------------------------------------------- ---------------------------
  Self-Assessment Guidance Card               

  Area: 10CFR851 Gap                          Date: 01/30/08

  Topic: Industrial Hygiene -- Training Sec.  Rev: Final 0
  851.25                                      

  References: 10 CFR 851                      
  ------------------------------------------- ---------------------------

+---------------------------------------+------------------------------+
| Performance Expectations:             |                              |
+---------------------------------------+------------------------------+
| 1.  Is a worker safety and health     |                              |
|     training and information program  |                              |
|     in place to ensure that all       |                              |
|     workers exposed or potentially    |                              |
|     exposed to hazards are provided   |                              |
|     with the training and information |                              |
|     on that hazard in order to        |                              |
|     perform their duties in a safe    |                              |
|     and healthful manner?             |                              |
|                                       |                              |
| 2.  Is training and information       |                              |
|     provided for new workers, before  |                              |
|     or at the time of initial         |                              |
|     assignment to a job involving     |                              |
|     exposure to a hazard?             |                              |
|                                       |                              |
| 3.  Is periodic training conducted as |                              |
|     often as necessary to ensure that |                              |
|     workers are adequately trained    |                              |
|     and informed?                     |                              |
|                                       |                              |
| 4.  Is additional training provided   |                              |
|     when safety and health            |                              |
|     information or a change in        |                              |
|     workplace conditions indicates    |                              |
|     that a new or increased hazard    |                              |
|     exists?                           |                              |
|                                       |                              |
| 5.  Are JRAs or other Work Planning   |                              |
|     documents reviewed with           |                              |
|     appropriate employees when        |                              |
|     revised?                          |                              |
|                                       |                              |
| 6.  Has training and information been |                              |
|     provided to workers who have      |                              |
|     worker safety and health program  |                              |
|     responsibilities that is          |                              |
|     necessary for them to carry out   |                              |
|     those responsibilities?           |                              |
+---------------------------------------+------------------------------+
| Procedure: (Perform the following as  |                              |
| applicable for the assessment)        |                              |
|                                       |                              |
| -   Review assessment guidance card.  |                              |
|                                       |                              |
| ```{=html}                            |                              |
| <!-- -->                              |                              |
| ```                                   |                              |
| -   Review the subject area for       |                              |
|     applicable                        |                              |
|     procedures/requirements.          |                              |
|                                       |                              |
| ```{=html}                            |                              |
| <!-- -->                              |                              |
| ```                                   |                              |
| -   Observe the activity(ies)         |                              |
|     controlled by the procedure.      |                              |
|                                       |                              |
| ```{=html}                            |                              |
| <!-- -->                              |                              |
| ```                                   |                              |
| -   Interview appropriate personnel   |                              |
|     about requirements and practices. |                              |
|                                       |                              |
| ```{=html}                            |                              |
| <!-- -->                              |                              |
| ```                                   |                              |
| -   Record observations based on      |                              |
|     comparison to guidance.           |                              |
|                                       |                              |
| ```{=html}                            |                              |
| <!-- -->                              |                              |
| ```                                   |                              |
| -   Document the results.             |                              |
+---------------------------------------+------------------------------+
| Basis for the Assessment: (Why is the |                              |
| assessment being done?)               |                              |
|                                       |                              |
| Periodic Lessons Learned Directed by  |                              |
| Management Responsive Targeted        |                              |
+---------------------------------------+------------------------------+
| Assessor(s):                          | Date of Assessment:          |
+---------------------------------------+------------------------------+
| Location of Assessment: (Bldg/Room)   |                              |
+---------------------------------------+------------------------------+

  ------------------------------------------- ---------------------------
  Self-Assessment Guidance Card               

  Area: 10CFR851 Gap                          Date: 01/30/08

  Topic: Industrial Hygiene -- Hazard         Rev: Final 0
  Assessment                                  

  References: 10 CFR 851                      
  ------------------------------------------- ---------------------------

+-----------------------------------+-----------------------------------+
| Performance Expectations:         |                                   |
+-----------------------------------+-----------------------------------+
| 1.  Are procedures in place to    |                                   |
|     identify existing and         |                                   |
|     potential workplace hazards   |                                   |
|     and assess the risk of        |                                   |
|     associated workers injury and |                                   |
|     illness? Do the procedures    |                                   |
|     include methods to:           |                                   |
|                                   |                                   |
| -   Assess worker exposure to     |                                   |
|     chemical, physical,           |                                   |
|     biological, or safety         |                                   |
|     workplace hazards through     |                                   |
|     appropriate workplace         |                                   |
|     monitoring?                   |                                   |
|                                   |                                   |
| -   Document assessment using     |                                   |
|     recognized exposure           |                                   |
|     assessment and testing        |                                   |
|     methodologies and using of    |                                   |
|     accredited and certified      |                                   |
|     laboratories?                 |                                   |
|                                   |                                   |
| -   Record observations, testing  |                                   |
|     and monitoring results?       |                                   |
|                                   |                                   |
| -   Analyze designs of new        |                                   |
|     facilities and modifications  |                                   |
|     to existing facilities and    |                                   |
|     equipment for potential       |                                   |
|     workplace hazards?            |                                   |
|                                   |                                   |
| -   Evaluate operations,          |                                   |
|     procedures, and facilities to |                                   |
|     identify workplace hazards?   |                                   |
|                                   |                                   |
| -   Perform routine job           |                                   |
|     activity-level hazard         |                                   |
|     analyses?                     |                                   |
|                                   |                                   |
| -   Review site safety and health |                                   |
|     experience information?       |                                   |
|                                   |                                   |
| -   Consider interaction between  |                                   |
|     workplace hazards and other   |                                   |
|     hazards such as radiological  |                                   |
|     hazards?                      |                                   |
|                                   |                                   |
| 2.  Is a hazard prevention and    |                                   |
|     abatement process in place to |                                   |
|     ensure that all identified    |                                   |
|     and potential hazards are     |                                   |
|     prevented or abated in a      |                                   |
|     timely manner?                |                                   |
|                                   |                                   |
| 3.  Are controls incorporated in  |                                   |
|     the appropriate facility      |                                   |
|     design or procedure?          |                                   |
|                                   |                                   |
| 4.  For existing hazards, has the |                                   |
|     following been done:          |                                   |
|                                   |                                   |
| -   Prioritize and implement      |                                   |
|     abatement actions according   |                                   |
|     to the risk to workers?       |                                   |
|                                   |                                   |
| -   Implement interim protective  |                                   |
|     measures pending final        |                                   |
|     abatement?                    |                                   |
|                                   |                                   |
| -   Protect workers from          |                                   |
|     dangerous safety and health   |                                   |
|     conditions?                   |                                   |
|                                   |                                   |
| > (Note: controls must be based   |                                   |
| > on the following hierarchy: (1) |                                   |
| > Elimination or substitution of  |                                   |
| > the hazards where feasible and  |                                   |
| > appropriate;(2) Engineering     |                                   |
| > controls where feasible and     |                                   |
| > appropriate;(3) Work practices  |                                   |
| > and administrative controls     |                                   |
| > that limit worker exposures;    |                                   |
| > and (4) Personal protective     |                                   |
| > equipment.)                     |                                   |
|                                   |                                   |
| 5.  Have hazards been addressed   |                                   |
|     when selecting or purchasing  |                                   |
|     equipment, products, and      |                                   |
|     services?                     |                                   |
+-----------------------------------+-----------------------------------+
| Procedure: (Perform the following |                                   |
| as applicable for the assessment) |                                   |
|                                   |                                   |
| -   Review assessment guidance    |                                   |
|     card.                         |                                   |
|                                   |                                   |
| ```{=html}                        |                                   |
| <!-- -->                          |                                   |
| ```                               |                                   |
| -   Review the subject area for   |                                   |
|     applicable                    |                                   |
|     procedures/requirements.      |                                   |
|                                   |                                   |
| ```{=html}                        |                                   |
| <!-- -->                          |                                   |
| ```                               |                                   |
| -   Observe the activity(ies)     |                                   |
|     controlled by the procedure.  |                                   |
|                                   |                                   |
| ```{=html}                        |                                   |
| <!-- -->                          |                                   |
| ```                               |                                   |
| -   Interview appropriate         |                                   |
|     personnel about requirements  |                                   |
|     and practices.                |                                   |
|                                   |                                   |
| ```{=html}                        |                                   |
| <!-- -->                          |                                   |
| ```                               |                                   |
| -   Record observations based on  |                                   |
|     comparison to guidance.       |                                   |
|                                   |                                   |
| ```{=html}                        |                                   |
| <!-- -->                          |                                   |
| ```                               |                                   |
| -   Document the results.         |                                   |
+-----------------------------------+-----------------------------------+
| Basis for the Assessment: (Why is |                                   |
| the assessment being done?)       |                                   |
|                                   |                                   |
| Periodic Lessons Learned Directed |                                   |
| by Management Responsive Targeted |                                   |
+-----------------------------------+-----------------------------------+
| Assessor(s):                      | Date of Assessment:               |
+-----------------------------------+-----------------------------------+
| Location of Assessment:           |                                   |
| (Bldg/Room)                       |                                   |
+-----------------------------------+-----------------------------------+

  ------------------------------------------- ---------------------------
  Self-Assessment Guidance Card               

  Area: 10CFR851 Gap                          Date: 01/30/08

  Topic: Industrial Hygiene --Exposure        Rev: Final 0
  Monitoring                                  

  References: 10 CFR 851                      
  ------------------------------------------- ---------------------------

+-----------------------------------+-----------------------------------+
| Performance Expectations:         |                                   |
+-----------------------------------+-----------------------------------+
| 1.  Is a industrial hygiene       |                                   |
|     program in place that         |                                   |
|     includes 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?                        |                                   |
|                                   |                                   |
| 2.  Have all operations been      |                                   |
|     included in the SHSD          |                                   |
|     IH-Scheduler so that exposure |                                   |
|     monitoring can be planned and |                                   |
|     risk assigned?                |                                   |
|                                   |                                   |
| 3.  Is appropriate cooperation    |                                   |
|     between operation/scientific  |                                   |
|     staff and those conducting    |                                   |
|     exposure monitoring in place  |                                   |
|     to achieve effective exposure |                                   |
|     assessments?                  |                                   |
|                                   |                                   |
| 4.                                |                                   |
+-----------------------------------+-----------------------------------+
| Procedure: (Perform the following |                                   |
| as applicable for the assessment) |                                   |
|                                   |                                   |
| -   Review assessment guidance    |                                   |
|     card.                         |                                   |
|                                   |                                   |
| ```{=html}                        |                                   |
| <!-- -->                          |                                   |
| ```                               |                                   |
| -   Review the subject area for   |                                   |
|     applicable                    |                                   |
|     procedures/requirements.      |                                   |
|                                   |                                   |
| ```{=html}                        |                                   |
| <!-- -->                          |                                   |
| ```                               |                                   |
| -   Observe the activity(ies)     |                                   |
|     controlled by the procedure.  |                                   |
|                                   |                                   |
| ```{=html}                        |                                   |
| <!-- -->                          |                                   |
| ```                               |                                   |
| -   Interview appropriate         |                                   |
|     personnel about requirements  |                                   |
|     and practices.                |                                   |
|                                   |                                   |
| ```{=html}                        |                                   |
| <!-- -->                          |                                   |
| ```                               |                                   |
| -   Record observations based on  |                                   |
|     comparison to guidance.       |                                   |
|                                   |                                   |
| ```{=html}                        |                                   |
| <!-- -->                          |                                   |
| ```                               |                                   |
| -   Document the results.         |                                   |
+-----------------------------------+-----------------------------------+
| Basis for the Assessment: (Why is |                                   |
| the assessment being done?)       |                                   |
|                                   |                                   |
| Periodic Lessons Learned Directed |                                   |
| by Management Responsive Targeted |                                   |
+-----------------------------------+-----------------------------------+
| Assessor(s):                      | Date of Assessment:               |
+-----------------------------------+-----------------------------------+
| Location of Assessment:           |                                   |
| (Bldg/Room)                       |                                   |
+-----------------------------------+-----------------------------------+

  ------------------------------------------- ---------------------------
  Area: 10CFR851 Gap                          Date: 01/30/08

  Topic: Industrial Hygiene --Biological      Rev: Final 0
  Safety                                      

  References: 10 CFR 851                      
  ------------------------------------------- ---------------------------

+-----------------------------------+-----------------------------------+
| Performance Expectations:         |                                   |
+-----------------------------------+-----------------------------------+
| 1.  Has the organization          |                                   |
|     established and implemented a |                                   |
|     biological safety program     |                                   |
|     that uses the Institutional   |                                   |
|     Biosafety Committee (IBC)?    |                                   |
|                                   |                                   |
| 2.  Has the IBC reviewed work     |                                   |
|     with biological etiologic     |                                   |
|     agents for compliance with    |                                   |
|     applicable Centers for        |                                   |
|     Disease Control and           |                                   |
|     Prevention (CDC), National    |                                   |
|     Institutes of Health (NIH),   |                                   |
|     World Health Organization     |                                   |
|     (WHO), and other              |                                   |
|     international, Federal,       |                                   |
|     State, and local guidelines   |                                   |
|     and assess the containment    |                                   |
|     level, facilities,            |                                   |
|     procedures, practices, and    |                                   |
|     training and expertise of     |                                   |
|     personnel?                    |                                   |
|                                   |                                   |
| 3.  Has the IBC reviewed the      |                                   |
|     organizations or site\'s      |                                   |
|     security, safeguards, and     |                                   |
|     emergency management plans    |                                   |
|     and procedures to ensure they |                                   |
|     adequately consider work      |                                   |
|     involving biological          |                                   |
|     etiologic agents.             |                                   |
|                                   |                                   |
| 4.  Does the organization         |                                   |
|     maintain an inventory and     |                                   |
|     status of biological          |                                   |
|     etiologic agents?             |                                   |
|                                   |                                   |
| 5.                                |                                   |
+-----------------------------------+-----------------------------------+
| Procedure: (Perform the following |                                   |
| as applicable for the assessment) |                                   |
|                                   |                                   |
| -   Review assessment guidance    |                                   |
|     card.                         |                                   |
|                                   |                                   |
| ```{=html}                        |                                   |
| <!-- -->                          |                                   |
| ```                               |                                   |
| -   Review the subject area for   |                                   |
|     applicable                    |                                   |
|     procedures/requirements.      |                                   |
|                                   |                                   |
| ```{=html}                        |                                   |
| <!-- -->                          |                                   |
| ```                               |                                   |
| -   Observe the activity(ies)     |                                   |
|     controlled by the procedure.  |                                   |
|                                   |                                   |
| ```{=html}                        |                                   |
| <!-- -->                          |                                   |
| ```                               |                                   |
| -   Interview appropriate         |                                   |
|     personnel about requirements  |                                   |
|     and practices.                |                                   |
|                                   |                                   |
| ```{=html}                        |                                   |
| <!-- -->                          |                                   |
| ```                               |                                   |
| -   Record observations based on  |                                   |
|     comparison to guidance.       |                                   |
|                                   |                                   |
| ```{=html}                        |                                   |
| <!-- -->                          |                                   |
| ```                               |                                   |
| -   Document the results.         |                                   |
+-----------------------------------+-----------------------------------+
| Basis for the Assessment: (Why is |                                   |
| the assessment being done?)       |                                   |
|                                   |                                   |
| Periodic Lessons Learned Directed |                                   |
| by Management Responsive Targeted |                                   |
+-----------------------------------+-----------------------------------+
| Assessor(s):                      | Date of Assessment:               |
+-----------------------------------+-----------------------------------+
| Location of Assessment:           |                                   |
| (Bldg/Room)                       |                                   |
+-----------------------------------+-----------------------------------+