Task Identification Process (TIP) List

Construction

**Project Title [      ]{.underline}**

**Subcontractor Name [     ]{.underline} Subcontract No. [     
]{.underline}**

Subcontractors for construction projects shall complete this TIP List
and submit it with a site-specific safety plan. This list does not
include every Environment, Safety, and Health (ES&H) related concern at
LLNL. It is intended to highlight major concerns common to most on-site
construction activities and will assist in identifying potential topics
to be included in the project-specific safety plan.

**[Fire Protection]{.underline}**

Will the job involve welding, soldering, or torch cutting? Yes No N/A

Will flammable/combustible liquids be used or stored? Yes No N/A

Will temporary heating devices be used? Yes No N/A

Will water and/or fire extinguishers be provided on the job site? Yes No
N/A

(Examples include any work involving solvents, fuels, soldering, torch
cutting, or heating devices; e.g., gasoline and diesel fuel delivery
services, high-voltage cable splicing services, elevator repair
services, flooring services, cafeteria hood cleaning and fire
suppression service, and water pipe repair services.)

**[Electrical Safety]{.underline}**

Will lock-out, tag-out be required? Yes No N/A

Will work be performed on or near energized equipment, lines, or
circuits? Yes No N/A

[Note]{.underline}: If the answer to any of the above questions is yes,
no on-site work can be performed until reviewed and approved by LLNL
Hazards Control.

If yes, describe:

[     ]{.underline}

(Examples of this work include industrial shredder maintenance, power
machinery repair services, elevator repair, overhead bridge crane
maintenance/repair services, cathodic protection services, hydraulic
test systems repair/service, and air compressor rebuilding services.)

**[Overhead Power Lines and Hidden Utilities]{.underline}**

Will hazards associated with overhead power lines (e.g., clearance) be
an issue? Yes No N/A

Will potential underground or hidden utilities need to be located on the
job site? Yes No N/A

If the answer to the last above question is yes, how will this be
accomplished and who will perform the work (e.g., LLNL, subcontractor,
other)?

[     ]{.underline}

(Examples of this work include tree pruning services, tree
removal/relocation/replacement, underground utility identification
services, concrete sawing and removal services, drill rig operations
\[e.g., soil characterization services, water well drilling,
geotechnical investigation\], and wall drilling.)

**[Electrical Power Transmission and Distribution]{.underline}**

Will there be construction of transmission and distribution lines and
equipment? Yes No N/A

What methods will the subcontractor use to prevent accidental contact
with energized lines or equipment?

[     ]{.underline}

Will workers be using nonconductive tools? Yes No N/A

(Examples of this work include high-voltage cable splicing services,
telecommunications upgrade services, and elevator repair services.)

**[Powder-Actuated Tools]{.underline}**

Will powder-actuated tools be used? Yes No N/A

Are operators trained and qualified? Yes No N/A

(Examples of this work include awning/canopy installation, tent
installation, and furniture/fixture installation.)

**[Fall Protection]{.underline}**

Will workers be exposed to a potential fall in excess of 6 feet? Yes No
N/A

If yes, describe how workers will be protected:

[     ]{.underline}

(Examples of this work include tree pruning, window and ledge cleaning,
window replacement, high-voltage cable splicing services, overhead
bridge crane maintenance/repair services, roll-up door replacement, tent
installation, awning/canopy installation, overhead air exchange
installation, construction inspection and testing services.)

######### Scaffolding and Ladders

Will scaffolding or ladders be used and approved worker access be
provided? Yes No N/A

Will scaffolding or ladders be exposed to wet and/or slippery
conditions? Yes No N/A

Will scaffolding or ladders need to be secured to the building? Yes No
N/A

Does the subcontractor have a designated competent person? Yes No N/A

(Examples of this work include window cleaning, tree pruning, window
replacement, roll-up door replacement, tent installation, and
awning/canopy installation.)

**[Demolition and Salvage]{.underline}**

Does the subcontractor have a demolition/salvage plan? Yes No N/A

How will passersby be protected from potential hazards?

[     ]{.underline}

How will materials be lowered?

[     ]{.underline}

Have the demolition materials been evaluated for reuse or recycling? Yes
No N/A

**[Concrete and Masonry Construction]{.underline}**

Will workers be protected from impalement hazards? Yes No N/A

Are there unique hazards associated with the method of construction Yes
No N/A

(i.e., tilt-up, slip form, etc.)?

If yes, describe:

[     ]{.underline}

**[Steel Erection]{.underline}**

Will the job involve steel erection? Yes No N/A

If yes, what equipment will be used to lift steel into place?

[     ]{.underline}

Will appropriate access to steel be provided? Yes No N/A

Does the subcontractor's policy prevent "Christmas Treeing" of steel?
Yes No N/A

Will at least two bolts be placed at each connection as steel is
erected? Yes No N/A

**[Floor, Wall, and Roof Openings]{.underline}**

Will floor, wall, and/or roof openings be created during this job? Yes
No N/A

If yes, how will personnel be protected from hazards associated with
these openings?

[     ]{.underline}

**[Cranes and Forklifts]{.underline}**

Will crane(s), forklift(s), manlift(s), or other lifting equipment be
used? Yes No N/A

Has lifting and rigging equipment been inspected and certified as
required? Yes No N/A

Does the subcontractor have a designated competent operator? Yes No N/A

Will lifting attachments be used in conjunction with forklifts that are
approved Yes No N/A

for use by the forklift manufacturer?

(Examples of this work include heavy or oversized goods delivery, tree
pruning, overhead bridge crane maintenance/repair, high-voltage cable
splicing, and roll-up door replacement.)

**[Excavation and Trenching]{.underline}**

Will there be excavation or trenching in excess of 5 feet? Yes No N/A

Does the subcontractor have a designated competent person? Yes No N/A

Will workers have appropriate access, egress, and cave-in protection?
Yes No N/A

Will the subcontractor protect trenches or excavations from water
accumulation? Yes No N/A

Will the subcontractor protect pedestrians and vehicle traffic from
excavations? Yes No N/A

Will the job involve underground construction other than trenching or
Yes No N/A

underground electrical transmission?

Will an LLNL environmental analyst evaluate excess soil and rubble
before it is Yes No N/A

reused on-site or disposed of at an approved Class I, II, or III
landfill?

**[Motor Vehicles and Heavy Equipment Safety]{.underline}**

Will the subcontractor be using motor vehicles or heavy equipment
on-site? Yes No N/A

Will all operators have valid state driver's licenses? Yes No N/A

Will vehicles, including safety features (e.g., rollover protection), be
inspected? Yes No N/A

(Examples of this work include delivery of goods, personnel
transportation services, trailer relocation services, oil/water pump out
and recycling services, asphalt grinding and asphalt sealing services,
portable toilet services, weed/brush abatement and mowing services,
landscape hydroseed services, drill rig operations \[e.g., soil
characterization services, water well drilling\], tree stump grinding,
concrete sawing and removal, and scrap iron removal services.)

**[Ergonomics]{.underline}**

Will potential construction-related and material-handling injuries be
controlled? Yes No N/A

**[Confined Spaces]{.underline}**

Will work be performed in vaults, manholes, trenches, or tanks more than
4 feet deep? Yes No N/A

If yes, describe:

[     ]{.underline}

Does the subcontractor have a written confined space work program? Yes
No N/A

Will work involving welding, torch cutting, brazing, grit blasting, Yes
No N/A

or any machinery use be performed in or near confined spaces?

Will painting, application of other coatings, or use of chemicals,
solvents, Yes No N/A

combustibles, or similar hazardous materials be performed in confined
spaces?

(Examples of this work are many and varied; any service that could
involve working in vaults, pits, tanks, etc.; e.g., cathodic protection
services, high-voltage cable splicing services, telecommunications
upgrades, construction inspection and testing services, water/fuel
storage tank clean-out services, and utility corrosion inspection
services.)

**[Industrial Hygiene/Respiratory Protection]{.underline}**

Will the job involve materials or processes requiring respiratory
protection? Yes No N/A

Does the subcontractor have a written industrial hygiene/respiratory
protection program? Yes No N/A

(See sections on Confined Spaces, Chemicals, Asbestos, Lead, and Silica
Dust \[OSHA considers dust masks as respirators\].)

**[Personal Protective Equipment]{.underline}**

Will the subcontractor provide workers with appropriate personal
protective clothing Yes No N/A

and equipment (e.g., leather gloves, hardhats, eye protection, face
protection,

safety shoes, hearing protection, chemical gloves/clothing)?

If yes, describe:

[     ]{.underline}

Does the subcontractor have a written Personal Protective Equipment
program? Yes No N/A

(Examples of this work include most industrial-type
services/installations.)

**[Asbestos-Containing Materials]{.underline}**

Is there a possibility that asbestos containing materials (ACM) will be
encountered? Yes No N/A

If yes, describe:

[     ]{.underline}

Does the subcontractor have an asbestos work program? Yes No N/A

Has a 10-day notification to the Bay Area Air Quality Management
District Yes No N/A

(BAAQMD) been submitted for renovations involving ACM greater than or

equal to 100 linear feet, 100 square feet, or 35 cubic feet prior to
renovation?

(Examples of this work include disturbance or penetrations of flooring,
walls, ceiling tiles, pipe lagging, transite siding, particularly in
older facilities; e.g., furniture/fixture installation,
carpeting/flooring services, and boiler repair/tune-up services)

**[Lead-Containing Materials]{.underline}**

Is there a possibility that lead containing materials will be
encountered? Yes No N/A

If yes, describe:

[     ]{.underline}

Does the subcontractor have a lead work program? Yes No N/A

(Examples of this work include disturbance of lead-based paint,
particularly in older facilities. Lead is also present in certain
electrical circuitry and metal alloys; .e.g, overhead bridge crane
maintenance/repair, high-voltage cable splicing services, boiler
repair/tune-up services, fixture installation services, and chiller
maintenance/repair services.)

**[Silca Dust]{.underline}**

Will the work involve jack hammering, roto-hammering or other operations
that Yes No N/A

may generate silica dust?

If yes, describe how dust will be controlled and /or workers protected
from silica hazards

[     ]{.underline}

(Examples of this work include installations, pavement/concrete grading
and paving, concrete sawing and removal services.)

**[Chemicals, Solvents, Fumes, Vapors, and Dusts]{.underline}**

(OSHA PELs and ACGIH TLVs apply)

Will work involve chemicals, solvents, painting, welding, torch cutting,
Yes No N/A

brazing or grit blasting?

If yes, describe:

[     ]{.underline}

Will MSDSs be submitted for all potentially hazardous chemicals and
solvents? Yes No N/A

Will emergency eyewashes and showers be available to workers as
necessary? Yes No N/A

Will ventilation requirements be reviewed to preclude exposure to
workers? Yes No N/A

Are all paints in compliance with Bay Area Air Quality Management
District Yes No N/A

(BAAQMD) limits on volatile organic compound (VOC) content?

Will an LLNL environmental analyst evaluate all grit blasting waste
before disposal? Yes No N/A

(Examples of this work include operations involving cleaning solvents,
adhesives, paints, binders; e.g., solvent recycling services, oil
pumpout and recycling services, diesel fuel filtration services,
emergency hazardous waste removal/ decontamination services, storage
tank clean-out services, countertop installation (epoxies), portable
toilet services, and flooring.)

**[Noise]{.underline}**

Will workers be exposed to high noise levels on this job? Yes No N/A

Does the subcontractor have a written hearing conservation program? Yes
No N/A

(Examples of this work include installations and heavy equipment
operation.)

**[Heat Stress]{.underline}**

If heat stress is an issue, will heat stress monitoring be routinely
performed Yes No N/A

in accordance with the ACGIH TLVs?

If yes, describe:

[     ]{.underline}

Will a rest area be provided in a cooler environment (e.g., utilizing
shade, fans, Yes No N/A

air conditioning, etc.)?

Will the subcontractor provide liquid replenishment at the job site? Yes
No N/A

Will a work/rest regimen be enforced? Yes No N/A

Has training on recognizing the signs and symptoms of heat stress and
Yes No N/A

heat stroke been provided to workers and supervisors?

**[Radiation and Laser Safety]{.underline}**

Will radioactive material/sources be used on-site? Yes No N/A

If yes, describe:

[     ]{.underline}

Will radiation-producing equipment be used on-site? Yes No N/A

If yes, describe:

[     ]{.underline}

Will special radiation dosimetry be required (other than normal
LLNL-issued dosimeters)? Yes No N/A

Will an LLNL Radiation Work Permit for Visitors be required? Yes No N/A

Will the use of alignment lasers be necessary to perform work? Yes No
N/A

(Examples of this work include radiography services and
equipment/surface alignment services.)

**[Environmental Compliance]{.underline}**

Has National Environmental Policy Act (NEPA) evaluation and/or
documentation Yes No N/A

been prepared for this project?

Has a 10-day notification to the Bay Area Air Quality Management
District Yes No N/A

(BAAQMD) been submitted for any demolition?

Will all gasoline- or diesel-powered portable electrical generators be
rated below Yes No N/A

50 horsepower?

Will all excess equipment and debris waste be evaluated by an Yes No N/A

LLNL environmental analyst to determine proper disposal?

Will adequate measures be taken to prevent discharge of hazardous and
Yes No N/A

regulated materials to the environment?

Will construction equipment and vehicles be inspected daily for leaks of
fuel, Yes No N/A

engine coolant, and hydraulic fluid?

**[Storm Water Pollution Prevention Plan (SWPPP)]{.underline}**

Will all work be performed in compliance with the LLNL SWPPP? Yes No N/A

Will a project-specific SWPPP be submitted to the LLNL ES&H Team for
review? Yes No N/A

Will all concrete mixing, concrete cutting, and equipment-rinsing
wastewaters be Yes No N/A

discharged to a low area or into a constructed basin for dewatering?

(Examples of this work include concrete sawing and removal and hosing
down equipment/work surfaces during clean-up.)

**[Explosives Safety]{.underline}**

Will the use of any explosive materials be required? Yes No N/A

[Note]{.underline}: If yes, the Subcontractors must comply with the
policy and requirements specified in the *Contractor Requirements
Document* of DOE Manual 440.1--1A, *DOE Explosives Safety Manual*, and
no work may be performed until reviewed and approved by LLNL/Hazards
Control.

If yes, describe the activity and safety controls:

[     ]{.underline}

[     ]{.underline}

**[Pressure Safety]{.underline}**

Will the work involve the design, fabrication, tested, inspection,
maintenance, repair, or

operation of any pressure systems? Yes No N/A

If yes, will it be performed by trained and qualified personnel in
accordance with

applicable and sound engineering principles? Yes No N/A

Will national consensus codes be applicable (considering the pressure
range, vessel

geometry, use of special materials, etc.)? Yes No N/A

[Note]{.underline}: If the answer to the first question is yes, no
on-site work may be performed until reviewed and approved by LLNL
Hazards Control.

If the answer to the first question is yes, identify the applicable
American Society of Mechanical Engineers (ASME) standards:

[     ]{.underline}

**[Biological Safety]{.underline}**

Will the work require the use of any biological etiologic agents? Yes No
N/A

Do you have a biological safety program establishing an Institutional
Biosafety

Committee (IBC) or equivalent, that fulfills the requirements of 10 CFR
851

Appendix A, Section 7, *Biological Safety*? Yes No N/A

Do you have an immunization programs for personnel working with
biological the

etiologic agents based on the evaluation of risk and benefit of
immunization? Yes No N/A

[Note]{.underline}: If the answer to the first question is yes, no
on-site work may be performed until reviewed and approved by LLNL
Hazards Control.

If the answer to the second and/or third questions is yes, provide a
copy the program(s).

**[Site 300 -- Valley Fever]{.underline}**

Will the work require dust generating activities? Yes No N/A

**[Additional Concerns]{.underline}**

Does the subcontractor recognize any other potential ES&H concerns that

could be associated with this work? Yes No

If yes, describe the concerns and mitigation measures:

[     ]{.underline}

[     ]{.underline}

[     ]{.underline}

[     ]{.underline}

[     ]{.underline}

[     ]{.underline}

**[Tip List Attachment]{.underline}**

The following TIP List Attachment must be completed unless you are
submitting a site-specific safety plan **AND** the safety plan covers
all of the statements on the TIP List Attachment. If an approved
site-specific safety plan is on file with LLNL that applies to the work,
the TIP List Attachment must be completed and LLNL will treat it as a
supplement to that safety plan.

Does the Subcontract require you to submit a site-specific safety plan
for approval? Yes No

If so, do you have an approved site-specific safety plan on file with
LLNL? Yes No N/A

Does the site-specific safety plan cover all of the statements on the
TIP List Attachment? Yes No N/A

**TIP LIST COMPLETED BY:**

[     ]{.underline}

Subcontractor\'s Signature Date

[     ]{.underline} [     ]{.underline}

Title/Firm Phone

**Subcontractor\'s designated person responsible for on-site
environment, safety, and health:**

[     ]{.underline} [     ]{.underline}

Name Title

[     ]{.underline} [     ]{.underline}

Firm Phone

**TIP LIST ATTACHMENT**

**Subcontract Title [      ]{.underline}**

**Subcontractor Name [     ]{.underline} Subcontract No. [     
]{.underline}**

**[Implementation of Worker Safety and Health Program
Requirements]{.underline}**

> *Check each of the following boxes and provide the indicated
> information to confirm your implementation of the Worker Safety and
> Health Program Requirements. Provide an explanation for any box that
> is not checked.*

We will implement the Worker Safety and Health Program requirements of
the *Environment, Safety, and Health Provisions* of the Subcontract
through the use of our corporate safety plan, other company health and
safety documentation, and/or on-site instructions to our workers, and as
described herein.

> The following are our existing corporate safety plan and/or other
> health and safety documentation:
>
> *(identify by title and date, if applicable)*
>
> [     ]{.underline}
>
> [     ]{.underline}

A. [Management Responsibilities and Worker Rights]{.underline}

A.1 We will assign worker safety and health responsibilities, evaluate
personnel performance, and hold personnel accountable for worker safety
and health performance, as briefly described below (Note: we have
designated our person responsible for on-site environment, safety, and
health in the TIP List): *(describe how otherwise assigned, evaluated,
and held accountable)*

> [     ]{.underline}
>
> [     ]{.underline}

A.2 If the work dictates, we will use qualified worker safety and health
professionals (i.e., certified industrial hygienists and safety
professions).

A.3 We will provide our workers with access to information relevant to
the worker safety and health information, including our corporate safety
plan, this TIP list, any task-specific safety plans, and any other
relevant health and safety documents injury/illness information from
OSHA No. 300 and 300A forms (or State equivalent); and University
provided health and safety information and publications.

> The information will be available at the following location:
> *(describe)*
>
> [     ]{.underline}

A.4 We will allow our workers to report, without reprisal, job related
fatalities, injuries, illnesses, incidents, and hazards and make
suggestions for mitigating hazards, and do you promptly respond to
worker reports.

A.5 We will provide regular communications to our workers about
workplace health and safety matters performance.

A.6 We will involve our workers and their elected representatives in the
development of worker safety and health program goals, objectives, and
performance measures, and in the identification and control of hazards
in the workplace.

A.7 We will permit our workers to stop work or decline to perform task
in an appropriate manner if the worker reasonably believes that it poses
an imminent risk of death, serious physical harm, or other serious
hazard to workers, and that there is insufficient time to utilize normal
hazard reporting and abatement procedures.

A.8 We will inform our workers of their rights by appropriate means,
including by posting the incorporated 10 CFR 851 "IT'S THE LAW" worker
protection poster where it is accessible to all workers.

B. [Hazard Identification and Abatement Process]{.underline}

B.1 We will inform our workers of the hazards and protective measures
associated with assigned work activities performance as identified in
the Procurement Work Sheet (PWS) of the Subcontract and TIPS List, as
well as the site-specific safety plan (if required).

B.2 We will instruct our workers to report hazards not previously
identified or evaluated performance to our designated representative. If
immediate corrective action is not possible or the hazard falls outside
of work scope, we will immediately notify all affected workers, post
appropriate warning signs, implement needed interim control measures,
stop work in the affected area until appropriate protective measures are
established, and notify the University of the actions taken.

B.3 We will conduct and document routine assessments of work place
hazards produced from chemical, biological, and safety hazards at the
worksite as described below: *(describe)*

> [     ]{.underline}
>
> [     ]{.underline}

B.4 We will follow the hazard prevention and abatement process described
below to ensure that all identified and potential hazards at the
worksite are abated in a timely manner: *(describe)*

> [     ]{.underline}
>
> [     ]{.underline}

C. [Safety and Health Standards]{.underline}

We comply with the latest edition of the safety and health standards
identified in the *Environment, Safety, and Health Provisions* of the
Subcontract that are applicable to the hazards at our LLNL worksite.

D. [Training and Instructions]{.underline}

We will ensure that our workers exposed or potentially exposed to
hazards are provided with the training and information on that hazard in
order to perform their duties in a safe and healthful manner, including
any required LLNL ES&H training or equivalent.

E. [Recordkeeping and Reporting]{.underline}

We will report all OSHA recordable injuries and any property damage to
the University immediately (within one hour of the incident); conduct an
incident investigation and submit a complete written report to the
University within 24 hours of the incident; if an injury is involved,
provide a daily verbal and written update to the University until the
claimant is released to full duty and/or claim has been resolved; and
not conceal nor destroy any information concerning non-compliance or
potential noncompliance with the requirements.

F. [Functional Areas]{.underline}

F.1 We will have a structured approach to worker safety and health which
at a minimum will include provisions for the following functional areas,
as applicable to the work: construction safety; fire protection;
firearms safety; explosives safety; pressure safety; electrical safety;
industrial hygiene; biological safety; motor vehicle safety, and other
areas, as further described in the TIP List.

F.2 We will provide occupational medicine services for workers at an
LLNL site as required by 10CFR851 and other applicable Federal, State or
local laws, regulations, including, as a minimum, workers at an LLNL
site for more than 30 days in a 12 month period that are enrolled in a
medical monitoring program.

Our occupational medicine services provider is: *(identify if
applicable)*

> [     ]{.underline}

**TIP LIST ATTACHMENT COMPLETED BY:**

[     ]{.underline}

Subcontractor\'s Signature Date

[     ]{.underline} [     ]{.underline}

Title/Firm Phone