Number range CHAPTER

**WORK LOCATION HEALTH AND SAFETY PLAN**

Prepared by: Approval:

Date:

**1.0 INTRODUCTION**

> Site Name: WA/TDD:
>
> Original Safety Plan: Yes [X]{.underline} No Modification No.
>
> Location: [Street No.:]{.underline}
>
> [City: County:]{.underline}
>
> [State: Zip Code:]{.underline}
>
> Site Contact: Site Phone #:
>
> Directions to Site:
>
> 1.1 Site/Incident Description
>
> A. Urban Residential Commercial
>
> Industrial Rural Remote
>
> Active Inactive Landfill
>
> B. Spill Air Release Fire
>
> HW Site Other:
>
> C. Containers involved? Yes No
>
> Drums: No.# Tanks No. \#
>
> Describe condition:
>
> D. Site size: Terrain: Weather:
>
> E. Are Regional START\'s Onsite? Yes No
>
> F. Map attached: Yes No
>
> 1.2 Summary Site History:
>
> 1.3 Background Information Sources (Report Titles, Names, Dates):
>
> 1.4 Scope of Work:
>
> A. Emergency Response Air Sampling Bioassessment
>
> Contractor Oversight Treatability Study Soil Gas Sampling
>
> Geophysical Monitoring Well Sampling Flux Chamber Sampling
>
> Well Installation Soil Sampling Tank Sampling
>
> Drum Sampling Bulk Sampling
>
> Lagoon Sampling Sediment Sampling
>
> Surface Water Sampling Walk Through Assessment
>
> B. [Task Description]{.underline} [Date of Activity]{.underline}

1\.

**2.0 PERSONNEL**

> EPA \_\_\_ or Coast Guard \_\_\_\_\_ On-Scene Coordinator:
>
> FWS Field Response Coordinator:
>
> FWS Field NRDAR Coordinator:
>
> FWS Site Safety Coordinator:
>
> Subcontractor: ( None)
>
> Field Personnel/Responsibility:

**3.0 TASK/OPERATION SAFETY AND HEALTH RISK ANALYSIS**

> 3.1 Chemical/Exposure Hazards
>
> Inhalation Ingestion Skin contact
>
> Biological Explosive Pressure sensitive
>
> Radioactive Flammable Water reactive
>
> 3.2 Physical Hazards
>
> Heat Scaffolds Excavations/trenches
>
> Noise Weights/lifting Underground utilities

Cold Pressured air Compressed gases

Boating Overhead hazard Unguarded floor opening/lagoons

> Ladders Building entry Heavy machinery
>
> Confined space (attach confined space entry plan)
>
> Diving (attach dive plan) \_\_\_
>
> Other:
>
> 3.3 Tables in Section 3.3 on the following pages provides a summary of
> chemical, biological, and physical hazards that could potentially be
> encountered by personnel during each task.

**TABLE 3.3.1**

**TASK RISK ANALYSIS: [CHEMICAL and BIOLOGICAL HAZARDS OF
CONCERN]{.underline}**

+---+--------+--------------+---------+-------+--------------+-------+
| T | Conta  | Exposure     | Source  | Route | Symptoms of  | Monit |
| a | minant | Limits       | Concen  | of    | Acute        | oring |
| s |        |              | tration | Exp   | Exposure     | D     |
| k |        |              | Onsite  | osure |              | evice |
|   |        |              |         |       |              | (Res  |
|   |        |              |         |       |              | ponse |
|   |        |              |         |       |              | Fa    |
|   |        |              |         |       |              | ctor) |
+===+========+==============+=========+=======+==============+=======+
|   |        | PEL: TWA     |         |       |              |       |
|   |        |              |         |       |              |       |
|   |        | PEL: C       |         |       |              |       |
|   |        |              |         |       |              |       |
|   |        | TLV: TWA     |         |       |              |       |
|   |        |              |         |       |              |       |
|   |        | TLV: STEL    |         |       |              |       |
|   |        |              |         |       |              |       |
|   |        | IDLH:        |         |       |              |       |
+---+--------+--------------+---------+-------+--------------+-------+
|   |        | PEL:         |         |       |              |       |
|   |        |              |         |       |              |       |
|   |        | TLV:         |         |       |              |       |
|   |        |              |         |       |              |       |
|   |        | IDLH:        |         |       |              |       |
+---+--------+--------------+---------+-------+--------------+-------+
|   |        | PEL:         |         |       |              |       |
|   |        |              |         |       |              |       |
|   |        | PEL:         |         |       |              |       |
|   |        |              |         |       |              |       |
|   |        | PEL:         |         |       |              |       |
|   |        |              |         |       |              |       |
|   |        | TLV:         |         |       |              |       |
|   |        |              |         |       |              |       |
|   |        | TLV:         |         |       |              |       |
|   |        |              |         |       |              |       |
|   |        | IDLH:        |         |       |              |       |
+---+--------+--------------+---------+-------+--------------+-------+
|   |        | PEL:         |         |       |              |       |
|   |        |              |         |       |              |       |
|   |        | TLV:         |         |       |              |       |
|   |        |              |         |       |              |       |
|   |        | IDLH:        |         |       |              |       |
+---+--------+--------------+---------+-------+--------------+-------+

ACGIH American Conference of Governmental Industrial Hygienists

OSHA Occupational Safety and Health Administration

TAGA Trace Atmospheric Gas Analyzer

TWA Time-weighted average

STEL Short-term exposure limit

ppm parts per million

mg/m^3^ milligrams per cubic meter

Sd: Sediment; W: Water; S:Soil

PEL: Permissible Exposure Limit (8-hr Time Weighted Average airborne
concentration enforced by the Occupational Safety and Health
Administration, see 1910.1000, Final Rule, Tables Z-1, Z-2 and Z-3)

TLV: Threshold Limit Values (8-hr Time Weighted Average airborne
concentrations recommended by the American Conference of Governmental
Industrial Hygienists, 1998-Threshold Limit Values for Chemical and
Physical Agents and Biological Exposure Indices)

IDLH: Immediately Dangerous to Life and Health (Escape values designed
to ensure that a "worker could escape without injury or irreversible
health effects \... in the event of the failure of respiratory
protection equipment.)

NTP: National Toxicological Program (one group who evaluates and lists
carcinogens)

IARC: International Agency for Research on Cancer (one group who
evaluates and lists carcinogens)

N/A: Not applicable.

**TABLE 3.3.2**

**TASK RISK ANALYSIS: [PHYSICAL HAZARDS OF CONCERN]{.underline}**

+----------+----+-----------------------------------------------------+
| **       | ** | **EXPOSURE CONTROL PROCEDURES**                     |
| PHYSICAL | TA |                                                     |
| HAZARD** | SK |                                                     |
|          | ** |                                                     |
+----------+----+-----------------------------------------------------+
| Noise    |    |  All FWS personnel will attend annual training     |
|          |    | classes.                                            |
|          |    |                                                     |
|          |    |  Hearing protection will be worn when working      |
|          |    | around equipment such as chainsaws and appropriate  |
|          |    | powered hand tools.                                 |
|          |    |                                                     |
|          |    |  Non-mandatory personnel will maintain clearance   |
|          |    | from excessive noise generating equipment.          |
|          |    |                                                     |
|          |    |  Personnel will use the following rule of thumb to |
|          |    | determine the need for hearing protection under     |
|          |    | other circumstances i.e. worn when normal           |
|          |    | conversation is not audible at a distance of 2      |
|          |    | feet.                                               |
+----------+----+-----------------------------------------------------+
| Heat     |    |  Prevention protocol and biological monitoring     |
| (        |    | will be instituted at temperatures exceeding 70F.   |
| ambient) |    |                                                     |
|          |    |  Physiological monitoring will be conducted in     |
|          |    | accordance with the attached Tables 3.3.4 and       |
|          |    | 3.3.5.                                              |
|          |    |                                                     |
|          |    |  Work/Rest cycles will be instituted based on      |
|          |    | physiological monitoring                            |
|          |    |                                                     |
|          |    |  Personnel should consume 16ozs of water prior to  |
|          |    | beginning work and at intervals (breaks, lunch)     |
|          |    | throughout the day                                  |
|          |    |                                                     |
|          |    |  Non-caffeinated liquids (water, electrolyte       |
|          |    | drinks, juice kept at 50-60F) will be maintained    |
|          |    | on-site throughout the work shift.                  |
|          |    |                                                     |
|          |    |  Signs of Heat Exhaustion and Stroke will be       |
|          |    | reviewed (attached), employees will monitor fellow  |
|          |    | field team members for observance of these signs.   |
+----------+----+-----------------------------------------------------+
| Heat     |    |  Hazards associated with steam lines and           |
| (steam)  |    | decontamination of site equipment. In addition to   |
|          |    | thermal burns, condensation may displace oxygen in  |
|          |    | enclosed areas (i.e., steam tunnels) and increase   |
|          |    | risk of slip/trip/fall due to water accumulation on |
|          |    | walking surfaces.                                   |
|          |    |                                                     |
|          |    |  Disconnect and bleed lines where appropriate.     |
|          |    |                                                     |
|          |    |  Place guards or barriers between employees and    |
|          |    | steam jets/lines when lines cannot be bled.         |
|          |    |                                                     |
|          |    |  Dry wet surfaces where condensation may result in |
|          |    | slit/trip/fall hazard (stairs, walkway, ladder      |
|          |    | rungs).                                             |
|          |    |                                                     |
|          |    |  Wear long sleeves/pants, heat insulated gloves,   |
|          |    | steel toe/shank boots when working in close         |
|          |    | proximity to functioning steam lines.               |
|          |    |                                                     |
|          |    |  Isolate stream decontamination process to one     |
|          |    | area, mark location, and limit personnel in area    |
|          |    | during operation.                                   |
|          |    |                                                     |
|          |    |  Provide adequate drainage for decontamination     |
|          |    | area, prevent water accumulation, place slip        |
|          |    | resistant mats or floor boards where leakage or use |
|          |    | of steam may result in wet work surfaces.           |
|          |    |                                                     |
|          |    |  Wear slip resistant boots during decontamination  |
|          |    | process, limit climbing and walking on wet          |
|          |    | surfaces.                                           |
+----------+----+-----------------------------------------------------+

+----------+----+-----------------------------------------------------+
|          |    | Conduct on-site training for employees who will     |
|          |    | operate steam cleaning equipment. Follow            |
|          |    | manufacturer instructions, or have rental           |
|          |    | /manufacturer personnel instruct personnel.         |
+----------+----+-----------------------------------------------------+
| Cold     |    |  Prevention protocol will be instituted at air     |
|          |    | temperatures below 40F.                             |
|          |    |                                                     |
|          |    |  Clothing should include: loose layers, masks,     |
|          |    | woolen scarves and hats in extreme cold weather.    |
|          |    | Clothing should be kept dry by wearing water and    |
|          |    | wind resistant layers and footwear.                 |
|          |    |                                                     |
|          |    |  Rest breaks shall be taken in a warm, sheltered   |
|          |    | area (van, trailer, nearby commercial space). The   |
|          |    | outer layer of clothing should be removed, and      |
|          |    | remaining clothing should be loosened.              |
|          |    |                                                     |
|          |    |  Where appropriate, wind breaks will be designed   |
|          |    | and constructed at individual work locations.       |
|          |    |                                                     |
|          |    |  Non-caffeinated warm liquids (water, juice,       |
|          |    | decaffeinated teas) will be maintained on-site      |
|          |    | throughout the work shift. Dehydration may increase |
|          |    | the susceptibility of employees to cold injury due  |
|          |    | to the change in blood flow to the extremities.     |
|          |    |                                                     |
|          |    |  Signs of Frost bite and Hypothermia will be       |
|          |    | reviewed (attached), employees will monitor fellow  |
|          |    | field team members for observance of these signs.   |
+----------+----+-----------------------------------------------------+
| Rain     |    |  May increase risk of hypothermia, see hazard      |
|          |    | preventions listed in the "Cold" Section of this    |
|          |    | Table.                                              |
|          |    |                                                     |
|          |    |  Rain repellant outer gear should be worn by       |
|          |    | employees. An additional change of clothing should  |
|          |    | be maintained for removal and replacement of wet    |
|          |    | clothing.                                           |
|          |    |                                                     |
|          |    |  Rest breaks shall be taken in a warm, sheltered   |
|          |    | area (van, trailer, nearby commercial space).       |
|          |    |                                                     |
|          |    |  Work areas where water may accumulate and create  |
|          |    | additional slip/trip/fall hazards should be         |
|          |    | provided with drainage or barriers.                 |
|          |    |                                                     |
|          |    |  Employees should maintain and increase awareness  |
|          |    | of their physical surrounding, particularly when    |
|          |    | operating or when working around heavy equipment.   |
+----------+----+-----------------------------------------------------+
| Snow     |    |  Snow should be removed from high foot and vehicle |
|          |    | traffic areas (i.e., roads, foot paths, trailer     |
|          |    | steps)                                              |
|          |    |                                                     |
|          |    |  May increase risk of hypothermia, see hazard      |
|          |    | preventions listed in the "Cold" Section of this    |
|          |    | Table.                                              |
|          |    |                                                     |
|          |    |  Cease work in blizzard conditions                 |
|          |    |                                                     |
|          |    |  Employees should maintain and increase awareness  |
|          |    | of their physical surrounding, particularly when    |
|          |    | operating or when working around heavy equipment.   |
+----------+----+-----------------------------------------------------+
| Working  |    | 1.  If work is conducted on ice Coast Guard         |
| on Ice   |    |     flotation body suits (Mustangs) or wet suits    |
|          |    |     with Personal Flotation Device-Type III or      |
|          |    |     greater will be worn.                           |
|          |    |                                                     |
|          |    | 2.  Suits will also be equipped with a loop or have |
|          |    |     a D-ring on a body harness so extraction from   |
|          |    |     water would be made easier if the worker falls  |
|          |    |     into the water.                                 |
|          |    |                                                     |
|          |    | 3.  **"Ice Thickness verses Strength" Table found   |
|          |    |     at the end of this document** **will be         |
|          |    |     consulted to determine the maximum weight       |
|          |    |     allowed on the ice.**                           |
|          |    |                                                     |
|          |    | 4.  Ice at this location will be considered         |
|          |    |     [fresh]{.underline} ice. No work will be        |
|          |    |     conducted on ice at this location unless the    |
|          |    |     ice is at least 3 inches thick.                 |
|          |    |                                                     |
|          |    | 5.  Snow shoes will be worn to distribute weight on |
|          |    |     ice, if necessary.                              |
|          |    |                                                     |
|          |    | 6.  Personal Flotation Devices and life lines will  |
|          |    |     be available.                                   |
|          |    |                                                     |
|          |    | 7.  A ladder should be available for the rescue of  |
|          |    |     a worker.                                       |
+----------+----+-----------------------------------------------------+
| El       |    |  Cease work, seek enclosed shelter.                |
| ectrical |    |                                                     |
| Storms   |    |                                                     |
+----------+----+-----------------------------------------------------+
| Confined |    |  If space meets all three of the following         |
| Spaces   |    | criteria, then the space is considered a **Confined |
|          |    | Space**:                                            |
|          |    |                                                     |
|          |    | 1\. Large enough and so configured that an employee |
|          |    | can enter and perform assigned work AND             |
|          |    |                                                     |
|          |    | 2\. Limited Access/Egress AND                       |
|          |    |                                                     |
|          |    | 3\. Not originally designed for continuous human    |
|          |    | occupancy                                           |
|          |    |                                                     |
|          |    |  Determine if the **Confined Space** exhibits any  |
|          |    | of the following 4 characteristics:                 |
|          |    |                                                     |
|          |    | 1\. Contains or has the potential to contain a      |
|          |    | **hazardous atmosphere** (Toxic, Oxygen Deficient,  |
|          |    | Flammable)                                          |
|          |    |                                                     |
|          |    | 2\. Contains a material that has the potential to   |
|          |    | **engulf** an entrant (cave-in, water, stored       |
|          |    | product)                                            |
|          |    |                                                     |
|          |    | 3\. Has an internal **configuration** that the      |
|          |    | entrant could be **trapped** or asphyxiated by      |
|          |    | inwardly converging walls or a downward sloping     |
|          |    | floor (physical design and inner mechanisms)        |
|          |    |                                                     |
|          |    | 4\. Contains any **other** recognized serious       |
|          |    | health or safety **hazard** (electrical,            |
|          |    | mechanical)                                         |
|          |    |                                                     |
|          |    |  If the space exhibits any of the above 4          |
|          |    | characteristics, then space is a **Permit -Required |
|          |    | Confined Space**.                                   |
|          |    |                                                     |
|          |    |  A Permit System must be in place and a Confined   |
|          |    | Space Plan must be developed and attached to this   |
|          |    | HASP.                                               |
|          |    |                                                     |
|          |    |  Evaluate space to determine if meets criteria for |
|          |    | identification as Permit-Required Confined Space.   |
|          |    | If so, special training is required.                |
|          |    |                                                     |
|          |    |  Note: Entry into an Excavation may be considered  |
|          |    | entry into a Permit-Required Confined Space but is  |
|          |    | usually covered with the Excavation Regulations.    |
+----------+----+-----------------------------------------------------+
| "Hot     |    |  Hot Work includes: welding, cutting, burning,     |
| Work"    |    | soldering, grinding, use of power tools, and        |
|          |    | internal combustion engine. Hazards associated with |
|          |    | conducting such work in any areas that could        |
|          |    | potentially have ignitable atmospheres.             |
|          |    |                                                     |
|          |    | -   Safety Coordinator will inspect site and        |
|          |    |     determine the need for a Hot Work Permit        |
|          |    |     procedure.                                      |
|          |    |                                                     |
|          |    | -   Assign fire watch. Fire watch must maintain     |
|          |    |     observation throughout activity and up to 30    |
|          |    |     minutes after completion of activity.           |
|          |    |                                                     |
|          |    |  Provide fire extinguishing equipment commensurate |
|          |    | with the ignitable matrix and training level of the |
|          |    | fire watch at location of hot work activity.        |
|          |    |                                                     |
|          |    |  Provide combustible gas indicator, survey hot     |
|          |    | work location and environment between flammable     |
|          |    | material and hot work location.                     |
|          |    |                                                     |
|          |    |  Welding and cutting on closed systems (tanks,     |
|          |    | pipelines) must be specifically outlined in an      |
|          |    | attached plan, approved by Health and Safety        |
|          |    | Officer.                                            |
+----------+----+-----------------------------------------------------+
| Heavy    |    |  Inspect each object for presence of splinters,    |
| Manual   |    | slivers, sharp edges, protruding parts, cracks,     |
| Lifting  |    | loose joints, and chemical/biological surface       |
| /Moving  |    | contamination. Eliminate or use P.P.E. to control   |
|          |    | contact accordingly.                                |
|          |    |                                                     |
|          |    |  Test weight of object; unless involved in weight  |
|          |    | training, recommended safe lifts for men and women  |
|          |    | are 50 and 35 pounds respectively. If object weight |
|          |    | exceeds the values listed above or the individual's |
|          |    | personal limits use mechanical lift equipment or    |
|          |    | assistance from a 2nd individual.                   |
|          |    |                                                     |
|          |    |  Inspect proposed path to ensure; obstructions     |
|          |    | removed from path, clearance appropriate for object |
|          |    | dimensions, awareness of changes in grade and/or    |
|          |    | stairs/ladders, negotiable conditions of path       |
|          |    | surface.                                            |
|          |    |                                                     |
|          |    |  Lift should progress as follows:                  |
|          |    |                                                     |
|          |    | 1.  Place one foot slightly in front of the other   |
|          |    |                                                     |
|          |    | 2.  Squat (knees bent) as close to object as        |
|          |    |     possible                                        |
|          |    |                                                     |
|          |    | 3.  Grasp one of the top corners away from the      |
|          |    |     body, and the opposite corner closest to the    |
|          |    |     body.                                           |
|          |    |                                                     |
|          |    | 4.  Tilt the object slightly away from the body,    |
|          |    |     tilt torso forward at the hips, keep the back   |
|          |    |     straight and tuck in the chin.                  |
|          |    |                                                     |
|          |    | 5.  Test to ensure that object is loose from the    |
|          |    |     floor and will lift without snagging.           |
|          |    |                                                     |
|          |    | 6.  Straighten the legs, keeping the backbone       |
|          |    |     straight, pull the object into the body and     |
|          |    |     stand up slowly and evenly without jerking or   |
|          |    |     twisting.                                       |
|          |    |                                                     |
|          |    | 7.  If turning or a change in direction is          |
|          |    |     required, turn with feet (not torso) and step   |
|          |    |     in the direction of travel.                     |
|          |    |                                                     |
|          |    | 8.  Reverse sequence when setting object on         |
|          |    |     surface, being sure not to trap hands between   |
|          |    |     object and surface.                             |
+----------+----+-----------------------------------------------------+
| Rough    |    |  May include uneven surfaces; changes in grade;    |
| Terrain  |    | and excessive ground cover or vegetation. This also |
|          |    | increases risk for vehicle and foot passage.        |
|          |    |                                                     |
|          |    |  Clear vegetation in heavy traffic (vehicle, foot) |
|          |    | areas, where possible.                              |
|          |    |                                                     |
|          |    |  Mark excessively rough areas and minimize travel  |
|          |    | to and through such areas. Plan equipment placement |
|          |    | and activities accordingly.                         |
|          |    |                                                     |
|          |    |  Wear ankle high (or higher) steel-toe/shank work  |
|          |    | boots.                                              |
|          |    |                                                     |
|          |    |  Discuss slip/trip/fall hazards associated with    |
|          |    | daily tasks at pre-work job planning and safety     |
|          |    | meetings.                                           |
+----------+----+-----------------------------------------------------+
| Hous     |    |  Provide adequate storage space for site equipment |
| ekeeping |    | and supplies.                                       |
|          |    |                                                     |
|          |    |  Assign time and responsibilities for daily        |
|          |    | clean-up prior to departure from site.              |
|          |    |                                                     |
|          |    |  Ensure lunch areas are maintained free of empty   |
|          |    | bottle, containers and paper. Provide trash         |
|          |    | receptacles with enclosed tops/covers in the        |
|          |    | designated lunch area and throughout site as        |
|          |    | necessary.                                          |
|          |    |                                                     |
|          |    |  Do not accumulate flammable or combustible        |
|          |    | liquids on floors, walls, etc. Spill must be        |
|          |    | cleaned immediately.                                |
|          |    |                                                     |
|          |    |  Provide adequate lighting in and around all work  |
|          |    | areas, passageways, stairs and ladders. Keep all    |
|          |    | such areas clear of debris, supplies, and any other |
|          |    | objects.                                            |
|          |    |                                                     |
|          |    |  Mark and/or secure any object (extension cord)    |
|          |    | which must traverse a passageway.                   |
|          |    |                                                     |
|          |    |  Ensure that supplies are stored in neat           |
|          |    | stockpiles and that access aisles are created and   |
|          |    | kept clear of stored objects.                       |
|          |    |                                                     |
|          |    |  Remove combustible materials routinely, do not    |
|          |    | allow accumulation in areas where flammable and     |
|          |    | combustible liquids are stored, handled or          |
|          |    | processed.                                          |
+----------+----+-----------------------------------------------------+
| St       |    |  Hazard associated with deteriorating conditions   |
| ructural |    | of containers (drums, tanks) and buildings,         |
| I        |    | scaffolding, and excavations or trenches. See       |
| ntegrity |    | Excavation/Trenching section for hazard prevention  |
|          |    | and controls associated with a cave-in.             |
|          |    |                                                     |
|          |    |  Demolition of any site structures requires the    |
|          |    | conduct and written documentation of an engineering |
|          |    | survey.                                             |
|          |    |                                                     |
|          |    |  Evaluate condition of building or structure to be |
|          |    | accessed for signs of instability; hanging, loose,  |
|          |    | or sagging material; water stains resulting in      |
|          |    | uncertainty of underlying support, cracking in      |
|          |    | concrete, masonry or plaster; buckled, rusted, or   |
|          |    | otherwise compromised eight bearing structural      |
|          |    | steel; protruding nails or fasteners; evidence of   |
|          |    | failure such as debris.                             |
|          |    |                                                     |
|          |    |  Delay entry into or onto structure of             |
|          |    | questionable integrity. Consult with Health and     |
|          |    | Safety Officer, obtain experienced opinion.         |
|          |    |                                                     |
|          |    |  Ensure adequate spill contingency and containment |
|          |    | materials on-site prior to movement of or work with |
|          |    | questionable containers.                            |
+----------+----+-----------------------------------------------------+
| Remote   |    |  May add or increase risks associated with         |
| Area     |    | conducting field tasks due to: difficult vehicular  |
|          |    | access, limited emergency services, heavy           |
|          |    | vegetation and undergrowth, and native wildlife.    |
|          |    |                                                     |
|          |    |  Diligent adherence to prevention protocol         |
|          |    | identified for site hazards.                        |
|          |    |                                                     |
|          |    |  Where possible assess roads and work areas should |
|          |    | be undercut and cleared.                            |
|          |    |                                                     |
|          |    |  Ensure that proposed communication (i.e.,         |
|          |    | cellular phone) is operable, and if not a back-up   |
|          |    | (public phone, or area where cellular phone is      |
|          |    | operable) is identified to field team members.      |
|          |    |                                                     |
|          |    |  If accessing remote area of occupied site,        |
|          |    | identify final destination and return time to site  |
|          |    | personnel prior to departure.                       |
+----------+----+-----------------------------------------------------+
| Neig     |    |  Hazards associated with neighborhoods arise as a  |
| hborhood |    | result of; socio-economic factors; client/resident  |
|          |    | relationship; client/labors relationship; physical  |
|          |    | design factors (lighting, secured barriers, remote  |
|          |    | location); value of equipment and materials;        |
|          |    | benefits of sample tampering.                       |
|          |    |                                                     |
|          |    |  Ensure adequate site security provided for        |
|          |    | on-going activities. Enforcement of security        |
|          |    | functions should be assigned to properly trained    |
|          |    | and authorized individuals.                         |
|          |    |                                                     |
|          |    |  Avoid verbal and physical confrontation.          |
|          |    |                                                     |
|          |    |  Ensure personnel work in teams or groups when     |
|          |    | accessing and conducting activities in sensitive    |
|          |    | locations. Establish a communication procedure for  |
|          |    | obtaining on and off site assistance.               |
|          |    |                                                     |
|          |    |  Provide adequate communication devices (mobile    |
|          |    | phones or radios) for teams working in sensitive    |
|          |    | locations.                                          |
|          |    |                                                     |
|          |    |  Provide visible security precautions (fencing,    |
|          |    | "keep out" signs). Provide locked storage           |
|          |    | facilities on-site; construct adequate barriers for |
|          |    | equipment or sampling devises which will remain     |
|          |    | unattended at off-site or unsecured site locations. |
|          |    |                                                     |
|          |    |  Use discretion in discussion related to site work |
|          |    | when conversing off-site and off-hours.             |
+----------+----+-----------------------------------------------------+
| Co       |    |  Hazards associated with compressed gas cylinders  |
| mpressed |    | (\>15psia at sea level) or piped systems.           |
| Gases    |    |                                                     |
|          |    |  Cylinders must be: closed, capped and secured     |
|          |    | during transport. If manually moved do not drag or  |
|          |    | slide containers or use valve cover as a point of   |
|          |    | contact.                                            |
|          |    |                                                     |
|          |    |  Obtain and use proper regulator for gas cylinder  |
|          |    | being used. Ensure valve and regulator are free of  |
|          |    | grease, oil, material prior to connecting one to    |
|          |    | the other.                                          |
|          |    |                                                     |
|          |    |  A pressure manifold from a gas cylinder to a      |
|          |    | closed pressure system must contain a vent valve, a |
|          |    | fill valve, and a relief device unless these        |
|          |    | features are integral parts of the pressure system. |
|          |    |                                                     |
|          |    |  Use a proper 2-stage regulator for efficiency and |
|          |    | safety.                                             |
|          |    |                                                     |
|          |    |  When opening cylinder or installing regulator     |
|          |    | stand to one side and look away from the regulator  |
|          |    | and gauge face; valve outlets should be pointed     |
|          |    | away from operator and other employees.             |
|          |    |                                                     |
|          |    |  When installing regulator: turn delivery pressure |
|          |    | adjusting "tee" counterclockwise until it turns     |
|          |    | freely; install regulator on cylinder valve, open   |
|          |    | cylinder valve slowly until pressure registers on   |
|          |    | regulator; with flow control at outlet closed, turn |
|          |    | "tee" until desired delivery pressure is read.      |
|          |    |                                                     |
|          |    |  Cylinders should be stored in an area sheltered   |
|          |    | from environment and guarded from being struck by   |
|          |    | passing or falling objects. Cylinders should be     |
|          |    | secured during use and storage and should be capped |
|          |    | when not in use.                                    |
|          |    |                                                     |
|          |    |  Special instructions are attached for gases       |
|          |    | including: oxygen, acetylene, chlorine, and         |
|          |    | flammable gases.                                    |
+----------+----+-----------------------------------------------------+
| Diving   |    |  Refer to attachment: Dive Plan                    |
+----------+----+-----------------------------------------------------+
| Using    |    |  All occupants working aboard a class A vessel     |
| Boats    |    | (less than 16\' long) Zodiac, john boat, etc. must  |
|          |    | wear a type I, II, III or V Personal Flotation      |
|          |    | Device (PFD)                                        |
|          |    |                                                     |
|          |    |  All occupants working aboard a class 1 vessel     |
|          |    | (!6\" to less than 26\') Boston Whaler must wear a  |
|          |    | type I, II, III, or V PFD, plus there must be a     |
|          |    | type IV immediately accessible.                     |
|          |    |                                                     |
|          |    |  Maximum capacity must be identified on the boat   |
|          |    | (plate mounted on boat), factor in personnel,       |
|          |    | equipment, and samples when determining when        |
|          |    | determining the gross weight of the proposed        |
|          |    | voyage.                                             |
|          |    |                                                     |
|          |    |  Operator must have proven experience; if other    |
|          |    | than FWS employee is operating with FWS personnel   |
|          |    | on-board the individual must carry a current USCG   |
|          |    | Captain's license and rating for the type of vessel |
|          |    | being operated.                                     |
|          |    |                                                     |
|          |    |  Boat must be stable (not a canoe or kayak) for    |
|          |    | use during sampling and/or monitoring projects.     |
|          |    |                                                     |
|          |    |  Provide adequate fire extinguishing capability,   |
|          |    | class A boats need at least one B I .Class 1 boats  |
|          |    | need two B I's and One B II extinguishers to do so. |
|          |    |                                                     |
|          |    |  Provide required audible signal (for              |
|          |    | communication when meeting, crossing or passing     |
|          |    | other boats).                                       |
|          |    |                                                     |
|          |    |  Additional information is contained in the        |
|          |    | attached Standard Operating Procedure.              |
+----------+----+-----------------------------------------------------+
| Working  |    |  Provide engineering controls such as guardrails,  |
| Over     |    | toeboards, or other personal protective equipment   |
| Water    |    | to prevent fall.                                    |
|          |    |                                                     |
|          |    |  Install safety nets for each workplace \>25 ft    |
|          |    | above ground or water surface.                      |
|          |    |                                                     |
|          |    |  Provide proper Type I or II floatation devices to |
|          |    | personnel. Personal Flotation Devices (PFDs) shall  |
|          |    | be worn when there is a potential drowning hazard.  |
|          |    |                                                     |
|          |    |  Provide at least 1 lifesaving skiff, properly     |
|          |    | trained personnel shall be available for operation  |
|          |    | of the skiff during working hours. Skiff shall be   |
|          |    | equipped with: four oars, oarlocks, boat hook, ring |
|          |    | buoy (90ft line), PFDs, and first aid kit.          |
+----------+----+-----------------------------------------------------+
| V        |    |  All drivers must be appropriately licensed when   |
| ehicular |    | operating a vehicle.                                |
| Travel   |    |                                                     |
|          |    |  All traffic rules and regulations, and all        |
|          |    | traffic control signs and devices should be         |
|          |    | followed.                                           |
|          |    |                                                     |
|          |    |  Drivers of rental or unfamiliar vehicles should   |
|          |    | become familiar with all controls before operating  |
|          |    | the vehicle.                                        |
|          |    |                                                     |
|          |    |  Drivers should operate vehicles defensively,      |
|          |    | exercise special care when operating on unfamiliar  |
|          |    | roads or during inclement weather, and should yield |
|          |    | to pedestrians.                                     |
|          |    |                                                     |
|          |    |  Trucks should be backed under the direction of a  |
|          |    | signal person when operator cannot view rear area   |
|          |    | clearly.                                            |
|          |    |                                                     |
|          |    |  Seat belts should be provided and used by each    |
|          |    | individual in the vehicle.                          |
|          |    |                                                     |
|          |    |  Personnel must not ride on outside or back of     |
|          |    | vehicles.                                           |
|          |    |                                                     |
|          |    |  Materials should be loaded within limits of       |
|          |    | vehicle weight capacity, should be secured, and     |
|          |    | should not protrude from rear of truck.             |
|          |    |                                                     |
|          |    |  Personnel may not remain in or on vehicles being  |
|          |    | loaded by excavating equipment unless cab is        |
|          |    | adequately protected against impact.                |
|          |    |                                                     |
|          |    |  Maintain road flares, fire extinguishers, first   |
|          |    | aid kits, and other safety equipment where          |
|          |    | necessary.                                          |
+----------+----+-----------------------------------------------------+
| Traffic  |    |  Hazards arise as a result of working adjacent to  |
|          |    | or within roadways.                                 |
|          |    |                                                     |
|          |    |  Employees must wear reflective vests when working |
|          |    | adjacent to or within roadways.                     |
|          |    |                                                     |
|          |    |  Advanced warning signs should be placed 1500ft in |
|          |    | advance of condition to which they call attention.  |
|          |    | When in series, place the first sign at 500ft then  |
|          |    | additional signs at 500-1000 ft intervals. On       |
|          |    | expressway and limited access facilities the        |
|          |    | advance warning distance should increase to ½ mile  |
|          |    | or greater.                                         |
|          |    |                                                     |
|          |    |  Flag persons may be required to control speed of  |
|          |    | oncoming traffic.                                   |
+----------+----+-----------------------------------------------------+
| Ex       |    |  Hazards are associated with site chemicals (known |
| plosives |    | or unknown), over pressurized containers, and       |
|          |    | products brought on site.                           |
|          |    |                                                     |
|          |    |  Control entry to areas where there is a high      |
|          |    | potential for storage of, contamination by or use   |
|          |    | of explosives.                                      |
|          |    |                                                     |
|          |    |  Over pressurized container should not be moved,   |
|          |    | contacted, or sampled. Use remotely operated tools  |
|          |    | to conduct sampling and/or venting. Use             |
|          |    | appropriately protected (explosion proof glass)     |
|          |    | heavy equipment to move container if                |
|          |    | sampling/venting cannot be conducted in place.      |
|          |    | Remove personnel to a safe location upwind of       |
|          |    | remote sampling/venting operation.                  |
|          |    |                                                     |
|          |    |  Obtain proper instructions and MSDSs for all      |
|          |    | explosives/devices to be brought and used on site.  |
|          |    | Provide adequate storage and security for explosive |
|          |    | devices to be maintained on site. Ship unused       |
|          |    | materials back to manufacturer. Store detonators    |
|          |    | and explosives separately.                          |
+----------+----+-----------------------------------------------------+
| Heavy    |    |  Machinery and mechanized equipment will only be   |
| E        |    | operated by a competent qualified individual.       |
| quipment |    |                                                     |
| O        |    |  Equipment will be inspected daily; tests will be  |
| peration |    | made at the start of each shift to ensure that the  |
|          |    | braking and operating systems are in proper working |
|          |    | condition.                                          |
|          |    |                                                     |
|          |    |  Seats and seatbelts will be available to and in   |
|          |    | use by all operators and passengers.                |
|          |    |                                                     |
|          |    |  Stationary machinery and equipment will be placed |
|          |    | on a firm foundation and secured (outriggers) prior |
|          |    | to operation.                                       |
|          |    |                                                     |
|          |    |  Mechanized equipment will be shut down prior to   |
|          |    | and during fueling operations                       |
|          |    |                                                     |
|          |    |  Communication will be maintained with operator    |
|          |    | prior to approaching and while working adjacent to  |
|          |    | all heavy equipment. Communication between operator |
|          |    | and ground personnel using either radios or hand    |
|          |    | signals. Communication methods shall be determined  |
|          |    | prior to beginning work activities.                 |
|          |    |                                                     |
|          |    |  Barriers or blockades will be placed around the   |
|          |    | bodies of articulating equipment.                   |
|          |    |                                                     |
|          |    |  Individuals will not walk or otherwise travel     |
|          |    | beneath a load (bucket, etc.)                       |
|          |    |                                                     |
|          |    |  Hard hats shall be worn when working adjacent to  |
|          |    | heavy equipment.                                    |
+----------+----+-----------------------------------------------------+
| Lifting  |    |  Cranes must be operated by an individual with     |
| E        |    | demonstrated competence.                            |
| quipment |    |                                                     |
| Operatio |    |  Load limits must be visibly posted on all cranes. |
| n-Cranes |    |                                                     |
|          |    |  Lifting machinery and all elements of equipment   |
|          |    | involved in lifting or supporting a load must be    |
|          |    | inspected daily, prior to commencement of work      |
|          |    | shift. The inspection must be conducted by a        |
|          |    | competent individual and must be documented.        |
|          |    |                                                     |
|          |    |  See "Heavy Equipment Operation" for additional    |
|          |    | applicable requirements.                            |
|          |    |                                                     |
|          |    |  Employees will not walk beneath a lifted load in  |
|          |    | transit. Operators will not carry a load over the   |
|          |    | head of a stationary or otherwise unaware employee. |
|          |    |                                                     |
|          |    |  See additional requirements for utility clearance |
|          |    | in "Utilities-Overhead"                             |
+----------+----+-----------------------------------------------------+
| Lifting  |    |  Lift must be operated by competent individuals    |
| E        |    | familiar with safety and operating instructions.    |
| quipment |    |                                                     |
| Op       |    |  Daily inspections must be conducted and recorded. |
| eration- |    | Observations should include: structural welds,      |
| Manlifts |    | lifting cables/chains, control lines, lift          |
|          |    | controls, and electrical connections.               |
|          |    |                                                     |
|          |    |  Lift must be equipped with a device to prevent    |
|          |    | free-fall if power or primary suspension system     |
|          |    | failure.                                            |
|          |    |                                                     |
|          |    |  Lift must be equipped with secondary controls     |
|          |    | capable of overriding platform controls, and        |
|          |    | emergency decent systems must be provided in case   |
|          |    | of failure of primary systems.                      |
|          |    |                                                     |
|          |    |  Capacity, height limits,                          |
|          |    | restrictions/warnings/cautions must be displayed or |
|          |    | outlined in a manual kept with or near the lift.    |
|          |    |                                                     |
|          |    |  Operator must have unobstructed view of path      |
|          |    | (vertical and horizontal path) prior to and during  |
|          |    | movement.                                           |
|          |    |                                                     |
|          |    |  Driver must always maintain a safe speed.         |
|          |    |                                                     |
|          |    |  See additional requirements for utility clearance |
|          |    | in "Utilities-Overhead.                             |
+----------+----+-----------------------------------------------------+
| Exc      |    | 8.  Sampling and monitoring will be conducted at    |
| avating/ |    |     perimeter of site.                              |
| T        |    |                                                     |
| renching |    | 9.  Employees will maintain \> 2ft of clearance     |
|          |    |     from the edge of the excavation.                |
|          |    |                                                     |
|          |    | 10. Excavations greater than 5 feet in depth need   |
|          |    |     cave-in protection.                             |
|          |    |                                                     |
|          |    | 11. Excavations less than 5 feet need to be okayed  |
|          |    |     by a competent person.                          |
|          |    |                                                     |
|          |    | 12. Excavations greater than 4 feet need to have    |
|          |    |     ladders positioned in the trench so no one in   |
|          |    |     the trench will need to travel greater than 25  |
|          |    |     feet to get to a ladder.                        |
|          |    |                                                     |
|          |    | **OR** **if working in excavation**                 |
|          |    |                                                     |
|          |    |  Employees will maintain \> 2ft of clearance from  |
|          |    | face of excavation.                                 |
|          |    |                                                     |
|          |    |  Excavated material will be placed \>2ft from face |
|          |    | of excavation.                                      |
|          |    |                                                     |
|          |    |  A pilot will assist heavy equipment operator to   |
|          |    | ensure that equipment maintains \>2ft clearance     |
|          |    | from face of excavation.                            |
|          |    |                                                     |
|          |    |  Underground utilities must be located an marked   |
|          |    | prior to commencement of excavation.                |
|          |    |                                                     |
|          |    |  Equipment and equipment extensions must maintain  |
|          |    | \>20ft of clearance from overhead utility lines     |
|          |    | unless lines are shut off, or adequately insulated  |
|          |    | (blanket).                                          |
|          |    |                                                     |
|          |    |  Intent of excavation is to expose and identify    |
|          |    | geophysical anomaly. As such, soil will be removed  |
|          |    | in layers (2-3inch) during each sweep across the    |
|          |    | test pit area.                                      |
|          |    |                                                     |
|          |    |  All remote options (drum grappler, remote sling   |
|          |    | hooking mechanism, extended sludge judges) will be  |
|          |    | exhausted prior to making the determination to      |
|          |    | enter an excavation greater than 5ft on depth. In   |
|          |    | the event entry must occur, the HSO will be         |
|          |    | contacted.                                          |
|          |    |                                                     |
|          |    |  No one will enter any excavation greater than 5ft |
|          |    | in depth until the following measures have been     |
|          |    | taken:                                              |
|          |    |                                                     |
|          |    | 1\. Shoring, sloping or benching has been provided  |
|          |    | to eliminate cave-in. **Shoring:** built and        |
|          |    | installed according to manufacturer specs, HSO      |
|          |    | shall be contacted and provided with literature and |
|          |    | planned installation. **Sloping:** Unless soil is   |
|          |    | otherwise typed, sloping should be do as to result  |
|          |    | in a 34 degree angle of repose. If geologist is     |
|          |    | available to type soil, contact HSO for proper      |
|          |    | angle of repose, Type C shall require 34 degree     |
|          |    | angle of repose. **Benching:** Conducted to result  |
|          |    | in angle of repose equivalent to that of sloping.   |
|          |    | To achieve 34 degree a 1 ½ (H): 1(V) cut must be    |
|          |    | made.                                               |
|          |    |                                                     |
|          |    | 2\. Water accumulation is controlled (eliminated or |
|          |    | protection/pumping provided)                        |
|          |    |                                                     |
|          |    | 3\. Atmospheric testing conducted prior to and      |
|          |    | throughout entry. Ventilation will be provided if   |
|          |    | potential for oxygen deficient, flammable or toxic  |
|          |    | atmosphere exists. Even when using Level B          |
|          |    | protection are must be monitored to ensure that a   |
|          |    | flammable atmosphere never exists.                  |
|          |    |                                                     |
|          |    | 4\. Ramps (ease of entry for Level B dressed        |
|          |    | employees) or ladders must be located within 25     |
|          |    | feet lateral travel of employees in excavation.     |
|          |    |                                                     |
|          |    | 5\. Drums will be sampled in place. If moved,       |
|          |    | employees will exit excavation while movement       |
|          |    | occurs.                                             |
|          |    |                                                     |
|          |    | 6\. Rescue equipment (safety harness and line,      |
|          |    | basket stretcher) shall be maintained ready.        |
|          |    |                                                     |
|          |    | 7\. An inspections shall be documented (attached    |
|          |    | checklist) daily prior to commencement of           |
|          |    | activities.                                         |
+----------+----+-----------------------------------------------------+
| Working  |    |  Provisions shall be instituted when working on    |
| at       |    | platform (greater than 4ft), roof, scaffolding,     |
| El       |    | ladders or in situation where a fall of greater     |
| evations |    | than 6ft may occur.                                 |
|          |    |                                                     |
|          |    |  Provide handrails and toeboards on all open sides |
|          |    | of work platforms and scaffolding 4ft above grade.  |
|          |    | Place handrails at 42 inches with midrail,          |
|          |    | toeboards should be 4 inches high, supports must be |
|          |    | at intervals greater than or equal to 8ft. Hand     |
|          |    | rail should extend around the entire                |
|          |    | platform/scaffold. Mesh should be placed between    |
|          |    | and affixed to the midrail and toe board to prevent |
|          |    | falling objects from striking individuals working   |
|          |    | below.                                              |
|          |    |                                                     |
|          |    |  Use PPE when hand rails cannot be used (i.e.,     |
|          |    | tank top, working off or outside of ladder). PPE    |
|          |    | must meet following requirements:                   |
|          |    |                                                     |
|          |    | 1.  Lifeline system anchorage point (tie off or     |
|          |    |     securing point) will be able to support a dead  |
|          |    |     weight of 5400 pounds.                          |
|          |    |                                                     |
|          |    | 2.  Lifelines will be of 3/4 inch manila or         |
|          |    |     equivalent and will have a minimum breaking     |
|          |    |     strength of 5400 pounds.                        |
|          |    |                                                     |
|          |    | 3.  Safety Lanyard will be ½ inch nylon (or         |
|          |    |     equivalent), will be \< or= to 6ft and will     |
|          |    |     have a minimum breaking strength of 5400        |
|          |    |     pounds.                                         |
|          |    |                                                     |
|          |    | 4.  Bolts, shackles, D-rings, snap hooks and metal  |
|          |    |     links will be able to bear a tensile load of    |
|          |    |     5000lbs.                                        |
|          |    |                                                     |
|          |    | 5.  All hardware shall be drop forged or pressed    |
|          |    |     steel.                                          |
|          |    |                                                     |
|          |    | 6.  System will include a full body harness for     |
|          |    |     connection and tie-off with 6ft safety lanyard. |
|          |    |                                                     |
|          |    | 7.  All system components will be inspected prior   |
|          |    |     to and after use. Lifeline system components    |
|          |    |     which show signs of stress or damage or which   |
|          |    |     have been used to break a free fall will be     |
|          |    |     removed from service and destroyed.             |
+----------+----+-----------------------------------------------------+
| M        |    | 13. Spill absorbent materials, patching materials,  |
| aterials |    |     collection containers, and tools will be        |
| Handling |    |     maintained on site during activities which may  |
|          |    |     impact the integrity of an enclosed storage     |
|          |    |     system (i.e. sampling, product transfer,        |
|          |    |     container movement).                            |
+----------+----+-----------------------------------------------------+
| H        |    |                                                     |
| azardous |    |                                                     |
| M        |    |                                                     |
| aterials |    |                                                     |
| Use and  |    |                                                     |
| S        |    |                                                     |
| torage-F |    |                                                     |
| lammable |    |                                                     |
| Liquids  |    |                                                     |
+----------+----+-----------------------------------------------------+
| H        |    | 14. Oxidizing agents are generally recognizable by  |
| azardous |    |     their structures or names.                      |
| M        |    |                                                     |
| aterials |    | 15. Tend to have oxygen in their structures and of  |
| Use and  |    |     the release oxygen as a result of thermal       |
| S        |    |     decomposition.                                  |
| torage-O |    |                                                     |
| xidizers |    | 16. Often have "per-" prefixes and/or "-ate"        |
|          |    |     suffixes.                                       |
|          |    |                                                     |
|          |    | 17. Strong oxidizers have more potential            |
|          |    |     incompatibilities then most other compounds.    |
|          |    |                                                     |
|          |    | 18. Assume strong oxidizers can not be stored or    |
|          |    |     mixed with any other material except under      |
|          |    |     carefully controlled conditions.                |
+----------+----+-----------------------------------------------------+
| H        |    |                                                     |
| azardous |    |                                                     |
| M        |    |                                                     |
| aterials |    |                                                     |
| Use and  |    |                                                     |
| St       |    |                                                     |
| orage-Co |    |                                                     |
| rrosives |    |                                                     |
+----------+----+-----------------------------------------------------+
| Fire     |    |  Mounted on each piece of heavy equipment.         |
| Extin    |    |                                                     |
| guishers |    |  Inspected daily (documented) to ensure: proper    |
|          |    | access, within annual inspection requirement,       |
|          |    | pressurized, physically intact, properly rated for  |
|          |    | applicable fire hazard class.                       |
+----------+----+-----------------------------------------------------+
| De       |    |                                                     |
| molition |    |                                                     |
+----------+----+-----------------------------------------------------+
| U        |    | 19. Hazards include both overhead and underground   |
| tilities |    |     utilities which may be impacted when conducting |
|          |    |     intrusive activities (i.e. sampling, drilling). |
|          |    |     Impact may result in the release of electrical  |
|          |    |     energy, high pressure water, high pressure      |
|          |    |     air/steam, natural gas, or sewage. The FWS      |
|          |    |     Safety Coordinator is the responsible on-site   |
|          |    |     individual and must ensure that each of the     |
|          |    |     following addressed:                            |
|          |    |                                                     |
|          |    | 20. Locate and mark all underground utilities       |
|          |    |     through inspection and identification by the    |
|          |    |     appropriate utility representative.             |
|          |    |                                                     |
|          |    | 21. Assume all lines are live until shut-off is     |
|          |    |     verified by an appropriate utility              |
|          |    |     representative. Do not assume that abandonment  |
|          |    |     of a facility site has resulted in the shut-off |
|          |    |     of utility supply.                              |
|          |    |                                                     |
|          |    | 22. Inspect buildings adjacent to area of planned   |
|          |    |     activity to identify **cues** which indicate    |
|          |    |     the potential for underground and aboveground   |
|          |    |     utility service (i.e. natural gas valves,       |
|          |    |     underground tunnels, water valves or metering   |
|          |    |     pits, compressed air or gas lines)              |
|          |    |                                                     |
|          |    | 23. In the event that a utility representative will |
|          |    |     not mark utilities within the site fence line,  |
|          |    |     identify the utility feed location and observe  |
|          |    |     visual cues identified above. Intrusive work    |
|          |    |     must be conducted in a slowly and carefully,    |
|          |    |     especially during the first 3-4 feet (depth at  |
|          |    |     which most utilities will be located)           |
|          |    |                                                     |
|          |    | 24. Maintain 20 ft clearance between any live       |
|          |    |     utility lines and elevated work platforms,      |
|          |    |     ladders, scaffolds, man-lifts and drill or      |
|          |    |     vehicle superstructures until. Shut-off or      |
|          |    |     insulation blanketing is required if job        |
|          |    |     duration exceeds one day, and is always         |
|          |    |     required if 20ft clearance cannot be            |
|          |    |     maintained.                                     |
+----------+----+-----------------------------------------------------+
| El       |    |  When high voltage electrical service is required  |
| ectrical |    | for site or project activities, service shall be    |
|          |    | connected by certified electricians in accordance   |
|          |    | with all applicable local and National Electric     |
|          |    | Codes.                                              |
|          |    |                                                     |
|          |    |  Ground fault circuit interrupters shall be used   |
|          |    | in the absence of properly grounded circuitry or    |
|          |    | when portable tools must be used around wet areas.  |
|          |    |                                                     |
|          |    |  Electrical lines, cables, and extension cords     |
|          |    | must be appropriately guarded and maintained in     |
|          |    | good condition.                                     |
|          |    |                                                     |
|          |    |  De-energization and Lock-out/Tag-out procedure    |
|          |    | must be followed prior to commencing work on any    |
|          |    | piece of electrically activated equipment or        |
|          |    | electrical line.                                    |
+----------+----+-----------------------------------------------------+
| Welding/ |    |                                                     |
| Cutting/ |    |                                                     |
| Burning  |    |                                                     |
+----------+----+-----------------------------------------------------+
| High     |    |                                                     |
| Pressure |    |                                                     |
| Water    |    |                                                     |
+----------+----+-----------------------------------------------------+
| Hand     |    |  Inspect hand tool for defects that will impair    |
| Tools    |    | their strength or render them unsafe, unsafe hand   |
|          |    | tools will not be used.                             |
|          |    |                                                     |
|          |    |  Maintain tools in good repair.                    |
|          |    |                                                     |
|          |    |  Use tools only for their designed purpose.        |
+----------+----+-----------------------------------------------------+
| Power    |    |  Inspect power tool for defects that will impair   |
| Tools    |    | their strength or render them unsafe, unsafe power  |
|          |    | tools will not be used.                             |
|          |    |                                                     |
|          |    |  Inspect power cord or battery and casing          |
|          |    | (electrical) or gas lines and related components to |
|          |    | insure there is no chance for spark, electrocution  |
|          |    | or explosion.                                       |
|          |    |                                                     |
|          |    |  Do not override any safety features or components |
|          |    | on power equipment.                                 |
|          |    |                                                     |
|          |    |  Maintain tools in good repair. Use designated     |
|          |    | components, as required. Do not "jury rig" tools to |
|          |    | get them to work outside of manufacture's           |
|          |    | specifications.                                     |
|          |    |                                                     |
|          |    |  Use tools only for their designed purpose.        |
|          |    |                                                     |
|          |    |  Read and follow manufacture's directions when     |
|          |    | using all power tools.                              |
+----------+----+-----------------------------------------------------+
| Using    |    | **PORTABLE LADDERS**                                |
| Ladders  |    |                                                     |
|          |    |  Portable ladders must be inspected prior to use.  |
|          |    | Inspection should include observation for:          |
|          |    |                                                     |
|          |    | 1\. Tight, secure rungs and steps that are free     |
|          |    | from defects.                                       |
|          |    |                                                     |
|          |    | 2\. Secure hardware, fittings, and rivets           |
|          |    |                                                     |
|          |    | 3\. Lubricated metal bearings of locks, wheels, and |
|          |    | pulleys                                             |
|          |    |                                                     |
|          |    | 4\. Adequate rope (if necessary) in good condition  |
|          |    |                                                     |
|          |    |  Defective ladders should be tagged and taken out  |
|          |    | of service                                          |
|          |    |                                                     |
|          |    |  Portable ladders shall be placed such that:       |
|          |    |                                                     |
|          |    | 1\. Bottom located on flat firm surface             |
|          |    |                                                     |
|          |    | 2\. Secured through one of two means: a) individual |
|          |    | holding bottom b) top tied off/bottom safety feet   |
|          |    |                                                     |
|          |    | 3\. Vertical to Horizontal ratio is 4:1             |
|          |    |                                                     |
|          |    | 4\. Handrails extend 36 inches above the landing    |
|          |    |                                                     |
|          |    | 5\. Metal ladders are not used near electrical      |
|          |    | conductors                                          |
|          |    |                                                     |
|          |    | 6\. Not in front of, or immediately adjacent to, an |
|          |    | operating door (block open, post guard or lock      |
|          |    | closed)                                             |
|          |    |                                                     |
|          |    | 7\. Employee does not need to lean more than ½ body |
|          |    | height outside of either handrail                   |
|          |    |                                                     |
|          |    |  Portable Ladders must meet ANSI A-14.1 and 14.2   |
|          |    | requirements:                                       |
|          |    |                                                     |
|          |    | 1\. 12 inches between rails and rung                |
|          |    |                                                     |
|          |    | 2\. Metal ladders-corrosion treatment               |
|          |    |                                                     |
|          |    | 3\. Metal ladders-slip resistant treatment on rungs |
|          |    |                                                     |
|          |    | 4\. Single section \<30ft, 2-section\<48 ft,        |
|          |    | 3+-section\<60ft.; Overlap requirements: 36in for   |
|          |    | up to 36ft, 48in for 36-48ft and 60in for 48-60ft.  |
|          |    |                                                     |
|          |    | **FIXED LADDERS**                                   |
|          |    |                                                     |
|          |    |  Fixed ladders must be inspected prior to use:     |
|          |    |                                                     |
|          |    | 1\. Secure, corrosion-free handrails and rungs      |
|          |    |                                                     |
|          |    | 2\. Adequate clearance on both non-climbing         |
|          |    | (7inches) and climbing (30-36inches) side of the    |
|          |    | ladder.                                             |
|          |    |                                                     |
|          |    | 3\. Adequate extension of hand rails above the      |
|          |    | landing surface (40inches)                          |
|          |    |                                                     |
|          |    | 4\. Cages or other fall protection if \>20ft in     |
|          |    | height                                              |
|          |    |                                                     |
|          |    |  Fixed ladders which do not meet requirements upon |
|          |    | inspection shall not be used. A substitute ladder   |
|          |    | or lift device will be used to access elevated      |
|          |    | surface.                                            |
+----------+----+-----------------------------------------------------+
| Using    |    | **GENERAL REQUIREMENTS**                            |
| Sca      |    |                                                     |
| ffolding |    |  Scaffolding must be built on rigid, sound footing |
|          |    | capable of supporting load without settling.        |
|          |    | Support poles must be plumb.                        |
|          |    |                                                     |
|          |    |  Standard handrails (42 inches with a midrail,     |
|          |    | vertical support every 8ft) on platforms \>4ft      |
|          |    | above grade. Toeboards must be added when platform  |
|          |    | \>10ft above grade.                                 |
|          |    |                                                     |
|          |    |  Mesh must be placed between toeboard and midrail  |
|          |    | if individuals will work or pass under scaffold.    |
|          |    |                                                     |
|          |    |  Built to support 4-6 times the intended load, not |
|          |    | loaded in excess of the intended load.              |
|          |    |                                                     |
|          |    |  Erected and inspected (daily) by competent        |
|          |    | individual.                                         |
|          |    |                                                     |
|          |    |  Planking must be scaffold grade, overlap by 12    |
|          |    | inches or be secured from movement, and must extend |
|          |    | over end supports by 6-18 inches.                   |
|          |    |                                                     |
|          |    |  Scaffold must be secured by use of anchor bolts   |
|          |    | or equivalent.                                      |
|          |    |                                                     |
|          |    |  Faces and ends of scaffolding must have cross     |
|          |    | bracing. Cross-bracing must also occur between      |
|          |    | inner and outer poles.                              |
|          |    |                                                     |
|          |    |  Ladder or other safe access must be provided.     |
|          |    |                                                     |
|          |    |  Work will cease during storm, high wind and       |
|          |    | ice/snow conditions.                                |
|          |    |                                                     |
|          |    |  Additional requirements will be outlined and      |
|          |    | adhered to.                                         |
+----------+----+-----------------------------------------------------+
| Bi       |    |  Hazards include: bites from snakes; infected wild |
| ological |    | animals; rodents; insects; ticks and contact with   |
| (insect, |    | poisonous plants.                                   |
| tick,    |    |                                                     |
| p        |    |  Snakes: use care when reaching into or moving     |
| oisonous |    | objects, be familiar with habits and habitats of    |
| plants)  |    | snake indigenous to area, wear ankle high or higher |
|          |    | steel-toe/shank boots, clear grass/overgrown areas  |
|          |    | if possible.                                        |
|          |    |                                                     |
|          |    |  Wild animals: avoid contact with wild/stray       |
|          |    | animals, be wary of nocturnal animals seen during   |
|          |    | the day, eliminate food sources and nesting sites,  |
|          |    | store trash/garbage in metal/thick plastic lidded   |
|          |    | containers, cut grass/under brush where possible.   |
|          |    |                                                     |
|          |    |  Insects: Be aware of insect-borne disease         |
|          |    | outbreaks in area of travel, insect repellent, Long |
|          |    | sleeves/pants.                                      |
|          |    |                                                     |
|          |    | -   Ticks: same as those for insect, tuck pant leg  |
|          |    |     into socks and boots, conduct tick checks       |
|          |    |     during breaks and at end of shift, wear light   |
|          |    |     colored clothing, remove and save tick          |
|          |    |     immediately.                                    |
|          |    |                                                     |
|          |    | -   Plants: Wear long sleeves/pants, use barrier    |
|          |    |     creams if highly sensitive, do not contact      |
|          |    |     plants which resemble poison ivy (3-leaves,     |
|          |    |     pointed leaf), oak (3-leaves, rounded leaf), or |
|          |    |     sumac (paired leaves, white fruit).             |
|          |    |                                                     |
|          |    | -   Birds collected for rehabilitation: See Best    |
|          |    |     Practices for Migratory Birds Manual.           |
+----------+----+-----------------------------------------------------+

**TABLE 3.3.3**

**TEMPERATURE EXTREMES: SIGNS OF EXCESSIVE EXPOSURE**

+------------+---------------------------------------------------------+
| **T        | **Sign/Symptom of Excessive Exposure**                  |
| emperature |                                                         |
| Extremes** |                                                         |
+------------+---------------------------------------------------------+
| Heat       | State of weakness or exhaustion caused by the loss of   |
| Exhaustion | fluids form the body: Pale, clammy, moist skin; profuse |
|            | perspiration and extreme weakness; body temperature may |
|            | be normal; weak/rapid pulse; shallow breath.            |
|            |                                                         |
|            | **Treatment:** Remove individual to cool,               |
|            | air-conditioned, or temperature controlled area; loosen |
|            | clothing; place in head-low position; provide rest.     |
|            | Have patient drink 1-2 cups of water immediately, and   |
|            | every 20 minutes until symptoms subside.                |
+------------+---------------------------------------------------------+
| Heat       | Acute, dangerous reaction to heat stress caused by      |
| Stroke     | failure of body's heat regulating mechanisms resulting  |
|            | in a rapid rise in body temperature, brain damage, and  |
|            | death: red, hot, dry skin; confusion; extremely high    |
|            | body temperature; rapid respiratory and pulse rate;     |
|            | unconsciousness or coma.                                |
|            |                                                         |
|            | **Treatment:** Remove from heat source and cool victim  |
|            | rapidly by soaking victim in cool (NOT COLD) water;     |
|            | sponge body with cool water to reduce temperature to    |
|            | safe level (\<102F) Monitor vital signs, obtain         |
|            | immediate medical help.                                 |
+------------+---------------------------------------------------------+
| Heat       | Acute painful spasms of voluntary muscles caused by     |
| Cramps     | inadequate electrolyte intake: muscle spasms, most      |
|            | notably the abdomen and extremities.                    |
|            |                                                         |
|            | **Treatment:** Remove victim to cool area and loosen    |
|            | clothing.                                               |
+------------+---------------------------------------------------------+
| Cold       | Local freezing of tissue resulting when heat loss from  |
| -Frostbite | an extremity is faster than heat replacement by the     |
|            | circulating blood. Frost bite occurs in stages;         |
|            | incipient (sudden blanching or whitening of skin);      |
|            | superficial (waxy or white skin which is firm to the    |
|            | touch, underlying tissue is resilient); and deep (cold, |
|            | pale or darkened skin which is solid).                  |
|            |                                                         |
|            | **Treatment:** Move individual to warm environment,     |
|            | warm affected area by placing next to warm skin (avoid  |
|            | fires, hot water, external heaters) provide warm        |
|            | non-caffeinated drinks. After re-warming affected area  |
|            | evaluate, bandage (if necessary) and do not allow       |
|            | blisters to be broken. Do not rub frostbitten area,     |
|            | obtain medical care as necessary.                       |
+------------+---------------------------------------------------------+
| Cold-H     | Occurs when a heat loss in excess of heat gain results  |
| ypothermia | in a core body temperature drop. Most cases develop in  |
|            | air temperatures between 30-50F when compounded with    |
|            | water immersion or soaking and windy conditions.        |
|            | Symptoms include: uncontrolled fits of shivering;       |
|            | vague, slow, slurred speech; irrational actions; memory |
|            | lapses; incoherence; fumbling hands, frequent           |
|            | stumbling, lurching gait; apathy, listlessness, and     |
|            | sleepiness; glassy stare; slow pulse and respiration.   |
|            |                                                         |
|            | **Treatment:** Move individual to warm environment,     |
|            | remove any wet clothing, provide additional heat        |
|            | sources (warm blanket, bath, body contact); provide     |
|            | warm non-caffeinated fluids, candy and sweetened food,  |
|            | obtain medical assistance.                              |
+------------+---------------------------------------------------------+

**TABLE 3.3.4**

+-----------------+---------------+------------------------------------+
| **PERCENT       |               |                                    |
| SUNSHINE        |               |                                    |
| FACTORS**       |               |                                    |
|                 |               |                                    |
| **HEAT STRESS   |               |                                    |
| PREVENTION AND  |               |                                    |
| MONITORING**    |               |                                    |
+-----------------+---------------+------------------------------------+
| Percent         | Sunshine      | Adjusted Temperature Calculation@  |
| Sunshine (%)\*  | Factor        |                                    |
+-----------------+---------------+------------------------------------+
| 100             | 1             | Air Temp + 13(1) = **Adjusted      |
|                 |               | Temp**                             |
+-----------------+---------------+------------------------------------+
| 50              | 0.5           | Air Temp + 13(0.5) = **Adjusted    |
|                 |               | Temp**                             |
+-----------------+---------------+------------------------------------+
| 0               | 0             | Air Temp + 13(0) = **Adjusted      |
|                 |               | Temp**                             |
+-----------------+---------------+------------------------------------+

\*Linear Scale, any estimated percent sunshine divided by 100 will
provide the corresponding Sunshine.

\@Calculation: Air Temperature (in degrees F) + 13(Sunshine
Factor)=Adjusted Temperature.

**TABLE 3.3.5**

+-----------------+-----------------------+---------------------------+
| **PHYSIOLOGICAL |                       |                           |
| MONITORING      |                       |                           |
| SCHEDULE**      |                       |                           |
|                 |                       |                           |
| **HEAT STRESS   |                       |                           |
| PREVENTION AND  |                       |                           |
| MONITORING**    |                       |                           |
+-----------------+-----------------------+---------------------------+
| Adjusted        | Monitoring Schedule   | Monitoring Schedule       |
| Temperature     |                       |                           |
| (Table 3.3.4)   | **Level D**           | **Level C, B or A**       |
|                 |                       |                           |
|                 | (Permeable Clothing)  | (Impermeable Clothing)    |
+-----------------+-----------------------+---------------------------+
| 90 ^o^F or      | After each 45 minutes | After each 15 minutes of  |
| above           | of work               | work                      |
+-----------------+-----------------------+---------------------------+
| 87.5^o^F-90^o^F | After each 60 minutes | After each 30 minutes of  |
|                 | of work               | work                      |
+-----------------+-----------------------+---------------------------+
| 82              | After each 90 minutes | After each 60 minutes of  |
| .5^o^F-87.5^o^F | of work               | work                      |
+-----------------+-----------------------+---------------------------+
| 77              | After each 120        | After each 90 minutes of  |
| .5^o^F-82.5^o^F | minutes of work       | work                      |
+-----------------+-----------------------+---------------------------+
| 72              | After each 150        | After each 120 minutes of |
| .5^o^F-77.5^o^F | minutes of work       | work                      |
+-----------------+-----------------------+---------------------------+

Physiological monitoring should include **oral temperatures** and/or
**pulse rates**. Physiological monitoring should be conducted at the
beginning of each rest period, the frequency of which is specified
above.

**Oral Temperature Criteria:** An oral temperature in excess of 99.6
degrees (or 1 degree above individuals baseline) will require that the
next work period be reduced by 33%. This shall continue until the body
temperature is maintained below 99.6 degrees (or 1 degree above
baseline).

**Pulse Rate Criteria:** Heart rate should be measured by the radial
pulse for 30 seconds. If the heart rate exceeds 110 beats/minute at the
beginning of the rest period the next work period should be reduced by
33%.

**TABLE 3.3.6**

**STORAGE AND USE REQUIREMENTS FOR SPECIFIC COMPRESSED GASES**

+-------------+--------------------------------------------------------+
| **Gas**     | **Storage/Handling Requirements**                      |
+-------------+--------------------------------------------------------+
| Oxygen      |  Maintain containers, valves, regulators, hoses and   |
|             | other apparatus free of oil and grease.                |
|             |                                                        |
|             |  Store containers at lease 20ft from a flammable gas  |
|             | container or combustible material                      |
|             |                                                        |
|             |  Separate from stored acetylene container by 20ft     |
|             | distance or 5ft barrier rated at 1hr fire protection.  |
+-------------+--------------------------------------------------------+
| Acetylene   | **** Isolate from open flame, sources of heat and     |
|             | combustible material                                   |
|             |                                                        |
|             |  Do not use at greater than 15psig                    |
|             |                                                        |
|             |  Never use unalloyed copper pipe or fitting on        |
|             | acetylene system, fitting with greater than 65% copper |
|             | can react to form explosive, shock sensitive           |
|             | acetylides.                                            |
|             |                                                        |
|             |  Always store and use cylinders in upright position.  |
+-------------+--------------------------------------------------------+
| Flammable   |  Isolate from solvents, combustible material,         |
| Gases       | electrical connections, and all sources of ignition.   |
|             |                                                        |
|             |  Ground all manifolds                                 |
|             |                                                        |
|             |  Store at least 20ft from oxygen cylinder.            |
+-------------+--------------------------------------------------------+
| Toxic Gases |  Use gases in forced ventilation areas or hoods with  |
|             | ventilation to outside                                 |
|             |                                                        |
|             |  Read appropriate MSDSs prior to use                  |
|             |                                                        |
|             |  Wear approved respiratory protection when necessary  |
+-------------+--------------------------------------------------------+

**4.0 PERSONNEL TRAINING REQUIREMENTS**

> Consistent with OSHA\'s 29 CFR 1910.120 regulation covering Hazardous
> Waste Operations and Emergency Response, all site personnel will be
> trained in accordance with the requirements. At a minimum, all
> personnel will be trained to recognize the hazards on-site, the
> provisions of this SHSP, and personnel responsible for safety at this
> site.
>
> 4.1 Site Specific Training Topics
>
> The following topics will be discussed by the FWS Field Response
> Coordinator prior to commencement of onsite activities:
>
> Site Hazards Emergency Procedures (Tables in Section 3.3)
>
> Other:

**5.0 PERSONNEL PROTECTIVE EQUIPMENT**

> 5.1 Protective Ensemble
>
> Tasks: Tasks: Tasks:
>
> Level B Level C Level D
>
> Barricade Barricade Barricade
>
> Saranex Saranex Saranex
>
> Tyvek Tyvek Tyvek
>
> Other: Other: Other:
>
> SCBA APR Eye Protection
>
> Tetherline Cartridge: Booties
>
> Booties Booties Hard Hat ()
>
> Surgicals Surgicals Surgicals
>
> Gloves: Gloves: Work Gloves:
>
> Overgloves: Overgloves: Escape Pack
>
> Hard Hat Hard Hat (same) Steel Toe/Shank Boots
>
> Steel Toe/Shank Steel Toe/Shank Boots
>
> Boots
>
> Additional Protective Clothing:
>
> Rain Gear Hard Hat Liner Splash Apron
>
> Fireman Boots Insulated Coveralls Splash Shied
>
> 5.2 Justify levels of protection selected:
>
> **Cartridge Change-Out Schedule: Cartridges must be removed and
> replaced after [8]{.underline} hours of use (continuous or total).
> Regardless of usage time, cartridges must be removed and discarded at
> the end of each work shift.** MSA data for aromatic, aliphatic
> (saturated), unsaturated hydrocarbons, and cyclic saturated
> hydrocarbons was reviewed, the most conservative data was used to
> determine an appropriate change out schedule. **If an employee begins
> to experience signs/symptoms of exposure or detects an odor, leave the
> area, inspect face piece, replace cartridges** prior to return.

**6.0 SITE AIR MONITORING PLAN**

> 6.1 Instrument Calibration
>
> [Required Instrument]{.underline} [Calibration Date]{.underline}
> [Battery Check]{.underline}
>
> HNU Lamp \_\_\_\_\_\_
>
> OVA
>
> CGI
>
> Monotox: Type:
>
> Oxygen Detector
>
> RAM-Type \_\_\_\_\_\_\_\_
>
> Photovac
>
> Gilian Pumps
>
> Draeger Tube Type:

Radiation Meter

> Other \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> 6.2 Person(s) Responsible for Monitoring ( indicates competence test
> checkout):
>
> 6.3 Type of Monitoring:
>
> Survey/Characterization Perimeter
>
> Work Zone Exposure/Breathing Zone
>
> 6.4 Objective of Monitoring:
>
> 6.5 Action Levels:

**Table 6.5-General Action Limit Guidelines for Health and Safety
Planning**

+--------------+-----------+-------------+-----------------------------+
| **Chemi      | **Action  |             | **Action**                  |
| cal/Physical | Limit or  |             |                             |
| C            | Calc      |             |                             |
| ontaminant** | ulation** |             |                             |
+--------------+-----------+-------------+-----------------------------+
| Flammab      | [Ambient  | [Confined   | Continue Investigation      |
| le/Explosive | Air]{.u   | Space]{     |                             |
| Atmosphere   | nderline} | .underline} | Continue monitoring, use    |
|              |           |             | extreme caution             |
|              | \< 10 %   | 0 - 1% LEL  |                             |
|              | LEL       |             | Evacuate immediate area,    |
|              |           | 1 - 10% LEL | explosion hazard present    |
|              | 10 - 20%  |             |                             |
|              | LEL       | \> 10% LEL  |                             |
|              |           |             |                             |
|              | \> 20%    |             |                             |
|              | LEL       |             |                             |
+--------------+-----------+-------------+-----------------------------+
| Oxygen       | [Ambient  | [Confined   | Continue Investigation,     |
|              | Air]{.u   | Space]{     | normal = 21%                |
|              | nderline} | .underline} |                             |
|              |           |             | Investigate only in Level B |
|              | 19.5 - 25 | 19.5 - 23.5 | Protection, Oxygen          |
|              | %         | %           | Deficient                   |
|              |           |             |                             |
|              | \< 19.5%  | \< 19.5 %   | Evacuate immediate area,    |
|              |           |             | Oxygen Enriched/Fire Hazard |
|              | \> 25%    | \> 23.5%    |                             |
+--------------+-----------+-------------+-----------------------------+
| Radiation    | 3x        |             | Continue Investigation,     |
|              | Bac       |             | consult H&S Manager         |
|              | kground - |             | (possible source)           |
|              | 1 mR/hr   |             |                             |
|              |           |             | Evacuate immediate area,    |
|              | \> 1mR/hr |             | radiation source/hazard     |
|              |           |             | present. Re-enter only      |
|              |           |             | under advisement of H&S     |
|              |           |             | Manager.                    |
+--------------+-----------+-------------+-----------------------------+
| Organic and  | **Calcu   |             | Upgrade to Level C/B        |
| Inorganic    | lation:** |             | Protection as outlined in   |
| Gases and    |           |             | HASP                        |
| Vapors       | 1\. (TLV  |             |                             |
|              | or PEL) X |             | Upgrade to Level B          |
|              | (½) X (RF |             | Protection as outlined in   |
|              | of        |             | HASP                        |
|              | In        |             |                             |
|              | strument) |             |                             |
|              |           |             |                             |
|              | 2\. (IDLH |             |                             |
|              | or MUC or |             |                             |
|              | Cartridge |             |                             |
|              | Rating) X |             |                             |
|              | (½) X (RF |             |                             |
|              | of        |             |                             |
|              | In        |             |                             |
|              | strument) |             |                             |
+--------------+-----------+-------------+-----------------------------+
| Particulates | **Calcu   |             | Upgrade to Level C          |
| (Unknown     | lation:** |             | Protection as outlined in   |
| Site         |           |             | HASP                        |
| Con          | 1\. (TLV  |             |                             |
| centrations) | or PEL) X |             | Upgrade to Level B          |
|              | (½); use  |             | Protection as outlined in   |
|              | RA        |             | HASP                        |
|              | M/MiniRAM |             |                             |
|              | assume    |             |                             |
|              | RF=1      |             |                             |
|              |           |             |                             |
|              | 2\. (IDLH |             |                             |
|              | or MUC or |             |                             |
|              | Cartridge |             |                             |
|              | Rating) X |             |                             |
|              | (½); use  |             |                             |
|              | RAM/Mini  |             |                             |
|              | RAM       |             |                             |
|              | assume RF |             |                             |
|              | = 1       |             |                             |
+--------------+-----------+-------------+-----------------------------+
| Particulate  | **Calcu   |             | Upgrade to Level C          |
| (Known Site  | lation:** |             | Protection as outlined in   |
| Con          |           |             | HASP                        |
| centrations) | 1\.       |             |                             |
|              | [(1x10    |             | Upgrade to Level B          |
|              | ^6^)X(TLV |             | Protection as outlined in   |
|              | or        |             | HASP.                       |
|              | PEL)]{.u  |             |                             |
|              | nderline} |             |                             |
|              |           |             |                             |
|              | (Conc. In |             |                             |
|              | mg/kg)(2) |             |                             |
|              |           |             |                             |
|              | 2 [(1x10  |             |                             |
|              | ^         |             |                             |
|              | 6^)X(IDLH |             |                             |
|              | or MUC or |             |                             |
|              | Cartridge |             |                             |
|              | Ra        |             |                             |
|              | ting)]{.u |             |                             |
|              | nderline} |             |                             |
|              |           |             |                             |
|              | (Conc. In |             |                             |
|              | mg/kg)(2) |             |                             |
|              |           |             |                             |
|              | **Note:   |             |                             |
|              | Use       |             |                             |
|              | RAM       |             |                             |
|              | /MiniRAM, |             |                             |
|              | assume    |             |                             |
|              | RF=1**    |             |                             |
+--------------+-----------+-------------+-----------------------------+

**7.0 MEDICAL MONITORING**

> All personnel are expected to maintain a current status with respect
> to their medical monitoring program.

**8.0 SITE CONTROL**

> 8.1 Buddy system is required for all site work involving levels of
> protection or potentially representing a risk to personnel.
>
> 8.2 Site communications plan:
>
> Radio Air Horn
>
> Whistle Megaphone

\_\_ Cell Phone

> [X]{.underline} Hand Signals:
>
> [Signal]{.underline} [Definition]{.underline}
>
> Hands clutching throat Out of air/can\'t breath
>
> Hands on top of head Need assistance
>
> Thumbs up OK/I\'m alright/I understand
>
> Thumbs down No/negative
>
> Arms waving upright Send backup support
>
> Grip partners wrist Exit area immediately
>
> 8.3 Site Work Zones:
>
> The Exclusion Zone is defined as the area where contamination is
> either known or likely to be present, or because of activity, will
> provide a potential to cause harm to personnel. Entry into the
> Exclusion Zone requires the use of personnel protective equipment.
>
> The Contamination Reduction Zone is the area where personnel conduct
> personal and equipment decontamination. It is essentially a buffer
> zone between contaminated areas and clean areas. Activities to be
> conducted in this zone will require personal protection as defined in
> the decontamination plan.
>
> The Support Zone is situated in clean areas where the chance to
> encounter hazardous materials or conditions is minimal. Personal
> protective equipment is therefore not required.
>
> Site work zone definition can be found:
>
> Site map Sketch on reverse of this page

8.4 Nearest Medical Assistance

> Directions and a map to the nearest medical assistance is attached to
> this plan.
>
> The following personnel on-site have current certification on CPR
> and/or First Aid.

CPR FIRST AID

[NAME]{.underline} [EXPIRATION DATE]{.underline} [EXPIRATION
DATE]{.underline}

8.5 Standing Orders

[Standing Orders for Exclusion Zone]{.underline}

o No smoking, eating, or drinking in this zone.

o No horse play.

o No matches or lighters in this zone.

o Check-in on entrance to this zone.

o Check-out on exit from this zone.

o Implement the communications system.

o Line of sight must be in position when appropriate.

o Wear the appropriate level of protection as defined in the SHSP.

[Standing Orders for Contamination Reduction Zone]{.underline}

o No smoking, eating, or drinking in this zone.

o No horse play.

o No matches or lighters in this zone.

o Wear the appropriate level of protection.

**9.0 DECONTAMINATION PLAN**

> Describe decontamination sequence for each level of protection to be
> used on-site.

**[Level C]{.underline}** **[Level D]{.underline}**

Step 1 Boot Cover and Glove Wash Remove Surgicals

Step 2 Boot Cover and Glove Rinse Wash hands and face

Step 3 Tape Removal Shower ASAP

Step 4 Boot Cover Removal

Step 5 Outer Glove Removal

Step 6 Saranex/Boot Wash

Step 7 Saranex/APR/Boot/Glove Rinse

Step 8 Safety Boot Removal (if necessary)

Step 9 Suit (TYVEK or other) removal

Step 10 APR removal/disinfection

Step 11 Inner glove (Surgicals) wash/rinse/removal

Step 12 Hand and face wash

Step 13 Shower ASAP

**[Level B]{.underline}**

Step 1 Boot Cover and Glove Wash

Step 2 Boot Cover and Glove Rinse

Step 3 Tape Removal

Step 4 Boot Cover Removal

Step 5 Outer Glove Removal

Step 6 Saranex/Boot Wash

Step 7 Saranex/SCBA/Boot/Glove Rinse

Step 8 Safety Boot Removal (if necessary)

Step 9 SCBA Backpack Removal

Step 10 Suit (TYVEK or other) removal

Step 11 Inner Glove Wash/Rinse

Step 12 Face Piece Removal/disinfection

Step 13 Inner glove (Surgicals) wash/rinse/removal

Step 14 Face and Hand Wash

Step 15 Shower ASAP

> Are personnel required to assist with decon? Yes No
>
> If yes, what level of protection is required for those assisting?

(Circle one) B, C, D.

Describe disposition of wastes:

**10.0 CONTINGENCY PLANNING**

10.1 Identify location of the following during the site orientation.

> First Aid Kit: Eye Wash:
>
> Stretcher: Emergency Shower:
>
> Fire Extinguisher:
>
> Public Telephone:
>
> Site Telephone:
>
> Mobile Telephone:
>
> Two-Way Radios:
>
> Telephone Contact Lists:
>
> SCBA\'s:
>
> Escape Packs:
>
> Evacuation Routes: [.]{.underline}

10.2 Emergency Contact/Notification System

> The following list provides names and telephone numbers for emergency
> contact personnel.
>
> [Organization]{.underline} [Contact]{.underline}
> [Telephone]{.underline}

Ambulance:

Police:

Fire:

State Police:

Hospital #1:

Hospital #2:

Poison Control Center

Regional EPA:

State Authority:

**CHEMTREC (800) 424-9300**

TSCA HOTLINE (202) 554-1404

RCRA HOTLINE (800) 424-9346

CDC (DAY) (404) 452-4100

(NIGHT) (404) 329-2888

BUREAU OF ALCOHOL, TOBACCO & FIREARMS (800) 424-9555,

\(202\) 566-7777

**NATIONAL RESPONSE CENTER (800) 424-8802**

PESTICIDE INFORMATION SERVICE (800) 858-7378

BUREAU OF EXPLOSIVES, A.A. RAILWAYS (202) 639-2229

FEDERAL EXPRESS - HAZARDOUS MATERIAL INFO (901) 922-1666

10.3 Medical Emergencies

> Any person who becomes ill or injured in the exclusion zone must be
> decontaminated to the maximum extent possible. If the injury or
> illness is minor, full decontamination should be completed and first
> aid administered prior to transport. If the patient\'s condition is
> serious, at least partial decontamination should be completed (i.e.,
> complete disrobing of the victim and redressing in clean coveralls or
> wrapping in a blanket.) First aid should be administered while
> awaiting an ambulance or paramedics.
>
> Any person being transported to a clinic or hospital for treatment
> should taken with them information on the chemical(s) they have been
> exposed to at the site. This information is included in Section 3.0 of
> this plan. Map with directions to the hospital can be found
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ or attached to the back of this
> document.

10.4 Fire or Explosion

> In the event of a fire or explosion, the local fire department should
> be summoned immediately. Upon their arrival, the designated personnel
> will advise the fire commander of the location, nature, and
> identification of the hazardous materials onsite.

If it is safe to do so, site personnel may:

o Use fire fighting equipment available onsite to control or extinguish
the fire; and,

o Remove or isolate flammable or other hazardous materials which may
contribute to the fire.

10.5 Spill or Leaks

In the event of a spill or a leak, site personnel will:

o Inform their supervisor immediately;

o Locate the source of the spillage and stop the flow if it can be done
safely; and,

o Begin containment and recovery of the spilled materials with sorbent
(vermiculate, etc.).

**11.0 CONFINED SPACE**

> No confined space entry anticipated.
>
> Confined spaces may be encountered in the following locations/during
> completion of the following tasks:
>
> Attach confined space entry procedures.

**12.0 ACKNOWLEDGMENT**

> I have read, understood, and agreed with the information set forth in
> this Health and Safety Plan and will adhere to the protocols specified
> herein.

FWS Field Response Coordinator Signature Date

Site Safety Coordinator Signature Date

Field Team Member Signature Date

Field Team Member Signature Date

Field Team Member Signature Date

Field Team Member Signature Date

Field Team Member Signature Date

Field Team Member Signature Date

Field Team Member Signature Date

[SUBCONTRACTORS]{.underline}:

Name Signature Date

Name Signature Date

Name Signature Date

Name Signature Date

Name Signature Date