereto.
3. To prevent disputes, it is agreed by and between the parties to this Contract that CGS or its
authorized representative shall in all cases determine the quality and quantity of the work to
be paid for under this Contract, and CGS shall determine questions in relation to lines,
levels and dimensions of work.
4. Payment shall be made in accordance with provisions as outlined. Contractor shall render
invoices and statements to CGS on a monthly basis. Each statement shall be paid under the
guidelines of FL State Statute 218 (Florida Prompt Payment Act).
Mail Invoices To: Clearwater Gas System
Attn: Accounts Payable
400 N. Myrtle Ave
Clearwater, FL 33755
5. The Contract Documents shall consist of all sections contained in RFP 04-13 and
Contractor's Proposal to support the requirements within the RFP, attached hereto as
Exhibit C and B, respectively. All of which are familiar to the Contractor and which are
hereby incorporated herein by reference.
6. This agreement, together with these documents, forms the contract, and they are as fully a
part of the Contract as if hereto attached or herein repeated.
7. Contractor shall at all times furnish adequate tools, testing supplies, appliances, equipment,
a sufficient number of properly OQ certified skilled workmen (as defined in the RFP), and a
sufficient amount of materials and supplies of proper quality to efficiently and promptly
prosecute the work provided for herein and shall promptly pay for all material purchased
and shall pay all workmen each week, and if required by CGS, shall obtain and furnish CGS
weekly with signed receipts from all workmen showing the date of payment, the amount
paid, number of hours paid for, the days on which said work was performed, the
classifcation of the labor so paid, and the rate of wage per hour paid and shall supply CGS
weekly with two (2) copies of the payroll verified by an affidavit. Contractor shall, as often
as requested by CGS, furnish a sworn statement showing all parties who furnished labor or
materials to the Contractor, with their names and addresses and the amount due or to
become due each. A like statement may be required from any subcontractor of the
Contractor.
8. Contractor employees and their subcontractors must meet the requirements and intent of the
Code of Federal Regulations (CFR) 49 Part 192.801, 192.803, 192.805, 192.807 and
192.809 relating to "Operator Qualification" with mandatory knowledge, skill and
abilities, training to be completed by March 1, 2013. The contractor must state in writing
that their Operator Qualification plan is in conformance with the intent of Federal Operator
Qualifcation Regulations and is at least equal to and applicable to Clearwater Gas System's
ASME B31Q Operator Qualification Plan. OQ and all Training Documentation shall be
furnished upon request. The Contractor's Operator Qualification Plan must also explain how
their employees have the ability to identify and react to natural gas related Abnormal
Operating Conditions that may be encountered while working on the gas pipeline facility.
Contractor Employee Operator Qualification, Knowledge, Skill and Ability records will be
kept for a 5 year period. Failure to provide proof of Operator Qualification compliance,
and successful maintenance will disqualify the bidder from performance of the
awarded bid. Training records shall be made available to CGS for auditing.
9. The Contractor agrees that it has in place, or will implement a Drug and Alcohol Training
and Testing Program for their employees that comply with the requirements of the United
States Department of Transportation, Title 49, Pipeline Safety Regulations, Part 199. A
copy of the Alcohol and Drug Testing Program has been included in the response to
the Request for Proposal. The contractor will also furnish quarterly statistical reports to
CGS to show active compliance.
10. Should the Contractor default in any of the provisions of this contract and CGS employs an
attorney to enforce or construe any provision hereof or to collect damages for breach of the
agreement or to recover on any bonds provided for herein, the Contractor and/or his surety
agree to pay CGS such reasonable attorney's fees as CGS may expend therein. As against
the obligations contained herein, the Contractor and his surety waive all rights of exemption.
11. The undersigned Contractor has carefully reviewed and familiar all contract documents, and
is responsible for having heretofore, or shall be responsible at such time as it becomes
necessary, examined the location and route of all proposed work, and is satisfied as to the
character of said route, the location of surface and underground obstructions and nature
thereof, the nature of the ground water table conditions and other physical characteristics of
the work and the work site in order that he may include in the price which he has bid and the
price of this contract all costs pertaining to the work.
12. This contract shall not be construed for or against any party because that party wrote it.
13. The Contractor and CGS for themselves, their heirs, executars, administrators, successors,
and assigns, hereby agree to the full performance of the covenants herein contained.
Assignment by the Contractor of any portion or all of this Contract or Contractor's
obligations and rights under this Contract shall not be effective without the written consent
of CGS, which, may be withheld at CGS's discretion.
14. In connection with the performance of work under this contract, the Contractor agrees not to
discriminate against any employee or applicant for employment because of race, sex,
religion, color, or national origin. The aforesaid provision shall include, but not be limited
to, the following: employment, upgrading, demotion, or transfer; recruitment or recruitment
advertising; lay-off or termination; rates of pay or other forms of compensation; and
selection for training, including apprenticeship. The Contractor agrees to post hereafter in
conspicuous places, available for employees or applicants for employment, notices to be
provided by the contracting offcer setting forth the provisions of the non-discrimination
clause.
15. The Contractor further agrees to insert the foregoing provisions in all contracts hereunder,
including contracts or agreements with labor unions and/or worker's representatives, except
sub-contractors for standard commercial supplies or raw materials.
16. It is mutually agreed between the parties hereto that time is of the essence of this contract,
particularly in light of the mandatory timeframes as set forth in Florida Statute 556
(Underground Facility Damage Prevention and Safety), as may be amended from time to
time, and in the event that the work to be performed by the Contractor is not completed
within the time stipulated herein, it is then further agreed that CGS may deduct from such
sums or compensation as may be due to the Contractor the sum of $1,000.00 per dav for
each day that the work to be performed by the Contractor remains incomplete beyond the
time limit speci�ed herein, which sum of $1,000.00 aer dav shall only and solely represent
damages which CGS has sustained by reason of the failure of the Contractor to complete the
work within the time stipulated, it being further agreed that this sum is not to be construed
as a penalty but is only to be construed as liquidated damages for failure of the Contractor to
complete and perform all work within the time period as specified in this contract or CGS
may terminate this Contract immediately, being obligated to Contractor only for
compensation duly earned for work completed, minus any amounts provided for in this
paragraph.
17. It is further mutually agreed between CGS and the Contractor that if, any time after the
execution of this contract and the surety bond which is attached hereto for the faithful
performance of the terms and conditions as contained herein by the Contractor, that CGS
shall at any time deem the surety or sureties upon such performance bond to be
unsatisfactory or if, for any reason, the said bond ceases to be adequate in amount to cover
the performance of the work the Contractor shall, at his Of its own expense, within ten (10)
days after receipt of written notice from CGS to do so, furnish an additional bond or bonds
in such term and amounts and with such surety or sureties as shall be satisfactory to CGS. If
such an event occurs, no further payment shall be made to the Contractor under the terms
and provisions of this contract until such new or additional security bond guaranteeing the
faithful performance of the work under the terms hereof shall be completed and furnished to
the City in a form satisfactory to it.
18. NOTICES AND CHANGES OF ADDRESS
Any notice requires or permitted to be given by the provisions of this Contract shall be
conclusively deemed to have been received by a party hereto on the date it is hand delivered
to such party at the address indicated below (or at such other address as such party shall
specify to the other party in writing), or on the fifth (St") business day after the day on which
such notice is mailed and properly addressed.
Heath Consultants Incorporated
Ga La e
Name
VicePresident, Operations
Title
9030 Monroe Road,
Houston, TX. 77061
713-844-1303
Telephone #
713-844-1309
Facsimile #
Email: .�lape(a�heathus.com
19. TERMINATION OF CONTRACT
Clearwater Gas System (CGS)
Brian Lan ille
Name
Operations Mana eg r
Title
400 N Myrtle Ave
Clearwater, Florida 33755
727-562-4900
Telephone #
727-562-4902
Facsimile #
If Contractor shall fail to fulfill any of its obligations hereunder, this Contract shall be in
default, the City may terminate the Contract, and Contractor shall be paid only for work
completed.
20. CONFORMANCE WITH LAWS
Contractor agrees to comply with all applicable federal, state and local laws during the life of
this Contract, including but not limited to Florida Statute 556 under which a material portion
of this Contract will be fulfilled.
21. GOVERNING LAW AND VENUE
The laws of the State of Florida shall govern this Contract, and any action brought by either
party shall lie in Pinellas County, Florida.
IN WITNESS WHEREOF, the parties to the agreement have hereunto set their hands and seals
and have executed this Contract, in duplicate, the day and year first above written.
(CONTRACTOR SEAL)
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Countersigned:
� G((�A��Q I� C� t�[�S
George N. Cretekos
Mayor
APPROVED AS TO
FORM:
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Laura Mahony
Assistant City Attorney
FOR THE CONTRACTOR
By:
Name: ry La e
Title: Vice President, Operations
rtness for t ra or
CITY OF CLEARWATER, FLORIDA
By: .t�'��v� �
William B. Horne, II
City Manager
ATTEST:
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Rosemarie Call
City Clerk
a��p�,oF,y,��,/�
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Exhibit A
Scope of Services
Provide underground facility locating services as directed by CGS. Locating services will
include emergency, short notice and regular locating request for CGS owned facilities and be
performed during normal business hours from 7am - 4pm, Monday — Friday and during non-
business hours, as approved by CGS.
Contractor will charge CGS the following rates for services rendered hereunder:
•$ 8.75 Per ticket received from Florida Sunshine (including all ticket revisions
and updates)
•$ 8.75 Per ticket for emergency locates services (business hours only)
•$ 44.00 Per hour for After hours/emergency locates (only with CGS request or
approval)
•$11.00 Per quarter hour Projects (exceeding 60 minutes)
•$ 44.00 Damage Investigation Fee (flat fee)
Contractor acknowledges that all Locate Ticket records are the property of CGS. CGS will
notify Florida Sunshine State One Call (FL Sunshine) of its engagement with Contractor. CGS
shall pay ticket fees assessed by FL Sunshine directly.
Receive and record Locate Requests from CGS during Business Days as a part of normal
business and receive and record Locate Requests from FL Sunshine during normal business
hours. Locate Requests may be issued to contractor during non-business hours on an emergency
basis only and must be approved by CGS.
Contractor to provide sufficient qualified staff, office and field locating equipment to adequately
perform locating services for CGS. Also provide compatible two-way communication with
existing or future communication systems between office, staff and FL Sunshine.
For each Locate Request, review CGS facilities maps, determine where conflicts exist between
proposed excavation and CGS facilities and locate those areas in the time frame specified by
State Statute 556 (currently two business days).
Respond to and site visit every Locate Request from FL Sunshine and locate any and all facilities
belonging to CGS, included in the description on the Locate Request and in the time frame
specified by FL State Statute 556 (currently two business days).
Complete all Locate Requests in the time frame specified by FL State Statute 556 (currently two
business days) and close out these Locate Requests with the proper response to FL Sunshine.
When requested by CGS, Contractor shall provide one free site visit, at a previously located
ticket, to verify locate with the excavator to ensure the safeTy and accuracy of the work
performed.
Use equipment capable of distinguishing CGS facilities from that of other underground utilities.
Locate service lines and other facilities in Right of Ways and Easements to a reasonable distance
onto private property.
Shovel or vacuum excavate pipelines and segments that are difficult to locate, repair broken wire
segments and install/maintain locate stations to complete locates
Use a marking medium such as: paint andlor flags. Colors are to be in accordance with state law
and industry standards.
Designate a single point of contact between Contractor and CGS to serve as a liaison for receipt
of CGS facility maps. Contractor shall be responsible for requesting revised copies of CGS
facility maps.
Contractor shall retain and safeguard CGS system maps and records. Maps and records shall not
be disclosed to or made available to any entity without the expressed written consent of CGS.
Contact CGS for assistance after having e�chausted reasonable efforts to locate any identifiable,
but un-locatable facilities, notify the Excavator of the presence of CGS's facilities and inform
Excavator to suspend any digging activities until CGS personnel are on site. Obtain name,
phone number and other pertinent information of Excavator person or persons notified of locates
not being completed for any reason, whether responded to with Positive Response Codes.
Notify CGS of any discrepancies or omissions in the records or other information provided to
Contractor by CGS to the extent such discrepancies and omissions can be determined by
Contractar. Draw simple as-builts, when main is found in different location than CGS records
depict
Establish positive working relationships with contractors and maintain clear communication
channels to ensure the safety of the system and the public.
Gas locates shall include propane tanks and related underground piping systems. In addition,
will include master meter underground infrastructure at Royal Stewart Arms, Mission Hills and
Ridgecrest per local agreements. Allow CGS to back charge for locates passed-on that were
accomplished with minimal effort. Contractor is responsible for any late ticket charges and may
be charged for any missed locate damages, pending investigation.
Exhibit B
Contractor Proposal
Heaih �onsuttants lncorparated
N�vem�cr 19, 2U1�
Mr. Michael Murray
I'rirch��in� �anager
Purehasing Divisian nf the Gity of (`learw�3ter
l f?0 ���zth Myrtle Avenue
Glearr�vvater, Fia.3375G
�il�,: (}4-1 i t�lat���� (��s C)r�tributic�t� Main & Service Line t,ocating
13eE�r �/fr. Murr�Y:
Heath C;c>nsultants Incc�rparated (Heath) is pleascd to present the attached line locatin�;
prapc3sal for the City of Clearwater.
I1�is techni�a[ proposal �c�ntains specific information about our operations so our cticnts can
determit�e the value of �ur scrviee. Heatli is cc�rnmittec� to providing high qua�ity service ta
our clic;nt:� at a competit�ve price.
1n rcviewin�; the IZ�'3' reyuirctnei�ts Heath �;e�nsultants rec�uests the tE�llc�win�, e;xcc�iic�z�s tc�
the t�eyuircments;
P�;e 3 t tnsuranc.� ttequirements ___ Heath cannot providc thre€; (�) year tail 4overd�e
following termination or exgiration af the A�ree:merxt. Our instirance is provided on
an ann��al k�sis.
Pa�e 13 4. i 1c�ld I-��rmles�lindenz��itic��ti��n: F1e�ase ac��i thi� phrasc; to end of the last
setrt�ncr;; "unles4 sct�h eluims` �xre u result of the City's ou�n ne�Ii�enc�c�_ '`
Pa�e 13 S. Ilold HamiEess/Inclen�nificatin�l: P3ease deletc th� words "sE�nt via
eertified mctil, return receiPt rc�quc�st�d,".
1'd�;e 13 �`I:I�"I'IFICA"I'F OF IN5[�I�ANCEICLRTI�IEi) (:OPi�� ()1� �'t::}�,)CIt;S:
Fle�z�c strike the ��rase in thc first paragraph last l'zne: "revised, e�r c�btai���:� fr�»n
t�ther insurers."
Corpc�rate Headquart�r�€: �030 f�anroe Raad, Houston, Texas 7�461-5229
Phone: �(713j 8d4-13t70 � �a�c, {7i3) 844-93(?9
�ectior� 10 contains the pro�c�s�.l pricing she�t �.n� aII requi��d hid dacuments.
Thank you for tne apportunit�� to submit th?s prapc�sal. If yo� have a.ny questions a�- cl�r�QSe �o
contract aur services, feel free to contact me at 71.i-844-1304.
SFncerelv,
Ciary Lape
Vice Presic�ent, Operations
C�: ��rick 3�I�nsQr.
Jol� C�apr�an
Statement of Qua[ifications
References
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� What Heath Provides
�: ,
Damage Prevention Procedu�res
Education and Training
Quality Assurance Procedures ��:
Quality Control Procedures
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SECTION ONE
STATEMENT OF QUALIFICATIONS
HEATH CONSULTANTS INCORPORATED
STATEMENT OF QUALIFICATIONS
Heath Consultants Incorporated was founded in 1933, and has been in business for over seventy
eight (78) years. We have committed to continually iinproving our �
field techniques with an in-house training department focused on ` II
providing the best field training in the industry. I�eath Consultants is �� ���
recognized as the premier "world class" provider of services to the
Utility Protection and Damage Prevention markets. We have extensive
experience in the natural gas industry providing services related �-;�� �
specifically to underground systems. These services include gas ;
.,
leakage surveys, cathodic protection services and underground facility
locating; also we provide water accountability services to the water
industry. Heath Consultants has been called upon by many companies around the world to
perform special investigations and provide expert witness testimony.
Heath has a qualified and experienced management team that provides strong direction that
focuses on customer service and satisfaction. We have an excellent track record with utilities
throu�;hout the United States and abroad. Our extensive experience, local presence and dedicated
national recruiter allow us to meet project coordination, scheduling needs and staffing
requirements. Currently, Heath Consultants employs approximately 600 people in the United
States who specialize in utility protection and damage prevention services.
The Damage Prevention Services (DPS) division ensures a full service utility markout pro�nam.
DPS' direct supervisors called Project Managers, unlike Project Managers with othcr service
providers, have no sales responsibility. Each member of the DPS is committed to completing the
required tasks accurately and on-time. DPS can receive the One Call tickets directly, eliminating;
your labor costs of processing the tickets. Mapping is one of the most crucial tools in preventing;
utility damage, therefore Heath provides a resource of knowledge to accurately update your•
inapping database.
Heath Consultants Incorporated strives to maintain a positive and respectable employee image;
for both our clients and us. All employees are supplied shirts and hats that have the company
logo prominently displayed on them. All employees are also given employee photo ID cards.
Company vehicles display our logos on both doors and an 800 number on the back asking, "How
is my driving?" with the unit number. The equipinent provided for the technician is the bes�l
equipment currently available.
ERICK R. JOHNSON
e.johnson@heathus.com
DIRECTOR OF SERVICES, SOUTHEAST
EXPERIENCE
HEATH CONSUI,TANTS, INCORPORATED, Chattanooga, TN 2/2009 - Present
Director of Services — Southeast
I.eader of operations for a provider of various utility services. These services include Gas
Leak Survey, Meter Reading, Underground I,ocating, Cathodic Protection, etc.
Responsibilities consisted of leading the regional operations of all Heath Consultants
services in l l states. Coordinate activities between: management, field personnel, the
corporate office, suppliers, customers, etc. Develop the annual budget. Oversee and
track the division Profit & Loss.
SM&P UTILITY RESOURCES, INC., Carmel, IN 11 /1994 — 1/2009
Director of Trainin a� nd Quality Control 10/2006 — l 0/2008
Responsibilities consist of directing the company's management development and
technical training. Leader of a team of 19 trainers and 3 training managers. Develop and
write curriculum and job aids for inanagelnent and technical courses. 'I'each management
courses dealing with skills in areas such as performance management, financial,
interpersonal, customer service, etc. Manage and mentor the technical instructors based
in multiple states. Developed a companywide Continuous Education prob am with on
line testing and tracking.
Safet_y Mana�er 9/ 1/03 - 10/ 1/06
Trainin�ana�er 4/30/99 — 9/l/03
General Mana�er 2/20/98 — 4/30/99
Responsibilities consisted of managing the regional operations of SM&P's locating
services. Contacting potential new customers. Supervise office operations. Coordinate
activities between: field personnel, the office, suppliers, customers, dispatch, etc. Directly
supervise middle management personnel, including two district rnanagers (180
employees). Develop the annual budget. Oversee and track the district5l'rofit & Loss.
District Mana�er
I 1 /14/94 - 2/20/98
THE FISHEL COMPANY, Pelham, AL 4/20/92 - 1]/13/94
Division Mana�er 10/22/93 - 11/13/94
Responsibilities consist of managing the state wide engineering and construction
operations. Coordinated engineering and construction forces to complete turnkev
telephone and gas line projects for our customers. Estimating and putting together bid
proposals. Contacting potential new customers. Directly supervise middle management
personnel. Supervise office operations. Coardinate activities between the field,
suppliers, customers, subcontractors, etc
The annual revenue for this division
leadership.
Project En�ineer
En ineer
. Oversee and track the division Profit & Loss.
�new from $200K to $2 million through my
GENERAL TELEPHONE OF THE SOUTH, Durham, NC
Technical Instructor — OSP
En�ineer - OSP
LAWRENCE COUNTY HIGH SCHOOL, Louisa, KY
Industrial Arts Teacher - Coach
BALL STATE UNIVERSITY,1VIuncie, IN
Graduate Assistant
EDUCATION
9/ ] /92 - 10/21 /93
4/20/92 - 9/1/92
1982 - 1992
] 986 - 1992
1982 - 1986
1980 - 1982
1979 - 1980
M.A.E. (Master of Arts in Education), Industrial Education, Ball State University, Muncie, IN
B.S. (Bachelor of Science), Industrial Education, Morehead State University, Morehead, KY
Morehead State University
Xavier University
General Telephone Training
Other Training:
Emergency Medical Technician Training
Supervision and Organization in Vocational Schools
Planning, Developing and Evaluating 'I'raining
All Outside Plant courses (cable, construction, engineering)
DDI Train the Trainer (Leadership/Management classes)
Continuous Improvement Concepts
Targeted Interviewing
Performance Management
Supervisor Training
Various courses in Leadership, Management and Training
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: ri�.���Z�.CA�t. 1l l� i�! ll t t_ "� K� L:�l.!� ?_-�1�.4���..c_�t:4 C
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• Nine (9) years experience with Heath Consultants Incorporated
• University of Phoenix
�'�Q������;���:�"_� �;ni�����I�e��
���i���C.'i1'i � �1�.
• Management responsibility for four (S) gas leak survey projects located
in the Southeastern United States:
1) Centerpoint Energy, Arkansas, 2008 to January 2011
2) Atmos Energy — 3 TN locations, 2010 to present
3) TECO Energy — St Petersburg/Ft Myers, FL, 2010 to present
4) Jackson Energy, Jackson, TN , 2008 to present
S) Traveling short term surveys in AL, AR, KY, MO, MS, TN 2008 to present
`�`��h��i�.�:I ��p��2����
• Natural Gas Leakage Detection
• Pinpointing of Gas Leakage
• Underground Pipe & Cable Locating
�������ic�i Tr�������
• Gas Leak Pinpointing — Heath Consultants
• Pipe & Cable Location — Heath Consultants
• Damage investigations
�?��F��s�Q���. i�.�TjI�.�:`�'t'IU'�'� _!��f� C��L�F'�'�`I:^_L.�
• American Gas Association
• American Public Gas Association
• Sauthern Gas Assaciation — OQ Evaluator and Trainer
ASSOCIATIONS
th Consultants Incorporated has active memberships in all the associations listed below. Our employees sc:rve as
Board and/or Committee Members where indicatcd.
Association
1. Alabama Natural (ias Association
2. American Gas Association
3. American Public Gas Association
4. American Society of Gas Engineers
5. Arkansas Gas Association
6. Energy Association of Pennsylvania
7. Florida Natural Gas Association
A. Gas Piping Technology Committee
_ Gas Technology Institute
10. Georgia Municipal Association
11. Guild of Ancient Supplers
12. Gulf Coast Measurement Society
13. Houston Pipeliner's Association
14. Illinois Municipal Utilities Association
Membership, Board & Committee Provide
Information Training
Mike Koby
Paul D. Wehnert - Uistribution
Operations & Maintenance Committee
(DCM); Operations Engineering and
Service Associates Committee (Past
Chairman)
Gary Lape - Corrosion Comnvttee
Paul D. Wehnert
Paul D. Wehnert
Mike Koby - 'I�raining Committee
George Lomax, Ken Cowher
John Chapman
George Lomax Manufacturers
Division; Operations & Maintenance
Subcommittee; Damage
Prevention/�mergency Response
Subcommittee
Paul D.Wehnert -'I�ask Force Member
John Chapman
Paul D. Wehnert - Past Mayor
George Lomax - District #7
Milton Heath IIl - District #3
Roy Montemarano - District #3
Paul D. Wehnert
Paul D. Wehnert , Milton Heath, III
Drew Yando
15. Interstate Natural Gas Association of America Milton Heath, 11I
16. Iowa Association of Municipal Utilities Cody Neukom
17. Kentucky Gas Association Mike Koby - Soard of Directors,
Education Commrttee
18. Louisiana Gas Associatian Gerald Sims - Damage Prevention
Committee, Board of Directors
l9. Middle Tennessee Gas Association Mike Koby
20. Midwest Energy Association Drew Yando, Codv Neukom
21. Mississippi Natural Gas Association Gerald Sims
22. Missouri Association of Natural Gas Drew Yando
Operators
# of �Company
Individual
Memberships l�'�embership
2 X
X
X
1
X 1 X
2
1 X
]
X
1
6
X 2
3
] X
X 1
X X
X X
1 X
1
X 4 X
1 X
] X
Association
23. Northeast Gas Association
24. Ohio Gas Association
25. Oklahoma Gas Association
26. Southern Gas Association
27. Tennessee Association of Utility Districts
28. Tennessee Gas Association
29. Texas Gas Association
30. West Tennessee Gas Association
31. Western Enerby Institute
Membership, Board & Committee
Information
Ed Miliczki, George Lomax,
Ken Cowher
Eric Six — Board Member
Gerald Sims - Board of llirectors
Paul D. Wehnert - Associate Member
Committee
Mike Koby, Erick Johnson
Mike Koby — D&O Committee, Affiliate
Committee
Erick Johnson
Paul ll. Wehnert - Treasurer
Gerald Sims - Education Committee
Gary Lape, Robert Botello
Mike Kob,y, Erick Johnson
# of �,^om an
Provide Individual p y
Training �qemberships Nlembership
X 3 X
X l
1 X
X 5 X
X 2
2 X
X 4 X
2
1 X
SECTION TWO
REFERENCES
DAMAGE PREVENTION REFERENCES
TENNESSEE
MIDDLE TENNESSEE GAS
Ed Kelley — Vice President
1036 West Broad Street
Smithville, TN 37166
(615) 597-4300
ckelley(cvmtng.com
ATMOS ENERGY CORPORATION
Wayne Turner - Operations Manager
200 Noah Drive
Franklin, TN 37064
(615) 794-2596
wayne.turner@ahnosenergy.coin
ELECTRIC POWER BOARD
Wendell Boring - Senior Manager, Construction and Maintenance
536 Market Street
Chattanooga, TN 37422
(423) 648-3254
boringwd@epb.net
PIEDMONT NATURAL GAS - NASHVILLE GAS
Robert E. Garner, P.E. - Construction Superintendent
665 Mainstream Drive
Nashville, TN 37228
(6] 5) 734-1770 �
B obby. Garner@pi edmontng. com
CLEVELAND UTILITIES
Tom Wheeler — General Manager
2435 Guthrie Ave. N. W.
Cleveland, TN 37320-2730
(423)472-4521
N LORIDA
TECO
Leroy (Roy) McLeod — Division Manager
] 920 9th Ave N
St. Pctersburg, FL 33713
(727) 826-3240
1 xmcleod�cr�,tecoenergy. com
GEORGIA
GEORGIA POWER
Jim Weldon — Manager, Cable Locating
241 Ralph McGill Blvd NE
Mail Bin 20024
Atlanta, GA 30308-3374
404-506-6510
j awel don@southernco. com
NORTH GEORGIA ELECTRIC MEMBERSHIP CORPORATION
Danny Hales — Manager of Contractor Services
1850 Cleveland Highway
Dalton, GA 30722-1407
(706) 259-9441
dhales@ngeme.com
OKLAHOMA
OKLAHOMA ELECTRIC COOPERATIVE
Randy Simmons - Manager of Operations
242 24th Ave Northwest
Norman, Ok 73069
(405)321-2014
rsim�nons(c�okcoop.org
TEXAS
ATMOS ENERGY
Pete Pedersen
P.O. Box 650205
Dallas, TX 75265
(214) 206-2791
peter.pedersen@atmosenergy. com
PENNSYLVANIA
EQUITABLE GAS
Jack Mackin---Director of Operations
225 North Shore Drive
Pittsburgh, PA 15212-5861
(412) 395-3576
jmackin�cr�,equitablegas. com
rleath Consultants Incorporatec! .
HEATH CONSULTAI�TS LOCATING
r�T FAULT Dt�1�Ir�GE DATA
November 2�11 - Ocfober 2012
� at Fault Per ��curacy
Customer Tickets Damaaes 1 per 1,000 %
Piedmont 46,478 4 11,620 0.086 99.991 %
Atmos Energy 28,812 2 14,406 0.069 99.993°/a
Chattanooga EPB 32,682 Q 0/ 33,327 0.000 100.d00%
North GA Electric 15,804 � 0! 15,804 0.000 10d.000%
Comcast Corporation 32,322 i 32,322 0.031 99.997%
TtV American Watee 19,688 2 9,844 0.102 99.990%
Hixson lltilities 5,083 0 0/ 5,244 0_000 100.000%
Cieveland Electric 6,152 � 6,152 d.163 99.984°/o
Cleveland Water/Sewer 7,370 Q 0/ 7,370 0.000 100.000%
ALL** 194,391 10 19,439 0.051 99.995%
*"Several sma!!er utitities with
no damages are not included.
lndustry Standard 30,000 10 3,000 0.333 99.967%
industry Average 30,000 15 2,000 0.500 99.950%
�
SECTION THREE
WHAT HEATH PROVIDES
WHAT HEATH PROVIDES
Damage Prevention
Heath ensures a full service utility markout pro�,nam.
Supervision
Heath provides experienced supervisors to oversee daily operation, maintain communication with
you the client, conduct field assessments of the technicians' job performance and conduct quality
control inspections of field personnel.
Staffing & Training
Heath maintains both a full time recruiter and an education coordinator. All employees inust
complete field training and qualification testing.
Quality Assurance
Regular on site evaluations are done with the Field Technician to assess a number of areas such
as knowledge of line locating procedures, client relations, equipment calibration and vehicle
maintenance.
Quality Control
Re-surveys are done on portions of a Field Technician's work. The re-survey confirms that all
detectable facilities have been located appropriately and within the compliance dates. The results
are then reviewed with the Field Technician.
Customer Satisfaction Surveys
Heath Consultants' Corporate office conducts customer satisfaction surveys once a year
providing customers a direct method of evaluating our performance and providing us with feed
back on our overal] operation.
The surveys are sent to customers within the organization that deal with the project and our
employees on a first hand basis. When the results have been tabulated Heath can then determine
the areas of operation that we are strong and where there is room for improvement.
One Call Center Interfacing
We can receive the One Call tickets directly, eliminating your labor costs of processing the
tickets. We use state-of=the-art ticket processing software called TransLore to ensure the most
efiicient results.
Positive Response
Heath provides an automated positive response directly from our ticket management system
(TransLore) to the appropriate one call center. A response is issued immediately on completion
of the locate for each of the parties on the ticket for which we are responsible. The positive
response is provided in whatever fornlat and via whatever transfer mechanism has been requested
by the one call center. The positive response will he repeated until an acknowledgeinent message
has been received fram the one-call center.
Drug & Alcohol
Heath Consultants follows the drug and alcohol testing requirements outlined by the Department
of Transportation.
Safety
Safety is a key eleinent with Heath Consultants. Regular safety ineetings are held and
information is provided to the employees.
Uniforms & Transportation
Heath's technicians are full time employees with benefits. They wear a company uniform and
drive easily identified company vehicles. We take pride in presenting a professional iinage to
your customers, on your behalf.
SUPPORT SERVICES
Heath Consultants Incorporated also offers a wide variety of services to the utility industry,
including but not limited to the following:
Unauthorized Pole Attachment Surveys
Are you losing significant revenue? Do you have any idea how much? Heath can help, by
auditing your poles and their attachments we can generate a significant revenue that is rightfully
yours. Why allow other utilities, your competitor in some cases to continue inaking money using
your assets? With the changing market arena, auditing your poles is a must. While auditing your
poles we can look for space violations from other utilities, including space and guys. We can also
provide you with asset inventory infonnation such as street light locations and types for your
mapping systems.
Meter Reading
Heath can provide accurate, timely documentation of ineter reads for client billing purposes.
Heath has had a reputation for training and providing reliable tield personnel for over 70 years.
Customers value Heath for being quick to respond and giving the
needed attention to detail that is necessary to provide quality service in the ineter reading
industry.
Instrument Repair
The experienced staff at Heath Consultants will keep your field instruments in prime condition.
We repair all heath products, manufactured and distributed. We also repair most competitor
combustible gas indicators, multi-funetion gas detectors, flame ionization detectors, odor analysis
equipment, mobile units, and pipe, cable and valve locators. We have repair facilities
conveniently located across the United States.
Training
With our combined expertise, Heath and AEGIS (Associated Electric & Gas Insurance Services)
have been able to provide the utility industry with the highest quality of training provided by
dedicated professionals. We can offer "hands on" field training and testing can be performed in
conjunction with either classes or field training in order to ineet company, state or federal
requirements. Leakage Pro�,�ram Management, First Response, Gas Leak Pinpointing, and Utility
Locating are just a few of the courses offered. Also available is computer simulation software for
training personnel that are involved in leak/odor investigation and emergency response.
Additional Services
• GIS/GPS Data Collection
• Valve Locate & Exercise
• Indoor Meter Inspection
• Corrosion Readings
• Sign & Marker Replacement
• Safety Audits
SECTION FOUR
DAMAGE PREVENTION PROCEDURES
lieath Consultants Incorporated
HEA'I'H CONSULTANTS LOCATING
�T FAULT DAMr�GE DATA.
November 2011 - Ociober 2012
At Fault Per Accuracy
Customer Tickets Damages 1 per 1,000 %
Piedmont 46,478 4 19,620 0.086 99.991%
Atmos Energy 28,812 2 14,406 0.069 99.993%
Chattanooga EPB 32,682 0 t� / 33,327 0.000 100.000°/Q
North GA Electric 15,804 0 0/15,804 0.000 100.000%
Comcast Corporation 32,322 � 32,322 0.031 99.997%
TN Americar� Water 19,688 2 g,844 0.102 99.990%
Hixson Utilities 5,083 0 ff / 5,244 0.000 'i 00.000%
Cleveland Efectric 6,152 1 6,152 0.163 99.984°/a
Cleveland Water/Sewee 7,370 0 Q/ 7,370 0.000 100.000%
ALL** 194,391 10 19,439 0.051 99.995%
**Severa! smaller utilities with
no damages are not inc/uded.
Industry Standard 30,000 10
Industry Average 30,000 15
�
3,000
2.000
0.333
0.500
99.967% j
99.950%
Dama�e Procedures
(Client Level)
The client shall notify Heath Consultants' project ottice of all occurrences of damages. A
ineeting between client member and Heath Consultants' project member will determine
responsibility for the damage. At this tiine, a dainage investigation report (field portion) is
completed by a Heath Consultants' project member. Any damage determined to be the
responsibility of Heath Consultants should be invoiced to the project office and sent to the
Division office in Houston within 10 working days. Establish monthly meetings to discuss
questionable damages.
Damage Procedures
(Division Office Level)
Clients should mail invoices to the Houston office where a log of damages is kept as to date
received, amount of invoice, date invoice is faxed to project oftice. At this point, the invoice is
logged as pending. At the project level, the faxed invoice is reviewed and approved for payment.
The appropriate back-up is attached to the faxed invoice and sent to the Houston office. When
the Houston office receives the invoice from the project offices, the log of damages is completed
as to date received from project office, and date purchase order is processed.
Damage Procedures
(Project Level)
• Heath (project level) gets call about damaged utility
• Damage is documented on damage log
• First alert--office notifies closest field personnel to respond far initial investigation
• Office personnel begins research for ticket
• Upon arrival to damaged utility scene, 1 st responder asks office personnel for ticket research
findings
• If 1 st responder is not a member of management, member of management should be called to
document actual da�nage
• Heath personnel should complete field part of da�nagc report
• Damage report is turned in to designated Heath personnel for completion of damage report
• Damage report is signed by appropriate project level management
• AT FAULT DAMAGE REPORTS ONLY--Copied and sent to QA Dept.
• NOT AT FAULT DAMAGE REPORTS kept at project level
QA Leader will provide locators with training and a training rcport for all at fault dainages.
SECTION FIVE
EDUCATION AND TRAINING
TRAINING PROGRAM
In compliance with the Operator Qualification Rule and
DOT Regulations Heath's training protocol varies as to the
types of services being provided. Based upon the function
that a technician is hired to perform technicians will receive
varying degrees of the following training:
• Up to forty hour classroom
• Up to six weeks field training
• Possible qualification test(s)
Quality Assurance Program
• Tagging program
• Survey audit
• On site supervision - Monthly, yuarterly and annual review process
Refresher Training
Heath Consultants Incorporated maintains both a full time recruiter and education training and
development manager to maintain a reservoir of qualified and trained technicians prepared to
meet and exceed client expectations.
OPERATOR QUALIFICATION PLAN
Purpose: The purpose of this plan outlines the process Heath Consultants Incorporated
(hereto fore referred to as the "company") utilizes to comply with 49 CFR 192
"Operator Qualification" (OQ Rule). The effective date of this written plan is
Apri127, 2001.
1. Definitions
1.1. Abnormal operating conditions — defined in 49 CFR 192.803 as a condition that
indicates a malfunction of a component or deviation from normal operations that may
indicate a condition exceeding design limits or result in a hazard(s) to persons or the
environment.
1.2. Evaluation — detined in 49 CFR 192.803 as a process established by the company to
determine an individual's ability to performed a covered task by any of the following
methods:
1.2.1. Written examination
1.2.2. Oral examination
l.2.3. Work performance history review
1.2.4. Direct observation during the job
1.2.5. Performance on the job
12.6. On the job training
1.2.7. Simulations
1.2.8. Other forms of assessment
1.3. Integrity — the pipelines ability to operate safely and to withstand stresses imposed
during operations.
1.4. Quali�ed — defined in 49 CFR 192.803 as an individual who has been evaluated and can
perform assigned covered tasks and can recognize and react to abnormal operating
conditions encountered on the job.
1.5. Transitional — qualification completed by October 28, 2002 of individuals who have
been performing a covered task on a regular basis prior to August 27, 1999 (and have
continued to do so).
1.6. Pipeline facility — defined in 49 CFR 192.3 as. new and existing pipeline, rights-of-way,
and any equipment, facility, or building used in the transportation of gas or in the
treatment of gas during the course of transportation.
1.7. Covered task — defined in 49 CFR 192.803(a) as an activity identified by the company
as meeting all of the following: (Four — part rule)
1.7.1. The activity is perfonned on the pipeline facility.
1.7.2. Is an operations and maintenance task.
1.7.3. Is performed as a requirement of 49 CFR 192.
1.7.4. Affects the operation or integrity of the pipeline.
2. Identification of covered tasks — 49 CFR 192.805(a)
2.1. This program includes a list of performed covered task(s) identified by the company
using criteria set forth in the OQ Rule and as shown in l.7 above. Regulatory Agencies
and Operators, the company provides service for, can request ainendments to the list.
(Amendment 1)
3. Evaluations — 49 CFR 192.805(b)
3.1. Company personnel currently performing "covered tasks" on the I�nplementation Date of
the OQ Rule (August 27, 1999) qualify under "Transitional" clause or "Work History"
Note: "Work History" will not be used as the sole evaluation method after October 28,
2002.
3.2. Any person not previously qualified shall qualify according to guidelines set forth in the
company's training and development pro�nams. The progam(s) involving "covered
tasks" includes at least one method of evaluation described in the OQ Rule and as shown
in l .2 above. �
3.3. Evaluation methods and evaluators include inanagement designated intcrnal personnel
and materials, approved outside resources, and Operators we provide service for; along
with Regulatory Agencies' recommendations.
4. Non-Qualified Individuals — 49 CFR 192.805(c)
4.1. Non-Qualitied individuals can perform covered tasks only under direct supervision of a
qualified person(s) of the company or operator. The qualified person assumes
responsibility, ensuring safe performance of covered task: including being in position to
take immediate corrective action in necessary.
5. Evaluations Following Incidents — 49 CFR 192.805(d)
5.1. If determined by the company, Operator or Regulatory Agency, qualified person(s)
contributed to an incident involving a covered task, the company ensures involved
person(s) will no longer perform covered tasks without direct supervision until evaluated
and deemed qualified by company and or Operator.
5.2. If company or Operator reasonably deeins person(s) is no longer qualified to perfonn
covered task, identified person(s) may no longer perform covered task without direct
supervision until evaluated and qualified by company and or Operator.
6. Evaluations Related to Performance — 49 CFR 192.805(e)
6.1. The company or Operator requires an individual to be evaluated if there is reason to
believe that the individual is no longer qualified to perform a covered task. This could
occur if the individual displays unsatisfactory performance of the task or there is any
reason to believe the individual can no longer perform the covered task in a qualified
manner.
6.2. If the company or Operator has reason to believe that an individual is no longer qualified
to perform a task due to unsatisfactory performance or any other reason, the individual's
status will be revised to non-qualified, and will be restricted from independently
performing the covered task until evaluated and qualified in accordance to l.2 above.
6.3. The company will be responsible for detennining if an individual is no longer qualified
to perform a covered task due to unsatisfactory performance or other reasons and will
ensure that the individual is evaluated and qualified before resuming performance of the
covered task. Evaluation methods and evaluators include management designated
internal personnel and materials, approved outsidc resources, and Operators wc provide
service for: along with Regulatory Agencies' recommendations.
7. Communication of Changes — 49 CFR 192.805( fl
7.1. The company realizes the constant changes in the industry impacting the performance of
covered tasks. These changes shall be communicated to the qualiticd personnel in the
most efficient and effective manner available to the company. Channels of
communication include, but are not limited to: redesi�m of internal program(s) and
material including evaluation if necessary, written bulletins, electronic generated notices,
ainendments to the OQ Plan, and/or recommendations from Regulatory Agencies or
Operators.
8. Evaluation Intervals — 49 CFR 192.805(g)
8.1. All personnel performing covered tasks and participating in the company's quality
program shall subsequently re-qualify no later than the end of the third calendar year
since their last recorded qualification. The evaluation shall include at least one of the
methods described in 1.2 above. Any person(s) who has not performed a specific covered
task during a rolling twelve month period, must qualify before performing specific task;
evaluation to include at least one method indicated in 1.2 above.
9. Record Keeping — 49 CFR 192.807
9.1. The company will provide documentation of qualified personnel including identification
of the person, covered task qualified to perform, date of qualification and method of
evaluation.
9.2. The company shall maintain these records for no less than a tive-year period following
the last qualification date of each person, including person(s) leaving the co�npany.
9.3. This information is available to Regulatory Agencies and Uperators having a vested
interest.
9.4. The current method of maintaining records are electronic data and hard copy: at
corporate headquarters and regional locations. Programs and locations may change as
technology improves.
10. Implementation — 49 CFR 192
The company complies with the dates and requirements stated in the OQ Rule. (Work History
cutoff date, August 27, l 999: Effective date of the rule, October 26, l 999; Publication date of
written plan, April 27, 2001; Date after which all persons perfonning covered tasks are yualified
under this plan, October 28, 2002.)
Covered Task List
1. Leak Survey
1.1. Perform leakage surveys: Transmission lines — 49 CFR 192.706
1.2. Perform leakage surveys: Distribution lines — 49 CFR 192.723
2. Patrolling
2.1. Patrolling transmission lines — 49 CFR 192.705
2.2. Patrolling distribution lines — 49 CFR 192.721
3. Line Locating
3.1. Locate and teinporarily mark buried pipelines in an excavation area — 49 CFR
192.614(c)(5)
3.2. Standby for prevention of damage to pipclines — 49 CFR 192.614(c)(6)
4. Corrosion Control
4.1. Monitor/test for cathodic protection — 49 CFR 192.465(a)
4.2. Monitor/test for atmospheric corrosion - 49 CFR 192.481
5. Valve Maintenance
5.1. Operate valve to discontinue service to a customer — 49 CFR 192.727(d)
5.2. Inspect/maintain distribution valves — 49 CFR 192_747
Pre-Productive Field Test
Date:
Locator's Name:
YES
SAFETY
Does locator know what confined space is? ❑
Does locator know our confined space policy? ❑
Does locator know to wear safety vest and face
oncoming traffic when working in or near roadway? ❑
Does locator know to stay away from blowing gas
and not to use electronic equipment or telephones
near blowing gas? ❑
Does locator know the flammable limits of natural gas? ❑
Does locator know to wear hard hat in construction
areas? ❑
PAPERWORK
Does locator know how to fill out log sheets properly? ❑
Does locator know how to fill out time sheers properly? ❑
Does locator know how to communicate with
Contractor and document? ❑
Does locator know how to fill out tickets properly? ❑
NO N/A
❑ ❑
❑ ❑
❑ ❑
❑ ❑
❑ ❑
❑ ❑
■
■
�
■
■
■
■
■
PROCEDURES
Does locator know proper marking procedures for
the following:
Paint
Flags
Offset
Safe Dig
Does locator know proper grounding procedures?
Does locator know the procedures for an
emergency locate?
YES
■
■
■
■
�
❑■
LOCATING
Does locator know how to hook up conductively? ❑
Does locator know how to use the inductive clamp? ❑
Does the locator know how and when to locate inductively?
How? ❑
When? ❑
Does locator know not to ground over other utilities? ❑
Does locator know how to read tickets and
determine locate area? ❑
Does locator know how to take pictures and
document pictures properly? ❑
NO
❑
❑
❑
❑
❑
❑■
�
1
�
■
■
■
N/A
Ci7
■
■
■
■
,]
■
■
■
■
�■
❑ ❑
❑ ❑
YES
Does locator know to look for services crossing road
when work is in roadway? ❑
Does locator know how to spot valve and manholes,
test stations, pedestals, reg stations, transformers, etc? ❑
Does locator know where gas lines are insulated? o
Can locator identify an anode less riser? ❑
Can locator read utility mapping for the following:
Gas ❑
Electric ❑
Telephone ❑
CATV ❑
Water ❑
Sewer ❑
EQUIPMENT
Can locator properly change batteries in all equipment? ❑
Does the locator know the proper operation of the following:
LS-800 ❑
LS-990 ❑
LS-300 ❑
Sure-Lock 8.1 ❑
•
■
■
■
■
■
■
■
■
■
■
N/A
❑
■
■
■
■
■
■
■
■
■
❑ ❑
❑ ❑
❑ ❑
❑ ❑
❑ ❑
Sure-Lock 81
Sure-Lock 480
50-60 cycles
Pipe Horn
Ball Locator
YES
❑
■
■
■
��
PAINT
Does locator know the utility paint color codes?
Electric Red ❑
Telephone Orange ❑
Gas Yellow ❑
Sewer Green ❑
Water Blue ❑
CATV Orange/Purple ❑
VEHICLE
Does locator know when and how to check oil in truck? ❑
Does locator know when to have oil in truck changed? ❑
Does locator know how to use the Wright Express Card?❑
What is your Write Express pin number? ❑
NO
❑
❑
❑
❑
�'
■
■
■
��■
�■
�■
■
�■
�■
■
N/A
❑
❑
❑
❑
❑
■
■
■
■
■
■
■
■
■
■�
YES NO N/A
VISION STATEMENT
Does locator know our Vision Statement? ❑ ❑ ❑
Locator's Signature
Trainer/Instructor's Name
Approved to become billable
(Must have Trainerllnstructor's Signature)
Comments:
SECTION SIX
QUALITY ASSURANCE &
QUALITY CONTROL PROCEDURES
QUALITY ASSURANCE PROGRAM
The Quality Assurance Program was developed to help reduce the frequency of damages incurredl
by underground facilities. Each of Heath Consultants Incorporated Damage Prevention
Division's locating projects is staffed with a Q.A. leader. It is this person's responsibility to
assure that all field personnel are following proper locating procedures. This is accomplished by
performing field audits and on sight training.
The purpose of these audits is to help prevent the same situation from occurring again. The
frequency of the audits will be determined by specs included in specific project contracts or if
none are included, by Divisional, Field Services and Quality Assurance Managers. Along with
verifying the accuracy of locates the Q.A. leader will also check for proper and accurate
documentation of all field paperwork.
The Quality Assurance Leaders will also monitor all training being done on their specific
projects. All locators must pass both a written and a field test before they are allowed to
complete one-call tickets on their own.
All of the information collected by the Q.A. Leader is sent to the Q.A. Manager, who then
completes the monthly reports. These reports are then sent to the specific customer contacts and
the project managers for further follow up with their field supervisors.
The members of the Quality Assurance Department are not responsible for the protit/loss of the
projects; however, they must be mindful of productivity, efficiency and cost when reviewing
field technicians and project operations. Their quality assurance efforts provide key support to
the Project Managers in their efforts to provide a quality service in a profitable manner.
In addition to Quality Assurance Audits, the QA Team is responsible for the tracking and
maintenance of Damages. In a perfect world, damages would not occur; unfortunately it is an
every day part of life in this industry. Our best efforts must be made to eliminate "at-fault"
damages and educate the excavators in the process. Overseeing and auditing damages will help
us develop and efficient operation with a minimized liability.
AUDITING PROCEDURES
General
Quality Assurance Leaders will perform audits on a random rotation that ensures that every
locator is audited. Re-auditing may occur at any time when problems occur and it is deemed
necessary. Request for a locator to be audited can be made at any time.
Audit Procedure:
1. Audits will be conducted in a consistent, unbiased manner.
2. Crew Leaders, Team Leaders, QA Leaders, Trainers and Project Managers may
conduct audits.
3. A minimum of 3% of locates per year will be audited unless a contract specifies a
higher percentage.
4. Every technician will be audited a minimum of once each quarter. Technicians
with less than 6 months with Heath will be audited a minimum of once each
month.
5. Audits shal] be docuinented at each damage site.
6. The field technician will be evaluated on a minimum of the following items:
■ Accuracy of the facility locate
■ Clarity of the locate marks
• Complete coverage of the instructions on the ticket
• Daily production
• Proper locate documentation
7. The QA Leader will ineet with the technician to discuss the audits in a timely
manner.
8. The QA Leader will submit a memo with recommendations to a Manager at the
Project office.
THE FIELD AUDIT
The field audit will be the priine resource in the expected success of our Quality Assurance Plan.
Audit Evaluation
The field technician will be evaluated on a minimum of the following items:
• Accuracy of the facility locate
• Clarity of the locate marks
• Complete coverage of the instructions on the ticket
• Daily production
• Proper locate documentation
Unacceptable Audit
An unacceptable audit represents a locate where facilities were in danger of being damaged due
to poor field perfonnance. A score of this nature would result in any one or a combination of the
following:
• Employee suspension or dismissal
• Written reprimand
• Additional training
• Training report
Below-Standard Audit
Where facilities were not in danger of being damaged, due to field practices where the field
locate lacked important attention to detail in some manner, the following will occur:
• Verbal coaching or counseling
• Additional training
• Training report
Acceptable Audit
An acceptable audit represents a locate where all efforts were made to protect all customer
facilities. In addition, the locator has gone above standards and provided extra infonnation to the
excavator involved. Audit Scores
Audit Scoring
The following scores for each locate and an overall audit score will be used:
• Excellent (E)
• Satisfactory (S)
• Needs Improvement (N)
� Unsatisfactory (U)
Note: The above scores will be based on the QA Audit Procedure itein number 6.
The overall audit score will be at the discretion the auditor based on overall audit scores and
severity of any inadequate scores. For tracking purposes, an `E' or `S' will be considered
Adequate (`pass' on the old forn�), while `N' or `U' will be considered Inadequatc (`fail' on the
old form). I will send a new Daily Summary form to your office with the next envelope from
Houston.
DAMAGE PROCEDURES
1. The client shall notify Heath Consultants' Project office of all occurrences of damages.
2. The Project office will give the client the next number in the damage log and fill in all
available information in the log.
3. A Crew Leader or above will be dispatched to the damage site by the Project office.
4. A`Damage Investigation Report' is completed at the damage site. (A QA report will also be
generated.)
5. For at fault damages, training of the technician shall be conducted on-site and a training
report generated.
6. Remaining information for the damage log is filled in when the damage investigation is
turned in to the Project office. In most cases this should occur the same day as the damagt�
but no later than one working day after the damage.
7. A project supervisor will fill out the damage close out section of the `Damage Investigation
Report'.
8. The original damage log and all original damage information will be turned in to the Division
office weekly. Any damages not received with the log will be followed up with a call to the
Project office.
9. The Division office will make a folder far each damage with the damage number on the tab
of the folder and file them by Project and number.
10. The damages will be entered into a database from the damage log. The log will be filed at the
front of the tile with the damages for each Project.
l l. A meeting between the client and Heath Consultants may be needed to detennine
responsibility for the damages.
12. Damage invoices are sent to the Division office in Houston These will be copied to the
project office if they came from the client to the Houston Office.
13. Invoices will be matched to the damage file to detennine responsibility. If Heath is at fault,
Project Manager approval is required if over $2000.00
14. If Heath is at fault, the invoice will be forwarded to the QA Manager and then the Corporatc
Accounting Department for payment.
If an invoice is received for a damage where Heath was detennined not to be at fault, the Project
office will be informed and further discussions with the client will need to take place.
FIELD EQUIPMENT
Heath Consultants has a unique competitive advantage over other service providers because we
not only manufacture the equipment that is utilized in the field but we also perform services with
our equipment which gives our in-house field experts the opportunity to provide us with valuable
input and feedback on the products design and function in the field.
Heath utilizes the latest technology in the field. Depending on the survey, conditions, and
contract requirements, all or select equipment as described below inay be used in the
performance of your survey.
Sure-LockTM All Pro
This multi-frequency pipe and cable locator is designed to increase locating accuracy and
productivity. With a broad spectrum of frequencies, ranging from 8.1 K to 480 kHz, a field
technician can easily locate audio, radio, and ultra-high frequencies. The All Pro even finds poor
conductors such as bare steel, cast iron, unbonded cable, broken tracer wire and helps verify dead
end utilities. One unique feature is continuous depth reading, which helps us from straying off the
intended target.
Sure-LockTM Utility Pro
The Utility Pro radio frequency locator works well on all buried utilities with conductive
capabilities. The Utility Pro has an active 81 K hertz frequency with depth and left-right, it also
has a passive frequency of 50-60 hertz without depth or left-right. This model can be used both
conductivity (connected directly to the utility) or inductively (setting the transmitter over the path
of the utility). Excellent results have been achieved on gas, water, electric, telephone, and cable
TV.
Sure-LockTM Distance Pro
The Distance Pro audio frequency locator works great for conductive locating and for gas
transmission lines, cable (electric, telephone, and TV), tracer wire, and any good conductor
buried in the ground. The Distance Pro uses a 3-watt transmitter with a high power setting for
those really long locates. A special feature called "impedance matching" puts the maximum
amount of signal on the target conductor for inereased distance and accuracy.
SECTION EIGHT
DRUG & ALCOHOL POLICY - EXCERPT
�• HEATN
i�(�ISIILTANTS
Policy Subject:
Heath Consultants Incorporated
Policv Manual
Dru� and Alcolzol Abuse Prevention
Issued By: HR Approved By: C'HH F.'ff'ective Date: 10/03
Complying with U.S. Department of Transportation Regulations 49 CFR Parts 40 and 199
In order to protect employees, the public and Company property from any danger that may resul�t
from the use of drugs, and to meet our obligations under applicable federal regulations, Heath is
committed to assuring that all employees perform their duties free from the influence of illegal or
inappropriately used drugs, and we will consider any job applicant who illegally uses drugs to be:
ineligible for employment with Heath. It is our objective to provide and maintain a safe, drug-
free work environment. All employees are required to abide by this policy as a condition of
employment.
Alcohol Use/Illegal Drug Use/Criminal Drug Convictions: Employees who inappropriately
use alcohol or who use, distribute, buy, sell, transfer or possess illegal or prohibited drugs in
any amount, at any time on Company premises, in a Company vehicle or while performing any
work-related activities, whether on or off Company premises, will be subject to disciplinary
action up to and including discharge. For purposes of this policy, an "illegal drug" is any
controlled substance that cannot be legally obtained, or that, although available legally, has
been obtained illegally. A"controlled substance" is any substance listed on Schedules I through
V of the federal Controlled Substances Act. "Prohibited drugs" are marijuana, cocaine, opiates,
amphetamines and phencyclidine (PCP), the five drugs that the United States Department of
Transportation ("DOT") has specifically named under Federal regulations (49 CFR Part 40 and
Part 199). The conduct prohibited by this policy includes use of any illegal or prohibited drug
not only during working time, but also prior to reporting to work and during breaks and meal
periods. Violation is grounds for immediate termination of employment.
Under the authority of the Federal Drug-Free Workplace Act, this policy requires employees to
report any conviction for a criminal drug violation in our workplace, within five days after the
conviction. The steps the Company takes next will depend upon the nature of the conviction, the
employee's record with the Company and whether or not the employee is in a safety-sensitive
position. Discipline, up to and including termination will be imposed.
Use of Prescription Drugs: Employees who are undergoing medical treatment with a
prescribed drug or controlled substance, or who are taking an over- the-counter drug that may
alter their physical or mental ability, must report or have thcir physician report this fact to their
supervisors. An employee may be required to provide the Company with a copy of the
prescription and/or other medical verification. It may be necessary to change an employee's job
assi�mment while the employee is undergoing such treatment, or, if no suitable position is
available, the employee may be placed on a medical leave of absence. Purchase, sale or transfer
of a prescription drug by one employee to or from another while on Company premises or while
performing any work-related activities, whether on or off Company premises, is prohibited.
Violations may result in termination of employment.
Drug Testing: All offers of employment for any position with the Company will be
conditioned upon the satisfactory results of a physical examination and a test for the five DOT-
specified "prohibited drugs." The physical and drug test will be done at Company expense.
In addition, under the DOT regulations all employees in the following "covered" positions will be
subject to randoin testing for the five prohibited drugs:
Division Mgr./Dir. Of Services Education Manager
Field Services Manager Field Technician
Project Manager QA Leader
Technica] Svcs Specialist Sales Consultant
QA Manager
Team Leader
Meter Readers
Senior Field Technician
Other positions may be added in the future if it is determined that the duties of the position
include safety-sensitive activities under DOT regulations.
Whenever the Company determines that there is reasonable basis to suspect that an employee has
violated the policy regarding use of any illegal or prohibited drug while on Company premises or
while performing any work- related activities, whether on or off Company preinises, that
employee will be required to undergo drug testing. Covered employees will also be required to
undergo drug testing following certain kinds of accidents as defined in the DOT regulations.
Employees who are perfonning non-covered positions must first pass a pre-placement drug test
for the five prohibited drugs before being promoted to, transferred into, or otherwise allowed to
perform the duties of a covered position. Such employees immediately become subject to the
random, reasonable cause and post-accident testing requirements of these positions.
Drug Testing Procedures: All Company-required drug testing will be by urinalysis and will be
performed at Company expense. Testing will be conducted by a laboratory certified under the
Guidelines for Federal Workplace Drug Testing of the US Department of Health and Human
Services. Test specimens will be subject to an initial screening test and, if the result is positive,
will be subject to a second, confirmatory test by gas chromatography/mass spectrometry or an
equally reliable methodology.
Any employee to be tested for drugs is required to give written conscnt to the testing and to sigri
a release authorizing the testing laboratory to provide the test results to the Company. Failure to
give consent or to sign the release is grounds for itnmediate tennination of einployinent.
Test results will be maintained by the Company's Medical Review Officer (a physician wit�;�
specialized training in substance abuse detection and treatment), who will advise the Company
only as to whether the test results were negative or positive. A copy of the results of a Company-
required test would be provided to the employee tested upon written request. An employee whosf;
drug test result is positive may request that the original sample be retested, at the employee's
expense, if that request is made within sixty days.
Consequences of a Confirmed Positive Drug Test or Refusal to Submit to a Drug Test: An�
employee who has a positive drug test result, or who refuses to submit to a drug te.st, is subjec�`
to immediate terrszination of employmen�
Drug testing for at-fault vehicle accidents and workers compensation: Employees will be
required to take a drug and alcohol test after any at-fault vehicle accidents and/or worker
compensation accidents.
Employee Assistance Program: The Company will periodically display and distribute
educational materials to all employees regarding the dangers and consequences of drug use. In
addition, in the Heath Anti-drug Plan and in the Employee Manual issued to each employee wil]
be printed a list of NATIONAL HOTLINE NUMBERS that employees can use to seek assistance
for drug and alcohol abuse and related problems. Finally, supervisors will receive additional,
specialized training in identifying symptoms of probable drug use for making "reasonable cause"
determinations.
Each employee will receive a copy of the Company's Anti-Drug Plan, together with a copy of the
anti-drug policy, and will be required to sign a statement acknowledging that he/she has received
and read these documents and that he/she understands the consequences of any violation of this
policy.
Distribution:
All employees
SECTION NINE
SAFETY POLICY & MANUAL
Safety Policy Manual
For
Heath Consultants Incorporated
Services Business Unit
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Safety Policy
Table of Contents
1 Objective 1
II Policy I
III Applicability 2
IV Implementation 2
V Administration 2
VI Notifications
VII Reporting Injuries
VIII Process Safety Management/Contractor Responsibilities
IX Hazard Identification & Risk Assessment
X Working Alone
XI Hazard Communications
XII Noise Exposure/Hearing Conservation
XIII Basic Safety Rules
A. General Safety
B. General Field Safety
C. Leak Survey Safety
D. Contract Locating Safety
E. Meter Reading Safety
XN Ladder Safety
XV Emergency Action Plan
XVI Fire Extinguisher Program
XVII Benzene Awareness
XVIII Bloodborne Pathogens
XIX Asbestos Awareness
XX Confined Space/ Permit Contined Space
XXI Electrical Safety: Qualified/Non-Qualified
XXII I,ockouUTag-Out
XXIII Respiratory Protection
XXIV Rigging Material Handling
XXV Treching/Shoring/Excavations
XXVI Recordkeeping
A. Training Records
B. Medical Records
C. OSHA Records
D. Sharps Injury Log
XXVII Enfarcement of Safety Policy
XXVIII Attachments
A. Job Safety Checklist
B. Approach Distances for Qualified Employees (Electrical)
C. Employee Acknowledgment
1 OBJEC'rNE
The Safety Policy of Heath Consultants Incorporated is designed to comply with the Standards of the Occupational Safery and
Health Administration, and to endeavor to maintain a safe and injury/iilness free workplace. A copy of the OSHA Safety and
Health Standards 1926 and 1910 are available for all employees use and reference. "I'hese Standards shall be available in the
home office at all times and will be sent to the jobsite on request. (Also available on OSHA web site at
"http://www. osha.gov/index.html")
Compliance with the following Safety Policy and all items contained therein is mandatory for all employees of the compariy.
'I'he authorization and responsibility for enforcement in the services business unit has been given primarily to the v:ice
president of operation.s through the training & development department. 'The directors of services and project managers share
in this responsibility as well.
II POLICY
It is company policy that accident prevention be a prime concern of all employees. This includes the safety and well being of
our employees, subcontractors, and customers, as well as the prevention of wasteful, inefficient operations, and damage to
property and equipment.
It is the policy of Heath Consultants to provide and maintain safe and healthful working conditions, and to follow operating
practices that will safeguard all employees and other persons involved, and result in safe working conditions and an efficient
operation. Every employee, supervisar and management member is penonally responsible for reporting hazardous conditioms
and unsafe work procedures that can cause injury to fellow employees or damage property. Each employee also has a personal
responsibility to act in a safe and responsible manner in all phases of our company's operations, and at all times while c�n
company property.
Special policy note regarding entry to "confined space:" Heath requires its employees to have proper training and equipme;nt
prior to entering a confined space. If you have not received the confined space training, or if you are trained, but do not have
the required safety equipment, you must not enter a confined space. Doing so will result in the immediate termination of you.r
employment with Heath. 'Total compliance to all rules and regulations set forth in the special and separate confined space
training will be adhered to. A Heath identification card with an expiration date will be issued that indicates that the employe:e
has had confined space training.
III APPLICABILITY
This Safety Policy applies to all employees of Fleath Consultants Incorporated, regardless of position within the compam�.
The Safety Rules contained herein apply to all subcontractors and anyone who is on a company project site.
Every employee is expected to comply with the Safety Policy, as well as OSHA Heaith and Safety Standards.
IV IMPLEMENTATION
Thiti Safety Policy supports six fundamental means of maximum employee involvement:
Management commitment to safety.
Minimum frequency of monthly "tool box" safety meetings at all jobsites.
Effective job safety training for all categories of employees.
Job hazard analysis provided to all employees.
Audio and/or visual safety presentations given at jobsites or project meetings by the project manager.
Various incentive awards for exemplary safety perfonnance where applicable.
The project manager wil] meet with project employees at least once a month to evaluate all areas of safety and m,.�ke
recommendations to the company vice president of operations.
�' ADMINISTRATION
The Safety Policy will be carried out according to guidelines established and published in this and other related procedures.
Specific instructions and assistance will be provided by the training and development department as requested. Ea�ch
supervisor will be responsible for meeting all of the requirements of the Safety Policy, and for maintaining an effective
accident prevention effort within his or her area of responsibility. Each supervisor must also ensure that all accidents are
thoroughly investigated and reported to the corporate human resources department on the same day of the occurrenr,e.
Violations of the Safety Policy, such as not following verbal or written safety procedures, guidelines, rules, horse play, failure
to wear selected PPE, abuse of selected PPE, etc., will result in disciplinary actions up to and including termination.
VI NOTIFICATIONS
A. In Cuse of Sei-iou.c bijccr-t- or Death
After the injured has been taken to the hospital, the supervisor shall notify the corporate human resources olfice and th.e
project nianager as soon as possible. Statements from wimesses shall be taken. Statements are to be signed by witnesses and
should include the time and date. Photographs of the area where tl�e incident occurred and any other relevaut items are to be
taken. The project m�nager will assist in the investigation. 7'he completed accident report form will be tient to th t
human resowces of}ice.
B. In Cuse of bz.s��ection br OSHA Ins��ector
. e corpora e
The supervisor must notify the training and development department that an OSHA Inspector is on the _jobsite. It is th.e
responsibility of all employees to make the inspectors visit on the jobsite as pleasant and timely as possible.
VII REPORTING OF INJURIES
While all incidents should be investigated, the extent of such investigation shall reflect the seriousness of the incident utilizin;.t
a root cause analysis process or other similar method.
Required incidents must be verbally reported to OSHA within 8 hours of their diseovery. Incidents must also be reported to
the owner client as soon as possible or in a timely manner (within 24 hours of incident).
Individual responsibilities for reporting and investigation must be pre-determined and assigned prior to incidents.
Personnel must be trained in their roles and responsibilities for incident response and incident investigation techniques.
Training requirements relative to incident investigation and reporting (Awareness, First Responder, Investigation, and traininE;
frequency) should be identified in the program.
Equipment may include some or all of the following items; wntin�� equipment such as pens/paper, measurement equipment
such as tape measwes and rulers, cameras, small tools, audio recorder, PPE, marking devices such as ilags, equipment
manuals, ctc.
Initial identification of evidenee immediately following the incident might include a listing o1� people, cquipment, a��.nd
materials involved and a recording of environmental factors such as weather, illumination, temperature, noise, ventilation, r-:tc.
Evidence such as people, positions of equipment, parts, and papers must be preserved, secured, and collected through notes,
photographs, witness statements, flagging, and impoundment of documents and equipment.
Witness interviews and statements must be collected. Locating witnesses, ensuring unbiased testimony, obtaining appropriate
interview locations, and use of trained interviewers should be detailed. The need for follow-up interviews should also be
addressed.
Incident invesCigations should result in corrective aetions.
Written incident reports should be prepared and include an incident report form and a detailed narrative statement concerning
the event�s. The format of the narrative report may include an introduction, methodology, summary of the incide�rit,
investigation board member names, narrative of the event, findings and recommendations. Photographs, witness statemencs,
drawings, etc. should be included.
Lessons learned should be reviewed and communicated. Changes to processes must be placed into effect to prevent
reoccurrence or similar events.
All employees wil] be held accountable for filling out a"Supervisor's Report of Accident" with their supervisor, immediate:ly
after an injury occurs, even if inedical treatment is not required. (Notice must be made at or near the time of the injury and on
the same day of the injury.) Employees must report the injury to their supervisor. A casual mentioning of the injury will not
be sufficient.
Failure to report an injury immediately (meaning at or near the time of the injury and on the same day of the injury) is ,3
violation of the Safety Policy, and may result in immediate termination, in accordance with company policy.
Supervisors are required to submit the report of accident to their division offices as soon as possible. Notification must be
made to the HR department of the injury. If the employee needs medical attention, the supervisor will assist the employee i:n
arriving at a medical facility for treatmem (if needed). The supervisor will remain with the employee until the treatment ha:;
been completed or employee is admitted into a treatment facility (i.e. hospital). It is the supervisor's responsibility to ensune
the employee gets home safely. Once an employee has been released by the treatment facility, the supervisor may be requirer_l
to drive the employee to his/her home to ensure their safe arrival.
Vehicle accidents where no employee injury has occurred, should be reported on an "Automobile I,oss Report".
VIII PROCF,SS SAFE`TY MANAGEMENT/ CONTRACTOR RF,SPONSIBILITIES
Each employee must be trained in the work practices nccessary to perform his/her job by Heath Consultants Incorporated.
Each employee will be instructed in the known potential fire, explosion or toxic release hazards related to hislher job and the
process and the applicable provisions of the emergency action plan.
Records which contain the identity of the employee, the date of training & the means used to verify that the emplo.yee
understood the training will be maintained in the Human Resources Department.
The purpose of Process Safety Management is to prevent or minimi-r.e the consequences of catastrophic releases of tox.ic,
reactive, flammable or explosive chemicals during normal work activities we provide to our clients.
Employees shall abide by Heath Consultants safe work practices during operations such as: lockoudtagout, confined space
entry, opening process equipment or piping, controls over entrance to facility, and PPE reyuirements.
Employees shall advise the Heath Consultants of any unique hazards present or found during work activities.
Employees shall not perform hot work until a hot work pern�it is obtained from Heath Consultants. The permit shall documc:nt
that the fire prevention and protection requirements have been implemented prior to beginning the hot work operations.
Employees must immediately report all accidents, injuries and near misses (see Reporting Injuries Section XII). An incide;nt
investigation must be initiated within 48 hours. Resolutions and corrective actions must be documented and maintained 5
years.
All Heath Consultants employees will respect the confdentiality of trade secret information when the process safe:ty
information is released to them.
IX HAZARD IDENTIFICATION & RISK ASSESSMENT
The hazard identification process will identify potential hazards by the use of Job Safety Analysis (JSA) facility wide or arra
specific analysis/inspections. The program is to ensure the fvllowing:
To ensure employees are actively involved in the haz.ard identification process, JSA's are to be performed by
management personnel while observing employees performing their job functions.
Results from JSA's are to be communicated with all employees within that job function.
JSA's are to be used for routine and non-routine activities as well as new processes, changes in operation, products
or services as appiicable.
Identified harards are classified/prioritized and addressed based on the risk associated with the task. Risk analysis
will be conducted for probability and severity using past performance measures and management input.
Findings will be addressed and mitigated through the Safety Department recommendations, policy revisions,
dedicated assignment, implemented controis or appropriate documentation of completion.
Einployees will be trained in the hazard identification process ii�cluding the use and care of proper PPE.
X WORKING ALONE
A hazard assessment shall address hazards and identify control measures in order to minimiz.e nsk associated with working
alone.
To establish an effective means of communication between the lone employee and designated eheck, radio, cellular or satel;lite
phones, electronic monitoring devices or other forms of direct, reliable correspondence will be used.
Individuals must be monitored at regular intervals, or the individual contacts the employer at pre-determined intervals based
on determinations made in the risk assessment.
The management staff is responsible for check-in with the lone employee at regular intervals. A backup form of
communication in the event primary correspondence is unavailable will be established using one of the effective means of
communication. Documentation of the employee status at the check in intervals must be obtained.
Specific procedures for emergency response including provisions for contacting appropriate local officials will be establishf;d
based on determinations made in the risk assessment. Employee search will be necessary based on the following criteria: 1)
Lone employee check-in not obtained for more than two intervals. 2) Primary and back-up forms of communication failure.
XI HA7.ARD COMMUNICATIONS
The company has established a written Hazard Communication program. All current and newly hired employees potentially
exposed to chemicals must attend a HAZCOM training program. The program was developed to inform and train employe�;�s
concerning the use and dangers associated with hazardous chemicals, controlling hazards, proper labeling of containers and
understanding the use of Material Safety Data Sheets (MSUS). (See Iiazard Communication Manual)
XII NOISE EXPOSURE/HEARING CONSERVATION
Heath Consultants shall institute a training program tbr all employees who are exposed to action level noise. The trainir.ig
shall be repeated annually for each employee. "Training shall be updated consistent to changes in PPE and work processes.
Heath shall make available to affected employees copies of the noise exposure procedures and shall also post a copy in trie
workpiace. Heath shall also allow the Assistant Secretary and the Director access to records.
Heath shall administer a continuing effective hearing conservation program when employees are exposed to sound leve:ls
greater than RS dbA on an 8 hour time-weighted average basis. When information indicates that employee exposure ma.y
equal/exceed the 8 hr time-weighted avg. of 85 decibels, the employer shall implement a monitoring program to identif:y
employees to be included in the hearing conservation program. 'The employer shall establish & maintain an audiometric
testing program by making audiometric testing available to all employees whose exposures equal or exceed an 8-hr. time;-
weighted avg. 85 decibels. Within 6 months of an employee's first exposure at or above the action level, the employer shall
establish a valid baseline audiogram against which future audiograms can be compared. When a mobile van is used, the
baseline shall be established within 1 yr. Testing to establish a baseline audiogram shall be preceded by at least 14 hours
without exposure to workplace noise. Hearing protection may be used to meet the requirement. Employees shall also be
notified to avoid high levels of noise.
At least annually after obtaining the baseline audiogram, the employer shall obtain a new audiogram for each emplo��ee
exposed at or above an 8-hour time-weighted average of 85 decibels. F,ach employee's annual audio�ram shall be compared
to that employee's baseline audiogram to determine if the audiogram is valid and if a standard threshold shift has occurred.. If
a comparison of the annual audiogram to the baseline audiogram indicates a standard threshold shift, the employee shall be
informed of this fact in writing, within 21 days of the determination. If a threshold shift has occurred, use of hearing
protection shall be re-evaluated and/or refitted and if necessary a medical evaluation may be required.
Hearing protection shall be provided at no cost to employee(s). Hearing protection shall be replaced as necessary. Employers
shall ensure that hearing protectors are worn. Employees shall be properly trained in the use, care & fitting of protectors.
Heath shall evaluate hearing protection for the specific noise environmen�ti in which the protector will be used, shall maintain
accurate record of all employee exposure measurements and that all records are maintained as required by the regulation.
XIII BASIC SAFETY RULES
Your safety and health are very important. Some ways that you can avoid injury are:
Learn to recogni-r.e the hazards that cause accidcnts and the ways to get hazards corrected.
When you see an unsafe condition or work method, tell your supervisor so that action can be taken before someone
gets hurt.
If there is doubt about the safety of a job, ask questions. Your supervisor or other employees can help.
Become knowledgeable about ail the safety practices of your job. 7'he performance of every job must always be
based on the safest practice to protect you, your coworkers, and the general public. A person(s) who has a valid
certificate in first aid training, the American Red Cross or equivalent shall be available at work sites to render
emergency first aid.
Protect yourself. Wear the personal protective equipment required to do the job safely.
Provisions shall be made prior to commencement of a project for prompt medical attention in case of serious injury.
First aid supplies shall be easily accessible when required.
First aid kits shall consist of appropriate items which will be adequate for the environment in which they are used.
For construction operations, items shall be stored in a weather proof container with individual sealed packages of
each type of item. Employers should ensure the availability of adequate first-aid supplies, and periodically reassess
the demand for supplies and adjust their inventories. I'or construction operations, first aid kids shall be checkcd
before being sent out to each job and at least weekly.Proper equipment for prompt transportation of the injured
person to a physician or hospital or a communication system for contacting necessary ambulance service shall be
provided.
In areas where 9l 1 is not available 'I'he telephone numbers of the physicians, hospitals or ambulances shall be
conspicuously posted.
Support safety efforts at your location, get involved; you can make the program work.
You have the primary responsibility for your own safety.
A. General Safety
]. Compliance with applicable federal, state, counCy, city, client, and company safety rules and regulations i:; a
condition of employment.
2. All injuries, regardless of how minor, must be reported to your supervisor and the corporate human resourc:es
department immediately. An employee who fails to fill out a" Supervisor's Report of Accident " with their
supervisor, and send it to the corporate human resources department can be issued a safety violation nol:ice
(Employee Warning Notice) and may be subject to termination, in accordance with company policy. In the event of
an at fault accident involving personal injury or damage to property, all employees involved in any way will be
required to submit to drug testing.
3. Field technician's clothing must provide adequate protection to the body. Heath uniform shirts with sleeves (shor� or
long) and long pants will be worn at all times. No shorts are to be worn on projects. Closed toe shoes are reyuired.
4. All personnel will be required to attend safety meetings and record attendance on the Safety Meeting Report as
stipulated by project requirements in order to meet OSHA Safety Standards.
5. Firearms, alcoholic bevera�es or illegal drugs are not allowed on company property or in company vehicics at �my
time. When drugs are prescribed by a physician, the immediate supervisor must be informed. "I'he use or possess:ion
of illegal drugs or alcoholic beverages on the jobsite will result in immediate termination.
6. Housekeeping shall be an inte��ral part of every job. Supervisors and employees are responsible for keeping th�eir
work areas clean and hazard-free. T'his may in some cases be your company vehicle.
For Field Office/Shop
Keep work area clean and organized.
Keep walking areas free from tripping hazards (catpets/cords)
Stack material safely and neatly.
Do not let objects protrude from a stack, pile, etc.
Keep sidewallcs, comdors, and aisles clear.
Use trashcans for debris only.
Keep oily shop rags and other flammables in a separate safety container.
Clean up spills immediatcly.
Clean and pick up debris, tools, or other materials regularly and frequently.
Be familiar with appropriate evacuation route.
Guards shall be in place and operable at all times while the tool is in use. The guard may not be
manipulated in such way that will compromise its integrity or compromise the protection in which
intended. Guarding shall meet the requirements set forth in ANSI B15.1.
Where the eyes or body of any person may be exposed to injurious corrosive materials, suitable
facilities shall be provided within the work area
For Field
Keep a clear path where walking.
Wear safety vest.
Watch for traffic when in street.
Wear work boots or shoes (tennis shoes arc not pennitted).
Watch every step especially on unstable ground.
Keep the cab and bed of truck free of trash.
7. Ergonomics
• Adjust chair height so that your upper legs are horizontal and feet are ilat on floor, adjust chair to sit up strai;_�ht
and obtain proper back support.
• Avoid tilting or turning head to view computer monitor or to hold telephone.
• Ensure forearms and wrists are level and not resting on hard or sharp edges.
• Ensure that computer table is just below forearn�/wrist height and that the work station provides adequ,ate
legroom.
• Place keyboard and mouse at a comfortable distance from body.
• Alternate tasks to break up extended periods on the computer. Be sure to stretch and exercise the ne� k,
shoulder, and back muscles if sitting for long periods of time at a desk or computer. Stretching releases tension
and reduces the chances of muscle strain and fatigue.
8. Drinking water containers if provided are to be used for drinking water and ice only. "Tampering with or placing
items such as drink containers in the water cooler may result in immediate termination. The "common dnnkin� cup"
is not allowed. Only disposablc cups will be used. �
9. Material Handling and Lifting: Many injuries are caused by improper lifting, carrying too heavy a load, failure to
observe proper foot and hand clearances and failure to wear proper protective equipment.
• Inspect materials for slivcrs, jagged edges, burrs, and rough and slippery surfaces before handlinc7.
• Clear path of hazards. �
• Size up the load and plan before lifting. Know where and when you will let the load down.
• Keep hands ciean of oil or grease when handling material.
• Get help when moving heavy loads. Request assistance in moving office furniture and files.
• Be sure you have a secure grip when picking up or lifting. I,et the other persons know what you are going to do,
get their response, and then do it.
• Break a load into smaller parts, if possible, to make carrying easier.
• Do not perform awkward lifts, unnecessary bending, or long reaches.
• Do backbends before lifting.
• Stand close to the load.
• Have firm footing.
• Spread your feet apart with one foot in front of the other.
• Face the object.
• Bend your knees.
• Straddle the load as best you can.
• Grasp the load firmly.
• Tighten stomach muscles.
• Take a deep breath.
• Lift slowly and smoothly without jerking.
• Do not twist body - move feet instead.
• Beware of pinch points.
• Keep the "S" curve (hollow) in your back by arching the back.
• If the load slips from your hands, don't attempt to catch it�!
• Hold the load firmly. Keep the load close.
• Dodt lift the load higher than needed.
• Don't twist with the load. Pivot on your feet if' you must turn with the load.
• Keep one foot in front of the other in order to maintain your balance.
• Set the load down easily.
10. Hand and Power Tools: Whcther furnished by the employer or [he employee, the tools shall be maintained in a s,:�fe
condition. Any tool which is not in compliance with any applicable requirement of this part is prohibited and shall be
identified as unsafe by tagging or locking the controls to render them inoperable. Employees using hand and power
tools and exposed to the hazard of falling, flying, abrasive, and splashing objects, or exposed to harmful dust, fumes,
mists vapors, or gases shall be provided with particular PPE necessary to protect them from the hazard.
11. "Horseplay" on a jobsite is strictly prohibited. Running on the jobsite is allowed only in extreme emergencies.
12. Glass containers or bottles of any kind are not permitted on jobsites or in company vehicles.
13. Fire Prevention: The best fire protection is fire prevention. Observe the following basic rules for a good fire
prevention program.
Control Ignition Sources
• Maintain good housekeeping and observe smoking policy.
• Keep electrical equipment in good working order.
• No smoking around flammables or excavations.
• Ignition sources include but not limited to: Matches, flames, open lights, electrical switches, ares, static
electricity, excessive heat or friction, lightning, and cigarettes.
Pour flarnmable and combustible liquids from UL approved containers when filling and servicing gasoline powered
compressors, generators, and diesel powered engines. Avoid spilling fuel onto hot engines, and keep otrier
ignition sources away from fuel.
Familiarize yourself with the location, operation, and proper application of all fire extinguishers. Supervisors w�ill
ensure that fire extinguishers have an inspection tag and are inspected as required.
• Type/size of extinguisher is suitable for intended use.
• Unit fully charged.
• When possible, check to see if the extinguishing powder is not caked on the bottom of the unit.
• Extinguisher has been hydrostatically tested and tagged per recommended code.
• Readily accessible and at correct location.
Flammable liquid storage and transfer
• Keep all flammable or combustible liquids, gasoline, thimiers, etc., in UL or FM approved containers. For
quantities of one gallon or less, only the original container or approved metal safety cans shall be used f��r
storage and handling of flanunable liquids. No more than 25 gallons of these type liquids will be stared in a
building out�tiide a fire resistant cabinet. The cabinet will be labeled "Flammable - Keep Fire Away."
•� Flammable liquids will not be used for cleaning or washing.
• When pumping flammable or combustible liquids by hand from portable containers or drums, bond with tlie
storage and the fill container by attaching alligator clips with a copper wire between the two containers.
• Do not punch nail holes in the top of the storage containers. Use an appropriate flammable liquid transfer
pump or drum vent.
• Do not allow persons with lighted tobacco products to enter the area where flammable liyuids are stored �:�r
transferred.
l4. Driving Vehicles (See also Company Vehicle Policy Manual):
• Only authorized employees will drive a motor vehicle in the course and scope of work or operate a compa:ny-
owned vehicle.
• Dnvers should be appropriately assessed, licensed, and trained to operate the vehicle.
• Drivers shall not operate a motor vehicle while under the influence of alcohol, illegal drugs, or prescription ar
over-the counter medications that might impair their driving skills.
• Authorized drivers will report any collision or traffic violation while driving on company duties to the
appropriate personnel (refer to the Vehicle Safety Policy).
• Loads shall be secure and shall not exceed the manufacturer's specifications and legal limits for the vehicle.
• 1'he vehicle shall be fit for its purpose.
• 7'he vehicles shall be maintained in safe working order.
• Seatbelts shall be worn by all occupants at all times whenever a vehicle is in motion.
• Authorized drivers will follow safe driving practices utilizing the Smith System Uriving techniques. Drivers
must be certified in the Smith System Driving techniques prior to operating a company owned vehicle.
• Cell phones shall be used only when safe driving techniques can be followed in accordance with state and ]ocal
laws.
• When parking, "pull through" or back into the space, unless doing so would create a greater hazard. Wlhen
backing your vehicle, get help if possible. Check behind your vehicle before getting in the driver's seat.
• When fueling your vehicle leave ali potential ignition sources in the vehicle. i.e. cell phones, pagers, lightr:rs.
Never talk on the phone while fueling as this could, in unique circumstances, cause fuel vapors to ign�ite
resulting in a fire or explosion and serious injury.
15. Report all unsafe conditions and near accidents to the project manager so corrective action can be taken.
16. All OSHA Safety Standards concerning confined space entry will be followed. SEE SEPARA'TE CONFINI�D
SPACE SAPETY PROGRAM IF APPROPRIATE, SECTION XX.
B. General Field Safety
1. Poison Piants:
Poison ivy: Vine or low shrub. Triple leaflets, edges smooth or irregularly toothed. Berries white or cream
colored. Loses leaves for winter. Like sumac and oak, the poison remains on branches and roots.
Poison Oak: Shrub 12 to 30" high; sometimes a vine. Tnple leaflets; short, smooth hair underneath. F,arly,
berries fuzzy and white; later, dun colored. A plant is dark green spring and summer, bnght red in fall and loses
leaves for winter.
Poison Sumac: Shrub, 3 to 15" high. Seven to 13 leaflets per stem, smooth edged. Usually in swampy area
If you suspect you have been exposed to any poisonous plants, apply the appropriate lotion as soon as possible.
Always follow the directions when applying. Clean equipment and clothing with thc appropriate lotion making
sure you follow the directions.
2. Dog Bites:
It's rare to find a Heath field employee who has never encountered an unfriendly dog while perforn�ing his or her daily work.
While some field employecs have managed to avoid unhappy encounters with canines, others have not been so fortun;3,te.
This section will hclp you to identify and minimize possibly threatening situations. It is especially true in regard to dog bite
prevention that it is better to be anned with information and never need to use it, than the other way around. Iieath Field
employees are provided with an umbrella used to create a bamer between themselves and canines. A video demonstration
will display the proper use of an umbrella to fend off a dog. Remember the following to help prevent dog bites.
Dog I3ite Prevention:
• Remember, any dog is a potential biter.
• Look for "Bad Dog" signs on gates or fences.
• Do not enter a customer's premises if there is a bad dog unless the dog has been securely restrained or is
removed from the area.
• Never believe a dog's owner who says: "but he wodt bite" ar"I can hold him, don't worry."
• Be prepared when entering any premises where a dog is located, never turn you back on the dog and h,:�ve
your umbrella ready.
• Shout to attract a dog's attention.
• Be cautious of dogs on a leash.
• Look for dogs in shaded areas in the summer.
• Stay calm but be aggressive in defending yourself from a dog with the umbrella.
• Talk to others along your route to learn about the locations of bad dogs.
• Don't agitate a dog.
• Don't offer your hand to a dog or turn your back on a dog.
• Dogs always see you as an intruder.
• With a firm, crisp, steady voice, tell the dog "No," "Down," or "Go Home."
• Kick your knee into its chest or head if the dog leaps at you.
• If you are being attacked, stand your ground and brace yourself by turning to the side. T'his will prcvent t:he
dog from knocking you over.
• The dog umbrella is your best protection. If the dog is attacking, deploy the umbrella --this sound and
visual barrier will distract and confuse him. The dog may retreat, not knowing what has just occurred. lf
the dog continues attacking, continue holding the umbrella in his face and back away toward the gate c�r a
place of refuge. DO NOT TRY "I'O RLJN! In most cases the dog will be faster than you. Remember, a U:�rn
umbrella is much easier to repair than an injured leg, etc.
• Assume a fetal position with hands over your neck and head if the dog knocks you down.
• When you are leaving the yard, do not turn your back on the dog as you are going out the gate. The dog
(even a"friendly" dog) may think it has you "on the run" and turn ferocious.
If Bitten:
• Wash a dog bite wound with soap and water, rinse with wann water, cover with sterile gauze and see; a
doctor as soon as possible.
• All dog bites should be reported to the police as a safety measure.
• Observe details when bitten by a strange dog, such as: What color is the dog'? Does it have a collar? Wl�at
size is the dog'? Does the dog have any wounds`? Where did the attack occur'? In what direction did the
dog head? Did the dog behave strangely before the attack'?
• IYs important to find the dog so that the doctar can determine whether the victim needs anti-rab:ies
trearinent. If possible, restrain the dog for animal-control authorities. If there is no passible way to restrain
the animal, make sure you can describe the animal and the events.
3. Feet, Footwear and Walking
"I�he most common cause of injury for field technicians is injury to the feet or ankles. USE YROPER
FOOZ'WEAR. The use of walking boots with lace tops are strongly rccommended, both for protection for the
feet and for support of the ankles. Some technicians prefer to wear athletic shoes because they are somewhat
cooler in hot weather, but they will often provide inadequate footing on slick surfaces, and provide inadequate
protection for the feet and ankles. (In some areas they are prohibited-check with your supervisor.) In addition,
use caution in walking. Do not step on an object, especially if you can step over it -- you may not be able to
tell if it is sturdy enough to hold you unlil it is too late. If you are not certain about your footing, i.e. a possible
slick surface, etc., make an effort to walk in another direction.
Waikin� Into Yards -- Homeowners are becoming more cautious about strangers coming into their yards.
Shout "GAS COMPANY" or something akin to that before going into the yard. This will alert the owner of
your presence as well as inform them as to who you are. This has been known to reduce the number of
negative encounters with people. REMEMBER, THE HOMEOWNER EXPECI'S YOU 1'O ACT LIKE A
UTILI"I'Y WORKER If the homeowner comes out of the house while you are in the yard, a friendly greeting
or a cheerful voice telling them something like "checking or locating the gas lines" or "reading your ineter"
will answer the inevitable question, plus keeping the conversation on a positive note. In addition, while in the
yard, avoid at all cost looking in the windows. A homeowner who thinks you are "peeping" will at least be
panicky or irritated -- and this may net a call to the police, or worse. If a homeowner does not want you to
come into the yard, do not try to force the issue -- back off, and report it to the utility company.
Chemicals on Lawns -- More and more people are using lawn services to spray chemicals on their lawns. Use
caution, as these chemicals, especially the insecticides, are toxic. If you are required to walk across yards that
you suspect have been treated with dangerous chemicals, consider the use of rubber soled footwear.
Head -- When you are watching where you are walking and where you are placing your instrument probe, it is
easy to overlook obstacles that are head-high, such as window air conditioners, branches, or boats or campers,
etc. WATCH WHERE YOU ARF.. GOING! Hard hats are required for anyone working in the field. One will
be provided for you as a part of the personal protection equipment issued to each employee. Management
must wear a hard hat when working in the field.
Working in T'raffic -- If you are walking in or on streets or in ]ligh traffic areas, the use of a safety vest and
other high visibility clothing is recommended. Although in some instances it may be necessary to work out in
the street, the majority of' your work can be done safely and effectively along the curb. In cases where it is
necessary to work out in the street, make certain you are FACING TRAFFIC and watching out for cars. A
passing driver could get distracted by watching you and not watch where he/she is driving.
Ankle sprains and strains.
• Consider all ankle injuries as serious.
• Immobilize the ankle, use ice, and contact your supervisor for further help and instructions.
• If the ankle is sprained or strained, reduce swelling and pain by: Elevating the injured ankle above the heart by
about 4-5 inches. Applying an ice pack for the first 24 hours (5 minutes every 30 minutes). Do not allow your
foot to dangle over a chair or bed. Excessive fluid can collect in the ankle, which increa.�es the pain and slows
the healing.
4. Working Outside:
Heat:
• Your body is designcd to operate within a fairly narrow temperature range. If your body temperature goes i:oo
high, you get sick.
• Heat exhaustion is a risk when it is hot. You'll probably get dizzy and sweaty, but iYs not life-threatening.
• Heat stroke is much more serious. It is also a hazard in hot conditions, and can send your body temperaturc l�i��h
enough to cause confusion, inational behavior, conwlsions, unconsciousness, coma and even death.
• Another problem is sunburn or sunstroke from getting too much sun when you are not use to it.
Knowing the symptoms of heat stress can keep those symptoms from getting out of hand. I'he symptoms t�at
indicate heat stress can also be symptoms of other health problems, but if it's hot and you are working outside,
heat stress is probably your prime hazard.
You usually start by feeling hot, uncomfortable, and just not ready to do much. 'I'hat's not serious, but i� is
probably a sign that you should rest out of the heat for a minute.
Here are the symptoms that could indicate a serious problem:
Dizziness
Rapid heartbeat
Nausea
Cramps
Headache
Excessive sweating
Chest pain
Breathing problems
Great weakness
Diarnc�a
Even worse are these signs of heatstroke:
High temperature
Hot red, dry skin
Rapid pulse
• If you have, or see someone with, heatstroke or sunstroke symptoms, assume that any of these symptoms meam a
serious problem. Take immediate action if it's hot and you feel weak, dizzy, sweaty or nauseous. Pay attention
to cramps and to anyone who tells you that you look pale.
• In any of those circumstances, get to a cooler area — shade or a cool building. Lie down, loosen your clothing,
and put cool compresses on your skin. Drink fluids.
• Action is a must Get medical help. And get yourself — or any victim — to a cool spot and loosen clothing.
• It is important to cool the body down quickly. Use cool compresses, water, even a hose for the job. Don't try to
give fluids to an unconscious person.
• If you get sunburned, rinse or soak with cool water or cold compresses. If you're sunburned, but have;n't
blistered, you can use a mild nonmedicated cream. But blisters can be serious; see a doctor.
To help prevent heat problems you can:
Wear loose clothing
Cover as much of your body as possible
Wear a brimmed hat in the sun
Use sun block and apply it often
Eat regular, well-balanced meals
Avoid hot or heavy food
Don't take salt tablets without a doctor's permission
Drink lots of fluids, avoiding alcohol or caffeine
Be aware that water, sand and concrete reflect the sun and make it stronger.
Cold:
• Very cold temperatures, like very hot ones, can be hazardous to your health. But most of the proble;ms
associated with cold can be prevented by proper dress and some sensible practices.
The two most common hazards in the cold are frostbite and hypothermia. Both are caused by exposure to the
cold long enough that your body temperature gets dangerously low.
Hypothermia can take you by surprise because you can get it even when the temperatures are above freezi:n�.
Windy conditions, physical exhaustion, and wet clothing can all make you more prone to hypothermia. `
With hypothermia, you first feel cold, then pain in the extremities. You'll shiver, which is how the body trie:;� to
raise its temperature. Other symptoms include:
Numbness and/or stiffness
Poor coordination
Drowsiness
Slow or irregular breathing or heart rate
Slurred speech
Cool skin
Puffy face
Confusion
Apathy
• As you can see, many of these syrnptoms are not unusua] and could mean different things. Sut if you are expos,ed
to cold conditions, take them seriously and take steps to relieve them.
• "I'he first thing to do is to get where it is warm. Get out of any frozen, wet, or tight clothes and into warm clofhes
or blankets. Drink something warm, decaffeinated, and nonalcoholic.
• For hypotherniia, call for medical help and keep covered with blankets or something similar. Don't use kiot
baths, electric blankets, or hot water bottles.
'To help prevent cold problems you can:
Wear layers of loose dry clothing
Cotton or wool under layers / waterproof top layer
Be sure to cover head, hands, feet and face
Dry or change wet clothing immediately
Keep moving in the cold
Take regular breaks in warm area5
Move to a warm area if you feel very cold or numb
Drink warm nonalcoholic decaffeinated beverages
Limit exposure to the cold, especially if it's windy or humid
5. Personal Protective Equipment (PPE):
• Proper training includes at least, when PPE is necessary, what PPE is necessary; how to properly don, doff. adjus�t &
wear PPE; the ]imitations of PPE; the proper care, maintenance, useful life & disposal of PPE_
• Retraining of the employee is required when the workplace changes, making the earlier training obsolete; the type� of
PPE changes; or when the employee demonstrates lack of use, improper use, or insufficient skill or understanding.
The certification must include the employee name, the dates of training, and the certification subject.
• PPE is provided, used and maintained in a sanitary and reliable condition, required by reasons of hazards of
processes or environment to protect body parts from inhalation, absorption or physical contact.
• If employee-owned equipment is permitted, the employer must be responsible for the assurances of its adequary,
maintenance & sanitation.
• (Performance of a written and signed hazard assessment.) The hazard assessment must indicate a detern�ination if
hazards are present or are likely to be present, which necessitate the use oF PPE. Certifier's name, signature, date(s)
& identification of assessment documents.
• If hazards are present or likely to be present, selection of, and reasons for selection of PPE should be given to the
employee.
• Sclected PPE must be fitted to each affected employee, (fitting, including proper donning, doffing, cleaning, and
maintenance.)
• Defective or damaged PPE shall NOT be used.
• Employees using hand and power tools and exposed to the hazard of falling, flying, abrasive, and splashing objects,
or exposed to harmful dust, fumes, mis�ti vapors, or gases shall be provided with particular PPE necessary to protect
them from the hazard.
C. Leak Survey (Gas)
Flame Ionization equipment shall be checked daily before being used. All fuel and calibration gas shall be shut off rmd
hoses disconnected from bottles and manifolds at the end of the work day. Caps shall be replaced on bottles when ��au�?es
are removed.
2. Compressed Gas Cylinders:
In working with the Hydrogen Flame Ionization equipment, you are continually exposed to the use of compressed gasscs,
such as the "Mother Tank" for the 40/60 Hydrogen/Nitrogen fuel, the lecture bottles for the portable instrument and d1e
bottles of calibration gas. Remember, FAMILIARITY BREEDS DISRESPECT. Always maintain your respect lor th��se
bottles, as they contain very high pressures of highly flammable fuel. If treated properly, however, they should nevcr
present a hazard to you.
• Keep valve closed and protective caps on cylinders not in use.
• Keep cylinders away from direct flanie, heat and sources of ignition.
• Regulators are to be removed from cylinders when not in use.
• Use proper lifting methods for cylinders. Do not lifr by the valve or protective cap.
• Do not use oil or grease as a lubricant on valves or regulators.
Transfillin:.7 -- In transfilling your lecture bottles, always make sure you are using the transfiller that was
designed for your instrument. The transfiller has an orifice inside to keep the lecture bottle from filling too
fast — if it fills too fast, it may present a hazard due to heat build-up. Make certain you use a wrench to
tighten both fittings snug -- to not try to hand tighten them. SEE YOUR INSTRUMENT PROCEDURE
MANUAL FOR INSTRUCTIONS AS "I'O HOW TO TRANSFILL. The use of safety glasses while
transfilling is recommended.
Pressure - Your lecture bottles are certified at 1750 PSI - DO NOT EXCELD 'TI�IS PRESSURE. In order
to maintain their certification, mother tanks must be re-tested on a penodic basis. The lecture bottles do not
need recertification.
'Transporting - You may be required to transport your mother tank in your vehicle on a periodic basis, at
Icast while transferring from one work location to another. NEVER TRANSPORT THE TANK WI"I'I�OUT
"I'I�E CAP IN PLACE. "I�he tank should be anchored in a vertical or horizontal position in a location that
will be protected. In any case, transport the tank in your vehicle so that it will not roll or slide around, and
it will be pmtected in the event of an impact. (Also remember that it is illegal and dangerous to carry any
compressed or flammable gas cylinders on board an airplane or checked with luggage.)
Handling the 'I�anks - The most dangerous possibility of a tank accident is the top or valve assembly on a
mother tank getting broken off. The greatest likelihood of this happening would occur from dropping the
tank. A FUI.L "TANK WITH 'T'HE TOP BROKEN OFF HAS BEEN KNOWN TO TRAVEL, IN A
ROCKF_.T-LIKE FASHION WITH NOTHING STANDING IN ITS WAY!
Temperature -- Avoid storing the tanks in an area in which they could be exposed to high temperatures.
The aluminum mother tanks, which are becoming popular for our use because of their relatively light
weight, can become distorted if they are exposed to a temperature of 140 degrees Fahrenheit (WHICH CAN
OCCUK IN AN ENCLOSED VEHICLE IN DIRECT SUNLIGHT!) "I'he aluminum tanks have a strip of
Heat-sensitive paint on them, either around the neck or vertically along the side. If the tank is exposed to
high enough heat to be a danger to the tank, this paint will change color. IF THIS fIAPPENS, UO NOT
USE THE TANK UNDER ANY CIRCUMS"I'ANCES. IF IT IS POSSIBLE, RELIEVE THE PRESSURI;
BY EMPTYING IT INTO AN OPEN AND SAI'E ATMOSPHERE, AND HAVE IT REPLACED
IMMEDIATELY.
Threads - Routinely inspect the threads on your lecture bottles, transfiller and lecture bottle regulator. If the
threads are partially stripped or "pulled" or bent toward the end of the threaded orifice, there is a danger of
the fitting coming apart while under pressure. In addition, if one tank, for example, has damaged threads, it
will damage the threads on the transfiller and regulator, which in turn will damage the threads on any other
tank which it comes in contact with. In addition, BE CAREFUL OF TURNING A FITTING TOO TIGF3'T.
THE FITTINGS ARE BRASS (RELATIVELY SOFT) AND CAN EASILY BE DAMAGED BY
TIGHTENING THEM TOO MUCH. Also on DP3s and DP4s, check the "O" rings on the bottles and
replace if damaged.
Can-�g the Tanks -- The steel mother tanks weigh around 66 pounds and the aluminum tank.l weigh
around 35 pounds. When it is necessary to move the tanks, especially when carrying them, be careful to
avoid back injury. Use a hand truck whenever possible. WHEN LIFTING A TANK, USE WISDOM.
KNEEL DOWN, KEEPING THE BACK UPRIGHT: GRASP "THE T'ANK, AND DO THE LIFTING
WITH YOUR LEGS. DO NOT BEND OVF,R WHILE CARRYING A TANK. (See section on "Material
Handling and Lifting.")
3. Leak Survey (Water)
Misuse of the ��eath AQUA SCOPE can cause permanent damage to the ear drums. When using the
AQUASCOPE, be sure to have the microphones firmly placed and stationary prior to depressing the "Listen"
control switch. Also, be certain that the volume control is set properly so that high volume noise is not directed
into the ear through the head set when the "I.isten" control switch is depressed. The position of "4" to "6" is
recommended. It is aiso wise to keep in mind that when using the AQUA SCOPE, your ability to hear other
noises, such as approaching traf�ic, is severely restricted. For that reason, be sure to visually check your
surroundings constantly while surveying. Ii is also advisable to always wear a safety vest when working in traffic
areas.
4. Plunger Bar Safety:
"I'he plunger bar is designed to make it easy for you to put your test holes in the ground during the course of the le:ak
survey. But misused it can inflict great injury on you or someone around you -- DO NOT TAKE THIS INSTRUMEI'�i"I'
I=OR GRANTED.
Make sure the �uide plu� is ti�ht -- On most of the plunger bars, the insulated coating extends 1/4 to 1/2 inch
below the steel threads inside the handle. MAKF, CERTAIN TI�A"I"I'HE GUIDE PLUG IS TURNED INTO
THE STEEL HANDLE, NOT JUS"I' THE INSULATED COATING. Failure to do this can cause the bar to
come apart when taking it out, and can very easily cause injury.
How to put in bar holes. Place the end of the rod on the ground at the point where you want the hole, then
position the rod in a vertical position. (UO NOT TRY TO "STAB" THE GROUND AND LOWER THE
HANDLE IN ONE MOTION. A MIS-AIMED BAR CAN GLANCE OFF A CURB OR ROCK AND GO
THROUGI� YOUR FOO"I'.) Raise the bar with one or both hands then bring the handle down, allowing the
weight of the handle to drive the rod into the ground. Do not try to force the bar into the ground by the strength
of your shoulders or back -- at the very least you will be working much harder than you have to; and you run the
risk of straining a muscle in your shoulders or back, to say nothing of raising blisters on your hands.
How to take the bar out of the ground -- Place your feet firmly on the ground, knees slightly bent, and your back
straight. Raise the handle with your hands, allowing the weight of the handle to pull the rod out of the ground.
Be sure to keep your head clear -- people have been known to knock themselves out by hitting themselves in the
chin.
How to put in exnanded holes. If the ground is very hard, it may require several downward strokes oi� the handle
to put the hole in as deep as you may want it. If this is the case, it may be difficult to pull back out. You can
make it easier by bending or "swirling" the bar around every few strokes, to make the hole larger than thc
diameter of the rod. "I�his will reduce the "drag" on the side of the rod and make it easier to take out of the
ground.
Lookin� for other utilities. — In determining where to put your test holes, make certain you watch for any other
underground utilities. "READ" THE STREET! The presence of telephone manholes surely indicates the
presence of underground cables; these may or may not run straight between the manholes. No overhead power
line, or a drop at a power pole, or splice box or transformer, indicates the presence of underground power lines.
Watch for curb boxes on the gas and water lines, or any other indications of underground utilities, including 'TV
Cable, street lights, traffic lights, hidden "dog fences", sprinkler systems, heated sidewalks, to name a few. IN
PUTTING YOUR BAR INTO THE GROUND, BE WATCHFUL FOR ANY UNDUE RESISTANCE IN THE
GROUND WHICH MAY BE CAUSED BY AN UNDERGROUND UTILITY, AND INSTANTLY
RESPOND BY NOT POUNDING ANYMORE.
Lookin� for Test Locations -- In addition to watching for other utilities, look for appropriate locations to insert
the rod into the ground by noting 1) expansion joints in concrete 2) broken asphalt or concrete, often indicatin��
a soft underlayment 3) trenches which may be softer than the surrounding area but will probably have a utility
underneath.
How to carrv the bar -- The most practical way to carry the bar is to grasp the rod about I 2 to 18" below the
bottom of the handle, then rest the handle on your shoulder with the bar at a near-vertical angle up to about 45
degrees. MAKE CF,RTAIN YOU GRASP THE ROD FAR ENOUGH DOWN SO THAT YOUR HAND
DOES NOT GET PINCHED IN BETWEEN THE ROD AND THE HANDLE. By doing this, you have the end
of the rod in front of where you can see it. DO NOT PLACE THE HANDLE OVER YOUR SHOULDER
WITH THE ROD BEHIND YOU. YOU WILL BE UNABLE TO WATCF� 1T, AND YOU RUN THE RISK
OF INJURING SOMEONE AROUND YOU.
Straiehtenin�; the bar — If you bend the rod, make certain you straighten it. This may be done by placing it into
a previous hole in the pavement, or in a trailer hitch, etc. on a vehicle bumper, ctc. Do not use a bent rod -- you
may be risking injury by doing so, plus the bar may not go into the ground in the direction you want. "Take note,
that if you bend the rod once it causes it to lose some of its "temper" and it will bend more easily a second time
D. Contract Locating
1. Equipment:
Connecting the transmitter—NEVER connect the transmitter directly to power carrying cables without iirst
checking for and turning off any power sources if possible.
If connecting to a power source with a SURE-LOCK- be ccrtain the model of SURE-LOCK used is capable
of being directly connected to live 50-60 hertz power sources up to 240 VAC. All models do not have this
capability (Hot Box).
Be certain the transmitter POWER is offbefore handling the ciips on the conductive assembly. Some
transmitters can deliver over 100 volts of signal which is capable of producing electrica] shock if not
carefully handled.
Grounding Rod—When using the grounding spike, it should be firmly driven into the soil. When driving
the spike always bend at the knees, facing the area you will be working. DO NOT drive or remove the spike
while bending at an awkward angle or while having to make a long reach. Always remove the spike slowly
and smoothly, without jerking.
Shovel Safety:
• Shovel edges shall be kept trimmed and handles checked for splinters and cracks.
• Gloves should be worn to help prevent blisters or splinters.
• Workers should wear safety shoes with sturdy soles.
• You should have yow feet well separated to get good balance and spring in the knees. The leg muscle vvill
take much of the load.
• "To reduce the chance of injury, the ball of'the foot (not the arch) shall be used to press the shovel into the
ground. �
• If you cannot press the shovel into the ground with one foot, DO NOT attempt jumping on the shovel with
both feet to drive the tip in.
• DO NOT TRY AND "STAB" THE GROUND. The shovel can glance off of a curb, rock or riser and �cut
into your foot.
• When digging, be watchful for any undue resistance in the ground which may be caused by an underground
utility. Verify that it is not before continuing to dig.
• Work with a gentle prying action and dig at an angle, so the shovel will slide along the surface of the wi:re,
conduit or pipe.
• When lifting dirt out of the hole, don't grip close to the bottom of the shovel or too far at the end of the
handle, because this causes strain on your back. Grip in the middle and continue the upward motion of
lifting the dirt, ALWAYS KEEPING YOUR BACK STRAIGH7'.
• Don't shovel a heavier load than you can lift.
2. Safe Driving: (Also see section VIII)
I.ocators clock many hours on the road between locates. Often locators find themselves trying to read a map,
read the locate request and drive all at the same time. This is the number one cause of rear end collision
involving Utility Locators. YOU SHOULD ALWAYS TAKE 'rHE TIME TO PULL OVER AND GET YOUR
BEARINGS STRAIGHT BF,FORE PROCEF.DING.
Never leave your vehicle running while out on a job site. The vehicle transmission could somehow engage
causing the vehicle to start rolling. This could result in property damage or injury. It could also result in vehicle
theft.
3. On-site Hazards:
When arriving at a requested location a visual inspection of the worksite is important to first identify any safety hazards
in the work area. There are many safety obstacles that may be encountered on the locators work site. .
Work is often performed in and around roadways, and around construction equipment. Look for vehicles or
equipment moving in your work area and make sure you are visible to the operator. Wearing a brightly colored
safety vest will help you be readily visible. A hard hat may also be required when working around construction
sites.
Always be on the lookout for any work being performed overhead. This could be cranes being used, workers in
boom lifts, roofers working on top of buildings and workers on scaffolding, where the danger is being struck by
dropped or falling objects. A hard hat can help prevent serious injury.
A locator may face unfriendly dogs on the wark site. (See section on "Dog Bites".)
Be aware of the many tripping hazards that you might encounter on the work site. Especially while trying to get avvay
from other dangers.
E. Meter Reading
Refer to bullets A& B in this section.
XIV LADDER SAFETY
• I.adder rungs, clea�s, and steps shall be parallel, level, and unifonnly spaced, when the ladder is in position for use..
• Ladders shall be inspected by a competent person for visible defects on a periodic basis and after any occurrence 11nat
could affect their safe use. Defective ladders shall be tagged and placed out of service.
• Place ladders on stable, level surface. Do not stand on top two rungs, or top of step ladders. Do not to carry anything
in hands that could cause injury in case of fall, and face the ladder when ascending or descending.
• The ladder side rails shall extend at least 3 feet (.9m) above the upper landing surface. When ladders are not able to
be extended then the ladder shall be secured at itti top to a rigid support that will not deflect. Extension ladclers
should be placed at a 4:1 ratio.
• Ladders shall not be loaded beyond the maximum intended load for which they were built, nor beyond the
manufacturer's rated capacity.
• Ladders shall be used only for the purpose for which they were designed.
XV EMERGENCY ACTION PI.AN
The written emergency action plan is available for review by employees by contacting the Heath Safety I�epartment at the
corporate office or the Director of Services in the local district office. (Locations with ] 0 or fewer employee; may
communicate the plan orally to employees.)
Procedures for reporting a fire or other emergency:
Coroorate Office:
Employees can activate the alarn► system on any desktop telephone by dialing "9999". The distinct and recogni-r.able
evacuation message will then be transmitted throughout the building.
Division Office:
Employees will sound an alarm by direct voice communication provided all employees can hear the alarnl.
F.mergency evacuation, type of evacuation and exit route assignments:
All employees must familiarize themselves with the provided evacuation routs, including muster points, based on the type
of evacuation alarni that is activated. Safety Leaders are established to assist employees in evacuation procedures.
After evacuation, Safety Leaders are to perform head coun�5 at muster points to ensure all personnel have evacuated the
building.
Review of the emergency action plan with employees will occur:
When the plan is developed or the employee is assigned initially to a job.
When the employee's responsibilities under the plan change.
When the plan is changed.
Employees who need more information about ihe plan or an explanation of their duties under the plan can contact the Iieath
Safety Department for assistance.
XVI FIRE EXTINGUISHER PROGRAM
Corporate Policy Statement
"I'he Occupational Safety and Health Act of 1970 clearly states our common goal of safe and healthful working conditic�ns.
The safety and health of our employees continues to be the first consideration in the operation of this business.
Safety and health in our business must be a part of every operation. Without question it is every employee's responsibilir�� at
all levels.
It is ttie intent of this company to comply with all laws. To do this we must constantly be aware of conditions in all work
areas that can produce injuries. No employee is required to work at a job he or she knows is not safe on c�althfuL Your
cooperation in detecting hazards and, in turn, controiling them is a condition of your employment. Inform your supervisor
immediately of any situation beyond your ability or authority to correct.
The personal safety and health of each employee of this company is of primary importance. The prevention of
occupationally-induced injuries and illnesses is of such consequence that it will be given precedence over opera�ting
productiviry whenever necessary. To the greatest degree possible, management will provide all mechanical and physical
facilities required for personal safety and health in keeping with the highest standards.
We will maintain a safety and health probram conforming to the best management practices of organizations of this typc. 7'0
be successful, such a program must embody the proper attitudes toward injury and illness prevention not only on the part of
supervisors and employees, but also between each employee and his or her co-workers. Only through such a cooperative
effort can a safety program in the best interest of all be established and preserved.
Uur objective is a safety and health program that will reduce the number of injuries and illnesses to an absolute minimum, not
merely in keeping with, but surpassin;, the best experience of operations similar to ours. Our goal is nothing less than zero
accidents and injuries.
STANDARD PRAC"TICE INSTRUCTION
DATE: Julv 3. 2008
SUBJECT: Fire Extinguisher Program
REGULA'I'ORY STANDARDS: OSHA - 29 CFK 1910.157
NFPA 10
BASIS: Over 150 major fires occur in workplaces on an annual basis. Fire is the third leading cause of accidental death:� in
the United States. The Occupational Safety and Health Administration (OSHA) has established Federal regulations in 29
Code of Federal Regulation (CFR), § 1910.157 for portable fire extinguishers and their use. OSHA has a general directive for
employers to maintain a work place free of hazards. Under authority of this directive, OSHA requires that "employers sh.all
provide portable fire extinguishers and shall mount, locate, and identify them so that they are readily accessible to employees
without subjecting employees to possible injury." OSHA requires that education and training be provided to employees as
well.
CENERAL: Heath Consultants Inc (HCI) will ensure that potential fire hazards within our facility(s) are evaluated. "I"his
standard practice instruction is intended to address comprehensively the issues of; evaluating and identifying potential :Eire
hazards, providing fire fighting equipment, and providing training concerning these hazards to employees.
RESPONSIBII,ITY: The company Safety Manager is F3oyd Goodman. He is solely responsible for all facets of 1 his
program and has full authority to make necessary decisions to ensure success of the program. The Safety Manager is the sole
person authorized to amend these instructions and is authorized to halt any operation of the company where there is danger of
serious personal injury.
Contents of the Fire Extin�uisher Program for Incipient Fires
1. Written Program
2. Selection and Distribution of Fire Extinguishers
3. Labeling Of Fire Extinguishers
4. General Requirements
5. Inspection, Maintenance, And Testing
6. Training And Education
Heath Consultants Incorporated Fire Extinguisher Program for Incipient Fires
1. Written Program - HCI will review and evaluate this standard practice instruction:
• On an annuai basis
• When changes occur to 29 CFR, that prompt revision of this document
• When facility operational changes occur that require a revision of this document
• When there is an accident or close-call that relates to this area of safety
• Review the program any time these procedures fail
Effective implementalion of this program requires support from all levels of management within this company. This writ:ten
program will be communicated to all personnel that are affected by it. It encompasses the total workplace, regardless of the
number of workers employed or the number of work shifts. It is designed to establish clear goals and objectives.
2. Selection and Di�trib � ion - Portable fire extin��uishers shall be providcd for employee use and selected and distribu:ted
based on the classes of anticipated workplace fires and on the size and degree of the hazard which would affect their use. Fire
extinguishers used by this company are for four classes of fires:
Class A Fire Extinguishers - Use on ordinary combustibles or fibrous material, such as wood, paper, cloth, rubber and so:me
plastics. Travel distance for employees to any extinguisher is 75 feet (22.9 m) or less.
Class B Fire Extinguishers - Use on flammable or combustible liquids such as gasoline, kerosene, paint, paint thinners and
propane. Travel distance from the Class B ha•r.ard area to any extinguisher is 50 feet (15.2 m) or less.
Class C Fire Extinguishers - Use on energized electrical equipment, such as appliances, switches, panel boxes and po�arer
toois. "I�ravel distance from the Class C haz.ard area to any extinguishing agent is 50 feet (15.2 m) or less.
Class D Fire Extinguishers - Use on combustible metals, such as magnesium, titanium, potassium and sodium. Travel
distance from the combustible metal working area to any extinguishing agent is 75 feet (22.9 m) or less.
_. .ab lin� Of Fire Exting �ics,,h r,g - All fire extinguishers used by this company will be labeled in accordance with NF1PA
10, Standard for Portable Fire Extinguishers. Locations where fire extinguishers are mounted will also comply with NFPA 10
for labeling purposes.
4. C'.eneral Rey �ir men - HCI has provided portable fire extinguishers for employee use in the event of an incipient fi��e.
All tire extinguishers shall be mounted no higher and no lower than four (4) feet from the floor. The following key persorn�iel
have specifc responsibilities.
A. Safety Manager
Manage the Fire Extinguisher Program.
Schedule the proper training for employees.
Update the program when necessary.
Record and maintain training records.
Ensure monthly/annual inspections are being conducted.
B. Maintenance Supervisor
Replace used and damaged iire extinguisher(s).
Reporting to either the Safety Manager or Purchasing that the fire extinguisher has been used or damaged.
C. Department and First Line Supervisors
Ensure all fire extinguishers are accessible.
Ensure employees are aware of where extinguishers are located.
Make sure extinguishers are clean and are free from obstructions.
Rcport to the Safety Manager that a fire extinguisher has been used or damaged.
All fire extinguishers shall be maintained as follows:
Numbered to identify their proper location (see attached master list)
Fully charged and in operable condition
Clean and free of defects
Readily accessible at all times
Note: HCI will not use portable fire extinguishers using carbon tetrachloride or chlorobromomethane extinguishin� agents.
Portable fire extinguishers that have soldered or riveted shell self-generating soda acid or self-generating foam or ;,as
cartridge water type portable fire extinguishers which are operated by inverting the extinguisher to rupture the cartridge or to
initiate an uncontrollable pressure generating chemical reaction to expel the agent shall be removed from the facillity
permanently.
5. In�ection. Maintenance. And Testing - HCI is responsible for the inspection, maintenance, and testing for al] tire
extinguishers on the premises.
HCI will assure that all portable fire extinguishers are subject to the followin�:
Monthly visual inspections
Annual maintenance check
Six (6) year tear down maintenance
Twelve (12) year hydrostatic test
Extinguishers are promptly recharged
Extinguishers are compatible
6. Training And F.d�cation - The purpose of this section is to establish training procedures which are necessary for the
proper use and understanding of a fire and extinguishing the fire. Selected employees will be provided with an educational
program to familiarize them with the general principles of fire extinguisher use and the hazards involved with incipient sta.ge
fire fighting. Training will require annual updating to ensure the proper procedures are being followed.
Initial Training Outlioe
A. General principles of a fire
B. Hazards employed with an incipient stage fire(s)
C. When to "back off' (evacuate) of an incipient stage fire(s)
D. General fire principles of a fire extinguisher
E. Hazards employed with the use a fire extinguisher
F. Use of a fire extinguisher (hands-on)
Retraining - Retraining shall reestablish employee proficiency and introduce new or revised control methods and procedut•�es,
as necessary. Retraining shall be provided for all authorized and affected employees whenever there is:
• A change in job assignment.
• A change in machines, equipment or processes that present a new potential fire hazard.
• There is a change in the fire prevention procedures.
• This employer has reason to believe that there are deviations from or inadequacies in the employee's knowledge or
use of fire extinguishers or fire prevention procedures.
Training Documentation
All training will be documented and each employee's understanding will be subject to a"hands-on" test. Documentation wil]
consist of, as a minimum, the employee's name, the trainer's name, the date of the training, and an outline of training
provided.
Certification - This employer shall certify that employee training has been accomplished and is being kept up to date.
XVII BEN7,F,NE AWARENESS
1. Possible locations where employees may be exposed to Benzene during their job functions are:
Petroleum refining sites
1�ank Gauging (tanks at producing, pipeline & refining operations)
Field maintenance
2. The characteristics of Benzene:
Benzene is toxic, colorless, has an aromatic odor, is not soluble in water and is flammable.
3. Some of the health effec�s of Benzene:
Eye and skin imtations, short term effects: breathless, imtable, euphoric, etc.
4. Necessary PPE required:
Boots, gloves, sleeves, aprons, eic. Eye and face protection.
5. Safety precautions:
Benzene liquid is highly flammable and vapors may form explosive mixtures in air. Fire extinguishers must be
readily available. Smoking is prohibited in areas where Benzene is used or stored.
6. Specific contingency/emergency plans:
Employer should be aware of Owners contingency plan provisions. Employees must be informed where benzene is
used in host facility and aware of additional plant safety rules.
XVIII BLOODBORNE PATHOGENS
Exposure incident means a specific eye, mouth, or other mucous membrane, nonintact skin, or parenteral contact with blood
or other potentially infectious material that results from the performance of an employee's duties.
Those employers with employee's who might experience an occupational exposure to bloodborne pathogens as a result of
their participation in an emergency first-aid response team, but only as a collateral duty, are still required to comply with the
followin� standard.
Administration of Post-Exposure and Follow-up
The Heath Safety Department ensures that health-care professional(s) responsible for employee's hepatitis B vaccination,
post-exposure evaluation, and follow-up are given a copy of OSHA's bloodborne pathogens standard.
'I'he Heath Safety Department ensures that the health-care professional evaluating an employee after an exposure incid''�ent
receives the following:
A dcscription of the employee's job duties relevant to the exposure incident
Route(s) of exposure
Circumstances of exposure
If possible, results of the source individual's blood test
Relevant employee medical records, including vaccination status
The Heath Safety Department provides the employee with a copy of the evaluating health-care professional's written opin:ion
within 15 days after completion of the evaluation.
Procedures for Evaluating the Circumstances Sunounding and Exposure Incident
"I'he Heath Safety Department will review the circumstances of all exposure incident to determine:
Engineering controls in use at the time
Work practices followed
A description of the device being used (including type and brand)
Protective equipment or clothing that was used a the time of the exposure incident (gloves, eye shield)
L,ocation of the incident (OR, ER, patient room)
Procedure being periormed when the incident occurred
Employee's training
The Heath Safety Department will record all percutaneous injuries from contaminated sharps in a Sharps Injury Log.
If revisions to this ECP are necessary the Heath Safety Department will ensure that appropriate changes are made. (Chan;;es
may include an evaluation of safer devices and adding employees to the exposure determination list.)
Employee Training
All employees who have occupational exposure to boodborne pathogens receive initial and annual training conducted by the
Heath Safety Department.
All employees who have occupational exposure to bloodborne pathogens receive training on the epidemiology, symptoms,
and transmission of bloodborne pathogen diseases. In addition, thc training program covers, at a minimum, the following
elements:
1) A copy and explanation of the OSHA bloodborne pathogen standard.
2) An explanation of our ECP and how to obtain a copy.
3) An explanation of inethods to recognize tasks and other activities that may involve exposure to blood and OPIM,
including what constitutes an exposure incident.
4) An explanation of the use and limitations of engineering controls, work practice, and PPE.
5) An explanation of types, uses, location, removal, handling, decontamination, and disposal of PPE.
6) An explanation of the basis for PPE selection.
7) Information on the hepatitis B vaccine (including information of its efficacy, safety, method of administration, and
the benefits of being vaccinated) and that the vaccinc will be offered free of charge.
8) Information on the appropriate actions to take and persons to contact in an emergency involving blood or OPIM.
9) An explanation of the procedure to follow if an exposure incident occurs, including the method of reparting the
incident and the medical follow-up that will be made available.
10) Information on the post-exposure evaluation and follow-up that the employer is required to provide for the emplo�ree
following an exposure incident.
l 1) An explanation of signs, labels, and color coding required by the standard and used at this facility.
l2) Employers who have personnel trained in First Aid and are expected to provide emergency care.
13) Under circumstances in which differential between body fluids is difficult or impossible, all body fluids will be
considered potentially infectious.
14) If provision of hand-washing facilities are not feasible, the employer shall provide either an appropriate antise�-�tic
hand cleanser in conjunction with cloth/paper towels or antiseptic towelettes.
15) Specimens of blood or other potentially infectious materials must be put in leak proof bags for handling, storage ,_ind
transporl.
16) All equipment or environmental surfaces shall be cleaned & decontaminated after contact with blood or ot:her
infectious materials.
17) An opportunity for interactive questions and answers.
When the possibility of occupational exposure is present, PPE is to be provided at no cost to the employee such as gloves,
gowns, etc. PPE shall be used unless the employer shows that employees temporarily declined to use PPE under rare
circumstances. The employer shall ensure that appropriate PPE in the appropriate sizes is readily accessible. PPE should. be
cleaned, laundered & properly disposed. The employer shall repair & rcplace PPE as needed to maintain its effectiveness.
Training materials for this facility are available at the Heath Safety Department offices.
XIX ASBESTOS AWARENESS
Asbestos awareness training is required for employees whose work activities may contact asbestos containing material (ACM)
or presumed asbestos containing material (PACM) but do not disturb the ACM or PACM during their work activities.
Asbestos materials are used in the manufacture of heat-resistant clothing, automotive brake and clutch linings, and a variery of
building materials including insulation, soundproofing, floor tiles, roofing felts, ceiling tiles, asbestos-cement pipe and sheet,
and fire-resistant drywall. Asbestos is also present in pipe and boiler insulation materials, pipeline wrap and in sprayecl-on
materials located on beams, in crawlspaces, and between walls.
Exposure to asbestos has been shown to cause lung cancer, asbestosis, mesothelioma, and cancer of the stomach and colon.
Signs and labels shall identify the material which is present, its location, and appropriate work practices which, if follov✓ed,
will ensure that asbestos containing material (ACM) and/or presumed asbestos containing material (PACM) will not be
disturbed.
If employees working immediately adjacent to a Class I asbestos jobs are exposed to asbestos due to the inadeq�.iate
containment of such job, their employer shall either remove the employees from the area unti] the enclosure breach is repaired
or pertorm an initial exposure assessment.
XX CONFINED SPACE / PERMIT CONFINF,D SPACE
Fach affccted employee must be trained prior to initial assignment, prior to a change in assigned dutics, if a new hazard ]has
been created or special deviations have occurred.
The certification shall include employee name, trainer signature/initials, dates of training. Certification must be made
available to employees & their authorized representative.
The work area must include provisions & procedures for pedestnan, vehicle & other barriers as necessary to protect entrants
from external hazards & a method for verifying that conditions in the permit space are acceptable for entry during its duration.
An attendant must be on duty outside the confined space for the duration of entry operations. A single attendant will monitor
no more than one confined space at any time.
Entrant, Attendan�ti and Entry Supervisor definitions:
An "entranP' is the employee who will enter the confined space to perform a certain task. This employee must be trained to
perform the task as well as the entry and exit procedures of the confined space. The entrant also participates in testing of �:the
atmosphere and must sign the entry permit stating he has performed the atmospheric testing.
An "attendant" is an employee who monitors the confined space from above ground. The attendant is not allowed to enter ithe
confined space for any reason and is to provide monitoring of the public or vehicular traffic and atmospheric conditions using
testing equipment prior to and during the work to bc performed. "I'he attendant is to also summon emergency personnel in the
event of an emergency, prevent unauthorized entry into the conf ned space, and provide first aid if necessary.
An "entry supervisor" is an employee who ensures the confined space permit is completed prior to any work being perforn��ed
within the confined space. The entry supervisor must address preparation, issuance, use, termination or cancellation of the
entry permit. Entry permit means the written or printed document that controls entry into a confined space. Pern;�its
completed by Heath Consultan�s are for Heath Consultant employees only. No other employees from other employers :�re
allowed to enter the confined space on the IIeath Consultants permit. Employees, or their representatives, must be given an
opportunity to request the space be re-evaluated.
Entrants or their representatives are given an opportunity to participate in and review calibrated air monitoring data before
entry.
Review and revision of the pennit space program, using tl�e canceled permits retained within 1 year after each entry, as
necessary, will ensure that employees are protected. Note: A single annual review covering al] entries performed during a I 2-
month period may be performed. If no entry is performed during a 12-month period, no review is necessary.
Rescue services must be either:
Provided by the host facility, or
Provided by an ou�tiide service which is given an opportunity to examine the entry site, practice rescue, and
decline as appropriate, or
Provided by the employer by selecting a rescue team that is equipped and trained to perform tlle needed rescue
services.
Heath Consultants will not enter a confined space where immediately dangerous to life and health (IDLH) conditions are
present while work is being performed.
XXI EI.ECTRICAL SAFETY: QUALIFIED / NON-QUALIFIED
Training requirements for employees in safety related work practices that pertain to their respective job assignments: (Iie.ath
Consultants employees are considered Non-Qualified individuals and must adhere to the following requirements)
Safe wark practices shall be employed to prevent electric shock or other injuries resulting from either direct or
indirect electrical contacts when work is performed near or on equipment or circuits which are or may be
energized.
Conductors and parts of electrical equipment that have been de-energized but not been locked or tagged out
shall be treated as live parts.
While any employee is exposed to contact with parts of fixed electric equipment or circuit5 which have been de-
energized, the circuits energizing the parts shall be locked out or tagged or both, (see I.ockout/'I'ag-out
procedures, Section XVIII).
"I'he LockoudTag-out procedure applies to work performed on exposed live parts (involving either direct contact
or by means of tools or materials) or near enough to them for employees to be exposed to any hazard they
present.
Only qualified persons may work on electric circuit parts or equipment that has not been de-energized. Such
persons shall be made familiar with the use of special precautionary techniques, PPE, insulating & shielding
matenals, and insulated tools.
Vehicular and mechanical equipment: Any vehicle or mechanical equipment capable of having parts of its
structure elevated near energized overhead lines shall be operated so that a clearance of lOft. is maintained. If
the voltage is higher than SOkV, the clearance shall be increased 4 in. for every l OkV over that voltage.
However, under any of the following conditions, the clearance may be reduced:
If the vehicle is in transit with its structure lowered, the clearance may be reduced to 4 ft. If the voltage
is higher than SOkV, the clearance shall be increased 4 in. for every l OkV over that voltage.
If insulating barriers are installed to prevent contact with the lines, and if the barriers are rated for the
voltage of the line being guarded and are not a part of or an attachment to the vehicle or its raised
structure, the clearance may be reduced to a distance within the designed working dimensions of the
insulating barrier.
If the equipment is an aerial lift insulated for the voltage involved, and if the work is performed by a
qualified person, the clearance( between the un-insulated portion of the aerial lift and the power line)
may be reduced to the distance given in "Approach Distances" table, Attachment B.
Employees standing on the ground may not contact the vehicle or mechanical equipment or any of its attachments, unless:
The employee is using protective equipment rated for the voltage, or
The equipment is located so that no un-insulated part of its structure (that portion of the structure that
provides a conductive path to employees on the ground) can come closer to the line than permitted.
If any vehicle or mechanical equipment capable of having parts of its structure elevated near energized overhead
lines is intentionally grounded, employees working on the ground near the point of grounding may not stand at
the grounding location whenever there is possibility of overhead line contact. Additional precautions, such as
the use of barricades or insulation, shall be taken to protect employees from hazardous ground potentials,
depending on earth resistivity and fault currents, which can develop within the first few feet or more outward
from the grounding point.
When working under overhead ]ines, the ]ines shall be de-cnergi-r.ed and grounded or other protective measures
shall be provided before work is started.
Unqualified employee clearance distances are 10' for SOkV plus 4" for every additional l OkV.
Employees may not enter spaces containing exposed energized parts unless illumination is provided that enables
the employees to work safely.
Protective shields, protective barriers or insulating materials as necessary shall be provided while working in
confined or enclosed work spaces where electrical hazards may exist.
Portable ladders shall have non-conductive side rails (see Section XI Ladder Safety for more info).
Conductive items of jewelry or clothing shall not be worn unless they are rendered non-conductive by covering,
wrapping or other insulating means.
XXII LOCKOUT / TAGOUT
The following procedures will be followed to lockout and tag-out energy sources prior to any maintenance or repair work
performed on equipment or in work areas where the potential for equipment to become energized:
Potential energy may include any source of electrical, mechanical, hydraulic, pneumatic, chemical, thermal, or
other energy.
LockoudTag-out devices shall indicate the identity of the employee applying the device.
Supervisors shall perform periodic inspections to ensure procedures and requirements are being followed.
certified review of the inspection including date, equipment, employees & the inspector should be documented.
Before an authorized or affected employee turns off a machine or equipment, the authorized employee shall
have knowledge of the type & magnitude of the energy, the hazards of the energy to be controlled, & the
methods or means to control the energy.
The machine or equipment shall be tumed off or shutdown using the procedures established for the machine or
equipment. An orderly shutdown must be utilized to avoid any additional or increased hazard(s) to employees as
a result of the equipment stoppage.
All energy isolating devices that are needed to control the energy to tlie macliine or equipment shall be
physically located & operated in such a manner as to isolate the machine or equipment from the enerQy source.
Following the application of lockout or tag-out devices to energy isolating devices, all potentially hazardous
stored or residual energy shall be relieved, disconnected, restrained & otherwise rendered safe. If there is a
possibility of re-accumulation of stored energy level, verification of isolation shall be continued until the
servicing or maintenance is completed, or until the possibility of such accumulation no longer exists.
Prior to starting work on machines or equipment that have been locked or tagged out; the authorized employee
shall verify that isolation & de-energization of the machine or equipment have been accomplished.
Groups of workers in different crais, departments, etc. shall be notified of the lockoubtag out of any equipmcnt
within the area or any employee who enters the area at the time the equipment is locked out/tagged-out.
Notifications should afford the group of employees a leve] of protection equal to that provided by a personal
lockout or tag-out device.
The authorized employee should ascertain the exposure status of individual group members. Each employee
shall attach a personal lockout or ta� out device to the group's device while he/she is working & then removes it
when finished. During shift change or personnel changes, there should be sutiicient notifications to ensure the
continuity of lockout or tag-out procedures. Documentation should be specific.
The training must include recognition of hazardous energy source, type & magnitude of energy available,
methods & means necessary for energy isolation & control. Each authorized employee shall receive adequate
training. The training should address that all affected employees are instructed in the purpose & use of the
energy control procedure. There should be training provisions included for any other employee whose work
operations are or may be in an area where energy control procedures may be utilized. The employee training
should also address when tag-out systems are used including the limitations of a tag (tags are waming devices &
do not provide physical restraint). 'I'he training should also include that a tag is not to be removed without
authorization. The tag is never to be ignored or defeated in any way.
Retraining is required when there is a change in job assignments, in machines, a change in the energy control
procedures, or a new hazard is introduced. All training and/or retraining must be documented, signed &
certified. �
XXIII RESPIRATORY PROTECTTON
The employee must be trained in the knowledge of respirators, tit, use, limitations, emergency situations,
wearing, fit checks, maintenance & storage, medical signs & symptoms of effective use, and �eneral
requirements of the OSHA standard. "The training must be provided before requiring the employee to use the
respirator and annually thereafter.
Respirators are to be used when engineering control measures are not feasible or during emergency situations
with high exposure. Respirators shall be provided which are applicable and suitable for purpose intended
(exposure to harmful vapors or oxygen deficient atmospheres).
"The respiratory program administrator shall be the Heath Safety Manager who is knowledgeable of the
complexiry of the program, able to conduct evaluations and have the proper training.
Kespirators are required to be provided free to the employee.
Hazards must be identified and NIOSH certified respirators must be selected and provided based on those
hazards and factors affecting performance.
Medical evaluation prior to fit-testing must be confidential, during normal working hours, convenient,
understandable, and the employee given chance to discuss results with the physician or other licensed health
care professional (PLHCP).
Employees are required to pass qualitative fit test (QLFT) or quantitative fit test (QNFT) before initial use, if a
different respirator is used, and annually.
Anything that can affect the seal must be prohibited and include facial hair, glasses, etc. Respirators with tight
fitting face pieces shall not be worn by employees who have facial hair that comes between the sealing surface
of the face piece and the face or that interferes with valve function.
The program administrator must address appropriate surveillance, and ensure employees leave the area to wash,
change cartridges, or if they detect break-through or resistance.
Working in IDLH atmospheres is not allowed.
Respirators are required to be provided in a clean and sanitary manner using manufacturer's procedures.
Storage shall include protection from damage or contamination. For emergency use respirators; stored
accessible, clearly marked.
Inspections shall be performed in the following intervals for the rated respirator:
Routine use - before use and during cleaning.
Emergency use- monthly, and before and after each use.
Escape-only use - before being carried into workplace.
XXIV RIGGING MA'I'ERIAL HANDLING
Kigging equipment shall be inspected to ensure it is safe. Rigging equipment for material handling shall be
inspected prior to use on each shift and as necessary during its use to ensure that it is safe.
Defective equipment shall not be used and removed from service immediately.
Rigging eyuipment shall not be loaded beyond its recommended safe working load and load identification shall
be attached to the rigging. °
Rigging equipment not in use shall be removed from the immediate work area so as not to present a hazard to
employees.
Tag lines shall be used unless their use creates an unsafe condition.
Hooks on overhaul ball assemblies, lower load blocks, or other attachment assemblies shall be of a type that can
be closed and locked, eliminating the hook throat opening. Alternatively, an alloy anchor type shackle with a
bolt, nut and retaining pin may be used.
All employees shall be kept clear of loads about to be lifted and of suspended loads.
XXV TRENCHING / SHORING / EXCAVATIONS
T�he location of underground installations shall be determined before excavation. When utility companies or owners can�iot
respond to a request to locate underground utility installations within 24 hours, or cannot establish exact location of these
installations, the employer may proceed, provided the employer does so with caution and provided detection equipment or
other acceptable means to locate utility installations are used.
Trench excavations shall have ramps, ladders, stairs, etc.; the means of egress must be within 25 feet of lateral travel :For
employees. For exposure to public traffic, the employees shall be provided reflective vests, etc. There should be some me.ans
to protect against falls from walkways or pedestrian crossings. Examples could include railings or guardrails. Employees
should not work under loads of digging equipment where loads may fall. Employees must be protected from water
accumulation, including the use of shields, and must be inspected by a competent person before work begins.
Competent persons should examine the possibility of cavc-ins, failures or protective systems, etc. If problems are found,
provisions should be made for immediate personnel removaL The competent person should be specified and his du�ties
described. Duties might include: inspections prior to entry, atmospheric testing, and removal of workers if conditions dicU3�te.
Tests should be conducted for air contaminants (oxygen, flammable gases, etc. and provide ventilation where necessary. Soil
classifications must be determined by testing and protective systems designed according to soil classifications.
XXVI RECORUKEEPING
A. Training Records
Training records are completed for each employee upon completion of training. These documents will be kepy for at lf°ast
three years at Heath Consultants Iluman Resources ofiices. The training records include:
The dates oi the training sessions
The contents or.a summary of the training sessions
The names and qualifications of persons conducting the training
The names and job titles of all persons attending the training sessions
Employee training records are provided upon request to the employee's authorized representative within I S working days.
Suck requests should be addressed to Heath Safety Department.
B. Medical Records
Medical records are maintained for each employee with occupational exposure in accordance with 29 CFR 1910.10.?0,
"Access to Employee Exposure and Medical Records."
Heath Human Resources Department is responsible for maintenance of the required medical records. "I�hese confidential
records are kept in the Heath Human Resource Department Offices for at least the duration of employment plus 30 years.
Employee medical records are provided upon request of the employee or to anyone having written consent of the emplo;��ee
within 15 working days. Such requests should be sent to the Heath Safety Uepartment.
C. OSHA Recordkeeping
An exposure incident is evaluated to determine if the case meets OSHA's recordkeeping requirements (29 CFR 1904). T'his
determination and the recording activities are done by Heath's Human Resources Department.
D. Sharps Injury I.og
In addition to the 1904 recordkeeping requirements, all percutaneous injuries from contaminated sharps are also recorded i:n a
Sharps Injury I.og. All incidences must include at least:
Date of injury
Type and brand of device involved (syringe, suture needle)
Department or work area where the incident occurred
Explanation of how the incident occurred
This log is reviewed as part of the annual program evaluation and maintained for at least five years following the end of the
calendar year covered. Ii'a copy is requested by anyone, it must have any personal identifiers removed from the report.
XXVII ENFORCEMF,NT OF SAFETY POLICY
Safety violation notice(s) shall be issued to any employee, subcontractor, or anyone on the jobsite violating the safety rule;; or
regulations by the project manager or supervisor. Project Managers or Supervisors will meet with employee(s) to discuss the
infraction & inform individual(s) of the rule or procedure that was violated and the corrective action to be taken.
Any violation of safety rules can result in suspension or immediate termination.
Any employee receiving three (3) written general violations within a six (6) month period shall be terminated.
Issuance of a safety violation notice for failure to use any required safety equipment or for failure to report a job
injury (at the time of the injury) may result in immediate termination, in accordance with company policy.
It is understood that Heath Consultants Incorporated is not restricting itself to the above rules and regulations.
Additional rules and regulations as dictated by the job will be issued and posted as needed. If you have any
questions regarding any of these policies contact yow supervisor.
JOB SAFETY CI�ECKLIST
ATTACHMENT A
The following Job Safety Checklist has been condensed and edited from the Occupational Safety and Health Act, Part 19:?6,
Construction Safety and IIealth Regulation.5. NOTE: Not all items required in all job functions.
A. Safety Rules
Shirts with sleeves worn.
Closed toe shoes worn.
-- _
Work areas safe and clean.
_ No use of alcoholic beverages or controlled substances.
_ Drug testing of employees involved in accident(s) resulting in personal injury or property damage.
B. Recordkeeping
OSHA poster "You Have a Right to a Safe and Healthfu] Workplace" posted.
OSHA " 300 Log of Occupational Injuries and Illnesses" posted from February 1 to Apri130 only.
Safety meeting sign-in logs (Attachment C) maintained in a folder with a copy forwarded to the corporate ofl�ice
weekly.
C. Housekeeping and Sanitation
General neatness.
Regular disposal of trash.
_ Passageways, driveways, and walkways clear.
Waste containers provided and used.
Adequate supply of drinking water.
Sanitary facilities adequate and clean.
Adequate ventilation.
D. First Aid
First aid stations with supplies and equipment. "The expiration dates of supplies checked monthly. Expired
supplies discarded.
Trained first aid personnel.
Injuries promptly and properly reported.
E. Personal Protective Equipment
Hard hats.
Eye and face protection.
F. Fire Protection
Fire extinguishers charged and identified.
"No Smoking" signs posted.
Flammable and combustible material storage area.
Fuel containers labeled.
G. Hand Tools
Tools inspected.
H. Flame Ioni7.ation Fuel
Compressed gas cylinders secured in vertical position.
__ _ __ Hoses inspected.
_ Cylinders, caps, valves, couplings, regulators, and hoses free of oil and grease.
_ _ Caps on cylinders in storage in place.
I. Motor Vehicles
__ _ Lights, brakes, tires, horn, etc., inspected at regular intervals.
-- _
No overloaded vehicles.
_ ____._---
No riding on the edge of or in pickup truck beds.
Fire extinguishers installed and readily available.
Seat belts worn at all times.
_____ Proper labeling and safety decals present. ("How's My Driving")
ATTACHMENT B
ELECTRICAL SAFETY QUALIFIED/NON-QUALIFIED EMPLOYEES
APPROACH DISTANCE TABLE
Voltage Range
(Phase To Phase) Minirnum Approach Distance
300V and less Avoid Coniact
Over 300V, not over 750V 1 ft. 0 in. (30.5 cm)
Over 750V, noi over 2kV 1 ft. 6 in. {4b cm)
�ver 2kV, not over 15kV 2 ft. 0 in. (61 cm
Over 15kV, not over 37kV 3 ft. 0 in. (91 cm
Over 37kV, not over 87.SkV 3 ft. 6 in. (107 cm
Over 87.SkV, not over 121kV 4 ft. 0 in. (122 cm
Over 121 kV, not over 140kV 4 ft. 6 in. ( i 37 cm
ATTACHM ENT C
Safety Manual
EMPLOYEE ACKNOWLEDGMENT
I state that I have attended safety orientation, and have read and received a copy of the Heath Consultants Incorporated
safety rules and regulations.
I further state that I understand these rules and acknowledge that compliance with the safety rules and regulations is a
condition of employment. If I violate the safety rules or fail to report an injury to my supervisor immediately, I understa.nd
that I am subject to termination, in accordance with company policy.
- ---- - . _
EMPI,OYEE NA1v1E (PRINTED AND SIGNATURE)
DATE
SUPLRVISOR NAME (PRINTED AND SIGNATURE)
DATE
cc: Supervisor
Human Resources
SECTION TEN
PRICING AND
REQUIRED BID DOCUMENTS
Heath Consuitants Incorporaied
HEATI� CONSULTANTS INCORPORAT�I3
LINE LOCATING 04-13:
GAS DISTRIBITTION MAIN & SERVICE LINE LQ�CATING
PRICING SHEET
•$8.75 Per Ticket for Pan�llas �ounty ����� �� nf�jT L��
_ ._ �._..,.,�
_...._....-.,__.,____.�.�
• $8.75 Per Ticket for Pascc� �ounty
•$8.75 Per Emergency 'I'icke� during narmal business hours for Pinellas County
�$8.75 Per Emergency Tac�et during normal business �eaurs for Pasca County
Corpocate Headquar�ers: 9(}30 Monroe Road, Houston, Texas 77a6�-5229
Phone: (7i31 844-1300 • Fax: (7t3) 844-i309
PROPOSAL
TO: City of Clearwater (d/b/a Clearwater Gas System)
The following proposal is submitted in accordance with RFP #04-13, inviting proposals to be
received until 1 1/ 21 /.1 2 for the "Natural Gas Distribution Main & Service Line
Locating".
Having carefully examined the RFP document and being familiar with the various conditions of
the work, the undersigned herein agrees to furnish all materials required and to perfoim all labor
necessary to satisfactorily complete such work.
Accompanying this proposal is a Certified or Cashier's Check or Bid Bond in the amount of ten
percent (10%) of the bid total drawn upon the bid bond, Traveler' s BANK
and made payable to the City of Clearwater, to serve as bid security.
The undersigned hereby certifies that this proposal is genuine and not sham or collusive, or made
in the interest or in behalf of any person, firm, or corporation not herein named and that the
undersi�med has not directly or indirectly induced or solicited any other bidder to submit a sham
bid, or any other person, firm or corporation to refrain from bidding, and that the undersigned
has not in any manner sought by collusion to secure for himself an advantage over any other
bidder.
ATTEST:
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°��'.� �='�, t �'1 � r � �:� ca`,
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Corporate Secretary
AFFIX CORPORATE SEAL,
if a corporation
i�
Heath.Consultants Incorporated
Bidder's Business Name
,� �,
. �
By �� f/+,/� E `_�i �
Officer (or Principal)
Senior Vice President
Title
Business Address:
9030 Monroe Road
Houston, TX 77061
Business City/State/Zip Code
713-844-1300
Business Telephone Number
CONTRACTOR'S AFFIDAVIT
STATE OF FLORIDA
COUNTY OF
Before me, the undersigned, a Notary Public, duly commissioned, qualified and acting in and for
said County and State personally appeared Paul Wehnert
(Individual, Partner, or duly authorized representative of Corporate Contractor) who being duly
sworn according to law deposes and says that all labor, material and outstanding claims and
indebtedness of whatever nature arising out of the performance of the contract of the
(Owner) with
HeatYL_C�nG»ltant� Tnc-orp�rated (Contractor)havebeenpaidinfull.
(Individual, Partner, or duly authorized representative of Corporate Contractor)
Sworn to and subscribed before me this' `_��ay of `� � , 201• .
. . •R '.
Notary Public � f.�o�Y °��� � i�?�,NCY LEE �
2 .z��' ;C�iARY PUBLIC t
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Commission expires: __ ° � ` ` • �
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CONTRACTOR'S RELEASE
KNOW ALL MEN BY THESE PRESENTS that Paul Wehnert
a Contractor in the County of Harri s and State of m__PXa�__ , do hereby
acknowledge that Heath Consultants (Contractor) this day has had and received of and
from the City of Clearwater, the sum of One Dollar and other valuable consideration in full
satisfaction and payment of all sums of money owing, payable and belonging to
(Contractor) by any means whatsoever, for on account of a certain agreement between the said
City of Clearwater and
Heath_ Consultants Incorporated_ (Contractor) dated.
NOW THEREFORE, the said Heath Consultants (Contractor)(for myself; my heirs,
executors and administrators)(for itself, its successors and assigns) do by these presents remise,
release, quitclaim and forever discharge the said City of Clearwater, its successors and assigns,
of and from all claims and demands arising from or in connection with the said agreement dated
, and of and from all, and all manner of action and actions, cause
and causes of action and actions, suits, debts, dues, sums and sums of money, accounts,
reckonings, bonds, bills, specialties, covenants, contracts, agreements, promises, variances,
damages, judgments, extents, executions, claims and demand, whatsoever in law or equity, or
otherwise which against the said City of Clearwater, its successors or assigns, the Contractor, its
heirs, successors and assigns ever had, now have, or which (I, my heirs, executors, or
administrators)(it, its successors and assigns) hereafter can, shall or may have, for, upon or by
reason of any matter cause or thing whatsoever, from the beginning of the world to the date of
these presents.
IN WITNESS WHEREOF,
presents to be duly executed the _ day of�
Signed, Sealed and Delivered in the presence of:
ATTEST:
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-.s � '. �`� ��'� r�-~x° `,_.
� (Secretary) .
TE SEAL,
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_ (Contractor) has caused these
201
(SEAL)
(Individual Contractor)
(SEAL)
(Partnership Contractor)
(SEAL)
(Partner) �
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;H�ath Ct�nsult,ants Incc�rporated
° �(Cbkporation)
si /,
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By 1 �ir �.r.:.
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BID BOND TRAVELERS CASUALTY ANQ SURETY COMPANY OF AMERICA,
Hartford, Connecticut 06183
KNOWN ALL BY THESE PRESENTS, That we, HEATH CONSULTANTS, INC, a::>
Principal, and Travelers Casualty and Surety Company of America, as Surety, are helc:l
and firmly bound unto CITY OF CLEARWATER - FLORIDA, as Obligee, in the sum o�f
Twenty Eight Thousand Eight Hundred Seventy Five Dollars ($28,875) for the paymen�
of which we bind ourselves, and our successors and assigns, jointly and severally, a::�
provided herein.
WHEREAS, Principal has submitted or is about to submit a bid to the Obligee on <;�
contract for NATURAL GAS DISTRIBUTION MAIN & SERVICE LINE LOCATINC:�
("Project").
NOW, THEREFORE, the condition of this bond is that if Obligee accepts Principal's bid,
and Principal enters into a contract with Obligee in conformance with the terms of thE�
bid and provides such bond or bonds as may be specified in the bidding or contrac1r
documents, then this obligation shall be void; otherwise Principal and Surety will pay tc:�
Obligee the difference between the amount of Principal's bid and the amount for whict�i
Obligee shall in good faith contract with another person or entity to perform the work;
covered by Principal's bid, but in no event shall Surety's and Principal's liability exceec;l
the penal sum of this bond.
Signed this day of , 2012.
#1EATH CONSULT
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Travelers Casualty and Surety Company of America
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, ��!`�/r.��.. ; i�.�.14 � �t/�G�.C2-''
By: __�
Mary Helen Buras, Attorney-in-Fact
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WARNING: THfS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER ;
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��������� `� �'armington f'asualey �`ompan}
Fidelity and Guaranty Fnsurance Company
�idelity and Guaranty Insuranee Flnderwriters, i�c.
St. Pau! Fire and Marine Insurance i.a�:npany
St. Paul Uuardian Iasurance Compan}�
Attorney-In Fact No. ��4�g�
St. Paui Mercury Ensurance f:ompaay
'd'ravelers Casualty and Surety Company
Teavelers CasualEy and Surety Company of l�merica
United States Fidelity and Guaranty Company
E'ertificate No. � O �� `�' � � � � �
KNOW ALL 1VIF,N �3Y TI-lF,SF, PRESENTS: That St. Yaul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company and St. Paul Mercur� Insurance
Company are coiporat�ons duly or�anized under the laws of the State of Minncsota, that Fazmin�ton Casualty Company, Travelers Casualty and Surery Cu�t�pany, and
Travelers Casualty and Surety Company of America are corporations duly or�anized under the laws of the State of Connecticut, that United States Fidelity and Uuaranty
Company is a corporation duly organized under the laws of the State of Maryland, tnat Fidelity and Guaranty Insurance Compa�y is a corporation duly organized under
the laws of the Stat�e of Iowa, and that Fidelity and Guaranty Insurance Underwriters, Inc., is a corporation duly organizcd under the laws of the State o� Wisconsin
(herein collectively callcd the "Companies"), and that the Companies do hereby make, constitute and appoint
Anthony H. Morelos, Robert F. Dean, and Mary Helen Buras
of the City of __ KOUSIOri ___. State of __ TeXSS __ _____ _ , their true and lawful Attorneyl's)-in-Fact,
each in thcir sep irxte capacity if more thxn one is named above, to sign, execute, scal and aeknowledge any and all bouds, teco�nizanccs, conditional nndertakin�s and
other writin}s obli�arory ir, the nature Chereof on behalf of the Companies in their business of guarantceina the fidelity of persais, guarantceing thc pea-1-nrmance oi
contracts and executin� or �uaranteeing bonds and undertakings reyuircd or pPrmin�:d in anc :�ciions �r pmceedin=s allowed by law.
TN WI'TNFSS {��HEKE£)F, the Companies have caused this instrument t�, bc signc� and their corE�orate seals to hc iiereto affixcd, this _._
OCtober 20 l l
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Farmin;ton Casaalty ('omp�uy
Fidelity and Guaranty Insurance t'unepan�
Fidelity and Guaranty Insuraucr Elnderwriters, Inc.
St. Paul Fire and Marine Insurance E'ompany
S4 Yaul Guardian Insorance Company
7th
St. Pau[ Tvlircury Intarance �'ompany
Travelers Casualty and Surety Company
Travelers E;asualty and Surety C�mpany of America
LJnited States Fidclity and Guaranty Company
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Geore � "Choropsnn. cnior ice President
7th October 2011
On this the _____.______ day of ___ ,___ ___ , before me personally a}�pcarcd Gec�rve W. "I'hontpson, who acknowledged
himself to be the Senior Vice President of Farmin�too Casualty Company, Fidelity and Guaranty Insurance Company_ Fidclity and Guaranty Insurance Underwriters,
Inc., St. Pau1 Firc and Nt:�rine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance ('onipany, Travelers Casualt;� and Surety
Company, Travelers Casualty and Surety Company of America, and United States Fide�liCy and Guaranry Company, and thait':��e, as such, bein� authori•r.ed so to do,
executed rhe foreooing instrwnent for che purposes th�rein contained by si�ning on bel�alf of the corporations by l�imself as .: duh� a��ithonzed officer.
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�� rn Witness VVhereof, ] hcieunto set my hand and oPficial seal_ ����t _____���v�� d. • �.J✓�!" `^'!�
�: �(_�ommission expires tiu �i)il, dav oi June. 2O1 C�. � c d-� ``- �,,.. ?� �:.•..� �: �T�t�r,� Prh�ic
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WARNING: THIS PONiER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER
HEATH CONSULTANTS INCORPORATED
SECRETARY'S CERTIFICATE
I, Pamela S. Mickel of Houston, Texas, do hereby certify that I am SECRETARY of
HEATH CONSULTANTS INCORPORATED, a Delaware Corporation having its
principal place of business at yo3o Monroe Road, Houston, Texas, and that at the
July a�, aou Board Meeting held in Houston, Texas of Directors it was unanimously
VOTED: That Authorized Officers of the Corporation: Carolyn Heath Haag,
President, Chairman of the Board; Graham G. Midgley, Chief Executive
Officer (CEO}; Gary J. Lape, Vice President, Operations; Paul D.
Wehnert, Vice President/Sales and Marketing and Mark D. Huber, Vice
President/CFO, and each of them individually hereby is, authorized and
empowered, (i) to prepare or cause to be prepared, execute, enseal and
deliver or cause to be delivered, in the name and on behalf of the
Corporation, any and all documents, agreements and instruments to
effectuate any of the foregoing resolutions or any of the transactions
contemplated thereby, all with such changes therein as any such
Authorized Officer may deem necessary or desirable, and (ii) to take
such action, or to cause others to take such action, in the name and on
behalf of the Corporation, as may in the judgment of any such
Authorized Officer so acting be necessary or appropriate in connection
with, or in furtherance of, any of the foregoing resolutions or any of the
transactions contemplated thereby, the execution and delivery of any
such document, agreement or instrument or the taking of any such
action being conclusive evidence of such Authorized Officer's authority
hereunder to so act.
I further certify that said vote remains in full force and effect and has not been
replaced, altered, amended or rescinded.
1
DATED. .t��,;�'���'s�^�:��`. r �'r
Carporate Seal
A true record.
ATTEST:
' y �R/'�� ��...GA.+C+�.� { � '€�'*""`�"y�� f "
_ Pamela S. Mickel, Secretary
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Client#: 12925 HEATCONSI
ACORD,M CERTIFICATE O� LI/�BILITY INSURANCE DATE(MM�DDfYYYY)
11/1512012
i nis ceRT�FicATE iS ISSUED AS A MATTER OF INFORMRTION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. 'fHIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIIE:S
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZE:D
iEPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
- - - _ _ - --_-_ _ _-- --
- -_- -- - - - - _ _ .__
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an eredorsement. A statement on this certificate does not confer righl:s to the
certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT •
NAME: Linda Fontenot
Dean & Draper Ins. Agcy., LP P„oNE - -- -
�(AIC, No, Ext): 7� 3 SZ%-0444 . I(p,A1C, No�• _713 52'i-0457
3131 West Alabama s-MAi�
4th Floor , aooRESS: _ _
� INSURER�S) AFFORDING COVERAGE I NAIC #
INSURED ...---- - - -----. __.__._._. .-_. _- . __-- --... _..--� INSURER B wberty I sutlance Corporation e C -._ �`'6042 .. ..
ouston, TX 7709
-- _
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Heath Consultants Inc. ',r,suReR c�-ibert Mutual Insurance Co �'�3043
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9030 Monroe Rd. �---- _-y--- ____________ __._ __ _ �_ _
Houston, TX 77069 �_iNSUReR � ;
— __-- -- __________ _ ;
- -
'��. INSURER E : i
_.__ _____._________.__ .._ .____ l.__.._ _. .. ._
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
� rna i� i u �,tK I IYY I HH 1 1 Ht I'ULIGIES OF INSURANCE USTEU 6ELOW HAVE BEEN ISSUED TO THE INSUkED NAMED ABOVE FOR TNE POUCY PERIOD
INDICA7ED. NOTWITHSTl1NDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHI(:N THIS
CERTIFICAiE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE iERMS.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. �IMITS SHOWN MAY I-IAVE BEEN REDUCED BY PAID CLAIMS.
INSR � � � �� � �� � � � � - 'ADDI SUBR �� � POLICY EFF POLICY EXP ' - �
LTR TYPE OF INSURANCE I �
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(Mandatory in NH) (--� � � '
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7/30l2012
7/30/2012
--- --
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PERSONAL & ADV INJUf2Y
GENERALAGGREGATE
PHODUC7S - COMP/OP AGG
BODILV INJURY (Per person)
BODILY INJURY (Per arc-idenij
PROPERTY DAMl�GE I�
(Per accident) �
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EL DISEASE - POLICY LIMIT J S�,OOO.00O
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 701, Additio�ai Remarks Schedule, if more space is required)
The General Liability policy includes a bianket additional insured and waiver of subrogation
endorsement LG3180 0907 policy contains a special enclorsement with the primary and noncontributory
wording per form LB2410 1010 to the certificate hoider only when there is a written contract between the
named insured and the certificate holder ihaQ requires such status. Poticy include a blanket 30 day notice
of cancellation endorsement LIM9901 0511 to the certificate holder only when there is a written contract
(See Attached Descriptions)
TE HOLDER
City of Clearwater
Attn.: Clearwater Gas Systems
P.O. Box 4748
Clearwater, FL 33758-4748
ACORD 25 (2010/OS) 1 of 2
#S305418/M283344
CANCELLA
SHOUID ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELI\IERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AU': HCRIZcD REFP,ESE�TA7iVt
�O 1988-2010 ACORD CORPORATION. All right:=_; reserved.
The ACORD name and logo are registered marks of ACORD
LFF
DESCRB��'I�i�S (C�ntinued fr�m Page 1)
ur�ween ine named insured and the certificate holder that requi6es such status.
'—�e Auto Liability policy provide a blanket additional insured endorsement CA2048 0299 waiver of
brogation endorsement CA0444 0310 to the certificate holder oniy when there is a writt�en contract between
the named insured and the certificate holder that requires such status. Poiicy include a blanket 30 day
notice of cancellation endorsement LIM9901 0511 to the certificate holder only when there is a written
contract between the named insured and the certificate holder that requires such status.
Workers Compesation policy provide a blanket waiver of subrogation endorsement WC420304 to the
� certificate holder only when there is a written contract between the named insured and the certificate
holder that requires such status. Policy include a bianket 60 day notice of canceliation endorsement
WM90180611 to the certi�cate holder only when there is a written contract between the named insured and
the certificate holder that requires such status.
SAGITTA 25.3 (2010/OS)
Z OY 1
#S305418/M283344
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' Exhibit C
Request for Proposal
� � � �
� � �
REQUEST FOR PROPOSALS
CITY OF CLEARWATER, FLORIDA
Notice is hereby given that the City of Clearwater will be receiving sealed proposals at
the City's Purchasing Division, 100 South Myrtle Avenue, Clearwater, FL 33756 for:
Natural Gas Distribution Main � Service Line Locating
RFP NO. 04-13
PROPOSAL DUE DATE: WEDNESDAY, NOVEMBER 21, 2012, 4:00 PM EST
AT THE CITY OF CLEARWATER PURCHASING DIVISION
The City is seeking experienced and qualified firms that demonstrate the highest level of
ability, professionalism and expertise. Six (6) copies of each proposal shall be
submitted in a sealed envelope and plainly marked:
"Request for Proposal for Natural Gas Distribution Main 8� Service Line Locating,
RFP NO. 04-13"
Issued at Clearwater, Florida, this 22"d day of October, 2012.
Prepared By:
8rian Langille, PE, CEM
Operations Manager
Clearwater Gas System
400 N Myrtle Ave
Clearwater, FL 33755
TABLE OF CONTENTS
OVERVIEW 1
SPECIFIC REQUIREMENTS 4
SITE VISIT 4
PROPOSALSUBMITTAL 5
SELECTION COMMIITEE 5
TENTATIVE SCHEDULE 6
FAMILIARITY WITH LAWS 6
RFP INQUIRIES AND ADDENDA 6
APPROPRIATIONS CLAUSE 6
PUBLIC ENTITIES CRIME STATEMENT 7
BID SECURITY 7
DRUG-FREE WORKPLACE REQUIREMENTS 7
OPERATOR QUALIFICATION 8
BID PROTEST PROCEDURE 9
NO CORRECTIONS CLAUSE 9
RETENTION/DISPOSAL OF RFPS CLAUSE 9
LEGAL NAME CLAUSE 9
OPENNESS OF PROCUREMENT CLAUSE 9
NO COLLUSION CLAUSE 10
QUALIFICATIONS OF VENDORS 10
EXECUTION OF CONTRACT 11
TIME OF COMPLETION 11
INSURANCE REQUIREMENTS 11
INFORMALITY WAIVING/BID REJECTIONS CLAUSE 15
PROPOSAL 16
CERTIFIED CHECK, CASH OR BID BOND 17
CONTRACTOR'S AFFIDAVIT 18
CONTRACTOR'S RELEASE 19
STATEMENT OF SURETY COMPANY 20
PERFORMANCE - PAYMENT BOND 21
CERTIFICATE OF INSURANCE 23
OVERVIEW
The City of Clearwater ("City"), d/b/a Clearwater Gas System ("CGS"), owns and operates a
natural gas distribution system ("System") within portions of Pinellas and Pasco County, Florida.
CGS has approximately 840 miles of distribution gas mains that operates between 8— 60 PSI and
serves approximately 18,000 natural gas customers over a 330 square mile service territory.
Proposals are now sought from qualified companies ("Locator") to provide natural gas main &
service line locating services for CGS's distribution System.
CGS generally serves natural gas to north Pinellas County (i.e., north of Ulmerton Rd) and
Southwest Pasco County (Pinellas/Pasco county line to State Rd 52 and Ehren Cutoff Rd). In
addition, CGS serves the beach communities from Clearwater down to Redington Beach.
Currently, CGS performs all line-spotting functions with two (2) internal employees. However,
CGS would like to outsource this job function to a qualified Locator. The expectation is the
Locator will be able to work independently, with minimal assistance/supervision from CGS.
Below is some general information on our distribution system, along with a company profile.
Miles of Number of Sunshine Tickets
County Main Service lines Received Located
Pinellas 688 20,200 25,000 9,000
Pasco 152 3,800 5,000 2,500
Total 840 24,000 33,000 11,500
Additional information, such as GIS shapefles, depicting the exact location of our main &
service locations can be made available upon request.
Our current method of receiving locate tickets is through the Irthnet (FL Sunshine) website.
Each line locator has a laptop in their vehicle to receive electronic tickets throughout the work
day.
CLEARWATER GAS SYSTEM - OVERVIEW
(A DEPARTMENT OF THE CITY OF CLEARWATER) �
SERVING THE COMMiJNITY ENERGY NEEDS FOR 89 YEARS
(SINCE 1923)
KEY SER�'ICE CH�I2ACTERIS'I`ICS & UATA
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TAMPA BAY / SUNCOAST AREA
• NATUI2AL & PROPANE GAS SERVICE
• GAS APPLIANCE SAI.ES & SERVICE
• I�iSTALLATION OF INSIDE CUSTOh�IER GAS PIPING
• DO14fESTIC AND COti�VIERCIAL GAS �PPLL�NCE &
EQLnPMENT SERVICE
• 330 SQL?ARE 1bIILES OF SERVTCE TERRITORY
• 840 AIII,ES OF NIAIIV PIPF..I.INES
• SERVE 2011-iCnVICIPAL AREAS:
BELLFAIR INDIAN ROCKS BF,ACH PINFI.LAS P.1RK {LP)
BELLEAIIt BEACH INDI?.N SHORES PORT RICHEY
BELLEAII2 BLUFFS LARGO REDINGTON BEACH
I3FLLEAIR SHORE VSADEIRABEACH �LP} REDINGTON SHORES
CLlARWA'I1;R NEWPORTRICIiEY SAFE'TYIiARBOR
lltiNtilllN NORTH REDINGTON BEaCH SE:�4II� OLE (LP)
OLDSMAR TARPON SPRINGS
�ND L1vINCORPORATED NORTI�RY FINELLAS &
SOiTTfi�VF,STERN & CF,NTRAL PASCO COL�iVTiES:
PINELLAS COL;NTl PASC� COl11VT'Y
AREASSERVED AREASSERVED
CRYSTAL,BEACH ANCLOTE
F,AST LAKE BEXI.FY RANCH
PLATIIER SOtiND (LPl CONNERTON
Hr1RBOR BLtiFFS ELFERS
HIGHPOINT HOLIC7AY
GZONA LAND O' L.AKES
P.ALM HARBOR MOONLAKE
ODF;SSA
SEI2F,NOV A
"IRINITY
• 2U,OU0 CUSTOlb1ERS (18,000 natural � 2,OU0 propane)
• 79 EMPLO]c'EES
• $36 MILLIOPT ANNU:�L OPERATIIVG RE�'E_NUES
• 12,�155 ;VIM73TUIUAY PF.r1it DF.,I��i:'�1�� (1/9l2010)
• 12,000 N[MBTUIDAY PF..AK CONTR4C'C DF,MAIVI)
• SUPPLIER: FLORIDA GAS TRANS�IISSIOI� (FGT)
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TAMPA 6AYf
SUNGQAST
AREA
- FLC'�RIDA -
LastUpdated 10/2012
2011 PE�lSA Report
2.k9LE3 OF MAINS MI SYSTEMAT END OFYEAR
MATERIAL UNKNOVIM Y" 6R LESS OVER 2" THRU 4" OVER 4" THRU 8" OYER 8" THRU 12" OYER 12" TOTAL
STE�� ?fNJO 1%3.�800 32.000 52500 :�riiAl O.00r ^Ofi..O�
C�I;GTILE IR�JN 0.60�� O.UO� UA00 OAJCI :;�.t10U OAUf,� 0.000
C(JPPER 0 0p0 t� GOu O.MC! Q OOQ G.p(N) 09D�3 Q C100
t.ASTVvROUGHT �.� t��.SDU B.t+�t! OQ00 i�iaj0 0.66G 16.60G
IkCN
PI.F.yTIC PV�� O.OGG 0.CC0 �7.Q�0 U.O�hI :I.UC�i 20�a? Ci-�00
PLAST!CFE G.th?Q Sn2JOQ 83&�70 R7S00 t:000 O.GuO 613400
PLASTIC AES 0.�10Q �,.OiC 0 U(N O.�Op 4�ifi0 0.40U 0.000
O7HEF PLAST�C O.00Q ;7.000 0 CiQO O.tltl� � 000 OA00 0.000
OTHER 0.0� u.000 0�000 O.Q�(1 00� ODOD O.DOn
TOTAL 0.000 5964U0 t2190G 1�OGUU Q�0 0.000 83EBfJ0
3.NVNBER OF Sf:RY10ES q'I SYSTEM AT END OF YEAR AVERAGE SERVICE'LEN6TH:100 .
MATEWAL. UNKNOWN 1"OR�LESS OVER.1"THRU2" OYER2"THRU4" OVER4"THRUB" 8VER8" TOTAL
STEEt p.p00 65440�JQ 111.W0 1'.OUO O.ic);) 6�A00� 6E32.009
D! �CT€lE IR+�N 0.�?Ott G ODU O.QC�U 0 OOG ��.G00 n.00Q t� O�JU
CQPPcR 0.000 0 �00 O.UW 0.�7�J0 �^.^00 0.0�0 QrF�O
CASTlWR��JGHT O..Di10 OA00 tI.CK� C.� Q000 O.CiOG. 0.000
q2t'�N
P�ASTIC PVC O.00p b.OQO 0�0 OAOI QGOD 0 �Ot� U.000
FLr'+,STIG PE 0 OGU if,C92.b00 tIlA3.ORR 13�A1t7 6.300 OACG tE:i4B.OG0
FLA&T{C.4&S OA00 O.n�p O.ppp pno0 �.pr)0 (1-0OG Qn(�
OTtiEk�PLASTIC U�.000 U.��ZG 09(19 6.000 0.�:6� 0000 0.000
dTHER 4.000 f�;�.u� O,O�JO �.UOG O.COC, 0.000 �A01
T6TRL 0.400 21�+5.� i55aAG0 3C�.000 G:JUC� O.G40 2'.�6G.l;r,u
4.MLE8 OF NWIN t1ND NUN6ER OF SERVICES BY DECADE OF INST/1LLATiON
UNKNOYMI PRE-1940 19C0-'1944 '1950-1959 195019&9 1870-79T9 1980-1988 1990-1�9 2�20�9 2010-2019 TOTAL
MI�ESt?F p..00U 63.1A)0 54AOU 54000 59.i1"Utl ?&.�JJU '�.i600G 215Q00 185500 1"3E(30 r;38.3iN
MANV
NI�MSERtJF u0W iSfi4000 :•Ei2000 1F80.t?[?� 21+U51.lOC� ?U170GG 2°C�;!)00 "<3i?0U00 ?<16000 1A23.04�0 2:?584D0(:
SERVK'.,ES
SPECIFIC REQUIREMENTS
Below are items/requirements that need to be included in the Proposal to CGS.
• Provide a cost to perform line spotting services for the following:
o Pinellas County
o Pasco County
o Include a cost breakdown (i.e., daily and/or cost per ticket) for EACH county
• Cost to perform emergency locate tickets for System
• Respond to emergency locates during normal business hours
o CGS to respond to afterhours emergency locates
• Vendor will supply their own locating equipment, possibly to include Ground Penetrating
Radar (GPR)
o CGS to supply paint, flags, marker poles, tracer wire and connectors
• Must utilize Operator Qualified (OQ) employees
• Must complete locate within the 48 hour timeline as required by FL Statute 556.
• Shovel or vacuum excavates high priority pipelines and segments that are difficult to
locate
• Repair broken wire segments and install/maintain locate stations to complete locates
• Work with contractors to identify located segments
• Respond for follow-up questions or clarifcations
• Vendor is responsible for any late ticket charges
• Vendor may be charged for any missed locate damages, pending investigation
• Draw simple as-builts, when main is found in different location than CGS records show
� Communicate with CGS personnel to identify any abnormal operating conditions
SITE VISIT
To better prepare a response/proposal to this RFP, each proposer may visit the CGS
Administrative & Operations facility @ 400 N Myrtle Ave, Clearwater, FL. Arrangements to
visit the Site can be made by contacting Mr. Brian Langille, Operations Manager, Clearwater
Gas System, via telephone at (727) 562-4911 or via email at brian.lan i�(�a,clearwater as.com.
Appointments will be scheduled between Oct 30th — Nov 19tn.
PROPOSAL SUBMITTAL
Six (6) copies of the proposal shall be submitted to:
If submitted by mail:
Michael Murray
Purchasing Manager
Purchasing Division of the City of Clearwater
P.O. Box 4748
Clearwater, Florida 33758
If submitted in person:
Michael Murray
Purchasing Manager
Purchasing Division of the City of Clearwater
100 South Myrtle Avenue
Clearwater, FL 33756
Note: All copies must be submitted and received by City/CGS no later than 4:00 p.m. on
Friday, November 16, 2012.
SELECTION COMMITTEE
Selection Committee will consist of a minimum of five (5) employees from certain
departments within the City of Clearwater. The Committee will choose the top 2-3 vendors,
based on initial RFP submittals, for a scheduled interview in Clearwater. After interviews are
complete, the Committee will score the companies based on the criteria below:
Items of Consideration
Maximum Points
1. Annual cost 25
2. Company experience: Line locating services 25
3. Manager experience: 20
4. Company proposal/presentation 15
5. Company references 15
Total possible points 100
The services solicited will be evaluated on the basis of competitive proposals. Evaluation
criteria will include your time and materials submittal, as well as experience and availability to
provide necessary manpower and expertise to accomplish the work in a timely and cost-efficient
manner. Proposers shall not be entitled to payment for any expenses incurred in the preparation
of its proposal.
TENTATIVE SCHEDULE
Oct 22°d: Advertise RFP
Oct 30 — Nov 19th: Site visits (if necessary)
Nov 21St: RFP submittal due date (4pm)
Nov 26 — 30`h: Vendor presentations (Clearwater)
Dec 3`d: Select vendor for project
Dec 20`": City Council approval
Jan 2013: Commence locating services
FAMILIARITY WITH LAWS
Each consultant shall be responsible for full and complete compliance with, and by submitting a
proposal certifies that it is familiar with, all federal, state and local laws, ordinances, rules and
regulations.
RFP INQUIRIES AND ADDENDA
Each proposer shall examine all RFP documents and shall judge all matters relating to the
adequacy of such documents. Any inquiries, suggestions or requests concerning interpretation,
clarification, or additional information pertaining to the RFP shall be made in writing a minimum
of five (5) working days prior to the due date specifed herein to City's Purchasing Manager,
Michael Murray, at P.O. Box 4748, Clearwater, FL 33758-4748; or Fax (727) 562-4635.
Facsimiles must have a cover sheet which shall include, at a minimum, the proposer's name,
address, number of pages transmitted, phone number, and facsimile number. Inquiries may also
be emailed to Michael.Murray�u,myclearwater.com.
Neither City nor CGS shall be responsible for oral interpretations given by any City or CGS
employee, representative, or others. The issuance of a written addendum is the only official
method whereby interpretation, clarification, or additional information may be i� ven. If any
addenda are issued to this RFP, City/CGS will attempt to notify all proposers who have secured
the same. It shall be the responsibility of each proposer, however, to contact City's Purchasing
Manager at (727) 562-4633 to determine if any addenda were issued and to make such addenda a
part of the proposal prior to the submission of a proposal.
APPROPRIATIONS CLAUSE
City, as a governmental entity, is subject to the appropriation of funds by its legislative body in
an amount sufficient to allow the continuation of its performance in accordance with the terms
and conditions of the Agreement for each and every fiscal year following the fiscal year in which
this contract is executed and entered into and for which the Agreement shall remain in effect.
Upon receipt of notice that sufficient funds are not available to continue its full and faithful
performance of the Agreement, City/CGS shall provide prompt written notice of such event.
Effective thirty (30) days after giving such notice or upon the expiration of the period of time for
which the funds were appropriated, whichever occurs first, City/CGS shall thereafter be released
of all further obligations in any way related to the Agreement.
PUBLIC ENTITIES CRIME STATEMENT
Pursuant to Florida Statute 287-132-133, effective July l, 1989, the City of Clearwater, as a
public entity, may not accept any proposal from, award any contract to, or transact any business
in excess of the threshold amount provided in Section 287A17, F.S., for Category Two (currently
$35,000) with any person or affiliate on the convicted vendor list for a period of 36 months from
the date that person or affiliate was placed on the convicted vendor list unless that person of
affiliate has been removed from the list pursuant to Section 287.133 (3)(�, F.S. If you submit a
proposal in response to this request, you are certifying that Florida Statute 287.132 and 287.133
does not restrict your submission.
BID SECURITY
Each bidder must deposit a bid bond in the amount of ten percent (10%) of the total annual cost
referenced in the Proposal, made payable to the City of Clearwater, which sum will serve as bid
security and will be forfeited to the City of Clearwater as liquidated damages in the event an
award is made and the contract and bonds are not promptly and properly executed as required.
All bids may be held for a period of 60 days after receipt. All certified checks, except those
accompanying the two lowest bids, will be returned by certified mail to the unsuccessful bidders
within seven (7) days after the date of the bid opening. (If the signing of the contract be deferred
for a period exceeding two (2) weeks, and the second low bidder desires to substitute a bid bond
for his certified check and the bid bond fully guarantees his bid, he shall be permitted to do so).
The certified checks accompanying the two low bids will be returned within three (3) days after
the Owner and the successful bidder have executed the contract. In the event no contract award is
made within the time limit specified, each certified check or bid bond will be returned upon the
demand of the bidder.
DRUG-FREE WORKPLACE REQUIREMENTS
In order to comply with Florida Statutes, all proposers will be required to complete a Drug Free
Workplace form (F.S. 287.087).
Preference will be given to businesses with drug-free workplace programs. Whenever two or
more proposals that are equal with respect to price, quality and service are received by the City
for the procurement of commodities or contractual services, a proposal received from a business
that certifies that it has implemented a drug-free workplace program shall be given preference in
the award process. Established procedures for processing tie proposals will be followed if none
of the tied proposers have a drug-free workplace program.
In addition, the Contractor agrees that it has in place, or will implement a Drug and Alcohol
Training and Testing Program for their employees that comply with the requirements of the
United States Department of Transportation, Title 49, Pipeline Safety Regulations, Part 199. The
contractor will also furnish quarterly statistical reports to CGS to show active compliance.
The Contractor further agrees to allow access to its property and records by the Human
Resources Director, or appointed designee, of the City of Clearwater. The Contractor will permit
representatives of state or federal agencies who monitor the compliance of Drug and Alcohol
rules/regulations access to its property and records. The contractor shall furnish quarterly
statistical reports to the Operations Coordinator.
Said program shall provide pre-employment, random, for cause and post accident drug training
and testing (alcohol for cause testing) for all of its employees as required by Federal regulations
and who are assigned to perform services for Clearwater Gas System.
The contractor shall attest in writing, the following:
l. That the contracting firm has an agreement with a drug testing laboratory certified
by HHS/NIDA and an alcohol testing facility;
2. The name and address of the Medical Review Officer retained by the contractor
for the drug and alcohol testing program;
That all employees of the contractor have been drug tested pre-employment; and
4. That all employees covered by the US Department of Transportation Regulation
199 receive random, for cause and post accident drug testing and alcohol testing
for cause pursuant to such regulation.
Prior to doing any work for CGS, the vendor will submit a copy of their current Drug and
Alcohol Testing Policy. This policy should be included in their Proposal.
OPERATOR QUALIFICATION
Contractor employees and their subcontractors must meet the requirements and intent of the
Code of Federal Regulations (CFR) 49 Part 192.801, 192.803, 192.805, 192.807 and 192.809
relating to "Operator Quali�cation" with mandatory knowledge, skill and abilities, training to
be completed by December 31, 2012. The contractor must state in writing that their Operator
Qualification plan is in conformance with the intent of Federal Operator Qualification
Regulations and is at least equal to and applicable to Clearwater Gas System's ASME B31Q
Operator Qualification Plan. OQ and all Training Documentation shall be furnished upon
request. The Contractor's Operator Qualification Plan must also explain how their employees
have the ability to identify and react to natural gas related Abnormal Operating Conditions that
may be encountered while working on the gas pipeline facility. Contractor Employee Operator
Qualification, Knowledge, Skill and Ability records will be kept for a 5 year period. Failure to
provide proof of Operator Qualification compliance, and successful maintenance will
disqualify the bidder from consideration for the award of this contract. Training records
shall be made availabte to CGS for auditing.
BID PROTEST PROCEDURE
Any actual or prospective proposer who is aggrieved in connection with the solicitation or award
of a contract may seek resolution of his/her complaints by contacting the Purchasing Manager.
NO CORRECTIONS CLAUSE
Once a proposal is submitted, the City/CGS shall not accept any request by any proposer to
correct errors or omissions in any proposal submitted.
RETENTION/DISPOSAL OF RFPS CLAUSE
City/CGS reserve the right to retain all proposals submitted for offcial record purposes and to
use any ideas in a proposal regardless of whether that proposal is selected. Submission of a
proposal indicates acceptance by the proposer of the conditions contained in this RFP and all
attached exhibits, unless clearly and specifically noted in the Agreement between City/CGS and
the selected proposer.
City/CGS also reserves the right to dispose of any or all copies of proposals in whatever manner
it deems appropriate. No copies of proposals will be returned to the proposer.
LEGAL NAME CLAUSE
Proposals shall clearly indicate the legal name, address and telephone number of the proposer
(company, firm, partnership, individual). Proposals shall be signed above the typed or printed
name and the title of the signer shall be indicated. To constitute a valid proposal, the signer must
have authority to bind the proposer to the submitted proposal.
OPENNESS OF PROCUREMENT CLAUSE
Written proposals, other submissions, correspondence, and all records made thereof, as well as
negotiations conducted pursuant to the RFP, shall be handled in compliance with Chapters 119
and 286 of Florida Statutes. Neither the City nor CGS shall give any assurance as to the
confidentiality of any portion of any proposal once submitted.
NO COLLUSION CLAUSE
By offering a submission to the RFP, the proposer certifies that the proposer has not divulged to,
discussed or compared his/her competitive proposal with other proposers and has not colluded
with any other proposers or parties to this competitive proposal whatsoever. Also, the proposer
certifies, and in case of joint competitive proposal each party thereto certifes as to its own
organization, that in connection with the competitive proposal:
a) any prices and/or cost data submitted have been arrived at independently, without
consultation, communication, or agreement, for the purpose of restricting competition, as
to any matter relating to such prices andlor cost data, with any other proposer or with any
competitor;
b) any price and/or cost data quoted for this competitive proposal have not been knowingly
disclosed by the proposer, directly or indirectly to any other proposer or competitor, prior
to the scheduled award of the contract;
c) no attempt has been made or will be made by the proposer to induce any other person or
firm to submit or not to submit a competitive proposal for the purpose of restricting
competition;
d) the only person or persons interested in this competitive proposal, principal or principals
is/are named therein and no person, other than those named therein, has any interest in
this competitive proposal or in the Agreement to be entered into; and
e) no person or agency has been employed or retained to solicit or secure the Agreement
upon an agreement or understanding for a commission, percentage, brokerage, or
contingent fee, excepting bona fide employees or established commercial agencies
maintained by the proposer for the purpose of doing business.
QUALIFICATIONS OF VENDORS
The Owner may make such investigations as necessary to determine the ability of the vendor to
perform the work, and the vendor shall furnish to the Owner any additional information and
financial data for this purpose as the Owner may require. If such an investigation fails to satisfy
the Owner that the vendor is properly qualified to complete the work described in the "Specific
Requirements" section of the RFP, the proposal may be rejected. In the event the vendor fails,
refuses, or neglects to submit the requested additional information within ten (10) days of the
date of any request for submission, the vendor's proposal guarantee (Bid Security) shall be
forfeited to the use of the Owner, not as a penalty, but as liquidated damages.
�
In addition to qualifications previously set forth, no proposal will be considered unless the
bidder, whether resident or non-resident of Florida, is properly qualified to submit a proposal in
accordance with all applicable laws of the Municipality, County, and the State of Florida.
EXECUTION OF CONTRACT
The vendor to whom the contract is awarded must, within ten (10) calendar days following
Notice of Award, present himself to the place designated in the offcial Notice of Acceptance, for
signing of the contract, and to substitute for the bid security, a surety performance and payment
bond in the amount of thirty per centum (30%) of the annual contract price of the work,
conditioned that the vendor will faithfully perform all work of this contract and promptly pay for
all materials furnished and labor supplied or performed in the execution of all work. All bonds
and insurance shall be issued by companies authorized to transact business in the State of
Florida.
If the bidder to whom the contract is awarded fails to give bonds or execute the contract within
the time specified, the amount of the proposal guarantee shall be forfeited to the Owner, not as a
penalty but as liquidated damages.
TIME OF COMPLETION
The successful vendor shall commence work under contract on a date to be specified in a written
contract from the Owner or his authorized representative. The time of completion for this
contract will be 12 months from contract execution. The Contractor shall have at least two (2)
weeks notice of this commencement date and shall fully complete the work described in the
Contract and specifications listed in vendor's proposal, prior to the completion date.
If the Contractor fails to commence work within seven (7) days of the announcement of the
official starting date, this shall be just cause for the annulment of the contract.
INSURANCE REQUIREMENTS
The Proposer shall, at its own cost and expense, acquire and maintain (and cause contractors and
subcontractors, if utilized, to acquire and maintain) during the term with the City, sufficient
insurance to adequately protect the respective interest of the parties. Specifically the Proposer
must carry the following minimum types and amounts of insurance on an occurrence basis or in
the case of coverage that cannot be obtained on an occurrence basis, then coverage can be
obtained on a claims-made basis with a minimum three (3) year tail following the termination or
expiration of the Agreement. These insurance requirements shall not limit the liability of the
Proposer. The City does not represent that these types or amounts of insurance to be sufficient or
adequate to protect the Proposer's interests or liabilities, but are merely minimums:
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COMMERCIAL GENERAL LIABILITY: $1,000,000 per occurrence, including
but not limited to, bodily injury, personal injury, property damage, premises-
operations, products/completed operations, contractual liability, independent
contractors, and liability assumed under an insured contract. If Commercial General
Liability Insurance or other form with a general aggregate limit is used, either the
general aggregate limit shall apply separately to this project/location or the general
aggregate limit shall be twice the required occurrence limit.
2. AUTOMOBILE LIABILITY: $1,000,000 per accident combined single limit, for
bodily injury and property damage for any owned, non-owned, hired, or borrowed
automobile.
3. WORKERS' COMPENSATION: Proposer will obtain and maintain during the life
of this contract, Workers' Compensation insurance in accordance with the laws of the
State of Florida, for all of Proposer's employees employed at the site of the project.
Coverage should include Voluntary Compensation and U.S. Longshoremen's and
Harbor Worker's Act coverage where applicable.
4. EMPLOYER'S LIABILITY: $100,000 each employee, each accident, and
$100,000 each employee/$500,000 policy limit for disease, and which meets all state
and federal laws. Coverage must be applicable to employees, contractors, and
subcontractors, if any.
5. WATERCRAFT/AIRCRAFT LIABILITY: If the Proposer's provision of services
involves utilization of watercraft or aircraft, watercraft and/or aircraft liability
coverage must be provided to include bodily injury and property damage arising out
of ownership, maintenance or use of any watercraft or aircraft, including owned, non-
owned and hired.
ACCEPTABILITY OF INSURERS: Insurance must be placed with insurers with a currertt
A.M. Best's rating of no less than A-VII.
DEDUCTIBLES AND SELF-INSURED RETENTIONS: Any deductibles or self-insured
retentions must be declared to and approved by the City. The City may require the Proposer to
provide proof of ability to pay losses and related investigations, claim administration, and
defense expenses within the retention.
ADDITIONAL INSURED: The City is to be specifically included as an additional insured on
all liability coverage described above except for the Workers' Compensation and Professional
Liability coverage's.
OTHER INSURANCE PROVISIONS: The General Liability and Automobile Liability
policies are to contain, or be endorsed to contain, the following provisions:
1. PRIMARY INSURANCE COVERAGE: For any claims related to this Agreement,
the Proposer's insurance coverage shall be primary insurance as respects the City, its
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officers, officials, employees, and volunteers. Any insurance or self-insurance
maintained by the City, its officers, officials, employees, or volunteers shall be excess
of the Proposer's insurance and shall not contribute to it.
2. RIGHT OF RECOVERY: Except for Workers' Compensation, the Proposer
waives its right of recovery against the City, to the extent permitted by its insurance
policies.
3. SEVERABILITY OF INTEREST/CROSS LIABILITY PROVISION: The
Proposer shall request that its insurers' policies include or be endorsed to include a
Severability of Interest/Cross Liability provision so the City will be treated as if a
separate policy were in existence without increasing the policy limits.
4. HOLD HARMLESS/INDEMNIFICATION: The Proposer shall defend,
indemnify, save and hold the City harmless from any and all claims, suits, judgments
and liability for death, personal injury, bodily injury, or property damage arising
directly or indirectly from any performance under the Agreement, or a subsequent
purchase order or contract entered into by City and Proposer, its employees,
subcontractors, or assigns, including legal fees, court costs, or other legal expenses.
Proposer acknowledges that it is solely responsible for complying with the terms of
the Agreement or a purchase order or contract arising out of the Agreement.
The City shall also be held harmless against all claims for financial loss with respect
to the provision of or failure to provide professional or other services resulting in
professional, malpractice, or errors or omissions liability arising out of performance
of the agreement or contract, unless such claims are a result of the City's own
negligence.
5. NOTICE OF CANCELLATION OR RESTRICTION: Each insurance policy
required by this clause shall be endorsed to state that coverage shall not be canceled
by either party, except after thirty (30) days prior written notice sent via certified
mail, return receipt requested, has been given to the City. It is the Proposer's
responsibility to ensure the notice requirement is met.
CERTIFICATE OF INSURANCE/CERTIFIED COPIES OF POLICIES: The Proposer, if
selected, will provide the City with a Certificate or Certificates of Insurance showing the
existence of coverage as required by the Agreement. In addition, the Proposer will provide to the
City, if asked in writing, certified copies of all policies of insurance. The Proposer will maintain
the required coverage with a current Certificate or Certificates of Insurance throughout the term
of the Agreement with the City. New certificates and new certified copies of policies shall be
provided to the City whenever any policy is renewed, revised, or obtained from other insurers.
The address where such certificates and certified policies shall be sent or delivered is as follows:
City of Clearwater
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Attention: Clearwater Gas Systems
P.O. Box 4748
Clearwater, FL 33758-4748
SUBCONTRACTORS: Proposer shall require and verify all subcontractors, if used, maintain
insurance, including Workers' Compensation insurance, subject to all of the requirements stated
herein prior to beginning work.
LOSS CONTROL/SAFETY: Precaution shall be exercised at all times by the Proposer for the
protection of all persons, including employees, and property. The Proposer shall be expected to
comply with all applicable laws, regulations, or ordinances related to safety and health, and shall
make special efforts where appropriate to detect hazardous conditions, and shall take prompt
action where loss control/safety measures should reasonably be expected.
The City may order work to be stopped if conditions exists that present immediate danger to
persons or property. The Proposer acknowledges that such stoppage will not shift responsibility
for any damages from the Proposer to the City.
ADDITIONAL INSURANCE FOR REPAIR OR SERVICE OR OTHER CONTRACTS:
If checked below, the City requires the following additional provisions or types of insurance for
repair or service or other contracts to afford added protection against loss which could affect the
work being performed:
X CONTRACTOR'S EQUIPMENT INSURANCE: Contractor's Equipment insurance
is to be purchased to cover loss of equipment and machinery utilized in the performance
of work by the Proposer. All risks coverage is preferred.
PROFESSIONAL LIABILITY, MALPRACTICE AND/OR ERRORS OR OMISSIONS:
If checked below the City requires the following terms and types of insurance for professional,
malpractice, and errors or omissions liability.
_X_ PROFESSIONAL LIABILITY/MALPRACTICE/ERRORS OR OMISSIONS
INSURANCE: The Proposer shall purchase and maintain professional liability or
malpractice or errors or omissions insurance appropriate for the type of business engaged
in by the Proposer with minimum limits of $1,000,000 per occurrence.
If a claims made form of coverage is provided, the retroactive date of coverage shall be
no later than the inception date of claims made coverage, unless prior policy was
extended indefnitely to cover prior acts.
Coverage shall be extended beyond the policy year either by a supplemental extended
reporting period (ERP) of as great a duration as available, and with no less coverage and
with reinstated aggregate limits, or by requiring that any new policy provide a retroactive
date no later than the inception date of claims made coverage.
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WRITTEN AGREEMENT/CONTRACT: Any party providing services or products to the
City will be expected to enter into a written agreement, contract or purchase order with the City
that incorporates, either in writing or by reference, all of the pertinent provisions relating to
insurance and insurance requirements as contained herein. A failure to do so may, at the sole
discretion of the City, disqualify any Party from performing services or selling products to the
City provided, however, the City reserves the right to waive any such requirements.
INFORMALITY WAIVINGBID REJECTIONS CLAUSE
City/CGS may reject a proposal if:
a) The proposer misstates or conceals any materials fact in the proposal; or
b) The proposal does not strictly conform to the law or requirements of the RFP.
The City of Clearwater reserves the right to waive any informalities or to accept or reject any
or all bids in part or in total and award the contract in the best interest of the City.
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PROPOSAL
TO: City of Clearwater (d/b/a Clearwater Gas System)
The following proposal is submitted in accordance with RFP #04-13, inviting proposals to be
received until November 9, 2012 for the "Natural Gas Distribution Main & Service Line
Locating".
Having carefully examined the RFP document and being familiar with the various conditions of
the work, the undersigned herein agrees to furnish all materials required and to perform all labor
necessary to satisfactorily complete such work.
Accompanying this proposal is a Certified or Cashier's Check or Bid Bond in the amount of ten
percent (10%) of the bid total drawn upon the BANK
and made payable to the City of Clearwater, to serve as bid security.
The undersigned hereby certifies that this proposal is genuine and not sham or collusive, or made
in the interest or in behalf of any person, firm, or corporation not herein named and that the
undersigned has not directly or indirectly induced or solicited any other bidder to submit a sham
bid, or any other person, frm or corporation to refrain from bidding, and that the undersigned
has not in any manner sought by collusion to secure for himself an advantage over any other
bidder.
ATTEST:
Corporate Secretary
AFFIX CORPORATE SEAL,
if a corporation
16
Bidder's Business Name
By:
Offcer (or Principal)
Title
Business Address:
Business City/State/Zip Code
Business Telephone Number
CERTIFIED CHECK, CASH OR BID BOND
(Attach certified check, cash or bid bond here)
1�
CONTRACTOR'S AFFIDAVIT
STATE OF FLORIDA
COUNTY OF
Before me, the undersigned, a Notary Public, duly commissioned, qualified and acting in and for
said County and State personally appeared
(Individual, Partner, or duly authorized representative of Corporate Contractor) who being duly
sworn according to law deposes and says that all labor, material and outstanding claims and
indebtedness of whatever nature arising out of the performance of the contract of the
(Owner) with
(Contractor) have been paid in full.
(Individual, Partner, or duly authorized representative of Corporate Contractor)
Sworn to and subscribed before me this _ day of , 201_.
Notary Public
SEAL
Commission expires:
18
CONTRACTOR'S RELEASE
KNOW ALL MEN BY THESE PRESENTS that ,
a Contractor in the County of and State of , do hereby
acknowledge that (Contractor) this day has had and received of and
from the City of Clearwater, the sum of One Dollar and other valuable consideration in full
satisfaction and payment of all sums of money owing, payable and belonging to
(Contractor) by any means whatsoever, for on account of a certain agreement between the said
City of Clearwater and
(Contractor) dated.
NOW THEREFORE, the said (Contractor)(for myself, my heirs,
executors and administrators)(for itself, its successors and assigns) do by these presents remise,
release, quitclaim and forever discharge the said City of Clearwater, its successors and assigns,
of and from all claims and demands arising from or in connection with the said agreement dated
, and of and from all, and all manner of action and actions, cause
and causes of action and actions, suits, debts, dues, sums and sums of money, accounts,
reckonings, bonds, bills, specialties, covenants, contracts, agreements, promises, variances,
damages, judgments, extents, executions, claims and demand, whatsoever in law or equity, or
otherwise which against the said City of Clearwater, its successors or assigns, the Contractor, its
heirs, successors and assigns ever had, now have, or which (I, my heirs, executors, or
administrators)(it, its successors and assigns) hereafter can, shall or may have, for, upon or by
reason of any matter cause or thing whatsoever, from the beginning of the world to the date of
these presents.
IN WITNESS WHEREOF, (Contractor) has caused these
presents to be du(y executed the _ day of , 201_
Signed, Sealed and Delivered in the presence of:
ATTEST:
(Secretary)
(Individual Contractor)
(Partnership Contractor)
By
(Partner)
(Corporation)
AFFIX CORPORATE SEAL,
if a corporation By
19
(SEAL)
SEAL)
SEAL)
(President or Vice President)
STATEMENT OF SURETY COMPANY
In accordance with the provisions of the contract dated between the City
of Clearwater, Owner of and (Contractor) of
, the (Surety) surety on the bond of
(Contractor) after a careful examination of the books and records of said Contractor or after
receipt of an affidavit from Contractor, which examination or affidavit satisfies this company
that all claims for labor and materials have been satisfactorily settled, hereby approves of final
payment of the said (Contractor), Contractor, and by these
presents witnesseth that payment to the Contractor of the final estimates shall not relieve the
Surety Company of any of its obligations to the by the said Surety
Company's Bond.
IN WITNESSETH WHEREOF, the said Surety Company has hereunto set its hand and seal this
day of , 201_.
ATTEST:
SEAL
C�
(President, Vice President)
Note: This statement, if executed by any person other than the President or
Vice President of the Company, must be accompanied by a certificate of even
date showing authoriry conferred upon the person so signing to execute such
instruments on behalf of the Company represented.
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PERFORMANCE - PAYMENT BOND
KNOW ALL MEN BY THESE PRESENTS: That we , a
Corporation (Corporation-Partnership-Sole Proprietor, Etc.), hereinafter called "Principal" and
(Surety) of , State of Florida, hereinafter
called the "Surety," are held and firmly bound unto the , hereinafter called
"Owner" in the penal sum of Dollars, in lawful money of the United
States for the payment of which sum will and truly be made, we bind ourselves, our heirs,
executors, administrators, and successors, jointly and severally firmly by these presents.
THE CONDITIONS OF THIS OBLIGATION is such that Whereas, the Principal entered into a
certain contract with the Owner, dated the day of , 201_, a copy of
which is attached hereto and made a part hereof for the construction of:
Natural Gas Distribution Main & Service Line Locating
NOW. THEREFORE, if the Principal shall, truly and faithfully perform its duties, all the
undertakings, covenants, terms, conditions and agreements of said contract during the original
term thereof, and any extensions thereof which may be granted by the Owner, with or without
notice to the Surety, and if he shall satisfy all claims and demands incurred under such contract,
and shall fully indemnify and save harmless the Owner from all costs and damages which it may
suffer by reason of failure to do so, and shall reimburse and repay the Owner all outlay and
expense which the Owner may incur in making good any default, and shall promptly make
payment to all persons, firms, subcontractors, and corporations furnishing materials for or
performing labor in the prosecution of the work provided for in such contract, and any authorized
extension or modification thereof, including all amounts due for materials, lubricants, oil,
gasoline, repairs on machinery, equipment and tools, consumed or used in connection with the
construction of such work, and all insurance premiums on said work, and for all labor, performed
in such work whether by subcontractor or otherwise, then this obligation shall be void; otherwise
to remain in full force and effect.
PROVIDED, FURTHER, that the said Surety, for the value received hereby stipulates and agrees
that no change, extension of time, alterations or additions to the terms of the contract or to the
work to be performed hereunder or the specifications accompanying the same shall in anyway
affect its obligation on this bond, and it does hereby waive notice of any such change, extension
of time, alteration or addition to the terms of the contract or to the work or to the specifcations.
21
PROVIDED, FURTHER, that no iinal settlement between the Owner and the Contractor shall
abridge the right of any beneficiary hereunder, whose claim may be unsatisfied.
IN WITNESS WHEREOF, the said Principal and Surety have duly executed this instrument
under seal in counterparts, each one of which shall be deemed an original, this the _day
of _, 201_.
ATTEST:
(Principal) Secretary
(SEAL)
(Witness as to Principal)
(Address)
(City/State/Zip)
ATTEST:
(Surety)
(SEAL)
(Witness as to Surety)
(Address)
(City/State/Zip)
(Principal)
By
(Address)
(City/State/Zip)
:
Note: Date of Bond must not be prior to date of Contract.
zz
(Surety)
(Address)
CERTIFICATE OF INSURANCE
(Attach insurance certificates here)
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