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######### Safety and Health Services Division 

######### Self-Assessment Plan 

**FY 2005**

**Revision 1**

**Prepared by**

**R. Travis K. Krasner**

**Approved by Date:**

**P. Williams, Division Manager**

####### 1.0 Purpose/Scope:

> This document presents the self-assessment program for the Safety and
> Health Services Division (SHSD). This self-assessment plan addresses
> those elements of the Laboratory's Critical Outcomes, Objectives, and
> Performance Measures for which SHSD has responsibility. In addition,
> the plan addresses activities for monitoring organizational processes
> and providing information to the Division managers, and the Assistant
> Laboratory Director (ALD) for ESH&Q that is relevant to ensuring
> continuous improvement in the operation of the division and the
> projects and programs under its stewardship. The approach of the
> self-assessment program includes both vertical and horizontal
> components:

-   *Vertical* (within the scope of SHSD line responsibilities)

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-   *Horizontal* (across all BNL organizations with operations that have
    Safety Engineering, Industrial Hygiene or Safety Management Systems
    Integration aspects)

> This plan meets the planning requirements associated with the
> Integrated Assessment Program (IAP) and considers each of the
> following BNL self-assessment framework criteria:

1.  Leadership Commitment and Involvement

2.  Human Resource Development and Management

3.  Customer Focus and Satisfaction (customer value)

4.  Process Management

5.  Business and Operational Results

> 6\. Compliance with Laws, Regulations and Contractual Requirements
>
> Unforeseen events or issues that arise during the year may result in
> the need to perform additional focused assessment(s). Performance of
> any unscheduled assessments will be acknowledged in the quarterly
> self-assessment reports and/or management briefings.
>
> Specific objectives, strategies and indicators for each assessment
> criteria are presented in attachments I -- VI, along with the
> responsible individual and schedule. The relation of a strategy to
> BSA/BNL Critical Outcome Measures, Directorate Objectives or SHSD
> Strategic Initiatives is identified within the attachment tables.

**2.0 Responsibilities**

1.  The [Division Manager]{.underline} for SHSD has overall
    responsibility for ensuring that this Self-Assessment Plan is
    implemented and that resources are appropriate to conduct the
    delineated activities. Specifically, these responsibilities are:

> 2.1.1 Ensuring that a self-assessment program exists, self-assessment
> plans are prepared, implemented and documented.

Ensuring that the R2A2s and individual performance goals of direct
reports reflect expectations regarding self-assessment activities and
are aligned with achieving organizational and institutional objectives
and measures.

2.  Ensuring assessments and corrective actions are tracked.

3.  Planning and implementing assessments to ensure that the SHSD
    requirements and procedures (e.g. Subject Areas, ESH Standards etc.)
    are being implemented as expected, are achieving desired results,
    and are continually improved.

4.  Reporting results, at regularly scheduled ESH&Q Management Team
    meetings, of self-assessment activities that may have Directorate
    level implications.

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1.  The [SHSD Self-Assessment Coordinator]{.underline} is responsible
    for:

    2.  Developing the self-assessment plan by interacting with the
        applicable subject matter experts (SME) and program managers.

    3.  Tracking implementation of the plan by producing periodic
        (quarterly) self-assessment reports.

    4.  Presenting self- assessment plan updates quarterly at the
        periodic S&HSD Management Team staff meetings.

    5.  Maintaining this self-assessment program plan.

    6.  Keeping DOE-BHSO informed as to the status of the
        self-assessment activities.

> 2.3 [Individuals responsible for coordinating or conducting the
> assessment activities]{.underline} (Such as Subject Matter Experts,
> Section/Program Managers, QA Representatives, etc.[)]{.underline} have
> the following responsibilities:

1.  Provide input to self-assessment planning.

2.  Perform and document assessments in accordance with schedule.

3.  Upon completing the assessment, entering status and assessment
    results/corrective actions into the Family Assessment Tracking
    System (FATS) or institutional level ATS (programmatic assessments).

4.  Participate in assessments led by others, as appropriate.

5.  Evaluate assessment results, recommend corrective actions and
    present the assessment results to the SHSD Management Team.

6.  Forward documentation of self-assessment to the Self-Assessment
    Coordinator, or attach to FATS closeout.

7.  Implementing corrective actions, as appropriate.

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3.  **Assessment Schedules, Tracking & Documentation**

    1.  Most assessment activities are entered into the SHSD Family
        Activity Tracking System (FATS) to assign responsibility,
        schedule, track, and document closeout. Actions not entered into
        the FATS for tracking may include routine activities where other
        means of documentation have been identified.

    2.  Individuals assigned to coordinate or conduct an assessment are
        responsible to complete the action in accordance with the
        schedule or obtain a supervisor's approval to revise the due
        date.

    3.  Individuals are encouraged to utilize existing forms of
        documentation, such as routine reports, meeting minutes, etc. as
        validation of activity completion. The specific means of
        documentation should be filed with assessment records or
        electronically attached through FATS.

4.  **Review and Evaluation of Assessment Results**

    1.  Individuals responsible for coordinating or conducting the
        assessment activities shall present the results and make
        recommendations to the SHSD Management Team, usually through the
        distribution of the Assessment Report or at the SHSD Management
        Team Meetings. The management team shall review the information
        and recommendations and determine:

-   Appropriate corrective and improvement actions.

-   The need to submit identified strengths and issues in the Lab-wide
    Lessons Learned program.

-   The need to report issues identified to the Laboratory Price
    Anderson Amendments Act Coordinator.

> An assigned individual is then responsible for implementing the
> corrective actions.
>
> 4.2 Accomplishments against the objectives and measures of this plan
> are reviewed through development of a quarterly self-assessment
> report. The report is developed by the self-assessment coordinator and
> electronically distributed to the SHSD Management team, the ALD for
> ESH&Q, and individuals responsible for coordinating assessments.
>
> 4.3 The results of the previous year's assessments and annual
> evaluation serve as input for improvement actions and assessment
> activities for the subsequent year.

5.  **Corrective Action Management**

5.1 Corrective and improvement actions identified through assessment
activities shall be managed in accordance with ESH Standard 1.2.1,
Corrective Action Management and Tracking for Internal and External
Assessments.

5.2 Corrective Actions associated with lab-wide programmatic assessments
shall be entered and tracked in the Institutional level Assessment
Tracking System (ATS). Internal SHSD corrective actions should be
tracked to closure through the Family Assessment Tracking System (FATS).

6.  **Approval and Change Control**

    1.  The SHSD Division Manager, following electronic review and
        comment by the SHSD management team and other individuals, as
        appropriate, formally approves this plan.

    2.  Revisions to the plan shall be identified through the Revision
        Number and date.

+--------+---+----------------------+----------------+----------------+
| **SHSD |   |                      |                |                |
| Str    |   |                      |                |                |
| ategic |   |                      |                |                |
| I      |   |                      |                |                |
| nitiat |   |                      |                |                |
| ives** |   |                      |                |                |
+========+===+======================+================+================+
| #      | * | ### De               | **Target(s)**  | **Status**     |
| # Init | * | scription/Objectives |                |                |
| iative | P |                      |                |                |
|        | r |                      |                |                |
|        | i |                      |                |                |
|        | o |                      |                |                |
|        | r |                      |                |                |
|        | i |                      |                |                |
|        | t |                      |                |                |
|        | y |                      |                |                |
|        | ^ |                      |                |                |
|        | 1 |                      |                |                |
|        | ^ |                      |                |                |
|        | * |                      |                |                |
|        | * |                      |                |                |
+--------+---+----------------------+----------------+----------------+
| 1\.    | 1 | **Improve Customer   | Develop SHSD   |                |
| Cu     |   | Perception of SHSD   | Customer       |                |
| stomer |   | Response to Their    | Service Action |                |
| Satisf |   | Needs**              | Plan           |                |
| action |   |                      |                |                |
|        |   | This Initiative is   | **P.           |                |
|        |   | in response to ESH&Q | Williams**     |                |
|        |   | Draft IA&O Report SA |                |                |
|        |   | 04-03                | **9/30/05**    |                |
|        |   |                      |                |                |
|        |   | **Recommendation:**  |                |                |
|        |   | Managers of named    |                |                |
|        |   | organizations should |                |                |
|        |   | ensure that          |                |                |
|        |   | solicitation of      |                |                |
|        |   | customer feedback is |                |                |
|        |   | included among       |                |                |
|        |   | scheduled assessment |                |                |
|        |   | activities in their  |                |                |
|        |   | SA Plans.            |                |                |
+--------+---+----------------------+----------------+----------------+
| 2\.    | 1 | **Implementation &   | Deliver        | **COMPLETED**  |
| Safety |   | Sustaining Worker    | Laboratory     | -- Draft       |
|        |   | Safety               | Comprehensive  | document sent  |
|        |   | Improvements:**      | Safety Plan to | to Jim         |
|        |   | (Supports FY'04      | ESHQ ALD by    | Tarpinian      |
|        |   | Institutional        | 7/1/04         | 6/25/04.       |
|        |   | Imperative #1)       |                |                |
|        |   |                      | (S. Hoey --    |                |
|        |   | SHSD supplies the    | 7/1/04)        |                |
|        |   | subject matter       |                |                |
|        |   | experts to develop   | Assure ALD     |                |
|        |   | and implement        | finalizes the  |                |
|        |   | programs that are    | SIP            |                |
|        |   | required to shape    |                |                |
|        |   | the culture of the   | (P. Williams   |                |
|        |   | BNL workforce that   | -- 4/11/05)    |                |
|        |   | will lead to         |                |                |
|        |   | sustainable          |                |                |
|        |   | improvement in the   |                |                |
|        |   | safety culture and   |                |                |
|        |   | resulting            |                |                |
|        |   | indicators.          |                |                |
+--------+---+----------------------+----------------+----------------+
| 3 Cost | 2 | **Integration of     | Decision will  |                |
| Eff    |   | field Services:**    | be made by     |                |
| ective |   | (Supports FY'04      | ESHQ&T         |                |
| Safety |   | Directorate          | Management     |                |
| and    |   | Imperatives #1 & 3)  | Team at        |                |
| Health |   |                      | 3/11/05        |                |
| Se     |   | As indicated in      | meeting        |                |
| rvices |   | Directorate          |                |                |
|        |   | imperatives 1 and 3  | (J. Tarpinian, |                |
| FATS   |   | the current business | P. Williams,   |                |
| 2511   |   | model for ESHQ does  | G. Goode, and  |                |
|        |   | not adequately       | C. Schaefer -- |                |
|        |   | provide the          | 3/11/05)       |                |
|        |   | necessary support of |                |                |
|        |   | trained and          |                |                |
|        |   | qualified personnel  |                |                |
|        |   | to the field.        |                |                |
|        |   | Business models have |                |                |
|        |   | built in a level of  |                |                |
|        |   | competition rather   |                |                |
|        |   | than cooperation.    |                |                |
|        |   | Multiple business    |                |                |
|        |   | models are           |                |                |
|        |   | confusing, redundant |                |                |
|        |   | and perceived by the |                |                |
|        |   | customer as an       |                |                |
|        |   | indicator of an      |                |                |
|        |   | unresponsive service |                |                |
|        |   | provider.            |                |                |
+--------+---+----------------------+----------------+----------------+
| 4\.    | 2 | **Integrating ESH&Q  | SOP developed  |                |
| ESH&Q  |   | into new scientific  | on SHSD        |                |
| Integ  |   | fa                   | support of     |                |
| ration |   | cilities/missions:** | design review  |                |
|        |   | (Supports            |                |                |
| FATS   |   | Directorate          | J. Durnan      |                |
| 2511   |   | Imperatives 1 and 3) |                |                |
|        |   |                      | 4/20/05        |                |
|        |   | The ESHQ             |                |                |
|        |   | organization needs   |                |                |
|        |   | to improve its       |                |                |
|        |   | integration of ESHQ  |                |                |
|        |   | requirements earlier |                |                |
|        |   | into the design      |                |                |
|        |   | phase. This in the   |                |                |
|        |   | operational phase of |                |                |
|        |   | the facility will    |                |                |
|        |   | reduce the number of |                |                |
|        |   | incidents and        |                |                |
|        |   | occurrences and      |                |                |
|        |   | provide a more       |                |                |
|        |   | efficient facility.  |                |                |
+--------+---+----------------------+----------------+----------------+
| 5\.    | 1 | **Maintain "core"    | See 2.A.3      | See 2.A.3      |
| Ma     |   | competencies         |                |                |
| intain |   | (Professional        |                |                |
| SHSD   |   | qualifi              |                |                |
| Core   |   | cation/certification |                |                |
| Comp   |   | and field            |                |                |
| etency |   | proficiency):**      |                |                |
|        |   | (Supports            |                |                |
|        |   | Institutional Level  |                |                |
|        |   | Imperative #1)       |                |                |
|        |   |                      |                |                |
|        |   | It is critical to    |                |                |
|        |   | the future success   |                |                |
|        |   | of the organization  |                |                |
|        |   | to maintain trained  |                |                |
|        |   | and certified        |                |                |
|        |   | subject matter       |                |                |
|        |   | experts. The entire  |                |                |
|        |   | SBMS system while    |                |                |
|        |   | migrating to a       |                |                |
|        |   | performance-based    |                |                |
|        |   | model is still very  |                |                |
|        |   | much an expert based |                |                |
|        |   | model. Some level of |                |                |
|        |   | expert based is      |                |                |
|        |   | required for it to   |                |                |
|        |   | function well.       |                |                |
+--------+---+----------------------+----------------+----------------+
| 6\.    | 1 | **Data Delivery:**   | See 3.A.4      | See 3.A.4      |
| P      |   | (Supports FY'04      |                |                |
| rovide |   | Directorate          |                |                |
| ESH    |   | Imperative #2)       |                |                |
| Data   |   |                      |                |                |
| to the |   | Accurate and timely  |                |                |
| Lab    |   | data is important to |                |                |
|        |   | be able to track and |                |                |
|        |   | trend incidents      |                |                |
|        |   | without this type of |                |                |
|        |   | information the      |                |                |
|        |   | ability to identify  |                |                |
|        |   | deficiencies and     |                |                |
|        |   | implement            |                |                |
|        |   | improvements is      |                |                |
|        |   | ineffective.         |                |                |
+--------+---+----------------------+----------------+----------------+

Attachment I

+---------------+---+--------------------+-------+---------+---------+
| **ASSESSMENT  |   |                    |       |         |         |
| CRITERIA: 1.0 |   |                    |       |         |         |
| Leadership    |   |                    |       |         |         |
| Commitment    |   |                    |       |         |         |
| and           |   |                    |       |         |         |
| Involvement** |   |                    |       |         |         |
+===============+===+====================+=======+=========+=========+
| **            |   |                    |       |         |         |
| OBJECTIVES**: |   |                    |       |         |         |
| A. To set     |   |                    |       |         |         |
| direction and |   |                    |       |         |         |
| monitor an    |   |                    |       |         |         |
| effective     |   |                    |       |         |         |
| leadership    |   |                    |       |         |         |
| system        |   |                    |       |         |         |
|               |   |                    |       |         |         |
| B. To         |   |                    |       |         |         |
| effectively   |   |                    |       |         |         |
| communicate   |   |                    |       |         |         |
| information   |   |                    |       |         |         |
| throughout    |   |                    |       |         |         |
| the Division  |   |                    |       |         |         |
|               |   |                    |       |         |         |
| C. To         |   |                    |       |         |         |
| maintain      |   |                    |       |         |         |
| routine       |   |                    |       |         |         |
| management    |   |                    |       |         |         |
| field         |   |                    |       |         |         |
| presence      |   |                    |       |         |         |
+---------------+---+--------------------+-------+---------+---------+
| **Strategy**  | * | **Indicators**     | **R   | **Sched | **S     |
|               | * |                    | espon | ule/Due | tatus** |
|               | P | **(Measu           | sibil | Date**  |         |
|               | r | res/Assessments)** | ity** |         |         |
|               | i |                    |       |         |         |
|               | o |                    |       |         |         |
|               | r |                    |       |         |         |
|               | i |                    |       |         |         |
|               | t |                    |       |         |         |
|               | y |                    |       |         |         |
|               | ^ |                    |       |         |         |
|               | 1 |                    |       |         |         |
|               | ^ |                    |       |         |         |
|               | * |                    |       |         |         |
|               | * |                    |       |         |         |
+---------------+---+--------------------+-------+---------+---------+
| 1.A.1.        | 1 | Communicate FY2005 | P.    | SHSD    | Resc    |
| Establish     |   | SHSD Priorities    | Wil   | Al      | heduled |
| FY'05 SHSD    |   | via SHSD Staff     | liams | l-hands | for     |
| Priorities    |   | Meetings, Group    |       | Staff   | July    |
|               |   | Meetings and the   |       | Meeting | 13,     |
| SHSD FATS:    |   | ESHQ All Hands     |       |         | 2005    |
| 2511.         |   | Meeting scheduled  |       | P.      |         |
|               |   | for early June.    |       | W       |         |
|               |   |                    |       | illiams |         |
|               |   |                    |       | --      |         |
|               |   |                    |       | 6/7/05  |         |
+---------------+---+--------------------+-------+---------+---------+
| 1.B.1. Senior | 2 | Meetings           | P.    | (Not    |         |
| Staff         |   | scheduled:         | Will  | f       |         |
| Meetings,     |   |                    | iams, | ormally |         |
| Section Staff |   | [Targets: Senior   | J.    | t       |         |
| Meetings, and |   | Staff Meetings --  | Eller | racked) |         |
| Division      |   | Biw                | kamp, |         |         |
| Meetings      |   | eekly]{.underline} | R.    | Conduct |         |
|               |   |                    | S     | bi      |         |
| SHSD FATS:    |   | [Group             | elvey | -weekly |         |
| 2511.         |   | Mee                |       | staff   |         |
|               |   | tings]{.underline} |       | m       |         |
|               |   | [--                |       | eetings |         |
|               |   | Bimo               |       |         |         |
|               |   | nthly]{.underline} |       |         |         |
|               |   |                    |       |         |         |
|               |   | (Document in       |       |         |         |
|               |   | meeting minutes,   |       |         |         |
|               |   | agendas or         |       |         |         |
|               |   | personal logs.)    |       |         |         |
+---------------+---+--------------------+-------+---------+---------+
| 1.C.1.        | 2 | Perform periodic   | P.    | Qu      |         |
| Management    |   | walkthroughs.      | Will  | arterly |         |
| Participation |   |                    | iams, | SAP     |         |
| in Tier I     |   | [**Targets:** IH   | J.    | Status  |         |
| Inspections   |   | Lab quarterly.     | Eller | Report  |         |
|               |   | Building 120 once  | kamp, |         |         |
| SHSD FATS:    |   | per                | R.    |         |         |
| 2511.         |   | year.]{.underline} | S     |         |         |
|               |   |                    | elvey |         |         |
|               |   | (Document in       |       |         |         |
|               |   | meeting minutes,   |       |         |         |
|               |   | agendas or         |       |         |         |
|               |   | personal logs.)    |       |         |         |
+---------------+---+--------------------+-------+---------+---------+

Attachment II

+--------------+----+-------------------+-------+---------+---------+
| **ASSESSMENT |    |                   |       |         |         |
| CRITERIA:    |    |                   |       |         |         |
| 2.0 Human    |    |                   |       |         |         |
| Resource     |    |                   |       |         |         |
| Development  |    |                   |       |         |         |
| and          |    |                   |       |         |         |
| Management** |    |                   |       |         |         |
+==============+====+===================+=======+=========+=========+
| **O          |    |                   |       |         |         |
| BJECTIVES:** |    |                   |       |         |         |
| A. To        |    |                   |       |         |         |
| maintain an  |    |                   |       |         |         |
| effective    |    |                   |       |         |         |
| and          |    |                   |       |         |         |
| empowered    |    |                   |       |         |         |
| employee     |    |                   |       |         |         |
| work staff   |    |                   |       |         |         |
|              |    |                   |       |         |         |
| B. To        |    |                   |       |         |         |
| provide a    |    |                   |       |         |         |
| safe and     |    |                   |       |         |         |
| healthful    |    |                   |       |         |         |
| workplace    |    |                   |       |         |         |
+--------------+----+-------------------+-------+---------+---------+
| **Strategy** | ** | **Indicators**    | **R   | **Sched | **S     |
|              | Pr |                   | espon | ule/Due | tatus** |
|              | io | **(Measur         | sibil | Date**  |         |
|              | ri | es/Assessments)** | ity** |         |         |
|              | ty |                   |       |         |         |
|              | ^  |                   |       |         |         |
|              | 1^ |                   |       |         |         |
|              | ** |                   |       |         |         |
+--------------+----+-------------------+-------+---------+---------+
| 2.A.1.       | 1  | Completed &       | A     | Annual  |         |
| Performance  |    | conducted per BNL | pprop |         |         |
| Appraisals   |    | schedule.         | riate | Per HR  |         |
|              |    |                   | Man   | Di      |         |
|              |    |                   | agers | rective |         |
|              |    |                   |       |         |         |
|              |    |                   | (Repo |         |         |
|              |    |                   | rting |         |         |
|              |    |                   | --    |         |         |
|              |    |                   |       |         |         |
|              |    |                   | S.    |         |         |
|              |    |                   | W     |         |         |
|              |    |                   | iley) |         |         |
+--------------+----+-------------------+-------+---------+---------+
| 2.A.2. R2A2  | 1  | R2A2s revised as  | All   | Annual  |         |
| and Goal     |    | necessary & FY'05 | empl  |         |         |
| Planning     |    | goals             | oyees | Per HR  |         |
|              |    | d                 |       | Di      |         |
|              |    | eveloped/approved | (Repo | rective |         |
|              |    | by scheduled BNL  | rting |         |         |
|              |    | date.             | --    |         |         |
|              |    |                   |       |         |         |
|              |    |                   | S.    |         |         |
|              |    |                   | W     |         |         |
|              |    |                   | iley) |         |         |
+--------------+----+-------------------+-------+---------+---------+
| 2.A.3.       | 1  | [**Target:** Each | All   | Qu      |         |
| Provide      |    | employee has      | empl  | arterly |         |
| professional |    | opportunity to    | oyees | Status  |         |
| development  |    | attend one        |       | Report  |         |
| o            |    | Professional      | (Repo |         |         |
| pportunities |    | Development       | rting |         |         |
|              |    | Opportunity, if   | --    |         |         |
| (Supports    |    | funding is        |       |         |         |
| SHSD         |    | availa            | S.    |         |         |
| Strategic    |    | ble.]{.underline} | W     |         |         |
| Initiative   |    |                   | iley) |         |         |
| #5)          |    |                   |       |         |         |
+--------------+----+-------------------+-------+---------+---------+
| 2.A.4.       | 2  | Succession Plan   | P.    | Semi    |         |
| Succession   |    | revised as        | Wil   | -annual |         |
| Plan         |    | necessary.        | liams | (Marc   |         |
| Maintained   |    |                   |       | h/Sept) |         |
| Current      |    |                   |       |         |         |
+--------------+----+-------------------+-------+---------+---------+
| 2.A.5.       | 2  | Awards &          | A     | At the  |         |
| Employee     |    | recognition       | pprop | semi    |         |
| Recognition  |    | received.         | riate | annual  |         |
|              |    |                   | Man   | Dire    |         |
|              |    |                   | agers | ctorate |         |
|              |    |                   |       | "All    |         |
|              |    |                   | (Repo | Hands"  |         |
|              |    |                   | rting | M       |         |
|              |    |                   | -- S. | eetings |         |
|              |    |                   | W     |         |         |
|              |    |                   | iley) |         |         |
+--------------+----+-------------------+-------+---------+---------+
| 2.B.1.       | 1  | **Targets**:      | All   | Re      |         |
| Target       |    |                   | empl  | porting |         |
| Safety &     |    | 1\. Days Away,    | oyees | of      |         |
| Health       |    | Restricted, or    |       | perf    |         |
| Measures     |    | Transferred Rate  | Repo  | ormance |         |
|              |    | = 0.5             | rting | via     |         |
| **(BSA/BNL   |    |                   | --    | Qu      |         |
| Critical     |    |                   | ES&H  | arterly |         |
| Outcome      |    |                   | C     | Status  |         |
| Measure      |    |                   | oordi | Report  |         |
| 3.4)**       |    |                   | nator |         |         |
|              |    |                   | (K.   |         |         |
|              |    |                   | Conk  |         |         |
|              |    |                   | ling) |         |         |
+--------------+----+-------------------+-------+---------+---------+
|              |    | 2\. Total         |       |         |         |
|              |    | Recordable Case   |       |         |         |
|              |    | Rate = 1.10       |       |         |         |
+--------------+----+-------------------+-------+---------+---------+
| 2.B.2.       | 2  | 1\. Tier 1's      | K.    | 9/30/05 |         |
| Conduct Tier |    | performed as      | Con   |         |         |
| 1 Safety     |    | scheduled         | kling |         |         |
| Surveys &    |    |                   |       |         |         |
| Disposition  |    |                   |       |         |         |
| actions.     |    |                   |       |         |         |
| (See also    |    |                   |       |         |         |
| 1.C.1)       |    |                   |       |         |         |
+--------------+----+-------------------+-------+---------+---------+
|              |    | 2\. [**Target**:  |       |         |         |
|              |    | Disposition Tier  |       |         |         |
|              |    | I findings        |       |         |         |
|              |    | wi                |       |         |         |
|              |    | thin]{.underline} |       |         |         |
|              |    | [90               |       |         |         |
|              |    | days]{.underline} |       |         |         |
+--------------+----+-------------------+-------+---------+---------+

Attachment III

<table>
<colgroup>
<col style="width: 13%" />
<col style="width: 4%" />
<col style="width: 18%" />
<col style="width: 7%" />
<col style="width: 9%" />
<col style="width: 9%" />
<col style="width: 9%" />
<col style="width: 9%" />
<col style="width: 9%" />
<col style="width: 9%" />
</colgroup>
<thead>
<tr class="header">
<th colspan="6"><strong>ASSESSMENT CRITERIA:</strong> <strong>3.0
Customer Focus and Satisfaction</strong></th>
<th colspan="4"></th>
</tr>
<tr class="odd">
<th colspan="6"><strong>OBJECTIVES</strong>: A. To provide high quality
Safety Engineering, Industrial Hygiene and Safety Management Systems
Integration services in support of BNL’s scientific mission.</th>
<th colspan="4"></th>
</tr>
<tr class="header">
<th><strong>Strategy</strong></th>
<th><strong>Priority <sup>1</sup></strong></th>
<th><p><strong>Indicators</strong></p>
<p><strong>(Measures/Assessments)</strong></p></th>
<th><strong>Responsibility</strong></th>
<th><strong>Schedule/Due Date</strong></th>
<th><strong>Status</strong></th>
<th colspan="4"></th>
</tr>
</thead>
<tbody>
<tr class="odd">
<td>3.A.1 Manage Phase II and III of OHSAS-18001 Implementation</td>
<td>1</td>
<td><p>Targets</p>
<blockquote>
<p>Recertification of Pilot Group</p>
<p>Onsite readiness review for Phase II</p>
<p>Kick-off of Phase III</p>
</blockquote></td>
<td>R. Selvey</td>
<td><p>June 2005</p>
<p>August 2005</p>
<p>August 2005</p></td>
<td><mark></mark></td>
<td colspan="4"><mark></mark></td>
</tr>
<tr class="even">
<td>3.A.2</td>
<td>1</td>
<td>See Initiative #1</td>
<td></td>
<td></td>
<td><mark></mark></td>
<td colspan="4"><mark></mark></td>
</tr>
<tr class="odd">
<td><p>3.A.3 Director’s Safety Committee Will Develop and Conduct a
Review Process to Determine Improvements in the BNL Safety Programs
Against the Comprehensive Safety Plan.</p>
<p>Addresses 3.4.4.1, “Safety Implementation Path Forward” for which
SHSD has the lead.</p>
<p>Supports SHSD Strategic Initiative 2 (above).</p></td>
<td>1</td>
<td><p>Review the SHSD process to assess the current status of the BNL
Safety Programs against the Comprehensive Safety Plan improvements that
serve as the Appendix B measure.</p>
<p><mark>Need to address FATS 2308.4.1 from the FY’04 SAP which is
open</mark></p></td>
<td>P. Williams</td>
<td><p>9/30/05</p>
<p><mark></mark></p></td>
<td><p><mark></mark></p>
<p><mark></mark></p></td>
<td colspan="4"><mark></mark></td>
</tr>
<tr class="even">
<td rowspan="2"><p>3.A.4 Continue roll-out of the Safety Information
Data Base to;</p>
<ul>
<li><p>allow organizations to track and trend their data;</p></li>
</ul>
<ul>
<li><p>ALD to perform periodic Status/Trending Presentations to the
Management Council.</p></li>
</ul></td>
<td>1</td>
<td><p>Develop procedure to document the flow of accident/injury
data</p>
<p>Development team is Ellerkamp, Erickson, Blydenburgh, and
Piper.</p></td>
<td><p id="ellerkamp-erickson" class="heading">Ellerkamp,
Erickson</p></td>
<td>4/4/05</td>
<td>This is covered in the Injury Management Subject Area which is in
the review cycle at the SBMS Office.</td>
<td></td>
<td><mark></mark></td>
<td><mark></mark></td>
<td><mark></mark></td>
</tr>
<tr class="odd">
<td>1</td>
<td>Accurate date supplied to ALD</td>
<td>Williams</td>
<td>Monthly</td>
<td></td>
<td colspan="4"></td>
</tr>
<tr class="even">
<td><p>3.A.5 Timely SHSD Design Review, ORE and BORE Support for
Critical Projects</p>
<p>(Supports Environmental Management Performance Measure 2.1.1,
“Project Completions and Other Key Milestones” and EP measures 3.5.1
“Alternative Financing” and 3.5.2, “Project Management”.)</p>
<p>SHSD FATS: 2511.</p></td>
<td>2</td>
<td>Conformance to SHSD Review Coordinator goals for Design Review
turnaround and ORE/BORE/ERE draft report issuance for these high
priority projects.</td>
<td><p>R. Travis/</p>
<p>J. Durnan</p></td>
<td>As required</td>
<td></td>
<td colspan="4"></td>
</tr>
<tr class="odd">
<td><p>3.A.6 Optimize the Field Presence of Safety and Health
Professionals</p>
<p>(Supports: paragraph 6.4.2, “Safety and Health” of the Draft BNL
Institutional Plan FY04 – 08”, dated 9/03 and Directorate Imperatives
#1, #3)Health” of the Draft BNL Institutional Plan FY04 – 08”, dated
9/03 and Directorate Imperatives #1, #3)</p></td>
<td>3</td>
<td><p>Track FY’05 field presence for activities such as:</p>
<ul>
<li><p>Tier I support</p></li>
<li><p>ORE/BORE/ERE</p></li>
<li><p>SME special requests by Dept./Div.</p></li>
</ul></td>
<td><p>J. Ellerkamp</p>
<p>R. Selvey</p>
<p>S. Hoey</p>
<p>(Quarterly Reporting – S. Wiley)</p></td>
<td>Weekly activity reporting by Group Leaders</td>
<td><mark></mark></td>
<td colspan="4"><mark></mark></td>
</tr>
</tbody>
</table>

Attachment IV

<table style="width:100%;">
<colgroup>
<col style="width: 16%" />
<col style="width: 6%" />
<col style="width: 21%" />
<col style="width: 0%" />
<col style="width: 9%" />
<col style="width: 0%" />
<col style="width: 10%" />
<col style="width: 12%" />
<col style="width: 0%" />
<col style="width: 12%" />
<col style="width: 12%" />
</colgroup>
<thead>
<tr class="header">
<th colspan="8"><strong>ASSESSMENT CRITERIA: 4.0 Process
Management</strong></th>
<th colspan="3"></th>
</tr>
<tr class="odd">
<th colspan="8"><p><strong>OBJECTIVES:</strong> A. Refine BNL Management
Systems that SHSD is responsible for.</p>
<p>B. Develop/Refine SHSD Subject Areas</p></th>
<th colspan="3"></th>
</tr>
<tr class="header">
<th><strong>Strategy</strong></th>
<th><strong>Priority <sup>1</sup></strong></th>
<th><p><strong>Indicators</strong></p>
<p><strong>(Measures/Assessments)</strong></p></th>
<th colspan="2"><strong>Responsibility</strong></th>
<th colspan="2"><strong>Schedule/Due Date</strong></th>
<th><strong>Status</strong></th>
<th colspan="3"></th>
</tr>
</thead>
<tbody>
<tr class="odd">
<td><p>4.A.1 Management System Maturity Determination –
<strong>Hazardous Material Transportation Safety</strong></p>
<p>Supports Performance Measure 3.3.1, “ Management System Maturity
Determinations”</p></td>
<td>1</td>
<td><p>Support formal consensus based user/peer review Maturity
Determination of the Management System.</p>
<p>Provide management analysis of the results.</p>
<p>Document any necessary appropriate action plans for the management
system.</p></td>
<td colspan="2">S. Hoey</td>
<td colspan="2">9/30/05</td>
<td></td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td rowspan="13">4.B.1 SBMS Endstate for the Worker Safety and Health
Management System</td>
<td></td>
<td>Draft Document transmitted to SBMS on schedule for the
following:</td>
<td colspan="2"></td>
<td colspan="2"></td>
<td>Tracking to be accomplished as part of the SHSD SAP reporting</td>
<td colspan="3"><mark></mark></td>
</tr>
<tr class="odd">
<td>1</td>
<td><blockquote>
<p>1. Radiofrequency and Microwave Radiation SA (Legacy Document
Conversion)</p>
</blockquote></td>
<td colspan="2">R. Selvey</td>
<td colspan="2">12/31/04</td>
<td><strong>Complete – 12/04</strong></td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td>2</td>
<td><blockquote>
<p>2. Investigation of Incidents, Accidents and Injuries SA (New Subject
Area, requires electronic A/I form)</p>
</blockquote></td>
<td colspan="2">J. Ellerkamp</td>
<td colspan="2">4/1/05</td>
<td><p><strong>Complete</strong></p>
<p><strong>Submitted to SBMS 2/10/05</strong></p></td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td>1</td>
<td><blockquote>
<p>3. Lifting Safety SA (Update per ISM and R Occurrence Report)</p>
</blockquote></td>
<td colspan="2">J. Ellerkamp</td>
<td colspan="2">5/22/05</td>
<td><strong>Adding fork lift requirements</strong></td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td>3</td>
<td><blockquote>
<p>4. ODH Classification and Controls SA (Triennial Review)</p>
<p>ODH and Cryogen safety SAs probably will be combined</p>
</blockquote></td>
<td colspan="2">J. Durnan</td>
<td colspan="2">6/30/05</td>
<td></td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td>3</td>
<td><blockquote>
<p>5. Excavation Safety SA (Legacy Document Conversion)</p>
</blockquote></td>
<td colspan="2">K. Krasner</td>
<td colspan="2">12/31/04</td>
<td><strong>Complete – 12/04</strong></td>
<td colspan="3"><mark></mark></td>
</tr>
<tr class="even">
<td>3</td>
<td><blockquote>
<p>6. Aviation Safety SA (Legacy Document Conversion)</p>
</blockquote></td>
<td colspan="2">D. Robbins</td>
<td colspan="2">2/28/05</td>
<td><strong>Complete – 2/28/05</strong></td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td>3</td>
<td><blockquote>
<p>7. Marine Safety/Diving SA (Legacy Document Conversion)</p>
</blockquote></td>
<td colspan="2">D. Robbins</td>
<td colspan="2">6/30/05</td>
<td><strong>Draft Submitted to SBMS 6/30/05</strong></td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td>1</td>
<td><blockquote>
<p>8. Electrical Safety and Design Criteria for Electrical Equipment SA
(Legacy Document Conversion)</p>
</blockquote></td>
<td colspan="2">J. Durnan/J. Curtiss</td>
<td colspan="2">9/30/05</td>
<td>Delayed until 9/30/05 due to attention required by sequence of OSHA,
70E, NRTL (listed/labeled) issue, updated training, and local AHJ
program initiatives, and due to unavailability of requested SBMS editor
support.</td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td>1</td>
<td><blockquote>
<p>9. LOTO and Interlock Safety SA (Legacy Document Conversion)</p>
</blockquote></td>
<td colspan="2">J. Durnan/J. Curtiss</td>
<td colspan="2">9/30/05</td>
<td>Delayed until 9/30/05 due to attention required by sequence of OSHA,
70E, NRTL (listed/labeled) issue, updated training, and local AHJ
program initiatives, and due to unavailability of requested SBMS editor
support.</td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td>2</td>
<td>10 Machine Shop Safety SA (New Subject Area)</td>
<td colspan="2">K. Krasner/A. Piper</td>
<td colspan="2">3/31/05</td>
<td><strong>This has been delayed until the issuance of the joint
BHSO/BSA machine shop assessment.</strong></td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td>1</td>
<td><blockquote>
<p>11. Injury Management SA (New Subject Area)</p>
</blockquote></td>
<td colspan="2">J. Ellerkamp</td>
<td colspan="2">3/31/05</td>
<td><strong>Subject Area is in the review cycle.</strong></td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td>3</td>
<td><blockquote>
<p>12. Identification of Piping Systems SA (Legacy Document
Conversion)</p>
<p>(To be incorporated as an exhibit to the Engineering Design SA)</p>
</blockquote></td>
<td colspan="3">J. Ellerkamp</td>
<td>4/30/05</td>
<td><strong><mark>Review complete. Waiting F&amp;O to incorporate into
Engineering Design Subject Area</mark></strong></td>
<td colspan="3"><mark></mark></td>
</tr>
<tr class="odd">
<td rowspan="12">4.B.2 SBMS Endstate for the Facility Safety Management
System</td>
<td rowspan="2">3</td>
<td colspan="2" rowspan="2">1. Facility Authorization Basis Program
Description (Triennial review)</td>
<td colspan="2" rowspan="2">G. Shepherd</td>
<td rowspan="2">9/30/05</td>
<td colspan="2" rowspan="2"><mark></mark></td>
<td colspan="2"><mark></mark></td>
</tr>
<tr class="even">
<td></td>
<td><mark></mark></td>
</tr>
<tr class="odd">
<td>1</td>
<td>2. Accelerator Safety</td>
<td colspan="3">G. Shepherd</td>
<td>5/30/05</td>
<td><strong>Complete</strong></td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td>3</td>
<td>3. Facility Hazard Categorization SA (Triennial Review)</td>
<td colspan="3">G. Shepherd</td>
<td>9/30/05</td>
<td></td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td>2</td>
<td>4. Hazard Analysis SA (OHSAS and Hazard Identification Tool)</td>
<td colspan="2">S. Hoey</td>
<td colspan="2">6/8/05</td>
<td></td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td>3</td>
<td>5. Operational Readiness Evaluation SA (Triennial Review)</td>
<td colspan="2">R. Travis</td>
<td colspan="2">6/30/05</td>
<td></td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td>2</td>
<td>6. Nuclear/Criticality Safety SA</td>
<td colspan="2">S. Moss</td>
<td colspan="2">3/31/05</td>
<td><p>Complete</p>
<p>Subject Area published 3/17/05</p>
<p>Completed and issued on SBMS as of 3/17/05. Lesson Plan for
Criticality Safety Awareness Training revised to reflect new Subject
Area.</p></td>
<td colspan="3"><mark></mark></td>
</tr>
<tr class="even">
<td>3</td>
<td>7. Traffic Safety SA (Update to incorporate bicycle safety and other
legacy items.)</td>
<td colspan="2">J. Ellerkamp</td>
<td colspan="2">6/15/05</td>
<td><strong>Complete</strong></td>
<td colspan="3"><mark></mark></td>
</tr>
<tr class="odd">
<td>2</td>
<td>8. Cryogenic Safety SA (Legacy Document Conversion)</td>
<td colspan="2">J. Durnan</td>
<td colspan="2">4/30/05</td>
<td><mark></mark></td>
<td colspan="3"><mark></mark></td>
</tr>
<tr class="even">
<td>2</td>
<td>9. Pressure Safety SA (Legacy Document Conversion)</td>
<td colspan="2">J. Durnan</td>
<td colspan="2">6/30/05</td>
<td><mark></mark></td>
<td colspan="3"><mark></mark></td>
</tr>
<tr class="odd">
<td>Low</td>
<td>10. Fire Safety</td>
<td colspan="2">J. Levesque</td>
<td colspan="2">6/30/05</td>
<td><mark></mark></td>
<td colspan="3"><mark></mark></td>
</tr>
<tr class="even">
<td>Low</td>
<td><p>11. Working with Chemicals</p>
<blockquote>
<p>Revision – Adding content related to fire safety with respect to
chemicals</p>
</blockquote></td>
<td colspan="2">J. Levesque</td>
<td colspan="2">7/30/05</td>
<td><mark></mark></td>
<td colspan="3"><mark></mark></td>
</tr>
<tr class="odd">
<td>4.B.3 SBMS Endstate for the Hazardous Material Transportation Safety
Management System</td>
<td>2</td>
<td><p>Draft document transmitted to SBMS on schedule for the
following:</p>
<p>Four Subject Areas combined into two</p>
<blockquote>
<p>Material Transportation Subject Area (2 Subject Areas)</p>
</blockquote></td>
<td colspan="2">S. Hoey</td>
<td colspan="2"><p>3/31/05</p>
<p>Schedule per SBMS Endstate Program and associated Notices of
Intent</p></td>
<td></td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td rowspan="3"><p>4.B.4 SBMS Endstate for the Occupational Safety and
Health Management System</p>
<p>4.B.4 SBMS Endstate for the Occupational Safety and Health Management
System</p></td>
<td>2</td>
<td>1. OSHAS 18001 Program Description</td>
<td colspan="2">S. Hoey</td>
<td colspan="2">5/1/05</td>
<td><mark></mark></td>
<td colspan="3"><mark></mark></td>
</tr>
<tr class="odd">
<td>2</td>
<td>2. OSHAS 18001 Management System Description</td>
<td colspan="2">S. Hoey</td>
<td colspan="2">5/15/05</td>
<td><mark></mark></td>
<td colspan="3"><mark></mark></td>
</tr>
<tr class="even">
<td>2</td>
<td>Draft ROD Document transmitted to SBMS on schedule.<a href="#fn1"
class="footnote-ref" id="fnref1"
role="doc-noteref"><sup>1</sup></a></td>
<td colspan="2">S. Hoey</td>
<td colspan="2">9/30/05</td>
<td><mark></mark></td>
<td colspan="3"><mark></mark></td>
</tr>
<tr class="odd">
<td rowspan="3">4.B.5 Industrial Hygiene - Subject Area Triennial
Updates</td>
<td>3</td>
<td>1. Respiratory Protection SA</td>
<td colspan="2">R. Selvey</td>
<td colspan="2">3/31/05</td>
<td><strong>Submitted to SBMS 02/22/05</strong></td>
<td colspan="3"><mark></mark></td>
</tr>
<tr class="even">
<td>3</td>
<td>2. Asbestos SA</td>
<td colspan="2">R. Selvey</td>
<td colspan="2">6/31/05</td>
<td><p><strong><mark>Team has met, submission is being
drafted</mark></strong></p>
<p><strong><mark>Review completed 6/31/05</mark></strong></p></td>
<td colspan="3"><mark></mark></td>
</tr>
<tr class="odd">
<td>3</td>
<td>3. Lead SA</td>
<td colspan="2">R. Selvey</td>
<td colspan="2"><p><mark>6/31/05</mark></p>
<p><mark>Ken/rich: This date is wrong, my original submission in 10/4/04
was for end of 3<sup>rd</sup></mark> <mark>Q, and that is the ATS
tacking commitment.</mark></p></td>
<td><p><strong><mark>Team has met, submission is being
drafted</mark></strong></p>
<p><strong><mark>Review completed 6/31/05</mark></strong></p></td>
<td colspan="3"><mark></mark></td>
</tr>
</tbody>
</table>
<aside id="footnotes" class="footnotes footnotes-end-of-document"
role="doc-endnotes">
<hr />
<ol>
<li id="fn1"></li>
</ol>
</aside>

Attachment V

+-------------+----+--------------------+-------+---------+---------+
| *           |    |                    |       |         |         |
| *ASSESSMENT |    |                    |       |         |         |
| CRITERIA:   |    |                    |       |         |         |
| 5.0         |    |                    |       |         |         |
| Business    |    |                    |       |         |         |
| and         |    |                    |       |         |         |
| Operational |    |                    |       |         |         |
| Results**   |    |                    |       |         |         |
+=============+====+====================+=======+=========+=========+
| **OB        |    |                    |       |         |         |
| JECTIVES:** |    |                    |       |         |         |
| A.          |    |                    |       |         |         |
| Financial   |    |                    |       |         |         |
| management: |    |                    |       |         |         |
| To operate  |    |                    |       |         |         |
| SHSD within |    |                    |       |         |         |
| its         |    |                    |       |         |         |
| financial   |    |                    |       |         |         |
| and         |    |                    |       |         |         |
| operational |    |                    |       |         |         |
| objectives  |    |                    |       |         |         |
| and         |    |                    |       |         |         |
| measures    |    |                    |       |         |         |
+-------------+----+--------------------+-------+---------+---------+
| *           | ** | **Indicators**     | **R   | **Sched | **S     |
| *Strategy** | Pr |                    | espon | ule/Due | tatus** |
|             | io | **(Measu           | sibil | Date**  |         |
|             | ri | res/Assessments)** | ity** |         |         |
|             | ty |                    |       |         |         |
|             | ^  |                    |       |         |         |
|             | 1^ |                    |       |         |         |
|             | ** |                    |       |         |         |
+-------------+----+--------------------+-------+---------+---------+
| 5.A.1.      | 3  | Review of budget.  | P.    | Monthly |         |
| Budget      |    |                    | Wil   | (not    |         |
| Performance |    |                    | liams | tracked |         |
| Assessment  |    |                    |       | in SA   |         |
|             |    |                    |       | Report) |         |
+-------------+----+--------------------+-------+---------+---------+
| 5.A.2.      | 2  | Attend the Meeting | P.    | Annual  |         |
| Annual Lab  |    |                    | Wil   |         |         |
| Budget      |    |                    | liams | (Not    |         |
| Review      |    |                    |       | tracked |         |
|             |    |                    |       | in SA   |         |
|             |    |                    |       | report) |         |
+-------------+----+--------------------+-------+---------+---------+
| 5.A.3.      | 2  | Monthly review.    | P.    | Monthly |         |
| Credit Card |    |                    | Wil   | (not    |         |
| Rec         |    |                    | liams | tracked |         |
| onciliation |    |                    |       | in SA   |         |
|             |    |                    |       | Report) |         |
+-------------+----+--------------------+-------+---------+---------+

Attachment VI

+-------------+----+--------------------+-------+---------+---------+
| *           |    |                    |       |         |         |
| *ASSESSMENT |    |                    |       |         |         |
| CRITERIA:** |    |                    |       |         |         |
| 6.0         |    |                    |       |         |         |
| Compliance  |    |                    |       |         |         |
| with Laws,  |    |                    |       |         |         |
| Regulations |    |                    |       |         |         |
| and         |    |                    |       |         |         |
| Contractual |    |                    |       |         |         |
| R           |    |                    |       |         |         |
| equirements |    |                    |       |         |         |
+=============+====+====================+=======+=========+=========+
| **OB        |    |                    |       |         |         |
| JECTIVES:** |    |                    |       |         |         |
| A. To       |    |                    |       |         |         |
| assess      |    |                    |       |         |         |
| Lab-wide    |    |                    |       |         |         |
| compliance  |    |                    |       |         |         |
| with        |    |                    |       |         |         |
| specific    |    |                    |       |         |         |
| regulatory  |    |                    |       |         |         |
| r           |    |                    |       |         |         |
| equirements |    |                    |       |         |         |
|             |    |                    |       |         |         |
| B. To       |    |                    |       |         |         |
| perform     |    |                    |       |         |         |
| SHSD        |    |                    |       |         |         |
| operations  |    |                    |       |         |         |
| in          |    |                    |       |         |         |
| accordance  |    |                    |       |         |         |
| with        |    |                    |       |         |         |
| applicable  |    |                    |       |         |         |
| laws,       |    |                    |       |         |         |
| regulations |    |                    |       |         |         |
| and         |    |                    |       |         |         |
| contractual |    |                    |       |         |         |
| r           |    |                    |       |         |         |
| equirements |    |                    |       |         |         |
+-------------+----+--------------------+-------+---------+---------+
| *           | ** | **Indicators**     | **R   | **Sched | **S     |
| *Strategy** | Pr |                    | espon | ule/Due | tatus** |
|             | io | **(Measu           | sibil | Date**  |         |
|             | ri | res/Assessments)** | ity** |         |         |
|             | ty |                    |       |         |         |
|             | ^  |                    |       |         |         |
|             | 1^ |                    |       |         |         |
|             | ** |                    |       |         |         |
+-------------+----+--------------------+-------+---------+---------+
| 6.A.1       | 1  | OSHA Compliance    | Hoey  | **Qu    |         |
|             |    | Verification       |       | arterly |         |
|             |    |                    |       | Status  |         |
|             |    |                    |       | Re      |         |
|             |    |                    |       | ports** |         |
|             |    |                    |       |         |         |
|             |    |                    |       | **      |         |
|             |    |                    |       | Summary |         |
|             |    |                    |       | will be |         |
|             |    |                    |       | p       |         |
|             |    |                    |       | rovided |         |
|             |    |                    |       | by the  |         |
|             |    |                    |       | SAP     |         |
|             |    |                    |       | qu      |         |
|             |    |                    |       | arterly |         |
|             |    |                    |       | status  |         |
|             |    |                    |       | r       |         |
|             |    |                    |       | eport** |         |
|             |    |                    |       |         |         |
|             |    |                    |       | **      |         |
|             |    |                    |       | Tracked |         |
|             |    |                    |       | in      |         |
|             |    |                    |       | ATS**   |         |
+-------------+----+--------------------+-------+---------+---------+
|             | 1  | NRTL Tracking      | Cu    |         | **Will  |
|             |    |                    | rtiss |         | be      |
|             |    |                    |       |         | impl    |
|             |    |                    |       |         | emented |
|             |    |                    |       |         | by 6/30 |
|             |    |                    |       |         | when    |
|             |    |                    |       |         | local   |
|             |    |                    |       |         | AHJ     |
|             |    |                    |       |         | program |
|             |    |                    |       |         | is      |
|             |    |                    |       |         | implem  |
|             |    |                    |       |         | ented** |
+-------------+----+--------------------+-------+---------+---------+
|             | 1  | ISM Tracking       | Wil   |         |         |
|             |    |                    | liams |         |         |
+-------------+----+--------------------+-------+---------+---------+
|             | 1  | Injury/Accident    | Elle  |         |         |
|             |    | Reduction          | rkamp |         |         |
|             |    | Statistics         |       |         |         |
+-------------+----+--------------------+-------+---------+---------+
| 6.A.2.      |    | Draft Assessment   |       |         |         |
| Industrial  |    | Reports Completed  |       |         |         |
| Hygiene     |    | on Schedule        |       |         |         |
| scheduled   |    |                    |       |         |         |
| Assessments |    |                    |       |         |         |
+-------------+----+--------------------+-------+---------+---------+
|             |    | 1\. IH Annual      | R.    | 1       | []      |
|             |    | Multitopic         | S     | 2/31/04 | {.mark} |
|             |    | Assessment         | elvey |         |         |
|             |    |                    |       |         | **Com   |
|             |    | (Asbestos,         |       |         | plete** |
|             |    | Beryllium, Noise & |       |         |         |
|             |    | Hearing            |       |         | *       |
|             |    | Conservation,      |       |         | *Report |
|             |    | Confined Space     |       |         | dated   |
|             |    | Permit Review,     |       |         | 2/      |
|             |    | Chemical Hygiene,  |       |         | 10/05** |
|             |    | HEPA Surveillance, |       |         |         |
|             |    | Respirators        |       |         | []      |
|             |    |                    |       |         | {.mark} |
|             |    |                    |       |         |         |
|             |    |                    |       |         | []      |
|             |    |                    |       |         | {.mark} |
+-------------+----+--------------------+-------+---------+---------+
|             |    | 2\. Laser          | R.    | 9/30/05 |         |
|             |    | Assessment         | S     |         |         |
|             |    |                    | elvey |         |         |
+-------------+----+--------------------+-------+---------+---------+
| 6.A.3       |    | 1\. Draft          |       |         |         |
| Safety      |    | Assessment Reports |       |         |         |
| Engineering |    | Completed on       |       |         |         |
| Scheduled   |    | Schedule           |       |         |         |
| Assessments |    |                    |       |         |         |
+-------------+----+--------------------+-------+---------+---------+
|             |    | 2\. BNL Injury     | J.    | 3/15/05 | Liberty |
|             |    | Prevention and     | Elle  |         | Mutual  |
|             |    | Post-Injury        | rkamp |         | is      |
|             |    | Management Process |       |         | working |
|             |    | (Joint with        |       |         | on the  |
|             |    | Liberty Mutual)    |       |         | draft   |
|             |    |                    |       |         | report. |
|             |    |                    |       |         | Due     |
|             |    |                    |       |         | date    |
|             |    |                    |       |         | revised |
|             |    |                    |       |         | to      |
|             |    |                    |       |         | 3/15/05 |
+-------------+----+--------------------+-------+---------+---------+
|             |    | 3\. Machine Shop   | K.    | 3/31/05 |         |
|             |    | Safety Assessment  | Kra   |         |         |
|             |    | of the Central     | sner/ |         |         |
|             |    | Fabrication        |       |         |         |
|             |    | Services Division  | A.    |         |         |
|             |    | (Joint with BHSO   | Piper |         |         |
|             |    | and Liberty        |       |         |         |
|             |    | Mutual)            |       |         |         |
+-------------+----+--------------------+-------+---------+---------+
|             |    | 4\. Lockout/Tagout | J.    | 6/30/05 |         |
|             |    | Assessment         | Cur   |         |         |
|             |    | (limited in scope  | tiss/ |         |         |
|             |    | to interaction     |       |         |         |
|             |    | with ESH           | J.    |         |         |
|             |    | Coordinators, no   | D     |         |         |
|             |    | field              | urnan |         |         |
|             |    | observations, due  |       |         |         |
|             |    | to attention       |       |         |         |
|             |    | required in        |       |         |         |
|             |    | developing local   |       |         |         |
|             |    | AHJ program during |       |         |         |
|             |    | same time frame    |       |         |         |
+-------------+----+--------------------+-------+---------+---------+
|             |    | 5\. Fleet Vehicle  | J.    | 9/30/05 |         |
|             |    | and Traffic Safety | Eller |         |         |
|             |    | Assessment         | kamp/ |         |         |
|             |    |                    |       |         |         |
|             |    |                    | A.    |         |         |
|             |    |                    | Piper |         |         |
+-------------+----+--------------------+-------+---------+---------+
|             |    | 6\. BNL Incident   | J.    | TBD     |         |
|             |    | Investigation      | Eller |         |         |
|             |    | Process Assessment | kamp/ |         |         |
|             |    |                    |       |         |         |
|             |    |                    | > A.  |         |         |
|             |    |                    | Piper |         |         |
+-------------+----+--------------------+-------+---------+---------+
| 6.B.1.      | 3  | Track completion   | T.    | Qu      | SHSD    |
| Training &  |    | of required        | B     | arterly | Em      |
| Qu          |    | courses (%) & JTAs | lyden | Status  | ployees |
| alification |    |                    | burgh | Report  | have    |
|             |    | **[Targe           |       |         | consi   |
|             |    | ts:]{.underline}** |       |         | stently |
|             |    | Employees = 95%,   |       |         | kept a  |
|             |    |                    |       |         | 97%     |
|             |    | Guest/Contractors  |       |         | t       |
|             |    | = 80%              |       |         | raining |
|             |    |                    |       |         | com     |
|             |    |                    |       |         | pletion |
|             |    |                    |       |         | rate    |
|             |    |                    |       |         | for     |
|             |    |                    |       |         | March,  |
|             |    |                    |       |         | April   |
|             |    |                    |       |         | and     |
|             |    |                    |       |         | May.    |
|             |    |                    |       |         |         |
|             |    |                    |       |         | SHSD    |
|             |    |                    |       |         | had no  |
|             |    |                    |       |         | gues    |
|             |    |                    |       |         | ts/cont |
|             |    |                    |       |         | ractors |
|             |    |                    |       |         | for     |
|             |    |                    |       |         | this    |
|             |    |                    |       |         | time    |
|             |    |                    |       |         | period. |
+-------------+----+--------------------+-------+---------+---------+
| 6.B.2 EMS   | 1  | Develop FY'05 EMS  | R.    | 1       | **C     |
| 14001       |    | Goals              | S     | 2/31/04 | omplete |
| Compliance  |    |                    | elvey |         | --      |
| Status      |    | Conduct Self       |       | 9/30/05 | 12/     |
|             |    | Evaluation of EMS  |       |         | 15/04** |
|             |    | Compliance         |       |         |         |
+-------------+----+--------------------+-------+---------+---------+
| 6.B.3 FY    | 3  | Shelter in Place   | K.    | 9/30/05 |         |
| 2005        |    | -- Required        | Kr    |         |         |
| required    |    | Assessment Aid     | asner |         |         |
| assessments |    |                    |       |         |         |
| (as         |    |                    |       |         |         |
| required by |    |                    |       |         |         |
| the         |    |                    |       |         |         |
| Integrated  |    |                    |       |         |         |
| Assessment  |    |                    |       |         |         |
| Subject     |    |                    |       |         |         |
| Area)       |    |                    |       |         |         |
|             |    |                    |       |         |         |
| Additional  |    |                    |       |         |         |
| assessments |    |                    |       |         |         |
| may be      |    |                    |       |         |         |
| added to    |    |                    |       |         |         |
| the         |    |                    |       |         |         |
| Integrated  |    |                    |       |         |         |
| Assessment  |    |                    |       |         |         |
| Subject     |    |                    |       |         |         |
| ARea        |    |                    |       |         |         |
+-------------+----+--------------------+-------+---------+---------+
| 6.B.4       | Hi | All ATS/FATS items | P.    | Tracked |         |
| Timely      | gh | completed on       | Wil   | by S.   |         |
| completion  |    | schedule and       | liams | Wiley   |         |
| of all      |    | verified complete. |       |         |         |
| ATS/FATS    |    |                    |       | R       |         |
| items       |    | Based upon         |       | eported |         |
|             |    | recommendation in  |       | bi      |         |
|             |    | IA&O Report SA     |       | -weekly |         |
|             |    | 04-03. Owners      |       | staff   |         |
|             |    | should routinely   |       | m       |         |
|             |    | verify that        |       | eetings |         |
|             |    | actions are        |       |         |         |
|             |    | completed prior to |       |         |         |
|             |    | closing an         |       |         |         |
|             |    | assessment in ATS  |       |         |         |
|             |    | and should         |       |         |         |
|             |    | determine whether  |       |         |         |
|             |    | or not validation  |       |         |         |
|             |    | of effectiveness   |       |         |         |
|             |    | of completed       |       |         |         |
|             |    | actions should be  |       |         |         |
|             |    | conducted at some  |       |         |         |
|             |    | future             |       |         |         |
|             |    | time[.]{.mark}     |       |         |         |
+-------------+----+--------------------+-------+---------+---------+