**EXHIBIT "F"**

**Services SUBCONTRACT** PN: Insert type of subcontract (e.g.,
Construction, Short Form Construction, Services, Short Form Services,
Architect / Engineer Services, Cost Plus Fixed-Fee Services).

**ENVIRONMENTAL, SAFETY, AND HEALTH REQUIREMENTS**

PN: Exhibit F is intended to prescribe minimum requirements to safeguard
against hazards that a subcontractor is expected to encounter on-site at
LANL. Exhibit F also implements 10 CFR 851 Worker Safety and Health
Program requirements which are subject to DOE PAAA enforcement. Those
sections that contain references to 10 CFR 851 are labeled.

The safety representative, together with the environmental
representative and the STR, should review the SOW to identify on-site
work hazards, the duration of the work, where the work will be done, the
site hazards/controls, and the environmental requirements. The safety
representative should involve other ES&H SMEs, as necessary, to define
the requirements of this exhibit for a particular subcontract.

The safety representative, together with the environmental
representative and the STR, may add additional ES&H requirements if the
requirements stated do not address the hazards associated with the work
to be performed. Requirements may be added within existing sections or
as new sections at the end of current sections. However, any new
requirements or changes to existing requirements must be approved by the
appropriate ESH&Q SME.

If an entire section is not relevant to the SOW of a subcontract, the
text of that section should be deleted; however, section numbering and
titles must be retained. Consequently, the word \[Reserved\] must be
inserted after a section number and title if the text of the section is
deleted. For example: F14.0 Hearing Conservation Program (May 2007)
\[Reserved\].

**TABLE OF CONTENTS**

**[No.]{.underline} [Title]{.underline} [Page]{.underline}**

[F1.0 General Requirements (May 2007)
3](#f1.0-general-requirements-may-2007-pn-the-following-section-is-applicable-to-all-subcontracts-and-includes-851-requirements.)

[F2.0 Subcontractor's ES&H Plan (May 2007)
7](#f2.0-subcontractors-esh-plan-may-2007-pn-the-following-section-is-applicable-to-all-subcontracts-and-includes-851-requirements.)

[F3.0 Subcontractor and All Lower-Tier Subcontractors (May 2007)
9](#f3.0-subcontractor-and-all-lower-tier-subcontractors-may-2007-pn-the-following-section-is-applicable-to-all-subcontracts.)

[F4.0 Subcontractor ES&H Representative Duties and Responsibilities (May
2007) (Reserved)
9](#f4.0-subcontractor-esh-representative-duties-and-responsibilities-may-2007-reserved-pn-this-section-applies-to-all-subcontracts.-the-safety-representative-together-with-the-environmental-representative-and-str-must-choose-either-option-a-or-b.-in-addition-optional-subsection-c-may-be-added-if-required-for-projects-with-high-environmental-risk.)

[F5.0 Incident Reporting Requirements (May 2007)
9](#f5.0-incident-reporting-requirements-may-2007-pn-the-following-section-is-applicable-to-all-subcontracts-and-includes-851-requirements.)

[F6.0 Injury/Illness Recordkeeping and Reporting (May 2007)
10](#f6.0-injuryillness-recordkeeping-and-reporting-may-2007-pn-the-following-section-is-applicable-to-all-subcontracts-and-includes-851-requirements.-str-must-notify-ihs-ip-immediately-upon-receipt-of-any-notification-from-subcontractor.-furthermore-injuryillness-investigation-reports-must-be-forwarded-to-ihs-ip-at-iilanl.gov.)

[F7.0 Employee Training (May 2007)
11](#f7.0-employee-training-may-2007-pn-the-following-section-is-applicable-to-all-subcontracts-and-includes-851-requirements.)

[F8.0 ES&H Meetings/Pre-Job Briefings/Daily Briefings (May 2007)
11](#f8.0-esh-meetingspre-job-briefingsdaily-briefings-may-2007-pn-the-following-section-is-applicable-to-all-subcontracts-and-includes-851-requirements.)

[F9.0 ES&H Inspections (May 2007)
12](#f9.0-esh-inspections-may-2007-pn-the-following-section-is-applicable-to-all-subcontracts-and-includes-851-requirements.)

[F-10 Housekeeping (May 2007)
13](#f-10-housekeeping-may-2007-pn-the-following-section-is-applicable-to-all-subcontracts-but-should-be-tailored-to-the-work.)

[F11.0 Emergency Preparedness Requirements (May 2007)
13](#f11.0-emergency-preparedness-requirements-may-2007-pn-the-following-section-is-applicable-to-all-subcontracts-and-includes-851-requirements.)

[F12.0 Personal Protective Equipment (May 2007) (Reserved)
13](#f12.0-personal-protective-equipment-may-2007-reserved-pn-the-following-section-is-applicable-if-hazards-can-be-expected-in-performance-of-the-work-for-which-ppe-is-appropriate.-if-this-section-is-not-applicable-to-a-particular-subcontract-delete-the-text-shown-below-and-insert-reserved-after-may-2007-in-the-section-title.-do-not-delete-section-number-or-title.)

[F13.0 Respiratory Protection (May 2007) (Reserved)
13](#f13.0-respiratory-protection-may-2007-reserved-pn-the-following-section-is-applicable-if-hazards-can-be-expected-in-performance-of-the-work-for-which-respiratory-protection-is-appropriate-and-includes-851-requirements.-if-this-section-is-not-applicable-to-a-particular-subcontract-delete-the-text-shown-below-and-insert-reserved-after-may-2007-in-the-section-title.-do-not-delete-section-number-or-title.)

[F14.0 Hearing Conservation Program (May 2007)
13](#f14.0-hearing-conservation-program-may-2007-pn-the-following-section-is-applicable-if-noise-can-be-expected-in-performance-of-the-work-which-equals-or-exceeds-the-levels-identified-in-29-cfr-1910.95-and-1926.52.-if-this-section-is-not-applicable-to-a-particular-subcontract-delete-the-text-shown-below-and-insert-reserved-after-may-2007-in-the-section-title.-do-not-delete-section-number-or-title.)

[F15.0 Occupational Medicine (OM) Services (May 2007)
13](#f15.0-occupational-medicine-om-services-may-2007-pn-the-following-section-is-applicable-to-all-subcontracts-and-includes-851-requirements.)

[F16.0 Motor Vehicles and Powered Industrial Equipment (May 2007)
14](#f16.0-motor-vehicles-and-powered-industrial-equipment-may-2007-pn-the-following-section-is-applicable-if-motor-vehicles-or-powered-industrial-equipment-will-be-used-in-performance-of-the-work-and-includes-851-requirements.-if-this-section-is-not-applicable-to-a-particular-subcontract-delete-the-text-shown-below-and-insert-reserved-after-may-2007-in-the-section-title.-do-not-delete-section-number-or-title.)

[F17.0 Tools and Equipment (May 2007) (Reserved)
15](#f17.0-tools-and-equipment-may-2007-reserved-pn-the-following-section-is-applicable-if-tools-and-equipment-will-be-used-in-performance-of-the-work.-if-this-section-is-not-applicable-to-a-particular-subcontract-delete-the-text-shown-below-and-insert-reserved-after-may-2007-in-the-section-title.-do-not-delete-section-number-or-title.)

[F18.0 Inclement Weather (May 2007) (Reserved)
15](#f18.0-inclement-weather-may-2007-reserved-pn-the-following-section-is-applicable-if-inclement-weather-may-affect-the-performance-of-the-work.-if-this-section-is-not-applicable-to-a-particular-subcontract-delete-the-text-shown-below-and-insert-reserved-after-may-2007-in-the-section-title.-do-not-delete-section-number-or-title.)

[F19.0 Chemical and Hazardous Materials Management (May 2007) (Reserved)
15](#f19.0-chemical-and-hazardous-materials-management-may-2007-reserved-pn-the-following-section-is-applicable-if-any-hazardous-chemicals-will-be-used-in-performance-of-the-work.-if-this-section-is-not-applicable-to-a-particular-subcontract-delete-the-text-shown-below-and-insert-reserved-after-may-2007-in-the-section-title.-do-not-delete-section-number-or-title.)

[F20.0 Work Management (May 2007) (Reserved)
15](#f20.0-work-management-may-2007-reserved-pn-the-following-section-is-applicable-to-all-subcontracts-and-includes-851-requirements.)

[F21.0 Fire Protection & Prevention (May 2007)
15](#f21.0-fire-protection-prevention-may-2007-pn-the-following-section-includes-851-requirements.-sections-21.1-through-21.4-apply-to-all-subcontracts.-sections-21.5-through-21.15-may-be-applicable-depending-on-the-sow-if-not-applicable-delete-these-subsections.)

[F22.0 Welding, Cutting, Brazing, and Grinding (May 2007) (Reserved)
15](#f22.0-welding-cutting-brazing-and-grinding-may-2007-reserved-pn-the-following-section-is-applicable-if-welding-cutting-brazing-or-grinding-will-be-used-in-performance-of-the-work.-if-this-section-is-not-applicable-to-a-particular-subcontract-delete-the-text-shown-below-and-insert-reserved-after-may-2007-in-the-section-title.-do-not-delete-section-number-or-title.)

[F23.0 Fall Prevention/Protection (May 2007) (Reserved)
15](#f23.0-fall-preventionprotection-may-2007-reserved-pn-the-following-section-is-applicable-if-scaffolds-aerial-lifts-personnel-hoists-etc.-will-be-used-in-performance-of-the-work.-if-this-section-is-not-applicable-to-a-particular-subcontract-delete-the-text-shown-below-and-insert-reserved-after-may-2007-in-the-section-title.-do-not-delete-section-number-or-title.)

[F24.0 Scaffolding (May 2007) (Reserved)
15](#f24.0-scaffolding-may-2007-reserved-pn-the-following-section-is-applicable-if-scaffolds-will-be-used-in-performance-of-the-work.-if-this-section-is-not-applicable-to-a-particular-subcontract-delete-the-text-shown-below-and-insert-reserved-after-may-2007-in-the-section-title.-do-not-delete-section-number-or-title.)

[F25.0 Portable Ladders (May 2007) (Reserved)
15](#f25.0-portable-ladders-may-2007-reserved-pn-the-following-section-is-applicable-if-ladders-will-be-used-in-performance-of-the-work.-if-this-section-is-not-applicable-to-a-particular-subcontract-delete-the-text-shown-below-and-insert-reserved-after-may-2007-in-the-section-title.-do-not-delete-section-number-or-title.)

[F26.0 Barricades (May 2007) (Reserved)
15](#f26.0-barricades-may-2007-reserved-pn-the-following-section-is-applicable-if-barricades-will-be-used-in-the-performance-of-the-sow.-if-this-section-is-not-applicable-to-a-particular-subcontract-delete-the-text-shown-below-and-insert-reserved-after-may-2007-in-the-section-title.-do-not-delete-section-number-or-title.)

[F27.0 Floor & Wall Openings (May 2007) (Reserved)
15](#f27.0-floor-wall-openings-may-2007-reserved-pn-the-following-section-is-applicable-if-holes-or-openings-through-floors-decking-or-roofs-including-skylights-are-anticipated-in-the-performance-of-the-sow.-if-this-section-is-not-applicable-to-a-particular-subcontract-delete-the-text-shown-below-and-insert-reserved-after-may-2007-in-the-section-title.-do-not-delete-section-number-or-title.)

[F28.0 Excavations & Trenching (May 2007) (Reserved)
15](#f28.0-excavations-trenching-may-2007-reserved-pn-the-following-section-is-applicable-if-excavation-or-trenching-is-anticipated-in-the-performance-of-the-sow.-if-this-section-is-not-applicable-to-a-particular-subcontract-delete-the-text-shown-below-and-insert-reserved-after-may-2007-in-the-section-title.-do-not-delete-section-number-or-title.)

[F29.0 Confined Spaces (May 2007) (Reserved)
15](#f29.0-confined-spaces-may-2007-reserved-pn-the-following-section-is-applicable-if-any-portion-of-the-work-will-be-performed-in-a-confined-area.-if-this-section-is-not-applicable-to-a-particular-subcontract-delete-the-text-shown-below-and-insert-reserved-after-may-2007-in-the-section-title.-do-not-delete-section-number-or-title.)

[F30.0 Lockout/Tagout (May 2007) (Reserved)
16](#f30.0-lockouttagout-may-2007-reserved-pn-the-following-section-is-applicable-if-any-portion-of-the-work-deals-with-the-control-of-hazardous-energy.-if-this-section-is-not-applicable-to-a-particular-subcontract-delete-the-text-shown-below-and-insert-reserved-after-may-2007-in-the-section-title.-do-not-delete-section-number-or-title.)

[F31.0 Blind Penetrations (May 2007) (Reserved)
16](#f31.0-blind-penetrations-may-2007-reserved-pn-the-following-section-is-applicable-if-penetrations-into-hollow-walls-ceilings-floors-or-solid-material-is-anticipated-in-performance-of-the-work.-if-this-section-is-not-applicable-to-a-particular-subcontract-delete-the-text-shown-below-and-insert-reserved-after-may-2007-in-the-section-title.-do-not-delete-section-number-or-title.)

[F32.0 Cranes & Material Handling Equipment (May 2007) (Reserved)
16](#f32.0-cranes-material-handling-equipment-may-2007-reserved-pn-the-following-section-is-applicable-if-the-use-of-cranes-or-material-handling-equipment-is-anticipated-in-the-performance-of-the-sow.-if-this-section-is-not-applicable-to-a-particular-subcontract-delete-the-text-shown-below-and-insert-reserved-after-may-2007-in-the-section-title.-do-not-delete-section-number-or-title.)

[F33.0 Suspended Personnel Platforms (May 2007) (Reserved)
16](#f33.0-suspended-personnel-platforms-may-2007-reserved-pn-the-following-section-is-applicable-if-the-use-of-suspended-personnel-platforms-is-anticipated-in-the-performance-of-the-sow.-if-this-section-is-not-applicable-to-a-particular-subcontract-delete-the-text-shown-below-and-insert-reserved-after-may-2007-in-the-section-title.-do-not-delete-section-number-or-title.)

[F35.0 Pressure Safety Including Compressed Gases (May 2007) (Reserved)
16](#f35.0-pressure-safety-including-compressed-gases-may-2007-reserved-pn-the-following-section-is-applicable-if-the-use-of-pressure-systems-is-anticipated-in-the-performance-of-the-sow.-the-section-includes-851-requirements.-if-this-section-is-not-applicable-to-a-particular-subcontract-delete-the-text-shown-below-and-insert-reserved-after-may-2007-in-the-section-title.-do-not-delete-section-number-or-title.)

[F36.0 Electrical Safety (May 2007)
16](#f36.0-electrical-safety-may-2007-the-following-section-is-applicable-if-any-type-of-electrical-work-is-anticipated-in-the-performance-of-the-sow.-this-section-includes-851-requirements.-for-tools-equipment-gfci-requirements-extension-cords-portable-generators-include-section-f17-tools-and-equipment.-for-arc-welding-equipment-include-section-f22-welding-cutting-brazing-and-grinding.-if-energized-electrical-work-is-anticipated-include-section-f30-lockouttagout.-if-this-section-f36-is-not-applicable-to-a-particular-subcontract-delete-the-text-shown-below-and-insert-reserved-after-may-2007-in-the-section-title.-do-not-delete-section-number-or-title.)

[F37.0 Traffic and Pedestrian Control (May 2007) (Reserved)
16](#f37.0-traffic-and-pedestrian-control-may-2007-reserved-pn-the-following-section-is-applicable-if-the-performance-of-the-sow-will-take-place-in-an-area-where-vehicular-and-pedestrian-traffic-is-present.-if-this-section-is-not-applicable-to-a-particular-subcontract-delete-the-text-shown-below-and-insert-reserved-after-may-2007-in-the-section-title.-do-not-delete-section-number-or-title.)

[F38.0 Pollution Prevention / Waste Minimization (May 2007)
16](#f38.0-pollution-prevention-waste-minimization-may-2007-pn-the-following-section-is-applicable-to-all-subcontracts.)

[F39.0 Waste Management/Disposal (May 2007)
17](#f39.0-waste-managementdisposal-may-2007-pn-the-following-section-is-applicable-to-all-subcontracts.-if-this-section-is-not-applicable-to-a-particular-subcontract-delete-the-text-shown-below-and-insert-reserved-after-may-2007-in-the-section-title.-do-not-delete-section-number-or-title.)

[F40.0 Work Within The Boundary Of A Potential Release Site (PRS) (May
2007) (Reserved)
17](#f40.0-work-within-the-boundary-of-a-potential-release-site-prs-may-2007-reserved-pn-the-following-section-is-applicable-if-the-performance-of-the-sow-may-take-place-within-the-boundary-of-a-potential-release-site.-if-excavationfillsoil-disturbance-activities-within-the-boundary-of-a-prs-are-anticipated-include-f28-excavations-trenching.-str-needs-to-make-sure-specific-training-and-equipment-decontamination-requirements-are-included-in-hazard-specific-sections-of-this-exhibit.-if-this-section-is-not-applicable-to-a-particular-subcontract-delete-the-text-shown-below-and-insert-reserved-after-may-2007-in-the-section-title.-do-not-delete-section-number-or-title.)

[F41.0 Wastewater Discharges (May 2007) (Reserved)
18](#f41.0-wastewater-discharges-may-2007-reserved-pn-the-following-section-is-applicable-if-wastewater-is-expected-to-be-discharged-during-performance-of-the-sow.-if-this-section-is-not-applicable-to-a-particular-subcontract-delete-the-text-shown-below-and-insert-reserved-after-may-2007-in-the-section-title.-do-not-delete-section-number-or-title.)

[F42.0 Spill Prevention, Reporting, And Response (May 2007) (Reserved)
18](#f42.0-spill-prevention-reporting-and-response-may-2007-reserved-pn-the-following-section-is-applicable-if-chemicals-petroleum-or-other-products-are-anticipated-to-be-stored-on-site-during-performance-of-the-sow.-if-this-section-is-not-applicable-to-a-particular-subcontract-delete-the-text-shown-below-and-insert-reserved-after-may-2007-in-the-section-title.-do-not-delete-section-number-or-title.)

[F43.0 Storm Water Management (May 2007) (Reserved)
18](#f43.0-storm-water-management-may-2007-reserved-pn-the-following-section-is-applicable-if-there-is-the-potential-for-storm-water-runoff-during-the-performance-of-the-sow.-if-this-section-is-not-applicable-to-a-particular-subcontract-delete-the-text-shown-below-and-insert-reserved-after-may-2007-in-the-section-title.-do-not-delete-section-number-or-title.)

[F44.0 Air Quality (May 2007) (Reserved)
18](#f44.0-air-quality-may-2007-reserved-pn-the-following-section-is-applicable-if-there-is-the-potential-for-emissions-to-be-generated-during-the-performance-of-the-sow.-if-this-section-is-not-applicable-to-a-particular-subcontract-delete-the-text-shown-below-and-insert-reserved-after-may-2007-in-the-section-title.-do-not-delete-section-number-or-title.)

[F45.0 Threatened Or Endangered Species (May 2007) (Reserved)
18](#f45.0-threatened-or-endangered-species-may-2007-reserved-pn-the-following-section-is-applicable-if-the-performance-of-the-sow-could-impact-threatened-or-endangered-species.-if-this-section-is-not-applicable-to-a-particular-subcontract-delete-the-text-shown-below-and-insert-reserved-after-may-2007-in-the-section-title.-do-not-delete-section-number-or-title.)

[F46.0 Cultural Resources (May 2007) (Reserved)
18](#f46.0-cultural-resources-may-2007-reserved-pn-the-following-section-is-applicable-if-the-performance-of-the-sow-could-impact-cultural-resources.-if-this-section-is-not-applicable-to-a-particular-subcontract-delete-the-text-shown-below-and-insert-reserved-after-may-2007-in-the-section-title.-do-not-delete-section-number-or-title.)

[F47.0 Floodplains And Wetlands (May 2007) (Reserved)
18](#f47.0-floodplains-and-wetlands-may-2007-reserved-pn-the-following-section-is-applicable-if-the-performance-of-the-sow-may-take-place-within-a-floodplain-or-wetland.-if-this-section-is-not-applicable-to-a-particular-subcontract-delete-the-text-shown-below-and-insert-reserved-after-may-2007-in-the-section-title.-do-not-delete-section-number-or-title.)

[F48.0 Environmental Reporting (May 2007) (Reserved)
18](#f48.0-environmental-reporting-may-2007-reserved-pn-the-following-section-is-applicable-to-all-subcontracts.)

[F49.0 Radiological Requirements (May 2007) (Reserved)
18](#f49.0-radiological-requirements-may-2007-reserved-pn-if-radiological-hazards-may-exist-in-the-performance-of-the-sow-contact-the-radiological-protection-organization-to-define-requirements-specific-to-the-work.-those-requirements-should-then-be-properly-numbered-and-inserted-in-this-section.-if-this-section-is-not-applicable-to-a-particular-subcontract-delete-the-text-shown-below-and-insert-reserved-after-may-2007-in-the-section-title.-do-not-delete-section-number-or-title.)

[F50.0 Asbestos Abatement (May 2007) (Reserved)
18](#f50.0-asbestos-abatement-may-2007-reserved-pn-the-following-section-is-applicable-if-asbestos-could-be-encountered-during-the-performance-of-the-sow.-if-this-section-is-not-applicable-to-a-particular-subcontract-delete-the-text-shown-below-and-insert-reserved-after-may-2007-in-the-section-title.-do-not-delete-section-number-or-title.)

[F51.0 Industrial Hygiene (May 2007)
18](#f51.0-industrial-hygiene-may-2007-pn-the-following-section-is-applicable-to-all-subcontracts-and-includes-851-requirements.)

[F52.0 Beryllium (May 2007) (Reserved)
18](#f52.0-beryllium-may-2007-reserved-pn-the-following-section-is-applicable-if-work-may-be-performed-in-a-technical-area-in-which-beryllium-is-present-and-includes-851-requirements.-if-this-section-is-not-applicable-to-a-particular-subcontract-delete-the-text-shown-below-and-insert-reserved-after-may-2007-in-the-section-title.-do-not-delete-section-number-or-title.)

[F53.0 Explosives Storage/Use/Disposal (May 2007) (Reserved)
18](#f53.0-explosives-storageusedisposal-may-2007-reserved-pn-the-following-section-is-applicable-if-the-use-storage-or-disposal-of-explosives-is-anticipated-during-the-performance-of-the-sow-and-includes-851-requirements.-if-this-section-is-not-applicable-to-a-particular-subcontract-delete-the-text-shown-below-and-insert-reserved-after-may-2007-in-the-section-title.-do-not-delete-section-number-or-title.)

[F54.0 Heavy Metals (May 2007) (Reserved)
18](#f54.0-heavy-metals-may-2007-reserved-pn-the-following-section-is-applicable-if-there-is-any-work-with-heavy-metals-during-the-performance-of-the-sow.-if-this-section-is-included-sections-f38-through-f48-should-also-be-included-per-54.4-below.-if-this-section-is-not-applicable-to-a-particular-subcontract-delete-the-text-shown-below-and-insert-reserved-after-may-2007-in-the-section-title.-do-not-delete-section-number-or-title.)

[F55.0 Firearms Safety (May 2007) (Reserved)
18](#f55.0-firearms-safety-may-2007-reserved-pn-the-following-section-is-applicable-if-there-is-the-potential-for-use-storage-or-availability-of-firearms-during-the-performance-of-the-sow-and-includes-851-requirements.-if-this-section-is-not-applicable-to-a-particular-subcontract-delete-the-text-shown-below-and-insert-reserved-after-may-2007-in-the-section-title.-do-not-delete-section-number-or-title.)

[F56.0 Biological Safety (May 2007) (Reserved)
18](#f56.0-biological-safety-may-2007-reserved-pn-the-following-section-is-applicable-to-all-subcontracts-and-includes-851-requirements.)

[F57.0 Safety Performance (May 2007)
18](#f57.0-safety-performance-may-2007-pn-the-following-section-is-applicable-to-all-subcontracts.)

[F58.0 Substance Abuse (May 2007)
20](#f58.0-substance-abuse-may-2007-pn-the-following-section-is-applicable-to-all-subcontracts.)

[F59.0 Attachments (May 2007)
21](#f59.0-attachments-may-2007-pn-delete-reference-below-to-those-attachments-that-are-not-applicable-to-a-particular-subcontract-however-there-is-no-need-to-insert-reserved-in-place-of-deleted-attachment.-make-sure-to-also-delete-the-actual-attachment.-note-attachment-numbers-refer-to-section-where-attachment-is-referenced.-for-example-attachment-f3-1-is-referenced-in-section-f3.0.)

**Note: References herein to 10 CFR 851 or subparts thereof refer to
Title 10 of the Code of Federal Regulations, Part 851 Worker Safety and
Health Program.**

# F1.0 General Requirements (May 2007) PN: The following section is applicable to all subcontracts and includes 851 requirements.

> 1.1 For the purpose of this Exhibit, environmental, safety, and health
> (ES&H) protection encompasses industrial hygiene and safety, and
> environmental protection, compliance, pollution prevention, and waste
> management/minimization. The term "SUBCONTRACTOR" includes the
> SUBCONTRACTOR, its employees and any sub-tier subcontractors and their
> employees. The term "Greenfield" refers to subcontracts under which
> the SUBCONTRACTOR has exclusive custody of the entire work site. The
> term "GOVERNMENT" applies to personnel from the Department of Energy,
> NNSA, GAO, etc.
>
> 1.2 SUBCONTRACTOR shall have sole responsibility for implementing the
> SUBCONTRACTOR'S written ES&H plan as approved by the CONTRACTOR.
> Neither the CONTRACTOR nor the GOVERNMENT shall be responsible for
> supervising the implementation of SUBCONTRACTOR'S ES&H plan and
> neither CONTRACTOR nor the GOVERNMENT shall have responsibility for
> the safety and environmental compliance of the SUBCONTRACTOR, its
> employees or its lower-tier suppliers' or subcontractors' employees.
> The Subcontractor shall not commence work on site until the
> SUBCONTRACTOR'S written ES&H plan is approved by the CONTRACTOR and a
> Notice to Proceed has been received by the SUBCONTRACTOR.
>
> 1.3 When performing work at sites controlled/managed by CONTRACTOR or
> the GOVERNMENT the SUBCONTRACTOR shall comply with all applicable
> Federal, State, and Local laws and regulations protecting workers,
> air, water, soil, and those governing land use, waste
> management/disposal, and chemical and pesticide usage.
>
> 1.4 The requirements for the SUBCONTRACTOR in accordance with
> CONTRACTOR'S 10 CFR 851, Worker Safety and Health Program are
> contained in this Exhibit. Nothing in this Exhibit must be construed
> as relieving SUBCONTRACTOR from complying with any additional specific
> safety and health requirement that SUBCONTRACTOR determines to be
> necessary to protect the safety and health of workers. Some, but not
> all of the 10 CFR 851 requirements are set forth in this Exhibit. Even
> if not specifically set forth in this Exhibit, SUBCONTRACTOR is
> required under 10 CFR 851 to comply with the following regulations and
> safety and health standards that are applicable to the hazards of its
> work:

-   10 CFR 850, Chronic Beryllium Disease Prevention Program

-   29 CFR Part 1904.4 through 1904.11, 1904.29 through 1904.33, 1904.44
    and 1904.46 -- Recording and Reporting Occupational Injuries and
    Illnesses

-   29 CFR Part 1910, Occupational Safety and Health, excluding
    1910.1096, Ionizing Radiation

-   29 CFR Part 1926, Safety and Health Regulations for Construction

-   29 CFR Part 1928, Occupational Safety and Health Standards for
    Agriculture

-   American Conference of Governmental Industrial Hygienists (ACGIH),
    ''Threshold Limit Values for Chemical Substances and Physical Agents
    and Biological Exposure Indices'' (2005)

-   ANSI Z88.2, Respiratory Protection (1992)

-   ANSI Z136.1, Safe Use of Lasers (2000)

-   ANSI Z49.1, Safety in Welding, Cutting and Allied Processes,
    Sections 4.3 and E4.3 (1999)

-   NFPA 70, National Electric Code (2005)

-   NFPA 70E, Standard for Electrical Safety in the Workplace (2004)

-   American Society of Mechanical Engineers (ASME) Boilers and Pressure
    Vessel Code, sections I through XII including applicable Code Cases,
    (2004)

-   ASME B31 (ASME Code for Pressure Piping) as follows:

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-   B31.1-2001-Power Piping, and B31.1a-2002 Addenda to ASME B31.1-2001;

-   B31.2-1968-Fuel Gas Piping;

-   B31.3-2002-Process Piping;

-   B31.4-2002-Pipeline Transportation Systems for Liquid Hydrocarbons
    and Other Liquids;

-   B31.5-2001-Refrigeration Piping and Heat Transfer Components, and
    B31.5a-2004, Addenda to ASME B31.5-2001;

-   B31.8-2003-Gas Transmission and Distribution Piping Systems;

-   B31.8S-2001-Managing System Integrity of Gas Pipelines;

-   B31.9-1996-Building Services Piping;

-   B31.11-2002-Slurry Transportation Piping Systems; and

-   B31G-1991-Manual for Determining Remaining Strength of Corroded
    Pipelines.

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-   DOE Manual 231.1-1A, Environment, Safety and Health Reporting Manual
    September 9, 2004

-   DOE Manual 440.1-1A, DOE Explosives Safety Manual, Contractor
    Requirements Document, January 9, 2006.

> 1.5 In accordance with 10 CFR 851.10(a), the SUBCONTRACTOR must
> provide a place of employment that is free from recognized hazards
> that are causing or have the potential to cause death or serious
> physical harm.
>
> 1.6 SUBCONTRACTOR shall have sole responsibility for taking such
> action as is deemed necessary to assure compliance with the Clean
> Water Act (CWA), Resource, Conservation and Recovery Act (RCRA), and
> Toxic Substances Control Act (TSCA); 20.4.1 NMAC or 20.9.1 NMAC
> regulations; Laboratory requirements identified in the subcontract;
> and Department of Energy (DOE) Orders related to environmental
> compliance and waste management.
>
> 1.7 In the event of any non-compliance, including environmental or
> waste management violations, all such measures taken by the CONTRACTOR
> to correct the violations shall be at the SUBCONTRACTOR'S expense, and
> the cost thereof, including any stipulated penalties resulting from
> non-compliance, shall be deducted from payments otherwise due to
> SUBCONTRACTOR.
>
> 1.8 CONTRACTOR is dedicated to the concept that all accidents are
> preventable. Accordingly, CONTRACTOR is committed to a goal of zero
> accidents through continuous improvement practices. This \"Zero
> Accident Performance\" goal, including zero non-permitted releases and
> zero regulatory non-compliance with respect to protection of the
> environment, is an expectation of all SUBCONTRACTORS in the
> performance of their work. In accordance with 10 CFR 851.20(a)(1),
> SUBCONTRACTOR shall adopt the following "Zero Accident Performance"
> objectives:
>
> 1.8.1 Strive to eliminate all injuries, illnesses, and adverse impacts
> to the environment.
>
> 1.8.2 Promote environment, safety, and health (ES&H) objectives as a
> constant value in designing, planning, training, and executing work
> through the Integrated Safety Management (ISM) process (see Sections
> 1.11 and 1.12).
>
> 1.8.3 Spread ownership for the ES&H program effectiveness throughout
> the SUBCONTRACTOR'S teams.
>
> 1.8.4 Enhance employee awareness and involvement in their ES&H program
> implementation.
>
> 1.8.5 Enforce employees' consistent use of safe practices in their
> daily work activities.
>
> 1.8.6 Optimize the use of continuous improvement practices as the
> basis for \"Zero Accident Performance\" initiatives.
>
> 1.8.7 Demonstrate to CONTRACTOR that SUBCONTRACTOR is dedicated to
> safety and environmental compliance excellence.
>
> 1.8.8 Expect senior management to demonstrate leadership and direction
> for "Zero Accident Performance" implementation.
>
> 1.8.9 Ensure all SUBCONTRACTOR employees are empowered to implement
> and consistently strive for the "Zero Accident Performance" goal.
>
> 1.8.10 Management is accessible to employees for ES&H concerns.
>
> 1.9 In accordance with 10 CFR 851.20(a)(10) and 851.20(b)(2)(iv),
> SUBCONTRACTOR must inform workers of their rights and responsibilities
> by appropriate means, including posting the U.S. Department of
> Energy/LANL "Worker Protection at Los Alamos National Laboratory"
> poster in the workplace where it is visible to all workers. In
> accordance with 10 CFR 851.20(b)(2) SUBCONTRACTOR shall allow workers
> to have access to DOE Safety and Health publications; the 10 CFR 851
> Worker Safety and Health Program for the covered workplace; the
> standards, controls, and procedures applicable to the covered
> workplace; limited information on any recordkeeping log (OSHA Form
> 300); and DOE Form 5484.3 (the DOE equivalent to OSHA Form 301) on
> official time. SUBCONTRACTOR shall designate a location or contact
> information for workers to obtain this information.
>
> 1.10 In accordance with 10 CFR 851.20(b)(5), SUBCONTRACTOR shall
> ensure that employee representatives have the right to participate in
> inspections by DOE officials on official time.
>
> 1.11 In accordance with 10 CFR 851.11(a)(3)(ii), CONTRACTOR is
> committed to implementing an Integrated Safety Management System
> (ISMS) and Environmental Management System (EMS) that promotes
> CONTRACTOR'S core values and the principles set forth by the U.S.
> Department of Energy (DOE). The objective of ISMS and EMS is to
> systematically integrate safety and environmental compliance into
> management and work practices at all levels so that workers, the
> public, and the environment are protected while assigned projects are
> accomplished.
>
> 1.12 In accordance with 10 CFR 851.11(a)(3)(ii), SUBCONTRACTOR shall
> perform work in a safe and compliant manner that ensures adequate
> protection for employees, the public, and the environment, and shall
> be accountable for safety and environmental compliance. SUBCONTRACTOR
> shall exercise a degree of care commensurate with the work and the
> associated hazards/risks. SUBCONTRACTOR shall ensure that management
> of ES&H functions and activities becomes an integral but visible part
> of SUBCONTRACTOR\'S work planning and execution processes. The
> following ISMS and EMS principles must be adhered to:
>
> 1.12.1 Line management is responsible for the protection of employees,
> the public, and the environment. Line management includes those
> SUBCONTRACTOR employees managing or supervising employees performing
> work.
>
> 1.12.2 Clear and unambiguous lines of authority and responsibility for
> ES&H matters are established and maintained at all organizational
> levels.
>
> 1.12.3 Personnel possess the experience, knowledge, skills, and
> abilities that are necessary to discharge their responsibilities.
>
> 1.12.4 Resources are effectively allocated to address ES&H,
> programmatic, and operational considerations. Protecting employees,
> the public, and the environment is a priority whenever activities are
> planned and performed.
>
> 1.12.5 Before work is performed, the associated hazards/risks are
> evaluated and an agreed‑upon set of ES&H controls and requirements is
> established which, if properly implemented, provide adequate assurance
> that employees, the public, and the environment are protected from
> adverse consequences.
>
> 1.12.6 In accordance with 10 CFR 851.22(b), administrative and
> engineering controls to prevent and mitigate hazards shall be tailored
> to the work being performed and associated hazards. Controls are
> established according to the following hierarchy:

-   Hazard elimination by process modification;

-   Substitution of a less hazardous substance, if available;

-   Application of engineering controls such as enclosures, machine
    guards, interlocks, or similar devices;

-   Application of administrative controls, such as training,
    lockout/tagout, and procedures;

-   Use of Personal Protective Equipment (PPE).

> 1.12.7 The conditions and requirements to be satisfied for operations
> to be initiated and conducted are established and agreed upon by the
> CONTRACTOR and SUBCONTRACTOR. These agreed upon conditions and
> requirements are requirements of the subcontract and binding upon the
> SUBCONTRACTOR. The extent of documentation and level of authority for
> agreement shall be tailored to the complexity, hazards, and
> environmental requirements associated with the work.
>
> 1.13 CONTRACTOR reserves the right to perform both announced and
> unannounced inspections and assessments of SUBCONTRACTOR'S operations,
> equipment, and materials to verify compliance with the requirements of
> this subcontract. SUBCONTRACTOR shall cooperate and accommodate
> oversight assessments, audits, and inspections performed by the
> CONTRACTOR. The CONTRACTOR may invoke Stop Work at any time for
> violations of applicable laws and regulations.
>
> 1.14 In accordance with 10 CFR 851.20(a)(9), SUBCONTRACTOR shall
> ensure that workers have the authority and responsibility, and are
> encouraged to stop work when they discover unsafe conditions or other
> hazards. SUBCONTRACTOR shall ensure that work does not resume until
> the ES&H concerns associated with that activity are resolved. Restart
> of work activities may not occur except as follows:
>
> 1.14.1 The worker shall correct the hazardous condition and restart
> the activity or operation without notifications if (1) the condition
> does not pose an imminent danger, (2) the condition can be corrected
> immediately, and (3) the worker has the resources to correct the
> condition and restart work.
>
> 1.14.2 In all other cases, the worker must notify the SUBCONTRACTOR
> ES&H Representative prior to restart.
>
> 1.14.3 If the SUBCONTRACTOR ES&H Representative is notified of a stop
> work initiated by a worker, the ES&H Representative shall notify the
> STR.
>
> 1.15 SUBCONTRACTOR'S ES&H plan shall describe how SUBCONTRACTOR
> complies with any compliance order, if any, issued by the Secretary of
> DOE in accordance with 10 CFR 851.4.

# F2.0 Subcontractor's ES&H Plan (May 2007) PN: The following section is applicable to all subcontracts and includes 851 requirements.

> 2.1 To perform subcontract work at LANL, SUBCONTRACTOR is required to
> comply with CONTRACTOR'S 10 CFR 851 Worker Safety and Health Program,
> the requirements of which are set forth in this Exhibit. This Exhibit
> also contains additional safety and health requirements that
> CONTRACTOR considers necessary for performance of work at LANL.
> Further, SUBCONTRACTOR shall supplement the requirements of this
> Exhibit with such additional safety and health elements, if any, as
> SUBCONTRACTOR considers necessary to protect the safety and health of
> the workers, and so certify to CONTRACTOR that this Exhibit together
> with any additional elements constitute the SUBCONTRACTOR'S ES&H Plan.
> SUBCONTRACTOR shall consolidate such ES&H plan elements and submit the
> complete SUBCONTRACTOR'S ES&H Plan to CONTRACTOR for review and
> approval. SUBCONTRACTOR'S ES&H Plan must be approved prior to issuance
> of a Notice to Proceed.
>
> 2.2 In accordance with 10 CFR 851.20(a)(4) the SUBCONTRACTOR will
> provide mechanisms to involve workers and their elected
> representatives in the development of the worker safety and health
> program goals, objectives, and measures and in the identification and
> control of hazards in the workplace. The following are some ways to
> involve workers: (1) ES&H committees, (2) safety observers, (3) ad hoc
> health and safety problem-solving groups, (4) ES&H training of other
> employees, (5) analysis of job hazards, and (6) committees that plan
> and conduct ES&H awareness programs.
>
> 2.3 SUBCONTRACTOR shall comply with, and assist CONTRACTOR in
> complying with, ES&H requirements of all applicable laws and
> regulations and applicable directives and other requirements which are
> identified in the subcontract. SUBCONTRACTOR shall cooperate with
> Federal and non‑Federal agencies having jurisdiction over ES&H matters
> under the subcontract.
>
> 2.4 SUBCONTRACTOR is responsible for compliance with the ES&H
> requirements applicable to this subcontract regardless of the
> performer of the work. SUBCONTRACTOR'S ES&H Plan shall specify how
> safety requirements will flow down to employees and sub-tier
> subcontractors. In accordance with 10 CFR 851.20(a)(5) and 10 CFR
> 851.20(b)(2)(ii), SUBCONTRACTOR will ensure that workers have access
> to SUBCONTRACTOR'S ES&H Plan, and in accordance with 10 CFR 851.20(b)
> that workers comply with the requirements in the plan, respectively.
>
> 2.5 In accordance with 10 CFR 851.20(a)(6) and 10 CFR 851.20(b)(7),
> SUBCONTRACTOR shall establish procedures for workers to report without
> reprisal, job-related fatalities, injuries, illnesses, incidents and
> hazards and make recommendations about appropriate ways to control
> hazards. SUBCONTRACTOR must provide prompt response to such reports
> and recommendations in accordance with10 CFR 851.20 (a)(7).
>
> 2.6 In accordance with 10 CFR 851.20(b)(8), SUBCONTRACTOR'S workers
> shall have the right, without reprisal, to decline to perform an
> assigned task because of a reasonable belief that, under the
> circumstances, the task poses an imminent risk of death or serious
> physical harm to the worker coupled with a reasonable belief that
> there is insufficient time to seek effective redress through normal
> hazard reporting and abatement procedures.
>
> 2.7 In accordance with 10 CFR 851.20(a) and 851.20(a)(3),
> SUBCONTRACTOR shall assign worker safety and health responsibilities,
> evaluate personnel performance, and hold both management and workers
> accountable for worker safety and health performance. SUBCONTRACTOR
> shall hold its line management personnel accountable for the safety
> and health of SUBCONTRACTOR'S workforce and for successfully
> performing the safety and health requirements of the subcontract and
> shall, at least annually, evaluate the effectiveness of its line
> management personnel's performance in meeting this objective. If
> SUBCONTRACTOR, or any lower-tier subcontractor, independently either
> suspends or terminates an employee for unsafe acts resulting from
> performance of work under this subcontract, SUBCONTRACTOR shall
> immediately provide written notification to the STR with information
> on that action.
>
> 2.8 Changes to SUBCONTRACTOR'S ES&H Plan require re-submittal to and
> approval by CONTRACTOR.

# F3.0 Subcontractor and All Lower-Tier Subcontractors (May 2007) PN: The following section is applicable to all subcontracts.

> 3.1 If SUBCONTRACTOR intends to use lower-tier subcontractors to
> perform elements of the subcontracted Scope of Work, such lower-tier
> subcontractors shall meet the minimum performance eligibility
> requirements contained in Attachment F3-1, Minimum Performance
> Eligibility Factors, and shall complete Attachment F3-2, Environment,
> Safety and Health History Worksheet.
>
> 3.2 SUBCONTRACTOR shall ensure that lower-tier subcontractors that
> perform elements of the subcontracted Scope of Work adhere to this
> Exhibit F and SUBCONTRACTOR'S ES&H Plan. SUBCONTRACTOR is responsible
> for ensuring that its lower-tier subcontractor's activities are
> included in SUBCONTRACTOR'S ES&H Plan and that they work within the
> requirements of this Subcontract. The names and eligibility
> information of all the entities performing work at every tier must be
> provided to CONTRACTOR prior to commencement of work.
>
> 3.3 If new or additional lower-tier subcontractors are proposed to be
> used by SUBCONTRACTOR at any time after the award of the subcontract,
> SUBCONTRACTOR must notify CONTRACTOR at least 15 calendar days before
> the proposed start date of the new lower-tier subcontractor and submit
> eligibility information as provided in paragraph 3.1 above

# F4.0 Subcontractor ES&H Representative Duties and Responsibilities (May 2007) (Reserved) PN: This section applies to all subcontracts. The Safety Representative, together with the environmental representative and STR, must choose either Option A or B. In addition, optional subsection C may be added, if required, for projects with high environmental risk.

> PN: Option A -- ES&H Professional - Required for subcontracts with
> relative high health and safety risk; large scope/monetary value;
> large number of employees on-site; complex; etc. Delete if not
> applicable.
>
> PN: Option B -- ES&H Representative - Alternative option for
> subcontracts with lower risk factors and smaller dollar value. Delete
> if not applicable.
>
> PN: Optional subsection C -- Environmental Professional - Alternative
> option for subcontracts with relative high environmental compliance
> risk; large scope/monetary value; large number of employees on site;
> complex; etc. Delete if not applicable.

# F5.0 Incident Reporting Requirements (May 2007) PN: The following section is applicable to all subcontracts and includes 851 requirements.

> 5.1 In accordance with 10 CFR 851.26(b), SUBCONTRACTOR shall:

-   Report and investigate accidents, injuries and illnesses; and

-   Analyze related data for trends and lessons learned (reference DOE
    Order 225.1A, Accident Investigations, November 26, 1997).

> 5.2 SUBCONTRACTOR must immediately notify CONTRACTOR'S STR verbally,
> and then in writing (within 24 hours), of any event or condition that
> adversely affects, or may adversely affect CONTRACTOR, or its mission,
> CONTRACTOR'S or SUBCONTRACTOR'S personnel, the public, property, or
> the environment. An event or condition includes: employee
> injury/illness/first aid (see F-6.0, Injury/Illness Reporting); any
> accident, incident, or near-miss; property damage to equipment,
> facilities, or motor vehicles; potential Price Anderson Amendment Act
> (PAAA) or Worker Health and Safety Rule noncompliance; non-compliance
> with environmental requirements; non-permitted release to the
> environment; or any other unplanned event that may be a violation of a
> regulatory requirement or that may be viewed negatively by the public,
> CONTRACTOR, or Government.
>
> 5.3 In situations where any of the conditions mentioned above occur,
> the scene surrounding or associated with the event shall be preserved
> for continued investigation unless such actions interfere with
> establishing a safe condition or CONTRACTOR concurrence is obtained.
> SUBCONTRACTOR and CONTRACTOR personnel may jointly investigate each
> injury/illness, accident, incident, near miss, or environmental
> noncompliance.
>
> 5.4 SUBCONTRACTOR shall provide a complete written accident/incident
> investigation report of any incident, outlining the causes, corrective
> actions, and measures taken to prevent recurrence of similar
> incidents, to CONTRACTOR'S STR within two working days of its
> occurrence. Furthermore, the SUBCONTRACTOR shall cooperate and
> participate as required with any CONTRACTOR or GOVERNMENT critique,
> analysis, or investigation for such events/conditions.

# F6.0 Injury/Illness Recordkeeping and Reporting (May 2007) PN: The following section is applicable to all subcontracts and includes 851 requirements. STR must notify IH/S-IP immediately upon receipt of any notification from SUBCONTRACTOR. Furthermore, injury/illness investigation reports must be forwarded to IH/S-IP at ii@lanl.gov.

> 6.1 SUBCONTRACTOR shall maintain accurate accident and injury/illness
> logs in accordance with 10 CFR 851.26 (a)(1). Logs shall be available
> for review upon request. SUBCONTRACTOR must enter each recordable
> injury or illness on the SUBCONTRACTOR's OSHA 300 Log and 301 Incident
> Report within seven (7) calendar days of receiving information that a
> recordable injury or illness has occurred.
>
> 6.2 In accordance with 10 CFR 851.26(a)(2), the SUBCONTRACTOR is
> required to report all job-related injuries and illnesses, regardless
> of severity, immediately to CONTRACTOR'S STR. Copies of the
> appropriate medical treatment forms (medical provider's diagnosis,
> restrictions, treatment plan) shall be submitted to CONTRACTOR'S STR.
> SUBCONTRACTOR shall also provide an investigation report to the
> CONTRACTOR STR within 2 working days, which includes the location
> where the injury/illness occurred, date, time, name, Z-number, home
> address for employees with recordable injuries/lost or restricted work
> days, body part injured, nature of injury, medical treatment, root
> cause of accident and corrective actions, restrictions, number of days
> hospitalized, number of work days lost, number of restricted work
> days, and number of productive man-hours for the month. Prior to
> injured or ill employee returning to work, copies of the attending
> physician's report releasing the employee to full or limited duty
> shall also be submitted.
>
> 6.3 SUBCONTRACTOR shall maintain reports and documentation required by
> Federal, State, and Local regulations and those required by
> SUBCONTRACTOR'S ES&H Plan in accordance with 10 CFR 851.26(a) and (b).
> This includes all hazard inventory information, hazard assessments,
> exposure measurements and exposure controls. These reports and
> documentation shall be submitted to CONTRACTOR upon request.
> SUBCONTRACTOR shall not conceal nor destroy any information concerning
> non-compliance or potential noncompliance with the requirements of 10
> CFR 851.26(a)(4).
>
> 6.4 In accordance with 10 CFR 851.26 (a)(2) the SUBCONTRACTOR shall
> submit a weekly productive man-hours report to the STR every Monday
> for the preceding week using Attachment F6-1, Weekly Productive
> Man-Hour Report. PN: STR must provide a copy of the Weekly Productive
> Man-Hour Report to IH/S-IP upon receipt.
>
> 6.5 SUBCONTRACTOR shall analyze data for trends and lessons learned in
> accordance with 10 CFR 851.26(b)(2) and submit to the STR by the 10th
> of the month following the quarter.
>
> PN: STR must forward quarterly report to IH/S-IP upon receipt.

# F7.0 Employee Training (May 2007) PN: The following section is applicable to all subcontracts and includes 851 requirements.

> 7.1 In accordance with 10 CFR 851.25(a), (b) and (c), SUBCONTRACTOR
> shall ensure that workers are properly trained and qualified in
> accordance with regulatory requirements to safely perform all assigned
> tasks. This includes training of workers in the hazards to which they
> may be exposed so they can perform their duties in a safe and
> healthful manner. This must include initial, periodic, and additional
> training and provide information on each hazard before or at the time
> of initial assignment to a job involving exposure to each hazard.
> SUBCONTRACTOR must provide training and information to workers who
> have worker safety and health program responsibilities that is
> necessary for them to carry out those responsibilities.
>
> 7.2 Any CONTRACTOR-required and provided training is noted in the
> applicable section of this Exhibit. CONTRACTOR will maintain records
> of any training provided to SUBCONTRACTOR and such records will be
> made available to SUBCONTRACTOR upon request.
>
> 7.3 SUBCONTRACTOR shall conduct or acquire training and maintain
> records of other specific training identified in SUBCONTRACTOR'S ES&H
> Plan. Training records shall be retained on site for the duration of
> the contract and made available to CONTRACTOR, upon request.
>
> 7.4 The training identified shall be completed prior to start of work
> related to the respective training subject.
>
> 7.5 SUBCONTRACTOR employees shall complete any site-specific training
> required if they will be performing work in a CONTRACTOR facility.

# F8.0 ES&H Meetings/Pre-Job Briefings/Daily Briefings (May 2007) PN: The following section is applicable to all subcontracts and includes 851 requirements.

> 8.1 In accordance with 10 CFR 851 20(a)(8), SUBCONTRACTOR shall
> provide for regular communication with workers about workplace safety
> and health matters utilizing the methods described in this Section.
>
> 8.2 Prior to commencement of work, all SUBCONTRACTOR personnel, either
> initially or as they are introduced to the site, shall attend a
> pre-job briefing. The initial briefing will be conducted by
> CONTRACTOR. Pre-job briefings of subsequent SUBCONTRACTOR employees
> must be performed by SUBCONTRACTOR, and formally documented. This
> documentation must be available for review by CONTRACTOR upon request.
> The initial pre-job briefing shall cover the scope of the subcontract,
> the associated hazards and environmental requirements, and the steps
> that will be taken to mitigate those hazards and assure environmental
> compliance, as well as the roles and responsibilities of CONTRACTOR,
> SUBCONTRACTOR, and its employees, at a minimum.
>
> 8.3 SUBCONTRACTOR shall provide a daily briefing for its workers which
> specifically addresses the hazards and mitigating controls for work to
> be performed that day. In addition, SUBCONTRACTOR will conduct monthly
> employee ES&H meetings. PN: Insert either "weekly" or "monthly" where
> asterisk is located. STR and/or safety and/or environmental
> representative(s) shall select one depending on the type of
> subcontract.
>
> 8.4 A record of attendance and topics covered at all briefings and
> employee ES&H meetings shall be documented and maintained on the job
> site for the duration of the subcontract.
>
> 8.5 Once each month, CONTRACTOR will conduct a SUBCONTRACTOR ES&H
> meeting to provide a forum to focus on current ES&H topics, recognize
> exceptional performance/compliance as well as review recent incidents
> and issues. SUBCONTRACTOR will be required to have a representative
> attend this meeting. Immediately after the ES&H meeting an incident
> review board (IRB) will be convened*.* Those involved in selected
> incidents that occurred during that period will be required to present
> the events surrounding the incident to the IRB as well as what should
> have been done to prevent the occurrence. SUBCONTRACTOR management
> will be required attendants at the IRB meeting.

# F9.0 ES&H Inspections (May 2007) PN: The following section is applicable to all subcontracts and includes 851 requirements.

> 9.1 SUBCONTRACTOR shall conduct and record initial and other periodic
> inspections of the work areas to monitor compliance with ES&H
> requirements. CONTRACTOR will also perform periodic inspections of the
> work areas and provide a written report to the STR who will
> communicate issues to SUBCONTRACTOR. PN: Insert either "daily,
> weekly", "monthly" or "quarterly" where asterisk is located. STR
> and/or safety and/or environmental representative(s) shall select one
> depending on the type of subcontract.
>
> 9.2 SUBCONTRACTOR shall promptly initiate action to correct all
> identified hazards, deficiencies, or compliance issues that
> SUBCONTRACTOR is responsible for.
>
> 9.3 SUBCONTRACTOR shall report all identified hazards, deficiencies,
> or compliance issues not under the control of the SUBCONTRACTOR to the
> CONTRACTOR STR.
>
> 9.4 SUBCONTRACTOR shall take all necessary steps to ensure the
> protection of employees, the public, and the environment until the
> hazards, deficiencies, or compliance issues are corrected.
>
> 9.5 In accordance with 10 CFR 851.20(b)(6), SUBCONTRACTOR shall ensure
> that workers have the right without reprisal to request and receive
> results of investigations, inspections and accident investigations.

# F-10 Housekeeping (May 2007) PN: The following section is applicable to all subcontracts, but should be tailored to the work.

> 10.1 Good housekeeping practices are an integral component to
> maintaining a safe work environment. SUBCONTRACTOR shall provide the
> necessary resources to ensure all work areas are kept neat and orderly
> at all times by implementing the following housekeeping practices:

-   Keep tools and materials properly stored when not in use and remove
    all materials that are no longer needed.

-   Ensure trash is placed in appropriate containers.

-   Keep floors clear of trip and slip hazards.

# F11.0 Emergency Preparedness Requirements (May 2007) PN: The following section is applicable to all subcontracts and includes 851 requirements.

> 11.1 SUBCONTRACTOR must comply with CONTRACTOR'S site-specific
> emergency response requirements which are covered in the General
> Employee Training and the facility- or building-specific training for
> the facilities and buildings in which they work. CONTRACTOR will be
> responsible for communicating site-specific emergency response
> requirements to SUBCONTRACTOR'S employees. Communication of
> requirements will be documented by CONTRACTOR.

# F12.0 Personal Protective Equipment (May 2007) (Reserved) PN: The following section is applicable if hazards can be expected in performance of the work for which PPE is appropriate. If this section is not applicable to a particular subcontract, delete the text shown below and insert "\[Reserved\]" after "(May 2007)" in the section title. Do not delete section number or title.

# F13.0 Respiratory Protection (May 2007) (Reserved) PN: The following section is applicable if hazards can be expected in performance of the work for which respiratory protection is appropriate, and includes 851 requirements. If this section is not applicable to a particular subcontract, delete the text shown below and insert "\[Reserved\]" after "(May 2007)" in the section title. Do not delete section number or title.

# F14.0 Hearing Conservation Program (May 2007) PN: The following section is applicable if noise can be expected in performance of the work which equals or exceeds the levels identified in 29 CFR 1910.95 and 1926.52. If this section is not applicable to a particular subcontract, delete the text shown below and insert "\[Reserved\]" after "(May 2007)" in the section title. Do not delete section number or title.

# F15.0 Occupational Medicine (OM) Services (May 2007) PN: The following section is applicable to all subcontracts and includes 851 requirements.

> 15.1 In accordance with 10 CFR 851 Appendix A, Section 8,
> SUBCONTRACTOR shall:

-   maintain a complete medical record on all SUBCONTRACT workers,
    including health evaluations, surveillance and certification
    monitoring, work and exposure history and immunizations

-   maintain a work history log for each worker who performs work on
    LANL property. The work history log shall include records of the
    dates and times the individual was on site.

-   provide access to medical records, work history logs, surveillance
    and certification records and employee records as requested by the
    CONTRACTOR.

-   collaborate with LANL staff to obtain information on workplace job
    conditions and issues related to worker's health

-   provide workers access to their personal records as required by DOE
    regulations.

-   obtain a return to work evaluation after a work related injury or
    illness or an absence due to any injury or illness lasting 5 or more
    consecutive days (or an equivalent time period for those individuals

> 15.2 CONTRACTOR Occupational Medicine shall provide initial treatment
> (when requested) of any non-emergency work-related injury or illness
> for SUBCONTRACTOR workers for events that occur on LANL property. The
> SUBCONTRACTOR supervisor shall accompany SUBCONTRACTOR workers to
> Occupational Medicine.
>
> 15.3 SUBCONTRACTOR is responsible for workers' compensation
> administration and case management.
>
> 15.4 SUBCONTRACTOR shall ensure that all workers' general health and
> physical and psychological capacity to perform work are adequate for
> the work assigned.

# F16.0 Motor Vehicles and Powered Industrial Equipment (May 2007) PN: The following section is applicable if motor vehicles or powered industrial equipment will be used in performance of the work, and includes 851 requirements. If this section is not applicable to a particular subcontract, delete the text shown below and insert "\[Reserved\]" after "(May 2007)" in the section title. Do not delete section number or title.

> 16.1 In accordance with 10 CFR 851 Appendix A, Section 9,
> SUBCONTRACTOR shall implement a motor vehicle safety program to
> protect the safety and health of all drivers and passengers in motor
> vehicles. General requirements for SUBCONTRACTOR-provided vehicles
> shall be defined in the ES&H Plan to ensure compliance with
> appropriate regulatory requirements (29 CFR 1910.178). Such elements
> shall include but are not limited to seat belt use, training, and
> general vehicle operational use.
>
> 16.2 Minimum licensing requirements (including appropriate testing and
> medical qualification) for personnel operating SUBCONTRACTOR-provided
> motor vehicles:

-   Must have a valid driver's license.

-   Must be at least 18 years old.

> 16.3 SUBCONTRACTOR shall require the use of seat belts for the
> operator and each passenger and enforce the use of seat belts any time
> SUBCONTRACTOR-provided vehicle is in motion.
>
> 16.4 All personnel operating any SUBCONTRACTOR-provided vehicles at
> sites controlled/managed by CONTRACTOR or GOVERNMENT are to be healthy
> and unimpaired, have appropriate and required operators'
> licenses/training, and observe established road regulations and/or
> jobsite regulations.
>
> 16.5 SUBCONTRACTOR shall ensure all SUBCONTRACTOR-provided vehicles
> are registered/licensed, maintained in road-worthy condition, and
> operated and maintained in a safe manner in accordance with
> manufacturer's recommendations.
>
> 16.6 SUBCONTRACTOR shall include the following motor vehicle safety
> requirements in SUBCONTRACTOR'S ES&H Plan:

-   Workers shall not use a cellular while the motor vehicle is in
    operation.

-   All mishaps/incidents leading to the damage of a motor vehicle on
    official business must be reported and investigated.

-   Drivers of motor vehicles shall follow on-site speed limits and
    other traffic rules.

> 16.7 SUBCONTRACTOR shall provide awareness campaigns and incentive
> programs to encourage safe driving and equipment operation.
> SUBCONTRACTOR shall also provide mechanisms for enforcement of these
> requirements in their Safety Plan.
>
> 16.8 SUBCONTRACTOR-provided vehicle operators are responsible for the
> safety of all passengers being transported.
>
> 16.9 SUBCONTRACTOR shall ensure that SUBCONTRACTOR-provided vehicles
> are shut off during refueling and when unattended. Parking brakes must
> be set.
>
> 16.10 SUBCONTRACTOR shall manage, clean-up, containerize and
> characterize all oil, fuel, or petroleum product leakage onto soil
> from SUBCONTRACTOR-provided vehicles and follow applicable waste
> management requirements for disposal (see Section F39.0, Waste
> Management/Disposal).

# F17.0 Tools and Equipment (May 2007) (Reserved) PN: The following section is applicable if tools and equipment will be used in performance of the work. If this section is not applicable to a particular subcontract, delete the text shown below and insert "\[Reserved\]" after "(May 2007)" in the section title. Do not delete section number or title.

# F18.0 Inclement Weather (May 2007) (Reserved) PN: The following section is applicable if inclement weather may affect the performance of the work. If this section is not applicable to a particular subcontract, delete the text shown below and insert "\[Reserved\]" after "(May 2007)" in the section title. Do not delete section number or title.

# F19.0 Chemical and Hazardous Materials Management (May 2007) (Reserved) PN: The following section is applicable if any hazardous chemicals will be used in performance of the work. If this section is not applicable to a particular subcontract, delete the text shown below and insert "\[Reserved\]" after "(May 2007)" in the section title. Do not delete section number or title.

# F20.0 Work Management (May 2007) (Reserved) PN: The following section is applicable to all subcontracts and includes 851 requirements.

# F21.0 Fire Protection & Prevention (May 2007) PN: The following section includes 851 requirements. Sections 21.1 through 21.4 apply to all subcontracts. Sections 21.5 through 21.15 may be applicable depending on the SOW; if not applicable, delete these subsections. 

> 21.1 No smoking or use of tobacco products is allowed within any
> government facility. SUBCONTRACTOR shall ensure that workers smoke in
> designated smoking areas outside buildings, inform its employees of
> the CONTRACTOR'S smoking policy, and monitor to ensure that posted
> \"no-smoking\" zones are observed. Under extreme wildfire conditions,
> LANL's Fire Marshall may impose additional restrictions on spark and
> flame-producing activities.
>
> 21.2 SUBCONTRACTOR'S work and office areas shall be monitored to
> reduce and control storage and loading of combustible materials.
> Material shall be well arranged, and aisles shall be maintained open
> and clear of obstructions. Stored material shall be kept away from
> heaters, lamps, hot pipes, and equipment and the use of extension
> cords minimized.
>
> 21.5 SUBCONTRACTOR shall insure that portable fire extinguishers,
> staged fire fighting equipment, fire suppression system control
> valves, sprinkler system and standpipe fire department connections,
> fire hydrants, and fire lanes are kept clear and unobstructed.
>
> 21.6 SUBCONTRACTOR shall maintain a minimum of 18-inches of free space
> below sprinkler heads when working in facilities having sprinkler
> systems.

# F22.0 Welding, Cutting, Brazing, and Grinding (May 2007) (Reserved) PN: The following section is applicable if welding, cutting, brazing or grinding will be used in performance of the work. If this section is not applicable to a particular subcontract, delete the text shown below and insert "\[Reserved\]" after "(May 2007)" in the section title. Do not delete section number or title.

# F23.0 Fall Prevention/Protection (May 2007) (Reserved) PN: The following section is applicable if scaffolds, aerial lifts, personnel hoists, etc. will be used in performance of the work. If this section is not applicable to a particular subcontract, delete the text shown below and insert "\[Reserved\]" after "(May 2007)" in the section title. Do not delete section number or title.

# F24.0 Scaffolding (May 2007) (Reserved) PN: The following section is applicable if scaffolds will be used in performance of the work. If this section is not applicable to a particular subcontract, delete the text shown below and insert "\[Reserved\]" after "(May 2007)" in the section title. Do not delete section number or title.

# F25.0 Portable Ladders (May 2007) (Reserved) PN: The following section is applicable if ladders will be used in performance of the work. If this section is not applicable to a particular subcontract, delete the text shown below and insert "\[Reserved\]" after "(May 2007)" in the section title. Do not delete section number or title.

# F26.0 Barricades (May 2007) (Reserved) PN: The following section is applicable if barricades will be used in the performance of the SOW. If this section is not applicable to a particular subcontract, delete the text shown below and insert "\[Reserved\]" after "(May 2007)" in the section title. Do not delete section number or title.

# F27.0 Floor & Wall Openings (May 2007) (Reserved) PN: The following section is applicable if holes or openings through floors, decking, or roofs, including skylights, are anticipated in the performance of the SOW. If this section is not applicable to a particular subcontract, delete the text shown below and insert "\[Reserved\]" after "(May 2007)" in the section title. Do not delete section number or title.

# F28.0 Excavations & Trenching (May 2007) (Reserved) PN: The following section is applicable if excavation or trenching is anticipated in the performance of the SOW. If this section is not applicable to a particular subcontract, delete the text shown below and insert "\[Reserved\]" after "(May 2007)" in the section title. Do not delete section number or title.

# F29.0 Confined Spaces (May 2007) (Reserved) PN: The following section is applicable if any portion of the work will be performed in a confined area. If this section is not applicable to a particular subcontract, delete the text shown below and insert "\[Reserved\]" after "(May 2007)" in the section title. Do not delete section number or title.

# F30.0 Lockout/Tagout (May 2007) (Reserved) PN: The following section is applicable if any portion of the work deals with the control of hazardous energy. If this section is not applicable to a particular subcontract, delete the text shown below and insert "\[Reserved\]" after "(May 2007)" in the section title. Do not delete section number or title.

# F31.0 Blind Penetrations (May 2007) (Reserved) PN: The following section is applicable if penetrations into hollow walls, ceilings, floors or solid material is anticipated in performance of the work. If this section is not applicable to a particular subcontract, delete the text shown below and insert "\[Reserved\]" after "(May 2007)" in the section title. Do not delete section number or title.

# F32.0 Cranes & Material Handling Equipment (May 2007) (Reserved) PN: The following section is applicable if the use of cranes or material handling equipment is anticipated in the performance of the SOW. If this section is not applicable to a particular subcontract, delete the text shown below and insert "\[Reserved\]" after "(May 2007)" in the section title. Do not delete section number or title.

# F33.0 Suspended Personnel Platforms (May 2007) (Reserved) PN: The following section is applicable if the use of suspended personnel platforms is anticipated in the performance of the SOW. If this section is not applicable to a particular subcontract, delete the text shown below and insert "\[Reserved\]" after "(May 2007)" in the section title. Do not delete section number or title.

# F35.0 Pressure Safety Including Compressed Gases (May 2007) (Reserved) PN: The following section is applicable if the use of pressure systems is anticipated in the performance of the SOW. The section includes 851 requirements. If this section is not applicable to a particular subcontract, delete the text shown below and insert "\[Reserved\]" after "(May 2007)" in the section title. Do not delete section number or title.

# F36.0 Electrical Safety (May 2007) The following section is applicable if any type of electrical work is anticipated in the performance of the SOW. This section includes 851 requirements. For tools, equipment, GFCI requirements, extension cords, portable generators, include section F17, Tools and Equipment. For arc welding equipment include section F22, Welding, Cutting, Brazing, and Grinding. If energized electrical work is anticipated include section F30, Lockout/Tagout. If this section (F36) is not applicable to a particular subcontract, delete the text shown below and insert "\[Reserved\]" after "(May 2007)" in the section title. Do not delete section number or title.

> 36.1 In accordance with 10 CFR 851 Appendix A, Section 10,
> SUBCONTRACTOR shall implement a comprehensive electrical safety
> program appropriate for the activities at the worksite which must meet
> the applicable electrical safety codes and standards listed in Section
> F1.0, General Requirements.
>
> 36.2 In addition to the requirements of 10 CFR 851 Appendix A, Section
> 10, the SUBCONTRACTOR shall also comply with the remaining
> requirements of this section.
>
> 36.3 SUBCONTRACTOR will use only electrical equipment that is listed
> by a Nationally Recognized Testing Laboratory (NRTL), such as
> Underwriters Laboratory (UL). Any modifications or repairs to such
> listed equipment must be approved by the STR.
>
> 36.4 For subcontracts to install, set up, adjust, troubleshoot,
> maintain, and/or repair specific equipment, SUBCONTRACTOR will assure
> that workers are trained and qualified to work on that specific
> equipment, and follow CONTRACTOR'S requirements for conducting
> energized electrical work, if necessary.
>
> 36.5 Any electrical shock (other than static electricity) requires
> evaluation by medical personnel.

# F37.0 Traffic and Pedestrian Control (May 2007) (Reserved) PN: The following section is applicable if the performance of the SOW will take place in an area where vehicular and pedestrian traffic is present. If this section is not applicable to a particular subcontract, delete the text shown below and insert "\[Reserved\]" after "(May 2007)" in the section title. Do not delete section number or title.

# F38.0 Pollution Prevention / Waste Minimization (May 2007) PN: The following section is applicable to all subcontracts.

> 38.1 SUBCONTRACTOR shall manage all work activities in a manner that
> prevents pollution and minimizes the generation of waste and that
> promotes energy conservation.
>
> 38.2 SUBCONTRACTOR shall purchase and use materials and products that
> provide for pollution prevention, and shall take advantage of reuse
> and recycling programs to the extent practical. Requirements for
> purchase of materials and products that provide for pollution
> prevention and requirements for waste minimization are as follows:
>
> 38.4.1 Recycled Construction Products and Materials --*Resource*
> *Conservation and Recovery Act* supplemented by Executive Order 13101
> require designated products to be purchased with the highest recovered
> (recycled) material content level practicable. *Comprehensive
> Procurement Guidelines* for products designated by the U.S.
> Environmental Protection Agency for purchase with recovered materials
> may be found at <http://www.epa.gov/cpg/>. *Green Spec* directory of
> environmentally preferable construction products and materials
> organized by the CSI MasterFormat may be found at
> [http://www.greenspec.com](http://www.greenspec.com/).
>
> 38.4.2 Biobased Materials and Products - *The Farm Security and Rural
> Investment Act* and Executive Order 13134 require preferential
> purchase of products certified by the U.S. Department of Agriculture
> to contain biobased content. Biobased Industrial Products certified by
> the U.S. Department of Agriculture may be found at
> [http://www.usda-biobasedproducts.net](http://www.usda-biobasedproducts.net/).
>
> 38.4.3 Energy Efficient Products - Executive Order 13123 and 48 CFR
> Part 23.203 require the purchase of energy efficient products labeled
> "EnergyStar". Call *Federal Energy Management Program* for energy
> efficient products at 1-800-363-3732, or go to
> <http://www.eren.doe.gov/femp/procurement>. *Building for
> Environmental and Economic Sustainability* (BEES) tool to weight the
> environmental and economic performance of building products and
> materials may be found at <http://www.bfrl.nist.gov/oae/bees.html>.
>
> 38.4.4 Waste Reduction and Recycling --Executive Order 13101 and DOE
> directives require waste reduction and recycling targets. For more
> information, visit the DOE P2 website at
> <http://www.eh.doe.gov/p2/recycling_wm.html>.

# F39.0 Waste Management/Disposal (May 2007) PN: The following section is applicable to all subcontracts. If this section is not applicable to a particular subcontract, delete the text shown below and insert "\[Reserved\]" after "(May 2007)" in the section title. Do not delete section number or title.

> 39.1 SUBCONTRACTOR shall comply with all Federal, State, and Local
> laws and regulations for generation, storage, packaging,
> transportation, and disposal of wastes generated at sites controlled
> by CONTRACTOR.
>
> PN: Option A -- CONTRACTOR-provided Waste Management Plan. Required
> for Subcontracts with relatively high environmental compliance risks;
> large scope/monetary value; complex environmental requirements, etc.
> Delete this option if not used.
>
> 39.2 SUBCONTRACTOR shall store, handle, package, transport, and
> dispose of waste in accordance with CONTRACTOR-provided Waste
> Management Plan.
>
> PN: Option B -- SUBCONTRACTOR-provided Waste Management Plan.
> Alternative option for subcontracts with lower environmental
> compliance risks; moderate scope/monetary value; straight-forward
> environmental requirements, etc. Delete this option if not used.
>
> PN: This is the end of Option B.
>
> 39.3 SUBCONTRACTOR shall notify STR immediately if a waste stream is
> generated that was not included in the Waste Management Plan. Work
> involving the new waste stream shall not continue until the CONTRACTOR
> provides an amended Waste Management Plan.
>
> 39.4 SUBCONTRACTOR shall be cognizant and responsible for all wastes
> generated. SUBCONTRACTOR shall be responsible for identifying
> materials as waste (i.e., materials and equipment that cannot be
> reused and are to be recycled, discarded or rejected).
>
> 39.5 SUBCONTRACTOR shall not abandon or leave any waste, materials, or
> equipment on-site at the Laboratory without approval of the
> CONTRACTOR.
>
> PN: Paragraphs 39.7 and 39.8 refer primarily to environmental
> restoration and decontamination/decommissioning/demolition projects.

# F40.0 Work Within The Boundary Of A Potential Release Site (PRS) (May 2007) (Reserved) PN: The following section is applicable if the performance of the SOW may take place within the boundary of a potential release site. If excavation/fill/soil disturbance activities within the boundary of a PRS are anticipated include F28, Excavations & Trenching. STR needs to make sure specific training and equipment decontamination requirements are included in hazard-specific sections of this exhibit. If this section is not applicable to a particular subcontract, delete the text shown below and insert "\[Reserved\]" after "(May 2007)" in the section title. Do not delete section number or title.

> PN: If Section F43, Storm Water Management, is included in
> Subcontractor's Exhibit F, also include subsections 40.3 through
> 40.3.3. If not, delete subsections 40.3 through 40.3.3, and renumber
> remaining subsections if necessary.
>
> PN: The following paragraph should be deleted if the project has no
> identified radiological or NES PRSs.

# F41.0 Wastewater Discharges (May 2007) (Reserved) PN: The following section is applicable if wastewater is expected to be discharged during performance of the SOW. If this section is not applicable to a particular subcontract, delete the text shown below and insert "\[Reserved\]" after "(May 2007)" in the section title. Do not delete section number or title.

> PN: If wastewater discharge into Laboratory treatment facilities is
> anticipated include subparagraph 41.4. If not, delete.

# F42.0 Spill Prevention, Reporting, And Response (May 2007) (Reserved) PN: The following section is applicable if chemicals, petroleum or other products are anticipated to be stored on site during performance of the SOW. If this section is not applicable to a particular subcontract, delete the text shown below and insert "\[Reserved\]" after "(May 2007)" in the section title. Do not delete section number or title.

# F43.0 Storm Water Management (May 2007) (Reserved) PN: The following section is applicable if there is the potential for storm water runoff during the performance of the SOW. If this section is not applicable to a particular subcontract, delete the text shown below and insert "\[Reserved\]" after "(May 2007)" in the section title. Do not delete section number or title.

# F44.0 Air Quality (May 2007) (Reserved) PN: The following section is applicable if there is the potential for emissions to be generated during the performance of the SOW. If this section is not applicable to a particular subcontract, delete the text shown below and insert "\[Reserved\]" after "(May 2007)" in the section title. Do not delete section number or title.

# F45.0 Threatened Or Endangered Species (May 2007) (Reserved) PN: The following section is applicable if the performance of the SOW could impact threatened or endangered species. If this section is not applicable to a particular subcontract, delete the text shown below and insert "\[Reserved\]" after "(May 2007)" in the section title. Do not delete section number or title.

# F46.0 Cultural Resources (May 2007) (Reserved) PN: The following section is applicable if the performance of the SOW could impact cultural resources. If this section is not applicable to a particular subcontract, delete the text shown below and insert "\[Reserved\]" after "(May 2007)" in the section title. Do not delete section number or title.

# F47.0 Floodplains And Wetlands (May 2007) (Reserved) PN: The following section is applicable if the performance of the SOW may take place within a floodplain or wetland. If this section is not applicable to a particular subcontract, delete the text shown below and insert "\[Reserved\]" after "(May 2007)" in the section title. Do not delete section number or title.

# F48.0 Environmental Reporting (May 2007) (Reserved) PN: The following section is applicable to all subcontracts.

# F49.0 Radiological Requirements (May 2007) (Reserved) PN: If radiological hazards may exist in the performance of the SOW, contact the Radiological Protection organization to define requirements specific to the work. Those requirements should then be properly numbered and inserted in this section. If this section is not applicable to a particular subcontract, delete the text shown below and insert "\[Reserved\]" after "(May 2007)" in the section title. Do not delete section number or title.

# F50.0 Asbestos Abatement (May 2007) (Reserved) PN: The following section is applicable if asbestos could be encountered during the performance of the SOW. If this section is not applicable to a particular subcontract, delete the text shown below and insert "\[Reserved\]" after "(May 2007)" in the section title. Do not delete section number or title.

# F51.0 Industrial Hygiene (May 2007) PN: The following section is applicable to all subcontracts, and includes 851 requirements.

> 51.1 SUBCONTRACTOR must perform initial or baseline surveys and
> periodic resurveys and/or exposure monitoring as appropriate of all
> work areas or operations to identify and evaluate potential worker
> health risks, including ergonomic risks.
>
> 51.2 SUBCONTRACTOR shall provide all equipment necessary, including
> ergonomically-designed furniture, to control or mitigate any
> identified hazards.
>
> PN: The following clause applies if there is no exposure to chemical
> or physical hazards contemplated in the SOW, or there is entry into
> buildings or facilities performing operations involving chemical or
> physical hazards but no entry is permitted in those areas. Delete the
> following clause if the foregoing is not applicable.
>
> 51.3 Prior to entry into buildings or facilities performing operations
> involving chemical or physical hazards, each worker must receive
> awareness briefing by facility operations director approved person.
>
> PN: The following clause applies if there is some risk of incidental
> exposure to chemical or physical hazards contemplated in the SOW, or
> entry into chemical or physical hazards areas during non-operational
> periods. Delete the following clause if the foregoing is not
> applicable.
>
> PN: The following clauses apply if direct or indirect exposure to
> chemical or physical hazards is contemplated in the SOW, or entry into
> chemical or physical hazards areas during active operations, or
> hands-on work with chemical or physical hazards is likely. Delete the
> following clauses if the foregoing is not applicable.

# F52.0 Beryllium (May 2007) (Reserved) PN: The following section is applicable if work may be performed in a technical area in which beryllium is present, and includes 851 requirements. If this section is not applicable to a particular subcontract, delete the text shown below and insert "\[Reserved\]" after "(May 2007)" in the section title. Do not delete section number or title.

> PN: The following clause applies if there is no beryllium exposure
> contemplated in the SOW, or If there is entry into buildings or
> facilities performing beryllium operations but no entry is permitted
> in posted beryllium areas. Delete the following clause if the
> foregoing is not applicable.
>
> PN: The following clauses apply if there is some risk of incidental
> exposure to beryllium contemplated in the SOW, or if there is entry
> into posted beryllium areas during non-operational periods. Delete the
> following clauses if the foregoing is not applicable.
>
> PN: The following clauses apply if there is direct or indirect
> exposure to beryllium contemplated in the SOW, or if there is entry
> into posted beryllium areas during active operations, or hands-on work
> with beryllium or beryllium contaminated equipment or materials
> likely. Delete the following clauses if the foregoing is not
> applicable.

# F53.0 Explosives Storage/Use/Disposal (May 2007) (Reserved) PN: The following section is applicable if the use, storage or disposal of explosives is anticipated during the performance of the SOW, and includes 851 requirements. If this section is not applicable to a particular subcontract, delete the text shown below and insert "\[Reserved\]" after "(May 2007)" in the section title. Do not delete section number or title.

# F54.0 Heavy Metals (May 2007) (Reserved) PN: The following section is applicable if there is any work with heavy metals during the performance of the SOW. If this section is included, sections F38 through F48 should also be included per 54.4 below. If this section is not applicable to a particular subcontract, delete the text shown below and insert "\[Reserved\]" after "(May 2007)" in the section title. Do not delete section number or title.

# F55.0 Firearms Safety (May 2007) (Reserved) PN: The following section is applicable if there is the potential for use, storage or availability of firearms during the performance of the SOW, and includes 851 requirements. If this section is not applicable to a particular subcontract, delete the text shown below and insert "\[Reserved\]" after "(May 2007)" in the section title. Do not delete section number or title.

> PN: The following subsections 55.1 through 55.8 apply if there are
> firearms secured against handling. i.e., transportation of firearms in
> vehicles where no ammunition is present, deactivated firearms, or arms
> for non security use locked in a secure armory and segregated from any
> ammunition source. Delete the following clauses if the foregoing is
> not applicable.
>
> PN: The following clauses apply if firearms are available to armorers
> and custodians for the purpose of storage and maintenance and only
> handled in the course of those activities. Delete the following
> clauses if the foregoing is not applicable. Re-numbering of clauses
> may be necessary.
>
> PN: The following clauses apply if there are deployed firearms for
> either security or non security use. A firearm is considered deployed
> at the time that it is received by an operator from the armorer or
> custodian until such time as firearm is received by the armorer or
> custodian back into the storage facility and secured. Delete the
> following clauses if the foregoing is not applicable. Re-numbering of
> clauses may be necessary from previous deletions within this section.
>
> PN: SUBCONTRACTOR policies and procedures must be approved by
> cognizant DOE Officials, S Division oversight and the LANL Firearms
> Safety and Security Committee.

# F56.0 Biological Safety (May 2007) (Reserved) PN: The following section is applicable to all subcontracts and includes 851 requirements.

> PN: The following clause applies if there is no exposure to biological
> hazards contemplated in the SOW; or if there is entry into
> non-laboratory areas of buildings or facilities performing BSL-1 or
> BSL-2 operations, clinical laboratories; or if there is no work that
> involves wastewater, sewage, contact with blood or other potentially
> infectious materials, direct contact with wildlife, or potential
> contact with rodent nests or infestations. Delete the following clause
> if the foregoing is not applicable. Re-numbering of clauses may be
> necessary.
>
> PN: The following clause applies if there is some risk of incidental
> exposure to wastewater, sewage, contact with blood or other
> potentially infectious materials, direct contact with wildlife, or
> potential contact with rodent nests or infestations; or if there is
> entry into BSL-1, or BSL-2 laboratories during non-operational
> periods. Delete the following clause if the foregoing is not
> applicable. Re-numbering of clauses may be necessary.
>
> PN: The remainder of the clauses in this section apply if there is
> direct exposure to wastewater, sewage, contact with blood or other
> potentially infectious materials, direct contact with wildlife, or
> potential contact with rodent nests or infestations; or if there is
> work with biological hazards in BSL-1 or BSL-2 laboratories; or if
> there is entry into BSL-3 laboratories during non-operational periods;
> or if there is direct or indirect exposure to biological hazards
> contemplated in the SOW. Delete the remainder of the clauses in this
> section if the foregoing is not applicable. Re-numbering of clauses
> may be necessary.

# F57.0 Safety Performance (May 2007) PN: The following section is applicable to all subcontracts.

> 57.1 As a financial incentive to reward excellent safety performance
> at LANL, CONTRACTOR offers to lower the retainer percentage from
> progress payments. In accordance with Special Conditions titled
> "Invoicing and Payment," of Exhibit B, CONTRACTOR withholds ten (10)
> percent from each progress payment to ensure LANS and the Government
> are adequately protected. Furthermore, the "Invoicing and Payment"
> provision provides that at fifty (50) percent completion CONTRACTOR
> may reduce retainer to five (5) percent, or lower, provided
> SUBCONTRACTOR is proceeding with the work in the manner and time
> satisfactory to CONTRACTOR.
>
> This special safety incentive extends an offer for a lower retainer
> percentage. When SUBCONTRACTOR completes twenty (20) percent of the
> site work, the next application for payment can request a reduction in
> retainer to five (5) percent if there have been zero (0) OSHA
> recordable injuries. SUBCONTRACTOR must maintain this safety
> performance to continue receiving this reduced retainer. This
> reduction, as well as any further reductions, is also contingent on
> SUBCONTRACTOR'S compliance in other areas of performance, such as
> those identified in Special Provision titled "Invoicing and Payment"
> provision.
>
> 57.2 In addition to the need to protect the health and safety of
> Subcontractor's workers, the ability to maintain a safe work site at
> LANL insures numerous financial benefits at LANL including: a more
> productive work force, better relationships with the crafts, lower
> insurance costs for subcontractors working at LANL, less oversight
> from the GOVERNMENT, and fewer reports on incidents. The precise value
> of any of these items resulting from an accident at the site cannot be
> readily quantified. LANS therefore has made a reasonable estimate of
> these additional potential damages that are addressed below.
>
> Failure to report an injury or accident or unauthorized changing of
> the scene of the injury/accident will result in liquidated damages as
> otherwise provided in this subcontract. Any incident involving
> SUBCONTRACTOR owned/leased heavy equipment or motorized vehicles
> resulting in personal injury or property damage in excess of \$500,
> and caused by personnel under the control of SUBCONTRACTOR, will
> result in an assessed fee of \$1000. This is in addition to other
> contract provisions for damage to CONTRACTOR/GOVERNMENT property.
>
> 57.3 A "Safety Citation" (SC) Attachment F57-1 may be issued to
> SUBCONTRACTOR by the CONTRACTOR for any Safety violations. A Safety
> Citation is warranted for, but not limited to repeated safety
> violations, failure to abate any unsafe conditions including
> violations of Codes and Standards which could result in injury or
> death to workers, serious/imminent danger safety concerns, failure to
> report injury/incidents in a timely manner, improper OSHA record
> keeping and at the discretion of the STR, the LANS Safety
> Representative, and/or the Procurement Specialist. SUBCONTRACTOR
> application for payments will be placed on hold if any SC has not been
> resolved by SUBCONTRACTOR. For every three (3) SC's issued to
> SUBCONTRACTOR, or at the discretion of the STR, SUBCONTRACTOR will (at
> his expense and in a timely manner) conduct a minimum of one-half
> (1/2) of a shift Safety Stand-Down with all employees, including lower
> tier subcontract employees engaged in work activities at the Site.
> (NOTE: If the citation was issued because of a lower tier's failure to
> comply, the citation will be issued to the prime subcontractor but
> will be held against the lower tier for the stand-down purposes). This
> stand-down time will be dedicated to documented safety briefings and
> general housekeeping.
>
> 57.4 The SUBCONTRACTOR will promptly evaluate and resolve any
> noncompliance with applicable ES&H requirements. If the SUBCONTRACTOR
> fails to provide resolution or if, at any time, the SUBCONTRACTOR\'s
> acts or failure to act causes substantial harm or an imminent danger
> to the environment or health and safety of employees or the public,
> the CONTRACTOR may issue an order stopping work in whole or in part.
> Any Stop Work Order issued by the CONTRACTOR under this clause (or
> issued by the SUBCONTRACTOR to a lower-tier SUBCONTRACTOR) will be
> without prejudice to any other legal or contractual rights of the
> CONTRACTOR. In the event that the CONTRACTOR issues a Stop Work Order,
> an order authorizing the resumption of the work may be issued at the
> discretion of the CONTRACTOR. The SUBCONTRACTOR will not be entitled
> to an extension of time or additional fee, costs, or damages by reason
> of, or in connection with, any work stoppage ordered in accordance
> with this clause.

# F58.0 Substance Abuse (May 2007) PN: The following section is applicable to all subcontracts.

> 58.1 CONTRACTOR imposes a higher standard than DEAR 970.5223-4. The
> unauthorized use of alcohol and/or illegal drugs or being under the
> influence of alcohol and/or illegal drugs is prohibited on the LANL
> site. A random drug testing policy is in effect for all SUBCONTRACTOR
> employees who work on site and/or posses a LANL badge. If a
> SUBCONTRACTOR'S employee is reasonable suspected of being impaired by
> either drugs or alcohol, CONTRACTOR will require SUBCONTRACTOR'S
> employee to submit to drug/alcohol testing. Both the random drug
> testing and the testing due to reasonable suspicion will be conducted
> and paid for by CONTRACTOR. CONTRACTOR requires as a condition of
> initial and continued site access, SUBCONTRACTOR'S compliance with
> CONTRACTOR'S Substance Abuse Program, including pre-employment drug
> screening at a facility approved by CONTRACTOR.
>
> 58.2 SUBCONTRACTOR'S certification of compliance with CONTRACTOR'S
> Substance Abuse Program is required prior to starting work on site.
> Certification is accomplished by completing the "company, initials and
> date" field at the bottom of Attachments 58-1 through 58-5, completing
> the forms as appropriate, and submitting these forms with their
> proposal. In addition, no lower-tier subcontractor will be permitted
> to work on site until SUBCONTRACTOR has submitted certification that
> each lower-tier subcontractor is in compliance.
>
> 58.3 LANS Substance Abuse Program (LASP) Components:
>
> 58.3.1 Attachment F58-1, *Baseline LANS Substance Abuse Program (LSAP)
> Requirements*, is *a* matrix to document compliance with the
> requirement of a Baseline LSAP Plan.
>
> 58.3.2 Attachment F58-2, *Drug Testing Panel*, documents the drugs
> screened under SUBCONTRACTOR'S pre-employment program and under
> CONTRACTOR'S random drug test policy.
>
> 58.3.3 Attachment F58-3, *Sample Collection and Analysis*, documents
> the process under which test samples are collected and the methodology
> for analysis of the samples.
>
> 58.3.4 Attachment F58-4, *Lower Tier LSAP Requirements*. All lower
> tier subcontractors must certify compliance with the LSAP by following
> the section titled "INSTRUCTIONS".
>
> 58.3.5 Attachment F58-5, *Exclusion Statement*. Statement that LANS'
> Substance Abuse Program requirements do not apply to the lower-tier
> subcontractor. This form is to be returned ONLY if SUBCONTRACTOR has
> identified a lower-tier subcontractor as excluded in Attachment 58-5
> and requires SUBCONTRACTOR concurrence and CONTRACTOR approval.
>
> 58.4 CONTRACTOR'S LSAP Coordinator may be contacted via e-mail at
> jatencio@lanl.gov.

# F59.0 Attachments (May 2007) PN: Delete reference below to those attachments that are not applicable to a particular subcontract; however, there is no need to insert \[Reserved\] in place of deleted attachment. Make sure to also delete the actual attachment. Note: Attachment numbers refer to section where attachment is referenced. For example, Attachment F3-1 is referenced in section F3.0.

> Attachment F3-1 Minimum Performance Eligibility Factors
>
> Attachment F3-2 Environment, Safety And Health Worksheet
>
> Attachment F6-1 Weekly Productive Man-Hour Report
>
> Attachment F39-1 Guidance Document for Waste Management
>
> Attachment F57-1 Safety Citation
>
> Attachment F58-1 Baseline LSAP Requirements
>
> Attachment F58-2 Drug Testing Panel
>
> Attachment F58-3 Sample Collection and Analysis
>
> Attachment F58-4 Lower Tier LSAP Requirements
>
> Attachment F58-5 Exclusion Statement

**Attachment F3-1**

**Minimum Performance Eligibility Factors**

It is the policy of LANS that all work performed at LANL shall be
conducted in a manner that protects workers, the public, and the
environment. The objective of this policy is to establish a consistent
site-wide approach to worker protection by incorporating safety and
health into daily activities. To support the effective implementation of
this policy, firms should have a demonstrated safety performance equal
to the following standards:

+-------------------+----------------------------------------+--------+
| **Statistical     |                                        |        |
| Standards**       |                                        |        |
+-------------------+----------------------------------------+--------+
| **Experience      | The "EMR" is a number that is assigned | M      |
| Modification      | to your company based on the insurance | aximum |
| Rate**            | premium you pay and your loss          |        |
|                   | statistics. Contact your insurance     | All    |
|                   | company for these numbers.             | owable |
|                   |                                        |        |
|                   |                                        | Av     |
|                   |                                        | erage: |
|                   |                                        |        |
|                   |                                        | **     |
|                   |                                        | 1.00** |
+-------------------+----------------------------------------+--------+
| **Total           | [Total Recordable Incidents x          | M      |
| Recordable        | 200,000]{.underline} = Rate            | aximum |
| Injury/Illness    |                                        |        |
| Case Rate**       | Total Employee Hours Worked            | All    |
|                   |                                        | owable |
| (from Company     |                                        |        |
| OSHA 300 log)     |                                        | Av     |
|                   |                                        | erage: |
|                   |                                        |        |
|                   |                                        | *      |
|                   |                                        | *3.2** |
+-------------------+----------------------------------------+--------+
| **DART Case       | [Total Lost Work Day Cases x           | M      |
| Rate**            | 200,000]{.underline} = Rate            | aximum |
|                   |                                        |        |
| (Days Away From   | Total Employee Hours Worked            | All    |
| Work, Job         |                                        | owable |
| Transfer, or      |                                        |        |
| Restriction)      |                                        | Av     |
| (from Company     |                                        | erage: |
| OSHA 300 log)     |                                        |        |
|                   |                                        | *      |
|                   |                                        | *1.4** |
+-------------------+----------------------------------------+--------+

If any of the above minimum allowable averages is not met, the
Subcontractor and/or the lower-tier subcontractors shall provide
information that clearly explains the excessive rate and that the
anomaly causing that excess was not easily preventable using sound
safety practice.

Subcontractor and all lower tier subcontractors who will perform work on
site must submit a properly executed ES&H History Worksheet with the
proposal along with a letter from their Workman's Compensation Insurance
Carrier to certify the EMR performance.

Any proposal received from firms which do not meet the stated minimum
requirements, which do not provide the ES&H Worksheet, or which have
less than three years of demonstrated safety performance may be
considered unacceptable.

**Attachment F3-2**

**ENVIRONMENT, SAFETY AND HEALTH WORKSHEET**

Contractor Name:      

Worksheet completed by:      

Date:      

Proposed LANS Subcontract Number:      

+--------------------------+------------------+------------------------+
| 1\. **Experience         |                  |                        |
| Modification Rate        |                  |                        |
| (EMR)**                  |                  |                        |
+--------------------------+------------------+------------------------+
| > List your firm's       |                  |                        |
| > Interstate EMR for the |                  |                        |
| > past three (3) years   |                  |                        |
| > and total hours        |                  |                        |
| > worked.                |                  |                        |
+--------------------------+------------------+------------------------+
| > Year:                  | EMR:             | Hours Worked:          |
+--------------------------+------------------+------------------------+
| > Year:                  | EMR:             | Hours Worked:          |
+--------------------------+------------------+------------------------+
| > Year:                  | EMR:             | Hours Worked:          |
+--------------------------+------------------+------------------------+
| > 3-year average:        |                  |                        |
+--------------------------+------------------+------------------------+
| > If the state where the |                  |                        |
| > jobsite is located has |                  |                        |
| > an EMR rating system,  |                  |                        |
| > provide the state EMR  |                  |                        |
| > for the past three (3) |                  |                        |
| > years and the total    |                  |                        |
| > hours worked.          |                  |                        |
+--------------------------+------------------+------------------------+
| > Year:                  | EMR:             | Hours Worked:          |
+--------------------------+------------------+------------------------+
| > Year:                  | EMR:             | Hours Worked:          |
+--------------------------+------------------+------------------------+
| > Year:                  | EMR:             | Hours Worked:          |
+--------------------------+------------------+------------------------+
| > 3-year average:        |                  |                        |
+--------------------------+------------------+------------------------+
|                          |                  |                        |
+--------------------------+------------------+------------------------+
| 2\. **OSHA Total         |                  |                        |
| Recordable Case Rate     |                  |                        |
| (TRC)**                  |                  |                        |
+--------------------------+------------------+------------------------+
| > List the cumulative    |                  |                        |
| > injury statistics      |                  |                        |
| > rates for the past     |                  |                        |
| > three (3) years using  |                  |                        |
| > the BLS formula to     |                  |                        |
| > determine              |                  |                        |
| > recordability.         |                  |                        |
+--------------------------+------------------+------------------------+
| > Year:                  | TRC:             | Hours Worked:          |
+--------------------------+------------------+------------------------+
| > Year:                  | TRC:             | Hours Worked:          |
+--------------------------+------------------+------------------------+
| > Year:                  | TRC:             | Hours Worked:          |
+--------------------------+------------------+------------------------+
| > 3-year average:        |                  |                        |
+--------------------------+------------------+------------------------+
| > Attach copies of the   |                  |                        |
| > OSHA Annual Summary    |                  |                        |
| > Logs (OSHA's Form      |                  |                        |
| > 300A) for the three    |                  |                        |
| > most recent years and  |                  |                        |
| > a current year OSHA    |                  |                        |
| > 300 Log for the months |                  |                        |
| > during the period      |                  |                        |
| > since the last annual  |                  |                        |
| > report.                |                  |                        |
+--------------------------+------------------+------------------------+
| > Any OSHA fine(s) over  |                  |                        |
| > the past three (3)     |                  |                        |
| > years?       If yes,   |                  |                        |
| > provide a written      |                  |                        |
| > explanation on an      |                  |                        |
| > attachment to this     |                  |                        |
| > form.                  |                  |                        |
+--------------------------+------------------+------------------------+
|                          |                  |                        |
+--------------------------+------------------+------------------------+
| 3\. **Fatalities**       |                  |                        |
+--------------------------+------------------+------------------------+
| > Any fatalities within  |                  |                        |
| > the last three (3)     |                  |                        |
| > years?       If Yes,   |                  |                        |
| > list total number of   |                  |                        |
| > fatalities:      , and |                  |                        |
| > provide a written      |                  |                        |
| > explanation for each   |                  |                        |
| > fatality on an         |                  |                        |
| > attachment to this     |                  |                        |
| > form.                  |                  |                        |
+--------------------------+------------------+------------------------+
|                          |                  |                        |
+--------------------------+------------------+------------------------+
| 4\. **Bureau of Alcohol, |                  |                        |
| Tobacco, and Firearms    |                  |                        |
| violations**             |                  |                        |
+--------------------------+------------------+------------------------+
| > Any Bureau of Alcohol, |                  |                        |
| > Tobacco, and Firearms  |                  |                        |
| > violations within the  |                  |                        |
| > last three (3) years?  |                  |                        |
| >       If Yes, list the |                  |                        |
| > number:      , and     |                  |                        |
| > type of violations:    |                  |                        |
| >      .                 |                  |                        |
+--------------------------+------------------+------------------------+
|                          |                  |                        |
+--------------------------+------------------+------------------------+
| 5\. For companies exempt |                  |                        |
| from record keeping      |                  |                        |
| requirements per 29 CFR  |                  |                        |
| 1904.1 (ten or fewer     |                  |                        |
| employees), complete     |                  |                        |
| items 1 and 3 above and  |                  |                        |
| summarize the cause of   |                  |                        |
| the injuries/illnesses   |                  |                        |
| for the past three (3)   |                  |                        |
| years, including the     |                  |                        |
| current year, on a       |                  |                        |
| separate attachment to   |                  |                        |
| this form. Additionally, |                  |                        |
| include corrective       |                  |                        |
| actions taken to prevent |                  |                        |
| re-occurrence.           |                  |                        |
+--------------------------+------------------+------------------------+
|                          |                  |                        |
+--------------------------+------------------+------------------------+
| 6\. Check your type of   |                  |                        |
| work for the most recent |                  |                        |
| 3 year period:           |                  |                        |
|                          |                  |                        |
| > Non-Residential        |                  |                        |
| > Building, include      |                  |                        |
| > dates:                 |                  |                        |
| >                        |                  |                        |
| > Heavy (Non-Highway)    |                  |                        |
| > Construction, include  |                  |                        |
| > dates:                 |                  |                        |
| >                        |                  |                        |
| > Mechanical, include    |                  |                        |
| > dates:                 |                  |                        |
| >                        |                  |                        |
| > Electrical, include    |                  |                        |
| > dates:                 |                  |                        |
| >                        |                  |                        |
| > Other (State type and  |                  |                        |
| > date):                 |                  |                        |
+--------------------------+------------------+------------------------+
|                          |                  |                        |
+--------------------------+------------------+------------------------+
| 7\. List key Safety and  |                  |                        |
| Health personnel planned |                  |                        |
| for this project. Please |                  |                        |
| list name, expected      |                  |                        |
| position and safety      |                  |                        |
| performance on last      |                  |                        |
| three projects (OSHA     |                  |                        |
| Recordable and Lost      |                  |                        |
| Workday Cause Incident   |                  |                        |
| (LWCI) rates). Provide a |                  |                        |
| resume if required by    |                  |                        |
| the Request For          |                  |                        |
| Proposal.                |                  |                        |
|                          |                  |                        |
| > **name position        |                  |                        |
| > project osha LWCI**    |                  |                        |
+--------------------------+------------------+------------------------+
| > **     **              |                  |                        |
+--------------------------+------------------+------------------------+
| > **     **              |                  |                        |
+--------------------------+------------------+------------------------+
| > **     **              |                  |                        |
+--------------------------+------------------+------------------------+
|                          |                  |                        |
+--------------------------+------------------+------------------------+
| 8\. Do you have a        |                  |                        |
| written safety program?  |                  |                        |
| Yes No If Yes, provide   |                  |                        |
| the Table of Contents    |                  |                        |
| from your safety program |                  |                        |
| along with this          |                  |                        |
| completed form.          |                  |                        |
+--------------------------+------------------+------------------------+
|                          |                  |                        |
+--------------------------+------------------+------------------------+
| 9\. **Environmental      |                  |                        |
| Record**                 |                  |                        |
+--------------------------+------------------+------------------------+
| > Has your firm been     |                  |                        |
| > subject to any         |                  |                        |
| > environmental          |                  |                        |
| > enforcement            |                  |                        |
| > proceedings before a   |                  |                        |
| > federal or state       |                  |                        |
| > agency within the last |                  |                        |
| > five (5) years?        |                  |                        |
| > If Yes, for each       |                  |                        |
| > proceeding: provide    |                  |                        |
| > the name of the        |                  |                        |
| > agency, the nature of  |                  |                        |
| > the proceeding, the    |                  |                        |
| > charge(s), and the     |                  |                        |
| > result on an           |                  |                        |
| > attachment to this     |                  |                        |
| > form.                  |                  |                        |
+--------------------------+------------------+------------------------+
| > Has your firm violated |                  |                        |
| > or exceeded any        |                  |                        |
| > federal or state       |                  |                        |
| > environmental          |                  |                        |
| > standard, requirement, |                  |                        |
| > regulation or statute  |                  |                        |
| > within the last three  |                  |                        |
| > (3) years?       If    |                  |                        |
| > Yes, for each          |                  |                        |
| > violation give a brief |                  |                        |
| > description of the     |                  |                        |
| > nature of the          |                  |                        |
| > violation on an        |                  |                        |
| > attachment to this     |                  |                        |
| > form.                  |                  |                        |
+--------------------------+------------------+------------------------+

**NOTE: This form is for evaluation purposes only and will not be a part
of a Subcontract.**

Environment, Safety And Health Worksheet Page 2 of 2

**Attachment F6-1**

**Weekly Productive Man-Hour Report**

**Subcontract No.: Date:**

**SUBCONTRACTOR:**

**Sub-Tier Subcontractors:**

**STR:**

**Note: Include all lower-tier subcontractors in reporting**

+--------------------------+---------------------+---------------------+
| **Total Contract         |                     |                     |
| Productive Man-Hours for |                     |                     |
| Week Ending**            |                     |                     |
+--------------------------+---------------------+---------------------+
|                          | **On-Site Hours**   | **Off-Site Hours**  |
+--------------------------+---------------------+---------------------+
| **Non-Manual**           |                     |                     |
+--------------------------+---------------------+---------------------+
| **Manual**               |                     |                     |
+--------------------------+---------------------+---------------------+
| **Total Hours**          |                     |                     |
+--------------------------+---------------------+---------------------+
| **1) OSHA 300 Log Report |                     |                     |
| for week ending**        |                     |                     |
|                          |                     |                     |
| > **Lost Workday         |                     |                     |
| > Cases:**               |                     |                     |
| >                        |                     |                     |
| > **Restricted Cases or  |                     |                     |
| > Job Transfer Cases:**  |                     |                     |
| >                        |                     |                     |
| > **Other Recordable     |                     |                     |
| > Cases (i.e., medical   |                     |                     |
| > treatment):**          |                     |                     |
| >                        |                     |                     |
| > **Total Recordable     |                     |                     |
| > Cases:**               |                     |                     |
| >                        |                     |                     |
| > **(Cum for Project)**  |                     |                     |
|                          |                     |                     |
| **2) First Aids:**       |                     |                     |
|                          |                     |                     |
| **3) Incidents:**        |                     |                     |
+--------------------------+---------------------+---------------------+

**Definitions:**

> **Non-Manual --** Project Managers, Safety Representatives,
> Superintendents, Construction Managers, Engineers, Consultants,
> Drafters, Buyers, Cost Estimators, Schedulers, Clerks, etc.
>
> **Manual --** Craft-type personnel (i.e., carpenters, welders,
> electricians, equipment operators, delivery personnel, etc.)
>
> **Incident** -- An unplanned event that may result in property damage,
> environmental release, vehicle damage or any undesired loss of
> resources.

**Note:** Only report productive man-hours. Do not include sick,
vacation, etc.

**\*\*\*\*REPORT DUE TO STR BY NOON EVERY MONDAY\*\*\*\***

**Attachment F39-1**

**Guidance Document for Waste Management**

  --------------------------------------------------------------------------------------------------------------------------
  **Type of    **Description**              **Requirements**    **Action**
  Waste**                                                       
  ------------ ---------------------------- ------------------- ------------------------------------------------------------
  Generation   Hazardous waste includes     There are specific  Hazardous waste will be characterized and documented through
  of Hazardous (but is not limited to)      regulatory          submittal of a Waste Profile Form (WPF). Waste generators
  Waste        ignitable, corrosive,        requirements for    will be trained before they can sign the WPF. For assistance
               reactive, toxicity           characterization,   with hazardous waste generation and management requirements,
               characteristic (i.e.,        generation,         contact your Waste Management Coordinator (refer to [WMC
               organics and heavy metals)   management,         Contacts](http://fwo-swo.lanl.gov/wmc/contacts.htm)) and/or
               or listed hazardous waste    training, labeling, refer to [General Waste Management Requirements for
               (e.g., solvents; degreasers; treatment, storage, Hazardous and Mixed
               wastewater treatment sludge; disposal, and       Waste](http://swrc.lanl.gov/pdffiles/iwmWasteControls.pdf)
               plating or quenching bath    permitting of       
               solutions or residues; or    hazardous waste.    
               explosives processing waste  (40 CFR Parts       
               including wastewater         260-270 and 273 and 
               treatment sludge, spent      20.4.1 NMAC)        
               carbon or pink/red water                         
               from TNT operations.)                            

  Generation   Mixed waste is any waste     There are specific  Mixed waste will be characterized and documented through
  of Mixed     that is                      regulatory          submittal of a WPF. Waste generators will be trained before
  Waste (rad.+ radioactively-contaminated   requirements for    they can sign the WPF. For assistance with mixed waste
  haz.)        and contains hazardous       characterization,   generation and management requirements, contact your Waste
               waste. "Mixed waste" is a    generation,         Management Coordinator (refer to [WMC
               generic term for both mixed  management,         Contacts](http://fwo-swo.lanl.gov/wmc/contacts.htm)) and/or
               low-level waste and mixed    training, labeling, refer to [General Waste Management Requirements for
               transuranic (TRU) waste.     treatment, storage, Hazardous and Mixed Waste and Radioactive
                                            disposal,           Waste](http://swrc.lanl.gov/pdffiles/iwmWasteControls.pdf)
                                            permitting, and     
                                            transportation of   
                                            mixed waste. (40    
                                            CFR Parts 260-270   
                                            and 20.4.1 NMAC)    
  --------------------------------------------------------------------------------------------------------------------------

Guidance Document for Waste Management Page 1 of 5

  ------------------ ------------------- ------------------ ------------------------------------------------------------
  **Type of Waste**  **Description**     **Requirements**   **Action**

  Generation of      Universal waste     There are specific Universal waste will be characterized and documented through
  Universal Waste    includes            regulatory         submittal of a WPF. Waste generators will be trained before
                     non-radioactively   requirements       they can sign the WPF. For assistance with universal waste
                     contaminated        relative to        generation and management requirements, contact your Waste
                     batteries, mercury  generation and     Management Coordinator (refer to [WMC
                     bulbs/lamps,        management of      Contacts](http://fwo-swo.lanl.gov/wmc/contacts.htm)) and/or
                     mercury containing  universal waste.   refer to [General Waste Management Requirements for
                     equipment, mercury  (40 CFR Part 273   Universal
                     thermostats,        and 20.4.1 NMAC)   Waste](http://swrc.lanl.gov/pdffiles/iwmWasteControls.pdf)
                     mercury                                
                     thermometers and                       
                     pesticides.                            

  Used Oil           Used oil for        There are specific Used oil will be characterized and documented through
                     recycle is          regulatory         submittal of a Waste Profile Form (WPF). Waste generators
                     non-radioactively   requirements for   will be trained before they can sign the WPF. For assistance
                     contaminated oil    management of used with used oil generation and management requirements,
                     that has been       oil. (40 CFR Part  contact your Waste Management Coordinator (refer to [WMC
                     refined from crude  279 and 20.4.1     Contacts](http://fwo-swo.lanl.gov/wmc/contacts.htm)) and/or
                     oil, or any         NMAC)              refer to [Specific Waste or Reusable Material Requirements
                     synthetic oil that                     for Used
                     has been used and                      Oil](http://swrc.lanl.gov/pdffiles/iwmWasteControls.pdf)
                     as a result of such                    
                     use, is                                
                     contaminated by                        
                     physical or                            
                     chemical                               
                     impurities. Used                       
                     oil for recycle                        
                     cannot be                              
                     contaminated with                      
                     polychlorinated                        
                     biphenyls (PCB)s                       

  Toxic Substance    PCB waste can       There are specific TSCA-regulated PCB waste will be characterized and
  Control Act        include anything    regulatory         documented through submittal of a Waste Profile Form (WPF).
  (TSCA)-regulated   with PCBs.          requirements for   Waste generators will be trained before they can sign the
  Polychlorinated    Fluorescent light   the management of  WPF. For assistance with TSCA-regulated PCB waste generation
  Biphenyls (PCB)    ballasts,           PCBs. (40 CFR Part and management requirements, contact your Waste Management
  Waste              capacitors,         761)               Coordinator (refer to [WMC
                     transformers,                          Contacts](http://fwo-swo.lanl.gov/wmc/contacts.htm)) and/or
                     circuit breakers,                      refer to [Specific Waste or Reusable Material Requirements
                     voltage regulators,                    for
                     switches,                              PCBs](http://swrc.lanl.gov/pdffiles/iwmWasteControls.pdf) or
                     electromagnets,                        contact ENV-RCRA at 667-0666.
                     vacuum pumps,                          
                     electrical                             
                     equipment                              
                     containing PCBs,                       
                     and equipment with                     
                     external oil                           
                     staining with PCBs                     
                     present are all                        
                     types of PCB waste.                    
  ------------------ ------------------- ------------------ ------------------------------------------------------------

Guidance Document for Waste Management Page 2 of 5

  --------------- --------------------- ------------------ --------------------------------------------------------------------
  **Type of       **Description**       **Requirements**   **Action**
  Waste**                                                  

  Generation of   Asbestos fibers are   There are specific Asbestos waste will be characterized and documented through
  Asbestos Waste  commonly found in     regulatory         submittal of a Waste Profile Form (WPF). Waste generators will be
                  thermal system        requirements       trained before they can sign the WPF. For assistance with asbestos
                  insulation (steam     relative to        waste generation and management requirements, contact your Waste
                  pipes, hot water      notification,      Management Coordinator (refer to [WMC
                  pipes, boilers,       generation,        Contacts](http://fwo-swo.lanl.gov/wmc/contacts.htm)) and/or refer to
                  furnaces, steam       management, and    [General New Mexico Special Waste and Specific Asbestos-Containing
                  pumps,                reporting for      Material
                  water/condenser       asbestos waste.    Requirements.](http://swrc.lanl.gov/pdffiles/iwmWasteControls.pdf)
                  tanks) , fireproofing (20 NMAC 9.1 and   
                  and fire doors,       40 CFR Part 61,    
                  roofing material      Subpart M)         
                  (roofing tar), floor                     
                  tiles, laboratory                        
                  bench tops, spray-on                     
                  acoustic insulation,                     
                  intake ducts,                            
                  artificial soapstone                     
                  cabinets, calking,                       
                  sealer, and mastics.                     
                  Non-radioactively                        
                  contaminated friable                     
                  asbestos waste is a                      
                  New Mexico Special                       
                  Waste.                                   

  Generation of   New Mexico Special    There are specific New Mexico Special waste will be characterized and documented
  New Mexico      Waste generated at    regulatory         through submittal of a Waste Profile Form (WPF). Waste generators
  Special Waste   LANL includes treated requirements       will be trained before they can sign the WPF. For assistance with
  (excluding      formerly              relative to        New Mexico Special waste generation and management requirements,
  asbestos waste) characteristic        generation and     contact your Waste Management Coordinator (refer to [WMC
                  hazardous wastes;     management of New  Contacts](http://fwo-swo.lanl.gov/wmc/contacts.htm)) and/or refer to
                  ash; infectious       Mexico Special     [General New Mexico Special Waste Management
                  waste; sludge;        Waste. (20 NMAC    Requirements](http://swrc.lanl.gov/pdffiles/iwmWasteControls.pdf) .
                  residues from a spill 9.1)               Note: Specific requirements relative to the type of New Mexico
                  of a chemical                            Special waste are also included in this document.
                  substance or                             
                  commercial product;                      
                  dry chemicals, which,                    
                  when wetted become                       
                  characteristically                       
                  hazardous waste; and                     
                  petroleum                                
                  contaminated soils.                      

  Generation of   Commercial solid      (20 NMAC 9.1)      Commercial solid waste will be characterized and documented through
  Commercial      waste is generally                       submittal of a Waste Profile Form. Waste generators will be trained
  Solid Waste     any solid waste                          before they can sign the WPF. Contact your Waste Management
                  generated from a                         Coordinator (refer to [WMC
                  project that is not                      Contacts](http://fwo-swo.lanl.gov/wmc/contacts.htm)) or ENV-RCRA for
                  regular office trash,                    assistance.
                  construction or                          
                  demolition debris or                     
                  New Mexico Special                       
                  Waste.                                   
  --------------- --------------------- ------------------ --------------------------------------------------------------------

Guidance Document for Waste Management Page 3 of 5

  -------------- -------------------------- ------------------ ------------------------------------------------------------
  **Type of      **Description**            **Requirements**   **Action**
  Waste**                                                      

  Generation of  Construction and           There are specific Construction and demolition debris will be characterized and
  Construction   demolition debris is waste regulatory         documented through submittal of a Waste Profile Form. Waste
  and Demolition generated from             requirements       generators will be trained before they can sign a WPF.
  Debris         construction or            relative to the    Contact your Waste Management Coordinator (refer to [WMC
                 destruction of a structure generation and     Contacts](http://fwo-swo.lanl.gov/wmc/contacts.htm)) or
                 and associated land        management of      ENV-RCRA for assistance.
                 clearing activities and    construction and   
                 may include steel, glass,  demolition debris. 
                 brick, concrete, asphalt,  (20 NMAC 9.1)      
                 roofing materials, pipe,                      
                 gypsum wallboard, lumber,                     
                 rocks, soil, tree remains,                    
                 trees, and other                              
                 vegetative matter.                            

  Generation of  Classified waste is        All classified     Contact a Waste Management Coordinator (refer to [WMC
  Classified     classified matter          material that      Contacts](http://fwo-swo.lanl.gov/wmc/contacts.htm)) and/or
  Waste          determined by the          becomes waste      a Laboratory Security Representative for assistance.
                 generating group to be a   requires controls  
                 waste. This can include    to protect         
                 documents, film, parts or  security. (LANL    
                 assemblies, safe or vault  ISD 201-1, 201-4,  
                 locking devices, computer  201-5)             
                 tape, degaussed magnetic                      
                 tape, metal parts or                          
                 classified shapes.                            

  Generation of                             There are specific Solid waste will not be dumped or abandoned on LANL
  Municipal                                 regulatory         property. Contact your Waste Management Coordinator (refer
  Solid Waste                               requirements       to [WMC Contacts](http://fwo-swo.lanl.gov/wmc/contacts.htm))
                                            relative to the    or ENV-RCRA for assistance.
                                            generation of      
                                            solid waste. (20   
                                            NMAC 9.1)          

  Generation of  "Radioactive waste"        There are specific Radioactive waste will be characterized and documented
  Radioactive    generically refers to both regulatory         through submittal of a Waste Profile Form. Waste generators
  Waste          low-level and transuranic  requirements       will be trained before they can sign the WPF. For
                 waste. Low-level           relative to        assistance, contact your Waste Management Coordinator ([WMC
                 radioactive waste is not   generation and     Contacts](http://fwo-swo.lanl.gov/wmc/contacts.htm)) and/or
                 high-level, spent nuclear  management of      refer to [General Waste Management Requirements for
                 fuel, transuranic (TRU)    radioactive waste. Radioactive
                 waste, byproduct material  (DOE Order 435.1)  Waste](http://swrc.lanl.gov/pdffiles/iwmWasteControls.pdf)
                 (as defined in Section                        
                 11e.(2) of the Atomic                         
                 Energy Act of 1954, as                        
                 amended), or naturally                        
                 occurring radioactive                         
                 material. Test specimens                      
                 of fissionable material                       
                 irradiated for research                       
                 and development may be                        
                 classified as low-level                       
                 waste, provided the                           
                 concentration of                              
                 transuranics is less than                     
                 100nCi/g. TRU waste has an                    
                 atomic number greater than                    
                 92 on the Periodic Table                      
                 and is radioactive waste                      
                 that contains more than                       
                 100 nanocuries of                             
                 alpha-emitting transuranic                    
                 isotopes per gram of                          
                 waste, with half-lives                        
                 greater than 20 years,                        
                 with a few exceptions.                        
  -------------- -------------------------- ------------------ ------------------------------------------------------------

Guidance Document for Waste Management Page 4 of 5

  ---------------- ----------------- ------------------ ------------------------
  **Type of        **Description**   **Requirements**   **Action**
  Waste**                                               

  Use of Borrow                      An Excavation      Document that the
  Material from an                   Permit Request     material is not
  off-site source.                   will be submitted  contaminated and follow
                                     for work that      requirements identified
                                     requires           by reviewers of the
                                     excavation, use of Excavation Permit
                                     fill or soil       Request.
                                     disturbance.       
                                     (ISD101.17)        

  Use of Borrow                      An Excavation      Document that the
  Material from an                   Permit Request     material is not
  on-site source.                    will be submitted  contaminated and follow
                                     for work that      requirements identified
                                     requires           by reviewers of the
                                     excavation, use of Excavation Permit
                                     fill or soil       Request. Prior to
                                     disturbance.       movement of material,
                                     (ISD101.17)        obtain STR approval
                                                        indicating acceptance of
                                                        the material at the
                                                        receiving location if it
                                                        is moved from one TA to
                                                        another.

  Generation of                      An Excavation      Document that the
  clean concrete,                    Permit Request     material is not
  asphalt, soil                      will be submitted  contaminated and follow
  for recycle                        for work that      requirements identified
                                     requires           by reviewers of the
                                     excavation, use of Excavation Permit
                                     fill or soil       Request. Approval from
                                     disturbance.       STR will be obtained
                                     (ISD101.17)        prior to offering the
                                                        material for off-site
                                                        use or recycle. Do not
                                                        abandon material
                                                        on-site.

  Use of clean                       An Excavation      Document that the
  concrete,                          Permit Request     material is not
  asphalt, or soil                   will be submitted  contaminated and follow
  from another                       for work that      requirements identified
  LANL project as                    requires           by reviewers of the
  fill, road base,                   excavation, use of Excavation Permit
  etc.                               fill or soil       Request. Prior to
                                     disturbance.       movement of material,
                                     (ISD101.17)        obtain STR approval
                                                        indicating acceptance of
                                                        the material at the
                                                        receiving location if it
                                                        is moved from one TA to
                                                        another. Do not abandon
                                                        material on-site.
  ---------------- ----------------- ------------------ ------------------------

Guidance Document for Waste Management Page 5 of 5

**Attachment F57-1**

Safety Citation

+--------------+-----------------+-----------------------+-----------+
| SC No.:      | Subcontract No. | Subcontractor Name    | Page 1 of |
|              |                 |                       | \_\_\_    |
| *            |                 |                       |           |
| (YR-SC-XXX)* |                 |                       |           |
+--------------+-----------------+-----------------------+-----------+
|              |                 |                       |           |
+--------------+-----------------+-----------------------+-----------+
| Brief        |                 |                       |           |
| Title        |                 |                       |           |
| /Description |                 |                       |           |
| of Safety    |                 |                       |           |
| Incident     |                 |                       |           |
+--------------+-----------------+-----------------------+-----------+
| Specified    |                 |                       |           |
| Requirement  |                 |                       |           |
| (identify    |                 |                       |           |
| requirement  |                 |                       |           |
| and          |                 |                       |           |
| reference    |                 |                       |           |
| document     |                 |                       |           |
| (e.g.        |                 |                       |           |
| General      |                 |                       |           |
| Safety       |                 |                       |           |
| Rules,       |                 |                       |           |
| S            |                 |                       |           |
| ubcontractor |                 |                       |           |
| ES&H Plan)   |                 |                       |           |
+--------------+-----------------+-----------------------+-----------+
| Description  |                 |                       |           |
| of Safety    |                 |                       |           |
| Incident     |                 |                       |           |
| (provide     |                 |                       |           |
| detailed     |                 |                       |           |
| information; |                 |                       |           |
| include      |                 |                       |           |
| names,       |                 |                       |           |
| dates,       |                 |                       |           |
| locations)   |                 |                       |           |
+--------------+-----------------+-----------------------+-----------+
| Immediate    |                 |                       |           |
| actions to   |                 |                       |           |
| be taken     |                 |                       |           |
|              |                 |                       |           |
| STR Name     |                 |                       |           |
| (Print)      |                 |                       |           |
| Signature    |                 |                       |           |
| Date Phone   |                 |                       |           |
| Pager        |                 |                       |           |
+--------------+-----------------+-----------------------+-----------+
|              |                 |                       |           |
+--------------+-----------------+-----------------------+-----------+
| Corrective   |                 |                       |           |
| Actions      |                 |                       |           |
| taken        |                 |                       |           |
| (provide     |                 |                       |           |
| detailed     |                 |                       |           |
| information; |                 |                       |           |
| include      |                 |                       |           |
| names, dates |                 |                       |           |
| and          |                 |                       |           |
| locations)   |                 |                       |           |
|              |                 |                       |           |
| S            |                 |                       |           |
| ubcontractor |                 |                       |           |
| Name (Print) |                 |                       |           |
| Signature    |                 |                       |           |
| Date Phone   |                 |                       |           |
| Pager        |                 |                       |           |
+--------------+-----------------+-----------------------+-----------+
|              |                 |                       |           |
+--------------+-----------------+-----------------------+-----------+
| Actions      |                 |                       |           |
| Complete:    |                 |                       |           |
+--------------+-----------------+-----------------------+-----------+
| S            |                 |                       |           |
| ubcontractor |                 |                       |           |
| Name (Print) |                 |                       |           |
| Signature    |                 |                       |           |
| Date Phone   |                 |                       |           |
| Pager        |                 |                       |           |
+--------------+-----------------+-----------------------+-----------+
| STR Name     |                 |                       |           |
| (Print)      |                 |                       |           |
| Signature    |                 |                       |           |
| Date Phone   |                 |                       |           |
| Pager        |                 |                       |           |
+--------------+-----------------+-----------------------+-----------+

**Attachment F58-1**

**BASELINE LANS' SUBSTANCE ABUSE PROGRAM (LSAP) REQUIREMENTS**

**[INSTRUCTIONS:]{.underline}** Identify the section and page number of
your Substance Abuse Program which satisfies the identified minimum
requirement. The requirements are based on 10 CFR 707, supplemented with
LANS requirements.

+---------------------------------+-----------------+-----------------+
| **Minimum Requirement**         | **Section,      | **Comments**    |
|                                 | Page**          |                 |
+=================================+=================+=================+
| **7****07.4**                   |                 |                 |
|                                 |                 |                 |
| Definitions                     |                 |                 |
+---------------------------------+-----------------+-----------------+
| **707.5A**                      |                 |                 |
|                                 |                 |                 |
| Provision for compliance with   |                 |                 |
| Department of Health and Human  |                 |                 |
| Services (DHHS) Mandatory       |                 |                 |
| Guidelines for Federal          |                 |                 |
| Workplace Drug Testing Programs |                 |                 |
| (53 FR 11970, April 11, 1988)   |                 |                 |
+---------------------------------+-----------------+-----------------+
| **707.5(A)(1)**                 |                 |                 |
|                                 |                 |                 |
| SUBCONTRACTOR Policy Statement  |                 |                 |
| that prohibits onsite           |                 |                 |
| possession, sale, distribution, |                 |                 |
| or manufacture of illegal       |                 |                 |
| drugs.                          |                 |                 |
+---------------------------------+-----------------+-----------------+
| **707.5(A)(2)**                 |                 |                 |
|                                 |                 |                 |
| Provision for supervisor and    |                 |                 |
| employee substance abuse        |                 |                 |
| training and an employee        |                 |                 |
| assistance program (EAP) in     |                 |                 |
| accordance with 707.6., and     |                 |                 |
| penalties for violations.       |                 |                 |
+---------------------------------+-----------------+-----------------+
| **707.6(A)**                    |                 |                 |
|                                 |                 |                 |
| Availability of an EAP, or      |                 |                 |
| similar program, to on-site     |                 |                 |
| employees to provide preventive |                 |                 |
| services, education, short-term |                 |                 |
| counseling, coordination and    |                 |                 |
| referral to outside agencies,   |                 |                 |
| and follow-up. (**Provide the   |                 |                 |
| EAP or similar program, company |                 |                 |
| name and a contact number**)    |                 |                 |
|                                 |                 |                 |
| **NOTE:** SUBCONTRACTOR may     |                 |                 |
| choose to utilize the LANS      |                 |                 |
| on-site EAP and, if so, should  |                 |                 |
| so state.                       |                 |                 |
+---------------------------------+-----------------+-----------------+
| **707.5(A)(2)**                 |                 |                 |
|                                 |                 |                 |
| **707.6(B)**                    |                 |                 |
|                                 |                 |                 |
| Description of the periodic     |                 |                 |
| training program:               |                 |                 |
|                                 |                 |                 |
| EMPLOYEES                       |                 |                 |
|                                 |                 |                 |
| -   Health aspects of substance |                 |                 |
|     abuse                       |                 |                 |
|                                 |                 |                 |
| -   Safety, security, workplace |                 |                 |
|     problems                    |                 |                 |
|                                 |                 |                 |
| -   Provisions of 10 CFR 707    |                 |                 |
|                                 |                 |                 |
| -   SUBCONTRACTOR's Substance   |                 |                 |
|     Abuse policy                |                 |                 |
|                                 |                 |                 |
| -   EAP                         |                 |                 |
|                                 |                 |                 |
| MANAGERS AND SUPERVISORS (in    |                 |                 |
| addition to above topics)       |                 |                 |
|                                 |                 |                 |
| -   Recognition of              |                 |                 |
|     deteriorating job           |                 |                 |
|     performance or judgment     |                 |                 |
|                                 |                 |                 |
| -   Conduct which may be the    |                 |                 |
|     result of drug use          |                 |                 |
|                                 |                 |                 |
| -   Responsibility to intervene |                 |                 |
|     and offer alternative       |                 |                 |
|     courses of action           |                 |                 |
|                                 |                 |                 |
| -   Handling and referral of    |                 |                 |
|     employees with possible     |                 |                 |
|     drug problems               |                 |                 |
|                                 |                 |                 |
| Employer policies and practices |                 |                 |
| regarding privacy interests of  |                 |                 |
| applicants and employees        |                 |                 |
| **(Define periodic training for |                 |                 |
| employees and supervisors --    |                 |                 |
| annually, monthly, etc.)**      |                 |                 |
+---------------------------------+-----------------+-----------------+

Baseline LANS' Substance Abuse Program (LSAP) Requirements Page 1 of 2

  ---------------------------- -------------------------- ------------------------
  ***Company:                  ***Initials:               ***Date:
  [     ]{.underline}***       [     ]{.underline}***     [     ]{.underline}***

  ---------------------------- -------------------------- ------------------------

**Attachment F58-1**

**BASELINE LSAP REQUIREMENTS (continued)**

+---------------------------------+-----------------+-----------------+
| **Minimum Requirement**         | **Section,      | **Comments**    |
|                                 | Page**          |                 |
+---------------------------------+-----------------+-----------------+
| **707.5(A)(4)**                 |                 |                 |
|                                 |                 |                 |
| Requirement to notify LANS      |                 |                 |
| Personnel Security within two   |                 |                 |
| (2) working days of receipt of  |                 |                 |
| notice of an Employee's arrest  |                 |                 |
| or conviction of a drug-related |                 |                 |
| offense.                        |                 |                 |
+---------------------------------+-----------------+-----------------+
| **707.5(A)(5)**                 |                 |                 |
|                                 |                 |                 |
| Provision for imposing on       |                 |                 |
| convicted Employee (within 30   |                 |                 |
| days of notice of conviction)   |                 |                 |
| either (i) appropriate          |                 |                 |
| personnel action up to and      |                 |                 |
| including termination; or (ii)  |                 |                 |
| an opportunity to participate   |                 |                 |
| in an approved substance abuse  |                 |                 |
| rehabilitation program.         |                 |                 |
+---------------------------------+-----------------+-----------------+
| **707.5(A)(6)**                 |                 |                 |
|                                 |                 |                 |
| Commitment to make good faith   |                 |                 |
| effort to maintain workplace    |                 |                 |
| free of substance abuse through |                 |                 |
| implementation of this program. |                 |                 |
+---------------------------------+-----------------+-----------------+
| Provisions that require testing |                 |                 |
| for all post-occurrence,        |                 |                 |
| post-incident, post-accident    |                 |                 |
| and reasonable suspicion tests: |                 |                 |
+---------------------------------+-----------------+-----------------+
| Provision to report the results |                 |                 |
| of any investigation or drug    |                 |                 |
| and alcohol test arising from   |                 |                 |
| the performance of Work under   |                 |                 |
| this Subcontract.               |                 |                 |
+---------------------------------+-----------------+-----------------+
| Provision that requires         |                 |                 |
| compliance with LANS drug       |                 |                 |
| /alcohol testing for all        |                 |                 |
| post-accident, reasonable       |                 |                 |
| suspicion, and random testing.  |                 |                 |
+---------------------------------+-----------------+-----------------+

Baseline LANS' Substance Abuse Program (LSAP) Requirements Page 2 of 2

  ---------------------------- --------------------------- ------------------------
  ***Company:                  ***Initials:                ***Date:
  [     ]{.underline}***       [     ]{.underline}***      [     ]{.underline}***

  ---------------------------- --------------------------- ------------------------

**Attachment F58-2**

**DRUG TESTING PANEL**

The following list of drugs is currently used in the LANS' testing panel
and is provided for use in SUBCONTRACTOR Substance Abuse Programs.
However, when conducting reasonable suspicion or occurrence testing,
LANS may test for any drug listed in Schedules I or II of the Controlled
Substances Act.

  -----------------------------------------------------------------------
  **Drug or Class of Drug**

  Marijuana

  Cocaine

  Opiates

  Phencyclidine

  Amphetamines

  -----------------------------------------------------------------------

  -------------------------- --------------------------- ------------------------
  ***Company:                ***Initials:                ***Date:
  [     ]{.underline}***     [     ]{.underline}***      [     ]{.underline}***

  -------------------------- --------------------------- ------------------------

**Attachment F58-3**

**SAMPLE COLLECTION AND ANALYSIS**

**Collection requirements**

The drug test must be conducted in accordance with: [Department of
Transportation 49 CFR 40.]{.underline} This CFR is very comprehensive
and deals with many DOT issues. Many federal agencies use this CFR to
customize their own drug testing programs because it is very descriptive
of the proper procedures that guard the integrity of the drug testing
process.

The following subparts of 49 CFR 40 outline the procedures that must be
followed in order for LANS to accept the test.

-   Subpart C Urine Collection Personnel

-   Subpart D Collection Sites, Forms, Equipment and Supplies Used in
    DOT Urine Collections

```{=html}
<!-- -->
```
-   Subcontractors must use a non-DOT Chain of Custody form when
    performing a LANS test.

```{=html}
<!-- -->
```
-   Subpart E Urine Specimen Collections

**Laboratory requirements**

A drug testing laboratory used for any LANS required drug test must be
certified by the Department of Health and Human Services (DHHS) under
the National Laboratory Certification Program (NLCP). The laboratory
must be currently certified to meet the standards of Subpart C of the
Mandatory Guidelines for Federal Workplace Drug Testing Programs
(Mandatory Guidelines). A current list of approved drug testing
laboratories is published in the Federal Register and can be found at:
[http://dwp.samhsa.gov/DrugTesting/Level_1_Pages/CertifiedLabs.aspx]{.underline}

Drug testing laboratories certified by the DHHS are able to analyze
urine specimens to determine the presence of illegal drugs. They also
conduct validity testing to determine if the specimen has been
adulterated or substituted.

A laboratory participating in LANS drug testing must comply with the
requirements in 49 CFR Part 40, as well as, all applicable DHHS
requirements. While it is important for the laboratory to be familiar
with all aspects of 49 CFR Part 40, the laboratory should pay particular
attention to the following:

-   Subpart F Drug Testing Laboratory

-   Subpart G Medical Review Officers and the Verification Process

-   Subpart H Split Specimen Collections

-   Subpart I Problems in Drug Tests

-   Appendix A DOT Standards for Urine Collection Kits

-   Appendix B DOT Drug Testing Semi-Annual Laboratory Report

  -------------------------- --------------------------- ------------------------
  ***Company:                ***Initials:                ***Date:
  [     ]{.underline}***     [     ]{.underline}***      [     ]{.underline}***

  -------------------------- --------------------------- ------------------------

**Attachment F58-4**

**LOWER TIER LSAP REQUIREMENTS**

**[INSTRUCTIONS:]{.underline}** SUBCONTRACTOR must complete this form
for each lower tiered subcontractor that is awarded a scope of work,
whenever that award occurs.

> **CERTIFICATION**: ***(Enter 1st Tier SUBCONTRACTOR'S Company Name)***
> **[     ]{.underline}** has evaluated all subcontractors of all tiers
> performing work under this Subcontract and has made the following
> determinations that: (1) all listed lower tiered subcontractors have
> acceptable programs to meet the requirements of the LANS Substance
> Abuse Program, and (2) the applicability of 10 CFR 707.

+---------------------------------------------------+------------------+
| #### **Name of SU                                 |                  |
| BCONTRACTOR**  {#name-of-subcontractor .Reg-Text} |                  |
|                                                   |                  |
| #### **Descrip                                    |                  |
| tion of Scope** {#description-of-scope .Reg-Text} |                  |
+---------------------------------------------------+------------------+
|                                                   | #### **Ex        |
|                                                   | clusion** {#excl |
|                                                   | usion .Reg-Text} |
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  -------------------------- --------------------------- ------------------------
  ***Company:                ***Initials:                ***Date:
  [     ]{.underline}***     [     ]{.underline}***      [     ]{.underline}***

  -------------------------- --------------------------- ------------------------

**Attachment F58-5**

**EXCLUSION STATEMENT**

**[INSTRUCTIONS:]{.underline}** If a lower tier subcontractor believes
the requirements of LSAP does not apply to their specific lower tier
subcontract, this form must be submitted to the 1^st^ Tier SUBCONTRACTOR
for concurrence and to be excluded.

**A separate Exclusion Statement form is required for each lower tier
subcontractor.**

**Subject: Statement of Exclusion from requirements of LANS Substance
Abuse Program (LSAP)**

**Reference: Subcontract No. [     ]{.underline}**

LSAP is inapplicable to ***(Enter lower tier Subcontractor's Company
Name***) [     ]{.underline} because:

> The work is being performed 100% off site

**[Lower Tier Subcontractor]{.underline}**

  ---------------- ------------------------------------- ----------- -----------
  **Signature:**                                         **Date:**   **     **

  **Name (print or **     **                                         
  type):**                                                           

  **Title:**       **     **                                         
  ---------------- ------------------------------------- ----------- -----------

**[1^st^ Tier SUBCONTRACTOR Concurrence]{.underline}**

I concur in this assessment of the inapplicability of LSAP to the Lower
tiers subcontracted scope of work.

  ---------------- ------------------------------------- ----------- -----------
  **Signature:**                                         **Date:**   **     **

  **Name (print or **     **                                         
  type):**                                                           

  **Title:**       **     **                                         
  ---------------- ------------------------------------- ----------- -----------

  ------------------------ --------------------------- ------------------------
  ***Company:              ***Initials:                ***Date:
  [     ]{.underline}***   [     ]{.underline}***      [     ]{.underline}***

  ------------------------ --------------------------- ------------------------