> ![](media/image1.png){width="5.985416666666667in" height="1.04375in"}

Upper Colorado River Fire Management Unit

Wildland and Prescribed Fire(RX)

Safety Plan

Revised 2008

**Authority: This SAFETY PLAN will function under the authority of the
UCR board and will be a supplement to White River National Forest and
Grand Junction and Glenwood Springs BLM Safety-Action**

**Emphasis areas for 2008**

**Implement a integrated comprehensive safety program with all the units
that comprise the UCR. (Product of the 2007 preparedness review)**

**Driving and specialize equipment use (goal: A 100% motor vehicle
accident free year)**

**Wild fires in the oil and gas production areas; safety SOP for fire
fighters, the public and oil/gas personnel**

**Input data into the Mandatory Safety Data Base**

**Continue placing a strong importance on personnel injury avoidance.**

**Table of Contents**

Upper Colorado River Fire Management Unit = (UCR or Unit) Plan

Purpose and Need

Policy

Guiding Principles:

Goals and Objectives

Unit Safety Training Needs (training to fulfill safety related
deficiencies)

Fire Safety General:

UCR Historical Safety Issues

Roles and Responsibilities

Individual Responsibilities

Zone Fire Management Officers (ZFMO)

Unit Safety Manager :

Annual review of Safety Plan:

Forest & BLM District Safety Managers

Unit Operations & Fire Management Officer

Unit Training Coordinator

Refresher Training:

Safety Guides and References

Laws and Policies (Red Book)

FS- **Job Hazard Analysis (JHA)**

BLM - **A Risk Assessment** (in lieu of JHA) for all non fire
suppression work practices/projects that have potential hazards.

Risk Management Process

(IRPG)

How to Properly Refuse Risk

Appendix G, IRPG

Work/Rest

Fitness Standards

General Driving

BLM

 FS

Incident Operations Driving

ATV and UTV

Personal Protective Equipment (PPE)

Required Fire line PPE includes:

Foot Protection

Aramid Clothing

Head Protection

Eye and Face Protection

Hearing Protection

Leg Protection

Fire Shelters

Incident Briefings

Unexploded Ordnance (UXO) (Camp Hale-East Zone& off Unit assignments)

Visits to the Fire line

Non-Escorted

Escorted

Helicopter Observation Flights

Required PPE:

Fixed-Wing Observation Flights

Required PPE

 SAFENET

Incident Safety Oversight

Red Card Committee

Line Officers

Incident Commanders:

Agency Resource Advisors

Hazardous Materials

Six Minutes for Safety Training

Critical Incident Management

Qualification Requirements For Specialized Equipment, Duties

Certification required and Re-Certification Time Frames (Chainsaw, ATV,
Sphere Dispenser Operator, Trailers, ETC)

Mandatory Safety Training/Certification Requirements, Safety Orientation

Check in/out Policy

Wild land Fire Safety Orientation & Risk Management within Developed Oil
& Gas Fields

**Appendixes**

A: Hazardous Material

B: Reporting Accidents & Accident Investigation

C: **Safety Orientation & Risk Management of Wildland Fire in the Oil &
Gas Fields 2008**

D: Required Safety Training

E: ATV & UTV & Specialized Equipment

F: Grand Junction Complex, - Bureau of Land Management Safety Committee
Charter

G: White River National Forest Health, Safety & Wellness Committee
Charter & Safety Accident Prevention Plan

H. UCR Unit Aviation Plan

I: Reporting Unsafe or Unhealthy Working Conditions and Allegations of
Reprisals

J. Upper Colorado River Fire Management Unit Safety Action Schedule

L. Grand Junction Field Office Complex Safety Action

M. Glenwood Spring Field Office Safety Committee Charter and 2008 Safety
Action Plan

**Upper Colorado River Fire Management Unit (UCR**

**Wildland and Prescribed Fire(RX)**

**Safety Plan 2008**

Authority: This SAFETY PLAN will function under the authority of the UCR
board and will be a **supplement** to **White River National Forest
Glenwood Springs Field Office and Grand Junction BLM Complex Safety
Plans.**

Upper Colorado River Fire Management Unit = **(UCR or Unit)**

**Purpose and Need**

The plan will provide Fire Managers and Line Officers one means to
ensure safety training of Unit personnel in Wildfire Readiness and
Prescribed Fire.

Provide UCR personnel with an understanding that a safe fire assignment
both locally and nationally should be available to them.

The plan will also provide basic safety appreciations to encourage
compliance to many safety guides and principles established in the
Forest Service Manuals, BLM Standards for Fire and Aviation Operations,
NPS, The Interagency Standards for Fire and Fire Aviation "the Red
Book", State and other applicable safety guidelines.

Advocate participation, ownership in promoting firefighter safety.

.

**Policy**

The prevention of work related injuries, illnesses, and accidents shall
be given primary consideration over operating productivity and will be
included as an integral part of every Wild land or RX Fire operation.

**Emphasis areas for 2008**

**Implement a integrated comprehensive safety program with all the units
that comprise the UCR. (Product of the 2007 preparedness review)**

**Driving and specialize equipment use (goal: A 100% motor vehicle
accident free year)**

**Wild fires in the oil and gas production areas; safety SOP for fire
fighters, the public and oil/gas personnel**

**Input data into the Mandatory Safety Data Base**

**Continue placing a strong importance on personnel injury avoidance.**

**Guiding Principles:**

**Firefighter and public safety is the first priority in every fire
management activity**. No resource or property value is worth
endangering people; all of our actions and our plans must reflect this
commitment and this principle.

Our commitment is to the continuous improvement of safety systems and
processes for the prevention of accidents and illnesses.

All Fire Management personnel and activities must reflect this
commitment.

The commitment to and accountability for safety is a joint
responsibility of all firefighters, managers, and administrators.

Individuals must be responsible for their own performance and
accountability

**Goals and Objectives**

**Objective:**

To identify UCR Fire Safety issues for Wildland and Prescribed Fire, and
recommend processes and procedures for mitigation.

**Goals:**

This plan outlines the major goals of the UCR safety program. These
procedures are intended to insure that employees and visiting resources
remain free from accidents or illness. This plan outlines our commitment
to the continuous improvement of safety systems and processes for the
prevention of fire related accidents and illnesses.

Identify Unit Safety Training Needs (training to fulfill safety related
deficiencies)

Mandatory interagency wide training

Develop qualified personnel and ensure that only qualified personnel
participate in fire management activities

**Fire Safety General:**

Unit Wide Safety compliance with Red Book and Agency required Safety
Guides

Identify Local Safety Issues --(including Prescribed (Rx) Fire)

Endorse daily safety awareness

Fitness Standards

UCR Historical Safety Issues

Driving:

One engine rollover, several fender benders, one bridge collapse, many
backing accidents, trailer and ATVs

Burn Over

South Canyon, Battlement Creek both happened on the unit

Snags

Beetle killed trees infest the Unit

**Roles and Responsibilities**

**Individual Responsibilities**

Be Proactive

Know, understand and comply with applicable work rules, policies and
procedures.

Make sure assignment and instructions are clear

Ensure that you are ready to perform the tasks of the position

Complete all safety training courses and on the job training assignments

Be Resourceful

Review and be very familiar with the Fire Orders and 18 Watch out
Situations

Be knowledgeable with the Incident Pocket Response Guide(IRPG)

Use available safety devices and PPE

Be Accountable

Understand your fire assignments

Provide feedback to your supervisor

Safeguard yourself and other around you

Communication is the key to a safe assignment

Protect copies of your safety training certificates

Understand your role in the team

Report unsafe conditions personal conditions that may affect your safe
job performance to the appropriate supervisor

Report accidents and injuries promptly to his/her supervisor

Work safely and responsibly and develop good, safe work habits and
practices.

To protect fellow employees, government property and the public Report
of the unsafe actions.

Actively participate in safety and health education and training
activities..

Promote safety and health attitudes among peers.

**Zone Fire Management Officers (ZFMO)**

The Zone Fire Management Officers (ZFMO) has the safety responsibility
for his/her zone

Fire personnel.

Integrate Risk Management into planning and operations.

Provide safe and healthful workplaces and work conditions for their
employees.

Ensure the development of Job Hazard Analysis's (JHAs)or Risk
assessments (2008) to assure that all safety characteristics of the

job are addressed, and that job is done in the safest most efficient way
possible.

Provide and require the use of personal protective equipment (PPE) as
identified in **Risk Assessments** or **Job Hazard Analyses.**

Ensure compliance with safety and health standards, policies,
regulations.

Make certain that the employees receive appropriate safety training
commensurate with their duties

Assure safe practices and procedures are followed

Identify and evaluates workplace hazards.

Member to the Red Card Committee

**A red card will be generated by the ZFMO, for zone personnel.**

The ZFMO will maintain individual fire training files for each zone
fireline-qualified person. These files will include at a minimum:

Annual training and experience update forms (original)

Copies of all Training Certificates

Copies of all evaluations

Copies of all task books -- front cover only

Annual training and experience forms (original)

CA Forms or Medical Release Forms (if necessary) Work Capacity Test Form

**Safety Manager** :

Develop and annually update the Unit Safety Action Plan.

Conduct safety inspections of ongoing fire activities recommending
corrective actions and monitoring abatement.

Coordinating and or conducting fire related safety inspections and
investigations.

Temporarily suspend any operation which poses an imminent danger to
employees, volunteers, contractors or the visiting public.

Assist supervisors in the resolution of employee reports/concerns
related to unsafe fire work enviroments.

Work with BLM & Forest Service Safety Manages that OSHA-required records
and the FS and the BLM reports are maintained in the prescribed format.

Chair Unite Safety Committees and ensure that appropriate records are
kept of the meetings.

Promote safety by obtaining and distributing safety and health
promotional materials.

Annual review of Safety Plan: Safety Manager

Make changes necessary to accommodate Unit needs

Review Roles and Responsibilities

Review Unit Processes & Procedures

Identify any accident trends and safety successes

Review contact phone numbers and e-mail addresses

List local refresher courses and work capacity test(scheduled by
training committee),

Identify Unit Personnel that actively promote high safety standards.

Review Unit and Zone safety policies to ensure they are currently
viable, understandable and applicable to Unit employees.

Listen to and respond to suggestions for ways to improve the safety
program.

Review employee reports on unsafe/unhealthful working conditions.

Monitor progress of the safety action plan.

Promote safety awareness within their respective areas.

Advise the Unit Management Team on safety issues,

**Unit Operations & Fire Management Officer**

Responsible for the short and long-range Unit-Wide Fire Safety program,
planning, directions, coordination's, and evaluation of the Fire Safety
Management Program.

Plan and develop specialized safety training programs for the specific
need of the Unit for both wildland and prescribed fire.

Provide leadership, coordination and support to the guiding principal
that: Fire fighter and Public safety is the highest priority

Investigate major accidents that occur within the Unit and ensure
accident reports are published within required time frames.

Plan and develop specialized safety training program for annual
preparedness reviews .

Member to the Red Card Committee

**Unit Training Coordinator**

Assist all employees by providing a consistent and equitable
fire-training program that meets the local, area, and national
qualifications.

**Refresher Training:**

Dates and times will be relayed to the Zone Training Coordinator.
Documentation of individuals attending training will be responsibility
of the ZFMO. Training will include, but not limited to:

2008 Red Book Guidelines

LCES

10 Fire Orders

18 Watch Out Situations

Lookup-Look Down-Look Around

Down Hill Line Construction

Initial Attack/Size up for ICT4 positions

Work and Rest Guidelines

Shelter Deployment

Lessons Learned -- Fatality Fire Video (optional)

Annual issues available from NWCG

Work Capacity Testing will be implemented and coordinated by the ZFMO.
Testing will be given to employees that are expected to perform fire
assignments requiring the arduous fitness level.

**Safety Guides and References**

Public Law 91-596 - Occupational Safety and Health Act of 1970, Section
19.

Executive Order 12196 - Occupational Safety and Health Programs for
Federal Employees.

29 CFR 1960, OSHA - Basic Program Elements for Federal Employee
Occupational Safety and Health Programs and Related Matter (OSHA -
Oregon Safety and Health Act, CFR - Code of Federal Regulations).

BLM - BLM Handbook 1112-1, 1112-2 24

FWS - Service Manual 241 FW7, Firefighting 25

NPS - DO-50 and RM-50 Loss Control Management Guideline 26

FS - FSH-6709.11 Health and Safety Code Handbook 27

IRPG :Incident Response Pocket Guide: Issued to all Red Carded Personnel

"Red Book": Interagency Standards for Fire and Aviation

Prescribed Fire Complexity Guide: PMS 424, NFES 2474

**Job Hazard Analysis (JHA) new for 2008 Risk Assessment will be use for
wild fire**

**For BLM - A risk assessment** (in lieu of JHA) must be completed for
all non suppression work practices/projects that have potential hazards.

Fire suppression and Rx fire: A completed **Job Hazard Analysis or Risk
Assessment** is required

JHA are require for jobs or work practices that have potential hazards.

New, non-routine, or hazardous tasks to be performed where potential
hazards exist.

Jobs that may require the employee to use non-standard personal
protective equipment (PPE)

Changes in equipment, work environment, conditions, policies, or
materials

Supervisors and appropriate line managers must ensure that established
JHAs are reviewed and signed prior to any non-routine task or at the
beginning of the fire season. Additional JHA information can also be
obtained at : <http://www.fs.fed.us/r1/people/jha/jha_index_www.html>

**Risk Management Process**

The Risk Management Process is found in Appendix E. of the Incident
Response Pocket Guide (IRPG)

**How to Properly Refuse Risk**

Every individual has the right to turn down unsafe assignments as well
as be responsible in identifying alternative methods of accomplishing
the mission. Appendix G of the IRPG contains the process.

**Work/Rest**

Plan for and ensure that all personnel are provided a minimum 2:1 work
to rest ratio (for every 2 hours of work or travel, provide 1 hour of
sleep and/or rest).

Work shifts that exceed 16 hours and/or consecutive days that do not
meet the 2:1 work/rest ratio should be the exception, and no work shift
should exceed 24 hours. However, in situations where this does occur
(for example, initial attack), incident management personnel will resume
2:1 work/rest ratio as quickly as possible. After completion of a 14 day
assignment and return to the home unit, two mandatory days off will be
provided. (Type 3-5 incidents, paid days off should be rare exceptions.)
However, if necessary, the Agency Administrator (incident host or home
unit) may authorize day(s) off with pay.

The Incident Commander or Agency Administrator must justify work shifts
that exceed 16 hours and those that do not meet 2:1 work to rest

**Fitness Standards**

Ensure that the Unit personnel and Zone employees meet physical fitness
standards for fire management positions, and provides them with any
required physical examinations and time for training.

**General Driving**

All drivers whose job duties require the use of a motor vehicle will
receive initial defensive driver training within three months of
entering on duty and refresher driver training every three years
thereafter.

The operator and all passengers are required to wear seat belts and obey
all federal and state laws

All driving requiring CDL will be performed in accordance with
applicable Department of Transportation regulations. Supervisor will
document that they have conducted "field driving tests" with all their
employee in the vehicles that they may be driving.

BLM - All employees operating a Government motor vehicle will be
required to submit Form DI-131 (Application for U.S. Government Motor
Vehicle Operator's Identification Card) and OF-345 (Physical Fitness
Inquiry for Motor Vehicle Operators). When the supervisor signs the DI-
26 131, the employee is authorized to operate Government-owned or leased
vehicles, or privately-owned vehicles on official business.

FS - Policy requires all operators of government owned, or leased
vehicles to have a Forest Service issued identification card indicating
the type of vehicles or equipment the holder is authorized and qualified
to operate.

**Incident Operations Driving**

This addresses driving by personnel actively engaged in wildland fire
suppression or all-risk activities; including driving while assigned to
a specific incident (check-in to check-out) or during initial attack
fire response (includes time required to control the fire and travel to
a rest location).

Agency resources assigned to an incident or engaged in initial attack
fire response will adhere to the current work/rest policy for
determining length of duty day.

No driver will drive more than 10 hours (behind the wheel) within any
duty-day.

Multiple drivers in a single vehicle may drive up to the duty-day
limitation provided no driver exceeds the individual driving (behind the
wheel) time limitation of 10 hours. A driver shall drive only if they
have had at least 8 consecutive hours off duty before beginning a shift.
Exception to the minimum off-duty hour requirement is allowed when
essential to:

Accomplish immediate and critical suppression objectives.

Address immediate and critical firefighter or public safety issues.

Operators of all vehicles must abide by\\ the limits specified by the
manufacturer, limitations based on tire maximum speed ratings and Gross
Vehicle Weight.

Emergency lighting will not be used except when performing suppression
or prescribed fire operations, or to mitigate serious safety hazards.

**ATV and UTV**

All personnel will be currently certified and refreshed on the specify
ATV or UTV that she/he will be using. Certifying standards and use
requirement are agencies specify.

**Personal Protective Equipment (PPE**

All personnel are required to use Personal Protective Equipment
(PPE)appropriate for their duties and/or as identified in JHAs.
Employees must be trained to use safety equipment effectively.

fire shelter, hard hat with chinstrap, goggles/safety glasses, ear
plugs/hearing protection, yellow nomex shirts, nomex trousers, leather
gloves, Helicopter nomex gloves approved

Wear additional PPE as identified by local conditions, material safety
data sheet (MSDS), or JHA.

**Required Fireline PPE includes**:

Foot Protection

8-inch high, lace-type exterior leather work boots with non-slip,
Vibram- type, melt-resistant soles. The 8-inch height requirement is
measured from the bottom of the heel to the top of the boot. All boots
that meet the footwear standard as described above are authorized for
firefighting

**Aramid or Nomex Clothing**

Will be cleaned or replaced whenever soiled, particularly with oils.
Fire resistance clothing will be replaced when the fabric is so worn as
to reduce the fire resistance capability of the garment or is so faded
as to significantly reduce the desired visibility qualities.

**Head Protection**

Personnel must be equipped with hard hats and wear them at all times
while on the fireline. Hard hats must be equipped with a chinstrap,
which must be fastened while riding in, or in the vicinity of,
helicopters. Acceptable helmets for fireline use are "helmet, safety,
plastic" (NFES 0109, 8415-01-055-2265/GSA) listed in NWCG National Fire
Equipment System Catalog: Fire Supplies and Equipment, MTDC).

**Eye and Face Protection**

The following positions require the wearing of eye protection:

Nozzle operator

Chainsaw operator/faller

Helibase and ramp personnel

Retardant mixing crews

Other duties may require eye protection as identified in a specific JHA.

**Hearing Protection**

Personnel who are exposed to a noise level in excess of 85db must be
provided with, and wear, hearing protection. This includes, but is not
limited to:

chainsaw operators/fallers

pump operators

helibase and aircraft ramp personnel

retardant mixing personnel,

**Hearing Conservation Program**

Employees with a time weighted average exposure of 85 db or higher are
required to be placed under a **hearing conservation program** as
required by 29 CFR 1910.9.

**Leg Protection**

All chainsaw chaps will meet specification FS 6170-4F. All chainsaw
operators must wear chainsaw chaps maintained as per the manufacturer's
specifications.

**Fire Shelters**

Fire shelters will be issued and carried in a readily accessible manner
by all line personnel. Fire shelters will be inspected regularly, to
ensure they meet agency and manufacturer standards. New Generation fire
shelters will replace all existing stock of old fire shelters by the
beginning of calendar year 2008.

"Training Shelters" will be deployed at required Annual Fireline Safety
Refresher Training. No "live fire" exercises for the purpose of fire
shelter deployment training will be conducted.

The deployment of shelters is to be viewed as a last resort, and will
not be used as a tactical tool.

**Supervisors and firefighters must never rely on fire shelters instead
of using well-defined escape routes and safety zones**.

When deployed fire shelters will be left in place and not be removed
pending approval( **if not need for addition protection)**

of authorized investigators and if it is safe to leave the area: i.e.
having new shelters if walking out.

**Incident Briefings**

Fire managers must ensure that safety briefings are occurring throughout
the fire organization, A briefing checklist can be found in Appendix F
and in the Incident Response Pocket Guide (IRPG).

LCES will be used in all operational briefings and tactical operations
as per the Incident Response Pocket Guide (IRPG).

**Unexploded Ordnance (UXO) (Camp Hale-East Zone& off Unit
assignments)**

General guidance is as follows: If UXO is suspected, do not enter the
area. East Zone FMO will determine which employees are authorized to
enter known or potential hazardous Unexploded Ordnance sites.

The general rule of UXO is, "if you did not drop it, do not pick it up,
kick it or hit it with equipment".

**Visits to the Fireline**

Visitors to the Fireline may be "Escorted" or "Non-Escorted"

Visits to the fireline must have the approval of the IC.

Visitors must maintain communications with the appropriate fireline
supervisor of the area they are visiting

**Fireline PPE is Required** :

**Non-Escorted**

Visitors must have a physical fitness level of "light".

Must have adequate communications and radio training.

Completed the following training:

Introduction to Fire Behavior (S-190)

Firefighter Training (S-130)

Annual Fireline Safety Refresher Training.

Deviation from this requirement must be approved by the IC for other
non-escorted support personnel involved in vehicle operations or other
support functions on established roadways and working in which pose no
fire behavior threat

**Escorted**

All non-incident, non-agency, visitors lacking the above training and
physical requirements must be escorted while on the fireline

Visitors must receive training in the proper use of PPE

Escorts must be minimally qualified at the Single Resource Boss.

Any deviation from this requirement must be approved by the IC.

**Helicopter Observation Flights\--see unit aviation plan**

Visitors who take helicopter flights to observe fires must receive a
passenger briefing and meet the following requirements: Required PPE:
Flight helmet, Leather boots, Fire-resistant clothing, All leather or
leather and aramid gloves,

Occasional passengers/visitors have no training requirement, but a
qualified flight manager must supervise loading and unloading of
passengers. Federal employee must have training B3

**Fixed-Wing Observation Flights** \--**see unit aviation plan**

Required PPE

No PPE is required for visitors and agency personnel who take
fixed-wing flights to observe fires. However, a passenger briefing is
required, and the flight level must not drop below 500 feet AGL.

**SAFENET**

Is a form, process, and method for reporting and resolving safety
concerns encountered in any aspect (e.g., preparedness, training, etc.)
of wildland fire or all risk incident management.

Individuals who observe or who are involved in an unsafe situation shall
initiate corrective actions if possible, and then report the occurrence
using SAFENET.

You are encouraged, but not required, to put your name on the report.
Prompt replies to the originator (if name provided), timely action to
correct the problem, and discussion of filed SAFENETs at local level
meetings encourage program participation and active reporting.

SAFENET is not the only way to correct a safety-related concern and it
does not replace accident reporting or any other valid agency reporting
method. It is an efficient way to report a safety concern. It is also a
way for front line firefighters to be involved in the daily job of being
safe and keeping others safe, by documenting and helping to resolve
safety issues.

**Wildland and Prescribed Fire Qualification System Guide**

The Wildland and Prescribed Fire Qualification System Guide (PMS-310-1)
This guidance is given for the establishment of minimum standards for
wildland firefighting and prescribed fire personnel.

Wildland Fire: Training, knowledge and skills, experience and physical
fitness standards required meeting fire management needs.

Prescribed Fire: Establish minimum qualifications for personnel involved
in burns which are of moderate complexity or higher and on which
resources of more than one agency are utilized. For burns of low
complexity agency and local cooperators determine qualifications.

Prescribed Fire Complexity Guide (PMS-424, NFES 2474), is an aid for use
in this process.

**Red Card Committee**

Will be comprised of Forest, District and Zone representatives with
sufficient fire management and suppression experience to assess the fire
experience, performance, qualifications and formal training of forest
personnel having qualifications and meeting Agency specify requirements.

**Line Officers (Incident Safety Oversight)**

Agency administrators must be actively involved in the management of
wildfires, and personally visit an appropriate number of escaped fires
each year.

FS - Agency Administrators, Fire Program Managers, and shall conduct
after action reviews on all type 3 fires and a minimum of 10% of their
unit's Type 4, and 5 fires and document their inspections in the
incident records.

**Incident Commanders:**

Are responsible for all incident personnel safety. At least one person,
operationally qualified at a level commensurate to the complexity of the
incident, should be assigned the duties for providing safety oversight.

Additional safety oversight should be requested when:

A fire escapes initial attack or when attack extended is probable.

There is complex or critical fire behavior.

There is a complex air operation.

The fire is in an urban intermix/interface.

**Agency Resource Advisors**

Attend annual refresher for Agency Resource Advisors

Hazardous Materials (see Appendix A)

Employees that discover any unauthorized waste dump or spill site that
contains indicators of potential hazardous substances should take the
following precautions:

Follow the procedures in the Incident Response Pocket Guide.

Treat each site as if it contains harmful materials

Do not handle, move, or open any container, breathe vapors, or make

contact with the material

Move a safe distance upwind from the site.

Contact appropriate personnel. Generally, this is the Hazardous
Materials

Coordinator for the concerned agency.

All UCR firefighters are required complete a First Responder Awareness
training and

an annual refresher for Hazardous Material protocol.

**Six Minutes for Safety Training**

Daily "Six Minutes for Safety" training be conducted and documented.

Current Weather Discussion

The current weather forecast, any type of warning (if any) and ERCs will
be part of daily briefings.

**Critical Incident Management**

The National Wildfire Coordinating Group has published the Agency
Administrator\'s Guide to Critical Incident Management (PMS 926, NFES
1356). The guide is a series of subject-area checklists designed to be
reviewed in detail.

**Qualification Requirements For Specialized Equipment, Duties**

Certification and Re-Certification (Chainsaw, ATV, Sphere Dispenser
Operator, Trailers, ETC)

A key component in the certification or re-certification process for
Specialized Equipment is an evaluation by the appropriate agency
official of an individual's capability to perform in a that function.

Ensure that work capacity test administrators are certified; testing
complies with procedures in the "Work Capacity Tests for Wildland
Firefighters; Test Administrator's Guide" (FSM 5108 and 5126.2) and
tests are documented.

Ensure that employees meet all applicable training, experience, fitness
level and other qualifications standards prior to certification.

**Certification**

Determined and based on position needs

**Re-Certification:**

When necessary due to expired certification (usually time limited).

**SAFETY TRAINING/CERTIFICATION REQUIREMENTS, SAFETY ORIENTATION**

Safety and health orientation will be provided to all new employees and
will include:

Emergency Response Procedures,

Safety Committee Make Up and Function,

Hazardous Waste Operations and Emergency Response,

Hazard Communications Program - Employee Right-To Know,

Blood-borne Pathogens -Hepatitis B Treatment/Exposure,

Personal Protective Equipment (PPE),

Accident/Incident/Injury Reporting,

Check In/Out policy,

Job Hazard Analysis (JHA),and

Environmental Hazards (Bees, Ticks, Poison Oak)

Hearing Conservation

Hazard Communication

Bloodborne Pathogens

Hazardous Materials Awareness

**REQUIRED SAFETY TRAINING FOR EMPLOYEES**

Generally, the frequency and type of safety training employees require
varies with the type of job assigned. Some of the more common scenarios
are listed below:

Field-going employees are required to maintain current certification in
First Aid/CPR. New field-going employees will be scheduled for First
Aid/CPR training as soon as possible. First Aid/CPR certifications
normally expire two years from the last training date.

An annual review of blood-borne pathogens including Hepatitis B
Treatment/Exposure measures is required of all employees each year.

Violence in the Workplace and the Hazard Communications Program -
Employee Right-To Know Program is a one-time training for everyone or as
often as rules and/or safe working procedures change.

There are many jobs throughout the district, which require prior
training and/or certification to perform certain tasks. Supervisors
should document the need for mandatory safety training in employees
JHA's..

Employees who operate fire engines, 4x4 trucks, manual transmissions, or
other special-use motorized vehicles must take and pass a road test in
the type and size of equipment to be operated and receive proper
training prior to operation.

Safety Orientation & Risk Management Wildland Fire within developed Oil
& Gas Fields

( see Appendix C)

**Check/out/in Policy**

All employees will follow their sub unit's check/out/in policy. The
general requirement is that all Unit personnel will let some one know of
their location, time returning, and any safety concerns.

**Appendixes**

**Appendix A**

**Hazardous Materials**

All field personnel must complete a First Responder Awareness training
and are required to take an annual refresher for Hazardous Material
protocol.

Employees that discover any unauthorized waste dump or spill site that
contains indicators of potential hazardous substances (e.g, containers
of unknown substances, pools of unidentifiable liquids, piles of unknown
solid materials, unusual odors, or any materials out of place or not
associated with an authorized

activity) should take the following precautions:

Follow the procedures in the Incident Response Pocket Guide.

Treat each site as if it contains harmful materials.

Do not handle, move, or open any container, breathe vapors, or make
contact with the material.

Move a safe distance upwind from the site.

Contact DISPATCH WHO WILL CONTACT Hazardous Materials Coordinator for
the local office.

**STANDARD OPERATING GUIDELINES FOR RESPONSE TO UNEXPECTED HAZARDOUS
MATERIALS INCIDENTS**

SAFELY RESPOND - Placement of your personnel upwind, uphill and upgrade
of the incident.

ISOLATE AND DENY ACCESS/ENTRY - Disallow anyone from entering or
accessing the hazard area. Use of banner tape, vehicles, and law
enforcement to accomplish.

NOTIFICATION - Notify DISPATCH\>& 911,

COMMAND - Establish ICS and appoint Safety Officer, initiate perimeter
control including atmospheric monitoring.

ASSESSMENT/ACTION PLAN -- Assessment should include bullet points below.
Action plan must be in writing and conveyed to the entire response team
through a field briefing.

PROTECTIVE EQUIPMENT - Selection of PPE based on hazards presented,
establish zones and maintain continuous air monitoring.

CONTROL - Eliminate ignition sources (if this is the best course of
action), consider confinement/containment options.

PROTECTIVE ACTIONS -- Evacuation and/or shelter in place options
(consider immediate needs, including manpower and logistical
considerations). Establish and maintain adequate safety zones for the
duration of the incident.

TERMINATION - Emergency phase closure, equipment status evaluation,
personnel debriefing and assignments for post incident analysis (within
72 hours).

MEDICAL -- All exposures to personnel will be documented. Field medical
evaluations on all exposed personnel and recommendations for further
medical attention.

EVALUATION -- IC will schedule a post-incident analysis within 72 hours
and inform all personnel.

DOCUMENTATION -- IC will assure all necessary emergency phase
documentation is gathered and secured.

RJ HazMat SOG 2006

**Appendix B**

**Reporting Accidents & Accident Investigation**

The Occupational Safety and Health Administration (OSHA) mandate that
all accidents and injuries be reported in a timely manner. This is
important for the following reasons:

To protect and compensate employees for incidents that occur on-the-job.

To assist supervisors and safety managers in taking corrective actions
and establish safer work procedures.

To determine if administrative controls or personal protective equipment
are needed to prevent a future incident of the same or similar type.

To provide a means for trend analysis.

Employees are required to immediately report to their supervisor every
job- related accident or incident. Managers and supervisors shall ensure
that an appropriate level of investigation is conducted for each
incident and record all personal injuries and property damage. Reporting
is the responsibility of the

injured employee's home unit regardless of where the accident or injury
occurred. Coordinate with your human resources office or administrative
personnel to complete appropriate Officer of Worker's Compensation
(OWCP) forms.

DOI employees will report accidents using the Safety Management
Information System (SMIS) a

Forest Service employees will use the Safety and Health Information
Portal System (SHIPS) through the Forest Service Dashboard

Employees are required to immediately report to their supervisor every
job-related accident or incident. Managers and supervisors shall ensure
that an appropriate level of investigation is conducted for each
incident and record all personal injuries and property damage

Employees involved in an accident in which there was no personal injury,
but in which there was property damage must notify the supervisor as
soon as reasonably possible.

The primary purpose of an accident report is to obtain information to
aid in injury and illness prevention. Accident reports also serve as
supporting documentation for property loss, as well as for injury
compensation claims filed with the Office of Workers Compensation
Program.

Employees shall notify the supervisor of all work related accidents as
soon as reasonably possible.

An accident is defined as an unplanned event resulting in personal
injury or illness, or damage to or loss of property.

An incident is defined as an unplanned event that interrupts the
activity in process, but does not result in personal injury, illness or
property damage or loss. This condition is often referred to as a
near-miss.

Reporting is the responsibility of the injuried employee"s home unit
regardless of where the accident or injury occurred.

The supervisor is responsible for initiating accident reports that
involve property damage or loss that do not involve personal injury..

The DOI Safety Management Information System (SMIS) is the official
accident reporting system for the BLM and is used for reporting work
related accidents and incidents. Any employee wishing to file a claim
for compensation (Ca-1) due to a work related injury must file
electronically through SMIS at <http://www.smis.doi.gov/SMISMAIN.HTM>.
This process also starts the accident reporting process for the
supervisor.

Forest Service employees will use the Safety and Health Information
Portal System (SHIPS) through the Forest Service Dashboard at
<https://asp.talx.com/dashboard/usdafs/> within six working days of the
incident.

Supervisors are responsible for completing their portion of an accident
report in SMIS for which an employee has filed a CA-1

Accident Investigation

Supervisors are responsible for ensuring that accidents involving their
employees are investigated.

Supervisors may request assistance from the safety office or from Law
Enforcement personnel or other qualified source for assistance in
conducting the investigation.

The data obtained in a thorough accident investigation provides
management with the necessary information to identify unsafe practices
and procedures and to establish abatement priorities. As such, ALL
accidents or near misses will be investigated and reported.

**Appendix C**

**Safety Orientation & Risk Management of Wildland Fire in the Oil & Gas
Fields**

**Risk Management Wild Land Fire response within an Oil & Gas Field**

####### **Table of Contents** 

####### **I**. **Oil & Gas Interface**

######  {#section .unnumbered}

###### Well pads\-\-\--cleared areas with an average size 350'x 300' & 1% slope

**Use as a deployment site or some cases as a safety zone usually as a
last resort.**

1\. Old Pads \--older equipment, increase chance of failure

a\. Pads might be redone and new wells drilled on old pads.

b\. Mixed equipment some new some old increased chance of leaks

2\. New Pads

a\. More wells 1-22 well heads

b\. More equipment on site.

c\. Tanks, Dehydrator units, Methanol tanks, Evaporation pits

**B. Roads**

1\. Old & New roads\-\-- **heavy use by large oil & gas service
vehicles**

a\. Narrow, steep, limited access,

b\. Difficult to locate from main road.

c\. No Turn outs or turn around

d\. Heavy fire loading next to road.

e\. Often dead ends

f\. Can lead up canyons, one way in one way out

g\. limited during inclement weather

**C. Pipelines**

1\. Above Ground & Buried Lines

a\. Hazards driving on or dozer use do not use as fire access

b\. Depth they are buried unknown old Right of Ways may be
unrecognizable

c\. Risers are a driving hazards

d\. Dozer lines can not cross

e\. High Pressure lines

**D. Different types of drilling rigs** have different associated
hazards (3 common types)

1\. Rat hole rig

2\. Drill Rig

3\. Work over Rig

**E. Compressors:** High pressure unit use to aid the flow of gas in
pipelines

1\. Compressor plants have many areas with variable levels of
acceptability to fire

2\. Many Remote compressor sites

**F. Frac Operations**: Under ground breaking of rocks to release
trapped gas

1\. Large Number of Personnel on Site

2\. Large amounts Equipment on Site

3\. Explosives on site

**G. Dynamite & Blasting Cap Bunkers**

> 1\. Used with frac operation usually located off pad---many times in
> the surrounding vegetation

**II. Summary of Common Known Hazards**

1\. Open top tanks (flammable)

2\. Frac Tanks (flammable)

3\. Open pits (flammable)

4\. Evaporation Pits (flammable)

5\. Roads

6\. Hazmat

7\. Explosives

8\. Self Uncoordinated Evacuations

9\. Pipelines

10\. Mechanical failures of oil & gas Infrastructure

**III. Oil & Gas Industry Interface with Wildfire**

**A. Industry Safety SOP Plans**

1\. Levels of the incident and involvement & needs for each level

2\. Industry Safety SOP plans

**B. Agencies & Media**

1\. Fire Protection Districts

> 2\. State & County

3\. Federal

**IV. Cooperating Partners**

**A. Local Fire Protection Districts**

**B. State & County**

**C. Federal**

####### 

####### 

####### **I**. **Oil & Gas Interface**

**A. Well pads**

**1. Older Pads**

Drilling that started in the area years ago were drilled with only one
well per well site. As the change in technology and the need to preserve
the environment companies have came back and started drilling more wells
on the older location. Some of the items that to be aware of with this
is that these sites now have older and newer equipment on site.

**2. New pads**

With the new technology site could have a many as twenty two wells on
each location. And require more equipment on site for production. More
pipelines leaving the pads going to compressor sites along the way.
These pads have condenser, dehydration units, methanol tanks, Glycol
tanks, and open top tanks, upright tanks with production water or
condensate stored in them. Dehydration units will have high pressure
tank located inside the unit that can be considered a high hazard under
fire conditions. These units also have an ignition source located on one
of the ends of the unit. Open pits can be found on some locations that
could present a hazard during heavy smoke conditions. Most of the vapors
in these pits are non flammable but have been know to burn, never trust
any tanks, pits, regardless of what is printed on them.

**B. Roads**

1\. Old & New roads have **heavy use by large oil & gas service
vehicles**. Roads going to the well sites are often narrow, steep,
weather dependent. Roads are often one way in one way out. Hazards
should include heavy fuel loading next to roads dead ends, often in
canyons or ravines that could lead to entrapment. Roads often have no
turn outs, or turn a rounds and evacuation from living trailers or rigs
could pose safety hazards.

**C. Pipelines**

1\. May be Above Ground or Buried Lines. Pipelines present many hazards,
including the depth they are buried. Pipelines can be only a few inches
deep, several feet or even lying on top of the ground. Unmarked right of
way locations are some time hard to see. Always check with the gas line
service company before building dozer lines or even crossing a gas line.
Most right of ways have numbers to call. Always order an operation gas
line representative for the incident. Even though gas lines maybe shut
in and isolated they can still be considered a high hazard. Most gas
lines will have a riser above the ground used as vents beware of them
during fire and dozer work. Gas lines vary in size from 1 to 30 inch
under high pressure, with many different lines in the same area.

**D. Rigs**

1\. Rat hole rig

2\. Drill Rig

3\. Work over Rig

Different rigs are used during operations around well pads. The first
rig that is used on a new well site is a Rat-hole rig used to start the
hole for drilling. Usually a track hoe type of equipment with minimum
personal on site. The drilling rigs are identified by the large derrick
with no guy wires to support it. The location will have many different
types of fuel/hazardous materials tanks, large motors, surface pressured
pipelines and open dirt pits that may have flammable liquids. These rigs
have larger number of personnel on locations, with many different types
of hazards: on site fires, hazmat, electrical wires, and heavy vehicle
traffic. The next rig is a work over rig. These rigs are identified by
the guy wires used to support them, and are on a truck that moves from
place to place on its own power. Hazards with these rigs include large
amount of fuels and oils, the guy wires may not be visible during heavy
smoke conditions or night operations. These rigs will be working on
holes that are producing gas so fire dangers, explosion, and gas release
is possible during these operations.

**E. Compressor Stations**

1\. Compressor plants have many areas with variable levels of
acceptability to fire

2\. Many Remote compressor sites

These units are remotely located in all areas of gas productions are
used to boost gas pressures along the way. These units can be identified
by a large motor, large fans used for cooling the motor, some will be
enclosed some open. The units have high pressures to and from the units,
with high pressure tank near the compressor. These units may also have a
tank battery around them with condensate, glycol, and methanol. Fire
fighters should not attempt to shut any valves in or around compressor
stations.

**F. Frac Operations**

1\. Large Number of Personnel on Site

2\. Large amounts Equipment on Site

**3. Explosives on site**

After the drilling rig has moved off site a frac operations will be the
next step. During this process the well pad will become very congested
with large trucks. Personnel on site during these operations are large
numbers (20-60). Hazards during the operations include, large amounts of
fuels, oils, very high pressure (5000 psi) lines lying on the ground,
and explosives. Two way radios are not allowed within 500 feet of this
operation due to possible triggering of explosives.

**G. Dynamite** & Blasting Cap **Bunkers**

1\. Used with frac operation usually located off pad---many times in the
surrounding vegetation. Through out the area of gas production you may
encounter steel dynamite bunkers. These should be labeled, and may be
portable in nature and located in remote area away from area of human
activity. Caps will be located in separate bunkers

**II. Summary of Common Known Hazards**

With each different process that goes on with gas production many
different hazards are found at different times and level of operations.
Some of those include but are not limited to.

Open top frac tanks, that may contain flammable vapors, tanks with an
unknown products, open pits that may ignite,

Open pits that might be difficult to see during heavy smoke conditions,

Roads can be narrow one way, heavy fuel loading both sides of road, few
if any turn outs, many time located in the bottoms of steep narrow box
canyons.

Multiple hazardous materials are on site, including flammable, toxic and
corrosives. Trucks are carrying these items to and from well locations
on a continuous basis.

Explosives are used during the building well pads, roads, and during
frac operations, Explosives are often transported on truck caps and
various types of explosives.

Pipelines: Every well pad has one or more pipelines leaving the pad
connecting with larger lines that in turn lead to larger lines. These
lines may be surface lines, shallow buried, or deep buried lines. Many
surface lines are plastic and are vulnerable to damage or failure during
fires, dozers operations, or being driven over.

Mechanical failure of oil & gas infrastructure such as: Valves, gages,
tanks, lines, fittings. These can lead to gas leaks, fires, and
explosions. Failures can also lead to hazardous material spills, toxic
vapors. **These hazards may be guides to not planning on well pads as
Safety Zones.**

**III. Oil & Gas Industry Interface with Wildfire**

**A. Industry Safety SOP Plans**

1\. Hazmat

2\. Fire\-- on site & wild fire

3\. Evacuation

The expectations from the Oil & Gas industry will be to provide all
agencies involved in an incident: a list of priorities, hazards, special
concerns and needs (special equipment), maps of all infrastructures,
personnel to shut in or isolate remote sites, maps or working knowledge
of access to the areas, **a liaison to work hand in hand** with command
during the total operation that will support the oil and gas industries
interest. Provide a list of available resources like manpower,
equipment, and emergency plans.

**B. Agencies & Media**

1\. Fire Protection Districts

> 2\. State &County

3\. Federal

**1. Fire Protection Districts**

The expectations from the local fire districts will be to provide the
first initial emergency response to all incidents within their
jurisdictions. Provide for safety, preservation and protection of life,
home, and property, evacuate as necessary, gather all necessary
information about the incident, set in place the incident command
system, order resources as needed, make necessary contacts as incident
grows, work with County, State, and Federal agencies. Provide equipment,
manpower, mutual aid agreements and be a liaison to represent the fire
districts.

Wildfire responses that may potentially involve hazardous material maybe
treated as a hazmat response. This may delay fire suppression or even a
safety disengagement of fire suppression activities.

**2. State Government & County**

The expectations from the State & County Governments will be to provide
support for additional resources and funding of a growing incident
through disaster clauses, state agreements, environmental protection
priorities and contracts in place with in their jurisdictions.

**3. Federal Government**

The expectations from the Federal Government will be to provide the
first initial emergency response to all incidents within their
jurisdictions. Provide for safety, preservation and protection of life,
home, and property, evacuate as necessary, gather all necessary
information about the incident, set in place the incident command
system, order resources as needed, make necessary contacts as incident
grows, work with County, State, and Federal agencies. Provide equipment,
manpower, mutual aid agreements and be a liaison to represent the
Federal Government.

**Wildfire responses that may potentially involve hazardous material
maybe treated as a hazmat response. This may delay fire suppression or
even a safety disengagement of fire suppression activities**.

**4. Media**

Promote timely and accurate public information flow, it's important to
have media involvement with fires occurring in the oil & gas fields.

**IV. Cooperating Partners**

**A. Local**

Fire Chiefs, Police Chiefs (municipalities with oil and gas production
within city limits), County Sheriff, County Emergency Managers, County
Air Quality Manager, County Road and Bridge Supervisor.

**B. State & County**

Colorado State Forest District Forester, Division of Wildlife District
Manager, Colorado State Parks, Colorado Department of Corrections,
Colorado State Environmental Protection Agency, Colorado Oil and Gas
Commission. Colorado State Patrol.

**C. Federal**

United States Forest Service, Bureau of Land Management, United States
Park Service, Environmental Protection Agency, BIA.

.

  ------------------ ----------- -------------------- ------ ------------------- ------
  Antero Resources               Gene Byers                  940-300-3934        

  Antero Resources               John Kawcak                 817-368-1553        

  Antero Resources               Steve Fontenot              970-274-6454        

                                                                                 

  Bill Barrett                   Bill                 2008   970-285-9061        
  Corporation                    Barett-Parachute                                
                                 Office                                          

  Bill Barrett                   Kenneth Kuhn                970-230-0404        
  Corporation                                                                    

  Bill Barrett                   Jesse Merry                 970-230-0436        
  Corporation                                                                    

  Bill Barrett                   Carl Turnipseed             970-230-0439        
  Corporation                                                                    

  Bill Barrett                   Shane Colett                970-230-0464        
  Corporation                                                                    

  Bill Barrett                   Dennis Wiarda               970-230-0925        
  Corporation                                                                    

  Bill Barrett                   After Hours          2008   800-921-8252        
  Corporation                    Emergency                                       

                                                                                 

  Canyon Gas                     24-hour number              970-248-0717        
  Pipeline                                                                       

  Canyon Gas                     Scott Pierce                970-216-1750        
  Pipeline                                                                       

  Canyon Gas                     Scott Pierce                970-390-0717        
  Pipeline                                                                       

                                                                                 

  CDX Gas Resources              Al Arlian                   303-298-8211        

                                                                                 

  Chevron Texaco                 Bob Mayo-Rangley            970-675-3770        
                                 Office                                          

  Chevron Texaco                 Bob Mayo                    Cell 970-629-2994   

  Chevron Texaco                 Bob Mayo                    Sat. 254-387-4949   

                                                                                 

  Colorado                       24 Hour Emergency    2008   877-721-2288        
  Interstate Gas                                                                 

                                                                                 

  Delta Petroleum                John Teft                   303-575-0383        

  Delta Petroleum                John Teft                   720-299-1101        

  Delta Petroleum                Denver Office               303-293-9133        

  Delta Petroleum                24 Hour Emergency           888-778-7938        

                                                                                 

  Encana Gas & Oil               Parachute Office     2008   970-285-2600        
  USA                                                                            

  Encana Gas & Oil               Gas Control-Office          970-285-2615        
  USA                                                                            

  Encana Gas & Oil               Gas Control-Office          Cell-970-301-1319   
  USA                                                                            

  Encana Gas & Oil               Safety on Call       2008   970-210-8755        
  USA                                                                            

                                                                                 

  Evergreen                      Denver Office               303-298-8100        
  Operating Corp.                                                                

  Evergreen                      Ron Millet                  303-298-8100 X 1247 
  Operating Corp.                                                                

                                                                                 

  Excel Energy Gas               24 Hour Emergency           800-895-1999        
  Lines                                                                          

  Excel Energy High              24 Hour Emergency           800-698-7811        
  Pressure Gas                                                                   

  Excel Energy                   24 Hour Emergency           800-895-2999        
  Electric                                                                       

                                                                                 

  Garfield County                Garfield County             970-625-8095        
  Sheriff                        Dispatch                                        

                                                                                 

  Laramie Energy LLC             Denver Emergency            970-248-0468        

  Laramie Energy LLC             Laramie Office              303-339-4400        

  Laramie Energy LLC             Steve Johnson               970-250-7073        

  Laramie Energy LLC             Walck Consulting            970-243-7205        

  Laramie Energy LLC             Keith Poole                 970-260-3937        

  Laramie Energy LLC             Ken Leis-Grand              970-683-5404        
                                 Junction Office                                 

  Laramie Energy LLC             Ken Leis                    Cell 303-594-2617   

  Laramie Energy LLC             Brian Avery                 303-947-0773        

                                                                                 

  Maralex                        Jim Graves                  970-799-1639        

  Maralex                        Mickey Ohara         2008   970-799-1631        

  Maralex                        DurangoOffice               970-563-4000        

  Maralex                        Leland Clifton              970-799-1637        

                                                                                 

  Mesa County                    Mesa County Dispatch        970-242-6707        
  Sheriff                                                                        

                                                                                 

  Nobel Enegy Inc.               Mike Bonkewicz              970-785-0352        

  Nobel Enegy Inc.               Mike Bonkewicz              Cell 970-381-5250   

  Nobel Enegy Inc.               Randy Rains-Local           Cell 970-309-4968   
                                 Contact                                         

  Nobel Enegy Inc.               Art Bolen-Denver     2008   303-389-3613        
                                 Office                                          

  Nobel Enegy inc.               Jon Bowman                  303-389-3600        
  Pipeline                                                                       

  Nobel Enegy inc.               Jon Bowman                  303-389-3681        
  Pipeline                                                                       

  Nobel Enegy inc.               Jon Bowman                  Cell 303-550-8426   
  Pipeline                                                                       

  Nobel Enegy Inc.               Mikel Cox                   970-785-0352        
  Safety Coordinator                                                             

  Nobel Enegy Inc.               Mikel Cox                   303-939-8585        
  Safety Coordinator                                                             

  Nobel Enegy Inc.               Mikel Cox                   Cell 970-381-3500   
  Safety Coordinator                                                             

                                                                                 

  OXY USA                        24 Hour-Derek               970-986-5690        
                                 Johnson                                         

  OXY USA                        Houston Texas Office        713-215-7000        

  OXY USA                        Colorado Office             970-263-3600        

  OXY USA                        Paul White                  970-263-3601        

  OXY USA                        Paul White                  Cell 970-985-0411   

                                                                                 

  Petrogulf                      Garr Roberts-First          Cell 303-249-9090   
  Corporation                    Contact                                         

  Petrogulf                      Garr Roberts-First          Home 970-241-7090   
  Corporation                    Contact                                         

  Petrogulf                      John Whistler-Second        Cell 303-915-1635   
  Corporation                    Contact                                         

  Petrogulf                      John Whistler-Denver        303-893-5400 X 130  
  Corporation                    Office                                          

  Petrogulf                      Tim Koch-Third              Cell 918-688-6603   
  Corporation                    Contact                                         

  Petrogulf                      Tim Koch-Third              Home 970-625-5450   
  Corporation                    Contact                                         

  Petrogulf                      Randy Edelen-Fourth         Cell 970-215-7044   
  Corporation                    Contact                                         

  Petrogulf                      Randy Edelen-Fourth         Office 303-893-5400 
  Corporation                    Contact                     X134                

  Petrogulf                      Ray                         303-893-5400 X140   
  Corporation                    Gorka-Enviromental                              

  Petrogulf                      Rifle Office                970-625-3436        
  Corporation                                                                    

  Petrogulf                      Denver Office-Bryan         303-893-5400 X115   
  Corporation                    Dolan                                           

                                                                                 

  Petroleum                      Evans Colorado              970-506-9276        
  DevelopmentCorp.               Office                                          

  Petroleum                      Dewey Gerdom                970-506-9276        
  DevelopmentCorp.                                                               

  Petroleum                      West Virginaia              304-842-3597        
  DevelopmentCorp.               Office                                          

                                                                                 

  Piceance Gas                   Adam Sayers-Office          303-595-3030 X117   
  Resources LLC                                                                  

                                                                                 

  Presco                         Larry Little-Texas          281-292-7792        
                                 Office                                          

  Presco                         Merle Evers-Local           970-663-3942        
                                 Contact                                         

  Presco                         Merle Evers-Local           Cell 970-290-1351   
                                 Contact                                         

                                                                                 

  Quest Star                     24 Hour Emergency           801-324-4400        
  Pipeline                                                                       

  Quest Star                     Rifle Office                970-625-1017        
  Pipeline                                                                       

  Quest Star                     Jeff Day-Local              970-948-2729        
  Pipeline                       Contact                                         

  Quest Star                     Secondary Cell              970-948-9958        
  Pipeline                       Number                                          

                                                                                 

  Westport Oil & Gas             Bruce Ladd-Denver           303-573-5404        
  Company L.P.                   Office                                          

                                                                                 

  Williams                       Parachute Office     2008   970-285-9377        
  Production                                                                     

  Williams                       After Hour Answering 2008   970-285-9377        
  Production                     Service                                         

  Williams                       Steve Soyack                Cell-970-216-0922   
  Production                                                                     

  Williams                       Brad Moss                   Cell-970-250-3683   
  Production                                                                     

  Williams                       Scott Brady                 Cell-970-270-9187   
  Production                                                                     

  Williams                       Kevin                2008   Cell-970-309-1195   
  Production                     McDermott-Safety                                

                                                                                 

  Windsor Energy                 24 Hour Emergency    2008   866-331-0047        

  Windsor Energy                 David Schlosser             405-848-8807        

  Windsor Energy                 Jim Dschaak                 Cell-970-629-9900   

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

**Appendix D**

**Required Safety Training**

Safety and health orientation will be provided to all new employees and
will include:

Emergency Response Procedures,

Safety Committee Make Up and Function,

Hazardous Waste Operations and Emergency Response,

Hazard Communications Program - Employee Right-To Know,

Blood-borne Pathogens -Hepatitis B Treatment/Exposure,

Personal Protective Equipment (PPE),

Accident/Incident/Injury Reporting,

Check In/Out policy,

Job Hazard Analysis (JHA),and

Environmental Hazards (Bees, Ticks, Poison Oak)

Hearing Conservation

Hazard Communication

Bloodborne Pathogens

Hazardous Materials Awareness

Generally, the frequency and type of safety training employees require
varies with the type of job assigned. Some of the more common scenarios
are listed below:

Field-going employees are required to maintain current certification in
First Aid/CPR. New field-going employees will be scheduled for First
Aid/CPR training as soon as possible. First Aid/CPR certifications
normally expire two years from the last training date.

An annual review of blood-borne pathogens including Hepatitis B
Treatment/Exposure measures is required of all employees each year.

Violence in the Workplace and the Hazard Communications Program -
Employee Right-To Know Program is a one-time training for everyone or as
often as rules and/or safe working procedures change.

There are many jobs throughout the district, which require prior
training and/or certification to perform certain tasks. Supervisors
should document the need for mandatory safety training in employees
JHA's..

U. S. DEPARTMENT OF INTERIOR

BUREAU OF LAND MANAGEMENT

EMPLOYEE SAFETY ORIENTATION CHECKLIST

Employee Name \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Job
Position \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Supervisor\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Branch/Duty
Location \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Instructions: This checklist is designed to guide supervisors in
providing thorough employee safety orientation. Applicable safety
training and orientation should be indicated by supervisor and employee
initials and date. Additional specialized training may be required for
some employees. Refer to the training matrix guide in the BLM Manual
Handbook 1112-2, Safety and Health for Field Operations Topic 2. Consult
with local field or state safety manager to discuss specific
requirements.

+--------------------------------------------+-------+-------+-------+
|                                            |       |       |       |
+--------------------------------------------+-------+-------+-------+
| *[Handbooks, Forms,                        | *     | *[N   | *[Dat |
| Information]{.smallcaps}*                  | [Comp | A]{.s | e]{.s |
|                                            | leted | mallc | mallc |
|                                            | /]{.s | aps}* | aps}* |
|                                            | mallc |       |       |
|                                            | aps}* |       |       |
|                                            |       |       |       |
|                                            | *[Re  |       |       |
|                                            | viewe |       |       |
|                                            | d]{.s |       |       |
|                                            | mallc |       |       |
|                                            | aps}* |       |       |
+--------------------------------------------+-------+-------+-------+
| *[BLM Manual Handbook 1112-2]{.smallcaps}* |       |       |       |
+--------------------------------------------+-------+-------+-------+
| *[Occupant Emergency                       |       |       |       |
| Plan/Procedures]{.smallcaps}*              |       |       |       |
|                                            |       |       |       |
| *[Continuity of Operations                 |       |       |       |
| Plan]{.smallcaps}*                         |       |       |       |
+--------------------------------------------+-------+-------+-------+
| *[Procedures for reporting                 |       |       |       |
| unsafe/unhealthful working                 |       |       |       |
| conditions]{.smallcaps}*                   |       |       |       |
|                                            |       |       |       |
| *[Employee Reporting Form and              |       |       |       |
| Instruction]{.smallcaps}*                  |       |       |       |
+--------------------------------------------+-------+-------+-------+
| *[Personal Injury Reporting                |       |       |       |
| Requirements]{.smallcaps}*                 |       |       |       |
|                                            |       |       |       |
| *[(The SMIS system can be used to generate |       |       |       |
| CA-1&2 and the required accident           |       |       |       |
| report)]{.smallcaps}*                      |       |       |       |
+--------------------------------------------+-------+-------+-------+
| *[CA-1 Employee Notice of Traumatic        |       |       |       |
| Injury]{.smallcaps}*                       |       |       |       |
+--------------------------------------------+-------+-------+-------+
| *[CA-2 Employee Notice of Occupational     |       |       |       |
| Disease]{.smallcaps}*                      |       |       |       |
+--------------------------------------------+-------+-------+-------+
| *[CA-16Authorization for Examination and   |       |       |       |
| or Treatment]{.smallcaps}*                 |       |       |       |
+--------------------------------------------+-------+-------+-------+
| *[Required Personal Protective             |       |       |       |
| Equipment]{.smallcaps}*                    |       |       |       |
+--------------------------------------------+-------+-------+-------+
| *[Office Check-in/out Policy]{.smallcaps}* |       |       |       |
+--------------------------------------------+-------+-------+-------+
| *[Environmental Hazards (ticks, lyme       |       |       |       |
| disease, snakes, etc)]{.smallcaps}*        |       |       |       |
+--------------------------------------------+-------+-------+-------+
| *[First Aid/CPR/AED Training]{.smallcaps}* |       |       |       |
+--------------------------------------------+-------+-------+-------+
| *[Defensive Driving Training (required for |       |       |       |
| all employees every 3 years)]{.smallcaps}* |       |       |       |
+--------------------------------------------+-------+-------+-------+
| *[Employee Right to Know -- Hazard         |       |       |       |
| Communication]{.smallcaps}*                |       |       |       |
+--------------------------------------------+-------+-------+-------+
| *[Hazardous Materials First Responder      |       |       |       |
| Awareness/Procedures]{.smallcaps}*         |       |       |       |
+--------------------------------------------+-------+-------+-------+

**Appendix E**

**ATV & UTV & Specialized Equipment**

Employees who operate fire engines, 4x4 trucks, manual transmissions, or
other special-use motorized vehicles must take and pass a road test in
the type and size of equipment to be operated and receive proper
training prior to operation.

**Recertification check ride:** The operator demonstrates proper riding
techniques for the following skills:

**BASIC RIDER SKILLS**

Loading, unloading and securing an ATV for transport

Weight shifts for turning

Riding over obstacles

Riding up, riding down hills

Traversing sidehills

Transporting Payloads under 50 lbs

Bailouts

K-Turn on a Hill

Water Crossings

**ADVANCED RIDER SKILLS**

ATV Towing a Trailer

**Payload over 50 lbs**.

RECERTIFICATION CHECK RIDE: THE OPERATOR DEMONSTRATES PROPER RIDING
TECHNIQUES FOR THE FOLLOWING SKILLS:

<table style="width:100%;">
<colgroup>
<col style="width: 18%" />
<col style="width: 8%" />
<col style="width: 6%" />
<col style="width: 6%" />
<col style="width: 8%" />
<col style="width: 6%" />
<col style="width: 8%" />
<col style="width: 6%" />
<col style="width: 6%" />
<col style="width: 6%" />
<col style="width: 8%" />
<col style="width: 8%" />
</colgroup>
<tbody>
<tr class="odd">
<td><em><span class="smallcaps">DATE: .</span></em></td>
<td colspan="6"><em><span class="smallcaps">BASIC
OPERATOR</span></em></td>
<td colspan="5"><p><em><span class="smallcaps">ADVANCED</span></em></p>
<p><em><span class="smallcaps">OPERATOR</span></em></p></td>
</tr>
<tr class="even">
<td><em><span class="smallcaps">RIDER</span></em></td>
<td><em><span class="smallcaps">Loading, unloading and securing an ATV
for transport</span></em></td>
<td><em><span class="smallcaps">Weight shifts for
turning</span></em></td>
<td><em><span class="smallcaps">Riding over obstacles</span></em></td>
<td><em><span class="smallcaps">Riding up, riding down
hills</span></em></td>
<td><em><span class="smallcaps">Traversing sidehills</span></em></td>
<td><em><span class="smallcaps">Transporting Payloads under 50
lbs</span></em></td>
<td><em><span class="smallcaps">Bailouts</span></em></td>
<td><em><span class="smallcaps">K-Turn on a Hill</span></em></td>
<td><em><span class="smallcaps">Water Crossings</span></em></td>
<td><em><span class="smallcaps">ATV Towing a Trailer</span></em></td>
<td><em><span class="smallcaps">Payload over 50 lbs</span></em></td>
</tr>
<tr class="odd">
<td><em><span class="smallcaps">1.</span></em></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td><em><span class="smallcaps">2.</span></em></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td><em><span class="smallcaps">3.</span></em></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td><em><span class="smallcaps">4.</span></em></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td><em><span class="smallcaps">5.</span></em></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td><em><span class="smallcaps">6</span></em></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td><em><span class="smallcaps">7.</span></em></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td><em><span class="smallcaps">8.</span></em></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td><em><span class="smallcaps">9.</span></em></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td><em><span class="smallcaps">10</span></em></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
</tbody>
</table>

![](media/image2.png){width="0.7429133858267717in"
height="0.6570866141732283in"}

+---+----------------------+-----------+-------------------------------+
| * |                      |           |                               |
| [ |                      |           |                               |
| O |                      |           |                               |
| P |                      |           |                               |
| E |                      |           |                               |
| R |                      |           |                               |
| A |                      |           |                               |
| T |                      |           |                               |
| O |                      |           |                               |
| R |                      |           |                               |
| ] |                      |           |                               |
| { |                      |           |                               |
| . |                      |           |                               |
| s |                      |           |                               |
| m |                      |           |                               |
| a |                      |           |                               |
| l |                      |           |                               |
| l |                      |           |                               |
| c |                      |           |                               |
| a |                      |           |                               |
| p |                      |           |                               |
| s |                      |           |                               |
| } |                      |           |                               |
| * |                      |           |                               |
+---+----------------------+-----------+-------------------------------+
| * |                      | *[Org     |                               |
| [ |                      | anization |                               |
| N |                      | Code]{.sm |                               |
| a |                      | allcaps}* |                               |
| m |                      |           |                               |
| e |                      |           |                               |
| o |                      |           |                               |
| f |                      |           |                               |
| O |                      |           |                               |
| p |                      |           |                               |
| e |                      |           |                               |
| r |                      |           |                               |
| a |                      |           |                               |
| t |                      |           |                               |
| o |                      |           |                               |
| r |                      |           |                               |
| ] |                      |           |                               |
| { |                      |           |                               |
| . |                      |           |                               |
| s |                      |           |                               |
| m |                      |           |                               |
| a |                      |           |                               |
| l |                      |           |                               |
| l |                      |           |                               |
| c |                      |           |                               |
| a |                      |           |                               |
| p |                      |           |                               |
| s |                      |           |                               |
| } |                      |           |                               |
| * |                      |           |                               |
|   |                      |           |                               |
| * |                      |           |                               |
| [ |                      |           |                               |
| S |                      |           |                               |
| i |                      |           |                               |
| g |                      |           |                               |
| n |                      |           |                               |
| a |                      |           |                               |
| t |                      |           |                               |
| u |                      |           |                               |
| r |                      |           |                               |
| e |                      |           |                               |
| ] |                      |           |                               |
| { |                      |           |                               |
| . |                      |           |                               |
| s |                      |           |                               |
| m |                      |           |                               |
| a |                      |           |                               |
| l |                      |           |                               |
| l |                      |           |                               |
| c |                      |           |                               |
| a |                      |           |                               |
| p |                      |           |                               |
| s |                      |           |                               |
| } |                      |           |                               |
| * |                      |           |                               |
+---+----------------------+-----------+-------------------------------+
|   |                      | *         |                               |
|   |                      | [Position |                               |
|   |                      | T         |                               |
|   |                      | itle]{.sm |                               |
|   |                      | allcaps}* |                               |
+---+----------------------+-----------+-------------------------------+
| * |                      |           |                               |
| [ |                      |           |                               |
| Q |                      |           |                               |
| U |                      |           |                               |
| A |                      |           |                               |
| L |                      |           |                               |
| I |                      |           |                               |
| F |                      |           |                               |
| I |                      |           |                               |
| C |                      |           |                               |
| A |                      |           |                               |
| T |                      |           |                               |
| I |                      |           |                               |
| O |                      |           |                               |
| N |                      |           |                               |
| S |                      |           |                               |
| ] |                      |           |                               |
| { |                      |           |                               |
| . |                      |           |                               |
| s |                      |           |                               |
| m |                      |           |                               |
| a |                      |           |                               |
| l |                      |           |                               |
| l |                      |           |                               |
| c |                      |           |                               |
| a |                      |           |                               |
| p |                      |           |                               |
| s |                      |           |                               |
| } |                      |           |                               |
| * |                      |           |                               |
+---+----------------------+-----------+-------------------------------+
| * |                      |           |                               |
| [ |                      |           |                               |
| M |                      |           |                               |
| O |                      |           |                               |
| T |                      |           |                               |
| O |                      |           |                               |
| R |                      |           |                               |
| V |                      |           |                               |
| E |                      |           |                               |
| H |                      |           |                               |
| I |                      |           |                               |
| C |                      |           |                               |
| L |                      |           |                               |
| E |                      |           |                               |
| S |                      |           |                               |
| ] |                      |           |                               |
| { |                      |           |                               |
| . |                      |           |                               |
| s |                      |           |                               |
| m |                      |           |                               |
| a |                      |           |                               |
| l |                      |           |                               |
| l |                      |           |                               |
| c |                      |           |                               |
| a |                      |           |                               |
| p |                      |           |                               |
| s |                      |           |                               |
| } |                      |           |                               |
| * |                      |           |                               |
+---+----------------------+-----------+-------------------------------+
| * | *[Operator has valid |           |                               |
| [ | state driver's       |           |                               |
| \ | license.\            |           |                               |
| [ | Name on              |           |                               |
| \ | License              |           |                               |
| _ | :\_\_\_\_\_\_\_\_\_\ |           |                               |
| \ | _\_\_\_\_\_\_\_\_\_\ |           |                               |
| ] | _\_\_\_\_\_\_\_\_\_\ |           |                               |
| ] | _\_\_\_\_\_\_\_\_\_\ |           |                               |
| { | _\_\_\_\_\_\_\_\_\_\ |           |                               |
| . | State:\_\_\_\_\_\_\_ |           |                               |
| s | \_\_\_\_\_\_\_\_\_\_ |           |                               |
| m | \_\_\_\_\_\_\_\_\_\_ |           |                               |
| a | Expiration           |           |                               |
| l | Date:\_\_\_\_\_      |           |                               |
| l | \_\_\_\_\_\_\_\_\_\_ |           |                               |
| c | \_\_\_]{.smallcaps}* |           |                               |
| a |                      |           |                               |
| p |                      |           |                               |
| s |                      |           |                               |
| } |                      |           |                               |
| * |                      |           |                               |
+---+----------------------+-----------+-------------------------------+
| * | *[Operator has a     |           |                               |
| [ | valid CDL license.   |           |                               |
| \ | Expiration           |           |                               |
| [ | Da                   |           |                               |
| \ | te:\_\_\_\_\_\_\_\_\ |           |                               |
| _ | _\_\_\_Class:\_\_\_\ |           |                               |
| \ | _\_\_\_\_\_\_\_Endor |           |                               |
| ] | sements:\_\_\_\_\_\_ |           |                               |
| ] | \_\_\_]{.smallcaps}* |           |                               |
| { |                      |           |                               |
| . |                      |           |                               |
| s |                      |           |                               |
| m |                      |           |                               |
| a |                      |           |                               |
| l |                      |           |                               |
| l |                      |           |                               |
| c |                      |           |                               |
| a |                      |           |                               |
| p |                      |           |                               |
| s |                      |           |                               |
| } |                      |           |                               |
| * |                      |           |                               |
+---+----------------------+-----------+-------------------------------+
| * | *[Operator has       |           |                               |
| [ | completed Driver     |           |                               |
| \ | I                    |           |                               |
| [ | mprovement/Defensive |           |                               |
| \ | Driving course       |           |                               |
| _ | within last 3 years. |           |                               |
| \ | Date:                |           |                               |
| ] | \_\_\_\_\_\_\_\_\_\_ |           |                               |
| ] | \_\_\_]{.smallcaps}* |           |                               |
| { |                      |           |                               |
| . |                      |           |                               |
| s |                      |           |                               |
| m |                      |           |                               |
| a |                      |           |                               |
| l |                      |           |                               |
| l |                      |           |                               |
| c |                      |           |                               |
| a |                      |           |                               |
| p |                      |           |                               |
| s |                      |           |                               |
| } |                      |           |                               |
| * |                      |           |                               |
+---+----------------------+-----------+-------------------------------+
| * | *[Job requires       |           |                               |
| [ | operation of         |           |                               |
| \ | vehicles \[\_\]      |           |                               |
| [ | UNDER 10.000 lbs     |           |                               |
| \ | GVWR \[\_\] OVER     |           |                               |
| _ | 10,000 lbs GVWR but  |           |                               |
| \ | LESS than 26,000 lbs |           |                               |
| ] | GVWR \[\_\] OVER     |           |                               |
| ] | 26,000 lbs GVWR      |           |                               |
| { | (requires Commercial |           |                               |
| . | Driver's License     |           |                               |
| s | (CDL)]{.smallcaps}*  |           |                               |
| m |                      |           |                               |
| a |                      |           |                               |
| l |                      |           |                               |
| l |                      |           |                               |
| c |                      |           |                               |
| a |                      |           |                               |
| p |                      |           |                               |
| s |                      |           |                               |
| } |                      |           |                               |
| * |                      |           |                               |
+---+----------------------+-----------+-------------------------------+
| * | *[Operator has       |           |                               |
| [ | listed all accidents |           |                               |
| \ | and moving           |           |                               |
| [ | violations within    |           |                               |
| \ | past 3 years: \[\_\] |           |                               |
| _ | N/A]{.smallcaps}*    |           |                               |
| \ |                      |           |                               |
| ] | *[List accidents     |           |                               |
| ] | and/or               |           |                               |
| { | viola                |           |                               |
| . | tions:]{.smallcaps}* |           |                               |
| s |                      |           |                               |
| m |                      |           |                               |
| a |                      |           |                               |
| l |                      |           |                               |
| l |                      |           |                               |
| c |                      |           |                               |
| a |                      |           |                               |
| p |                      |           |                               |
| s |                      |           |                               |
| } |                      |           |                               |
| * |                      |           |                               |
+---+----------------------+-----------+-------------------------------+
| * |                      |           |                               |
| [ |                      |           |                               |
| S |                      |           |                               |
| P |                      |           |                               |
| E |                      |           |                               |
| C |                      |           |                               |
| I |                      |           |                               |
| A |                      |           |                               |
| L |                      |           |                               |
| I |                      |           |                               |
| Z |                      |           |                               |
| E |                      |           |                               |
| D |                      |           |                               |
| E |                      |           |                               |
| Q |                      |           |                               |
| U |                      |           |                               |
| I |                      |           |                               |
| P |                      |           |                               |
| M |                      |           |                               |
| E |                      |           |                               |
| N |                      |           |                               |
| T |                      |           |                               |
| ] |                      |           |                               |
| { |                      |           |                               |
| . |                      |           |                               |
| s |                      |           |                               |
| m |                      |           |                               |
| a |                      |           |                               |
| l |                      |           |                               |
| l |                      |           |                               |
| c |                      |           |                               |
| a |                      |           |                               |
| p |                      |           |                               |
| s |                      |           |                               |
| } |                      |           |                               |
| * |                      |           |                               |
+---+----------------------+-----------+-------------------------------+
| * | *[Type of Equipment  |           | *[Certifying                  |
| [ | (sp                  |           | Agency/Organization and Date  |
| √ | ecify)]{.smallcaps}* |           | of Training]{.smallcaps}*     |
| ] |                      |           |                               |
| { |                      |           |                               |
| . |                      |           |                               |
| s |                      |           |                               |
| m |                      |           |                               |
| a |                      |           |                               |
| l |                      |           |                               |
| l |                      |           |                               |
| c |                      |           |                               |
| a |                      |           |                               |
| p |                      |           |                               |
| s |                      |           |                               |
| } |                      |           |                               |
| * |                      |           |                               |
+---+----------------------+-----------+-------------------------------+
| * | *[4x4 Vehicle \[\_\] |           |                               |
| [ | Manual Transmission  |           |                               |
| \ | \[\_\] Auto          |           |                               |
| [ | Transm               |           |                               |
| \ | ission]{.smallcaps}* |           |                               |
| _ |                      |           |                               |
| \ |                      |           |                               |
| ] |                      |           |                               |
| ] |                      |           |                               |
| { |                      |           |                               |
| . |                      |           |                               |
| s |                      |           |                               |
| m |                      |           |                               |
| a |                      |           |                               |
| l |                      |           |                               |
| l |                      |           |                               |
| c |                      |           |                               |
| a |                      |           |                               |
| p |                      |           |                               |
| s |                      |           |                               |
| } |                      |           |                               |
| * |                      |           |                               |
+---+----------------------+-----------+-------------------------------+
| * | *[All Terrain        |           |                               |
| [ | Vehicle (ATV) \[\_\] |           |                               |
| \ | Utility ATV          |           |                               |
| [ | (e.                  |           |                               |
| \ | g.6X6)]{.smallcaps}* |           |                               |
| _ |                      |           |                               |
| \ |                      |           |                               |
| ] |                      |           |                               |
| ] |                      |           |                               |
| { |                      |           |                               |
| . |                      |           |                               |
| s |                      |           |                               |
| m |                      |           |                               |
| a |                      |           |                               |
| l |                      |           |                               |
| l |                      |           |                               |
| c |                      |           |                               |
| a |                      |           |                               |
| p |                      |           |                               |
| s |                      |           |                               |
| } |                      |           |                               |
| * |                      |           |                               |
+---+----------------------+-----------+-------------------------------+
| * | *[Basic ATV Advanced |           |                               |
| [ | ATV Specialized ATV  |           |                               |
| \ | Equ                  |           |                               |
| [ | ipment]{.smallcaps}* |           |                               |
| \ |                      |           |                               |
| _ |                      |           |                               |
| \ |                      |           |                               |
| ] |                      |           |                               |
| ] |                      |           |                               |
| { |                      |           |                               |
| . |                      |           |                               |
| s |                      |           |                               |
| m |                      |           |                               |
| a |                      |           |                               |
| l |                      |           |                               |
| l |                      |           |                               |
| c |                      |           |                               |
| a |                      |           |                               |
| p |                      |           |                               |
| s |                      |           |                               |
| } |                      |           |                               |
| * |                      |           |                               |
+---+----------------------+-----------+-------------------------------+
| * | *[Off Highway        |           |                               |
| [ | Motorcycle (OHM)     |           |                               |
| \ | (\_)                 |           |                               |
| [ | Snow                 |           |                               |
| \ | mobile]{.smallcaps}* |           |                               |
| _ |                      |           |                               |
| \ |                      |           |                               |
| ] |                      |           |                               |
| ] |                      |           |                               |
| { |                      |           |                               |
| . |                      |           |                               |
| s |                      |           |                               |
| m |                      |           |                               |
| a |                      |           |                               |
| l |                      |           |                               |
| l |                      |           |                               |
| c |                      |           |                               |
| a |                      |           |                               |
| p |                      |           |                               |
| s |                      |           |                               |
| } |                      |           |                               |
| * |                      |           |                               |
+---+----------------------+-----------+-------------------------------+
| * | *[Trailer (towing    |           |                               |
| [ | and loading) \[\_\]  |           |                               |
| \ | Gooseneck \[\_\]     |           |                               |
| [ | Bumper               |           |                               |
| \ | Pull]{.smallcaps}*   |           |                               |
| _ |                      |           |                               |
| \ |                      |           |                               |
| ] |                      |           |                               |
| ] |                      |           |                               |
| { |                      |           |                               |
| . |                      |           |                               |
| s |                      |           |                               |
| m |                      |           |                               |
| a |                      |           |                               |
| l |                      |           |                               |
| l |                      |           |                               |
| c |                      |           |                               |
| a |                      |           |                               |
| p |                      |           |                               |
| s |                      |           |                               |
| } |                      |           |                               |
| * |                      |           |                               |
+---+----------------------+-----------+-------------------------------+
| * | *[Watercraft         |           |                               |
| [ | Type(s)\_\_\_\_      |           |                               |
| \ | \_\_\_\_\_\_\_\_\_\_ |           |                               |
| [ | \_Length\_\_\_\_\_\_ |           |                               |
| \ | \_\_\_]{.smallcaps}* |           |                               |
| _ |                      |           |                               |
| \ |                      |           |                               |
| ] |                      |           |                               |
| ] |                      |           |                               |
| { |                      |           |                               |
| . |                      |           |                               |
| s |                      |           |                               |
| m |                      |           |                               |
| a |                      |           |                               |
| l |                      |           |                               |
| l |                      |           |                               |
| c |                      |           |                               |
| a |                      |           |                               |
| p |                      |           |                               |
| s |                      |           |                               |
| } |                      |           |                               |
| * |                      |           |                               |
+---+----------------------+-----------+-------------------------------+
| * | *[Fo                 |           |                               |
| [ | rklift]{.smallcaps}* |           |                               |
| \ |                      |           |                               |
| [ |                      |           |                               |
| \ |                      |           |                               |
| _ |                      |           |                               |
| \ |                      |           |                               |
| ] |                      |           |                               |
| ] |                      |           |                               |
| { |                      |           |                               |
| . |                      |           |                               |
| s |                      |           |                               |
| m |                      |           |                               |
| a |                      |           |                               |
| l |                      |           |                               |
| l |                      |           |                               |
| c |                      |           |                               |
| a |                      |           |                               |
| p |                      |           |                               |
| s |                      |           |                               |
| } |                      |           |                               |
| * |                      |           |                               |
+---+----------------------+-----------+-------------------------------+
| * | *[Ch                 |           |                               |
| [ | ainsaw]{.smallcaps}* |           |                               |
| \ |                      |           |                               |
| [ |                      |           |                               |
| \ |                      |           |                               |
| _ |                      |           |                               |
| \ |                      |           |                               |
| ] |                      |           |                               |
| ] |                      |           |                               |
| { |                      |           |                               |
| . |                      |           |                               |
| s |                      |           |                               |
| m |                      |           |                               |
| a |                      |           |                               |
| l |                      |           |                               |
| l |                      |           |                               |
| c |                      |           |                               |
| a |                      |           |                               |
| p |                      |           |                               |
| s |                      |           |                               |
| } |                      |           |                               |
| * |                      |           |                               |
+---+----------------------+-----------+-------------------------------+
| * | *[Construction       |           |                               |
| [ | Equipment            |           |                               |
| \ | Type(s)\_\_\_\_\_    |           |                               |
| [ | \_\_\_\_\_\_\_\_\_\_ |           |                               |
| \ | \_\_\_]{.smallcaps}* |           |                               |
| _ |                      |           |                               |
| \ |                      |           |                               |
| ] |                      |           |                               |
| ] |                      |           |                               |
| { |                      |           |                               |
| . |                      |           |                               |
| s |                      |           |                               |
| m |                      |           |                               |
| a |                      |           |                               |
| l |                      |           |                               |
| l |                      |           |                               |
| c |                      |           |                               |
| a |                      |           |                               |
| p |                      |           |                               |
| s |                      |           |                               |
| } |                      |           |                               |
| * |                      |           |                               |
+---+----------------------+-----------+-------------------------------+
| * | *                    |           |                               |
| [ | [Other]{.smallcaps}* |           |                               |
| \ |                      |           |                               |
| [ |                      |           |                               |
| \ |                      |           |                               |
| _ |                      |           |                               |
| \ |                      |           |                               |
| ] |                      |           |                               |
| ] |                      |           |                               |
| { |                      |           |                               |
| . |                      |           |                               |
| s |                      |           |                               |
| m |                      |           |                               |
| a |                      |           |                               |
| l |                      |           |                               |
| l |                      |           |                               |
| c |                      |           |                               |
| a |                      |           |                               |
| p |                      |           |                               |
| s |                      |           |                               |
| } |                      |           |                               |
| * |                      |           |                               |
+---+----------------------+-----------+-------------------------------+
| * |                      |           |                               |
| [ |                      |           |                               |
| S |                      |           |                               |
| U |                      |           |                               |
| P |                      |           |                               |
| E |                      |           |                               |
| R |                      |           |                               |
| V |                      |           |                               |
| I |                      |           |                               |
| S |                      |           |                               |
| O |                      |           |                               |
| R |                      |           |                               |
| ] |                      |           |                               |
| { |                      |           |                               |
| . |                      |           |                               |
| s |                      |           |                               |
| m |                      |           |                               |
| a |                      |           |                               |
| l |                      |           |                               |
| l |                      |           |                               |
| c |                      |           |                               |
| a |                      |           |                               |
| p |                      |           |                               |
| s |                      |           |                               |
| } |                      |           |                               |
| * |                      |           |                               |
+---+----------------------+-----------+-------------------------------+
| * |                      |           |                               |
| [ |                      |           |                               |
| I |                      |           |                               |
| h |                      |           |                               |
| a |                      |           |                               |
| v |                      |           |                               |
| e |                      |           |                               |
| e |                      |           |                               |
| x |                      |           |                               |
| p |                      |           |                               |
| l |                      |           |                               |
| a |                      |           |                               |
| i |                      |           |                               |
| n |                      |           |                               |
| e |                      |           |                               |
| d |                      |           |                               |
| t |                      |           |                               |
| h |                      |           |                               |
| e |                      |           |                               |
| f |                      |           |                               |
| o |                      |           |                               |
| l |                      |           |                               |
| l |                      |           |                               |
| o |                      |           |                               |
| w |                      |           |                               |
| i |                      |           |                               |
| n |                      |           |                               |
| g |                      |           |                               |
| p |                      |           |                               |
| o |                      |           |                               |
| l |                      |           |                               |
| i |                      |           |                               |
| c |                      |           |                               |
| i |                      |           |                               |
| e |                      |           |                               |
| s |                      |           |                               |
| t |                      |           |                               |
| o |                      |           |                               |
| t |                      |           |                               |
| h |                      |           |                               |
| e |                      |           |                               |
| o |                      |           |                               |
| p |                      |           |                               |
| e |                      |           |                               |
| r |                      |           |                               |
| a |                      |           |                               |
| t |                      |           |                               |
| o |                      |           |                               |
| r |                      |           |                               |
| : |                      |           |                               |
| ] |                      |           |                               |
| { |                      |           |                               |
| . |                      |           |                               |
| s |                      |           |                               |
| m |                      |           |                               |
| a |                      |           |                               |
| l |                      |           |                               |
| l |                      |           |                               |
| c |                      |           |                               |
| a |                      |           |                               |
| p |                      |           |                               |
| s |                      |           |                               |
| } |                      |           |                               |
| * |                      |           |                               |
+---+----------------------+-----------+-------------------------------+
| * |                      | *[        |                               |
| [ |                      | Passenger |                               |
| U |                      | Restrict  |                               |
| s |                      | ions]{.sm |                               |
| e |                      | allcaps}* |                               |
| o |                      |           |                               |
| f |                      | *[Fleet   |                               |
| S |                      | Card      |                               |
| e |                      | Mi        |                               |
| a |                      | suse]{.sm |                               |
| t |                      | allcaps}* |                               |
| B |                      |           |                               |
| e |                      | *         |                               |
| l |                      | [Personal |                               |
| t |                      | Financial |                               |
| s |                      | Liabi     |                               |
| ] |                      | lity]{.sm |                               |
| { |                      | allcaps}* |                               |
| . |                      |           |                               |
| s |                      |           |                               |
| m |                      |           |                               |
| a |                      |           |                               |
| l |                      |           |                               |
| l |                      |           |                               |
| c |                      |           |                               |
| a |                      |           |                               |
| p |                      |           |                               |
| s |                      |           |                               |
| } |                      |           |                               |
| * |                      |           |                               |
|   |                      |           |                               |
| * |                      |           |                               |
| [ |                      |           |                               |
| A |                      |           |                               |
| l |                      |           |                               |
| c |                      |           |                               |
| o |                      |           |                               |
| h |                      |           |                               |
| o |                      |           |                               |
| l |                      |           |                               |
| a |                      |           |                               |
| n |                      |           |                               |
| d |                      |           |                               |
| D |                      |           |                               |
| r |                      |           |                               |
| u |                      |           |                               |
| g |                      |           |                               |
| P |                      |           |                               |
| r |                      |           |                               |
| o |                      |           |                               |
| h |                      |           |                               |
| i |                      |           |                               |
| b |                      |           |                               |
| i |                      |           |                               |
| t |                      |           |                               |
| i |                      |           |                               |
| o |                      |           |                               |
| n |                      |           |                               |
| ] |                      |           |                               |
| { |                      |           |                               |
| . |                      |           |                               |
| s |                      |           |                               |
| m |                      |           |                               |
| a |                      |           |                               |
| l |                      |           |                               |
| l |                      |           |                               |
| c |                      |           |                               |
| a |                      |           |                               |
| p |                      |           |                               |
| s |                      |           |                               |
| } |                      |           |                               |
| * |                      |           |                               |
|   |                      |           |                               |
| * |                      |           |                               |
| [ |                      |           |                               |
| V |                      |           |                               |
| e |                      |           |                               |
| h |                      |           |                               |
| i |                      |           |                               |
| c |                      |           |                               |
| l |                      |           |                               |
| e |                      |           |                               |
| M |                      |           |                               |
| i |                      |           |                               |
| s |                      |           |                               |
| u |                      |           |                               |
| s |                      |           |                               |
| e |                      |           |                               |
| ] |                      |           |                               |
| { |                      |           |                               |
| . |                      |           |                               |
| s |                      |           |                               |
| m |                      |           |                               |
| a |                      |           |                               |
| l |                      |           |                               |
| l |                      |           |                               |
| c |                      |           |                               |
| a |                      |           |                               |
| p |                      |           |                               |
| s |                      |           |                               |
| } |                      |           |                               |
| * |                      |           |                               |
+---+----------------------+-----------+-------------------------------+
| * |                      |           |                               |
| [ |                      |           |                               |
| \ |                      |           |                               |
| [ |                      |           |                               |
| \ |                      |           |                               |
| _ |                      |           |                               |
| \ |                      |           |                               |
| ] |                      |           |                               |
| I |                      |           |                               |
| a |                      |           |                               |
| m |                      |           |                               |
| n |                      |           |                               |
| o |                      |           |                               |
| t |                      |           |                               |
| a |                      |           |                               |
| w |                      |           |                               |
| a |                      |           |                               |
| r |                      |           |                               |
| e |                      |           |                               |
| o |                      |           |                               |
| f |                      |           |                               |
| a |                      |           |                               |
| n |                      |           |                               |
| y |                      |           |                               |
| p |                      |           |                               |
| h |                      |           |                               |
| y |                      |           |                               |
| s |                      |           |                               |
| i |                      |           |                               |
| c |                      |           |                               |
| a |                      |           |                               |
| l |                      |           |                               |
| c |                      |           |                               |
| o |                      |           |                               |
| n |                      |           |                               |
| d |                      |           |                               |
| i |                      |           |                               |
| t |                      |           |                               |
| i |                      |           |                               |
| o |                      |           |                               |
| n |                      |           |                               |
| o |                      |           |                               |
| r |                      |           |                               |
| d |                      |           |                               |
| r |                      |           |                               |
| i |                      |           |                               |
| v |                      |           |                               |
| i |                      |           |                               |
| n |                      |           |                               |
| g |                      |           |                               |
| r |                      |           |                               |
| e |                      |           |                               |
| c |                      |           |                               |
| o |                      |           |                               |
| r |                      |           |                               |
| d |                      |           |                               |
| i |                      |           |                               |
| n |                      |           |                               |
| f |                      |           |                               |
| o |                      |           |                               |
| r |                      |           |                               |
| m |                      |           |                               |
| a |                      |           |                               |
| t |                      |           |                               |
| i |                      |           |                               |
| o |                      |           |                               |
| n |                      |           |                               |
| t |                      |           |                               |
| h |                      |           |                               |
| a |                      |           |                               |
| t |                      |           |                               |
| i |                      |           |                               |
| n |                      |           |                               |
| d |                      |           |                               |
| i |                      |           |                               |
| c |                      |           |                               |
| a |                      |           |                               |
| t |                      |           |                               |
| e |                      |           |                               |
| s |                      |           |                               |
| t |                      |           |                               |
| h |                      |           |                               |
| i |                      |           |                               |
| s |                      |           |                               |
| e |                      |           |                               |
| m |                      |           |                               |
| p |                      |           |                               |
| l |                      |           |                               |
| o |                      |           |                               |
| y |                      |           |                               |
| e |                      |           |                               |
| e |                      |           |                               |
| \ |                      |           |                               |
| i |                      |           |                               |
| s |                      |           |                               |
| i |                      |           |                               |
| n |                      |           |                               |
| c |                      |           |                               |
| a |                      |           |                               |
| p |                      |           |                               |
| a |                      |           |                               |
| b |                      |           |                               |
| l |                      |           |                               |
| e |                      |           |                               |
| o |                      |           |                               |
| f |                      |           |                               |
| s |                      |           |                               |
| a |                      |           |                               |
| f |                      |           |                               |
| e |                      |           |                               |
| l |                      |           |                               |
| y |                      |           |                               |
| o |                      |           |                               |
| p |                      |           |                               |
| e |                      |           |                               |
| r |                      |           |                               |
| a |                      |           |                               |
| t |                      |           |                               |
| i |                      |           |                               |
| n |                      |           |                               |
| g |                      |           |                               |
| m |                      |           |                               |
| o |                      |           |                               |
| t |                      |           |                               |
| o |                      |           |                               |
| r |                      |           |                               |
| v |                      |           |                               |
| e |                      |           |                               |
| h |                      |           |                               |
| i |                      |           |                               |
| c |                      |           |                               |
| l |                      |           |                               |
| e |                      |           |                               |
| s |                      |           |                               |
| o |                      |           |                               |
| r |                      |           |                               |
| e |                      |           |                               |
| q |                      |           |                               |
| u |                      |           |                               |
| i |                      |           |                               |
| p |                      |           |                               |
| m |                      |           |                               |
| e |                      |           |                               |
| n |                      |           |                               |
| t |                      |           |                               |
| , |                      |           |                               |
| a |                      |           |                               |
| s |                      |           |                               |
| i |                      |           |                               |
| n |                      |           |                               |
| d |                      |           |                               |
| i |                      |           |                               |
| c |                      |           |                               |
| a |                      |           |                               |
| t |                      |           |                               |
| e |                      |           |                               |
| d |                      |           |                               |
| . |                      |           |                               |
| ] |                      |           |                               |
| { |                      |           |                               |
| . |                      |           |                               |
| s |                      |           |                               |
| m |                      |           |                               |
| a |                      |           |                               |
| l |                      |           |                               |
| l |                      |           |                               |
| c |                      |           |                               |
| a |                      |           |                               |
| p |                      |           |                               |
| s |                      |           |                               |
| } |                      |           |                               |
| * |                      |           |                               |
|   |                      |           |                               |
| * |                      |           |                               |
| [ |                      |           |                               |
| \ |                      |           |                               |
| [ |                      |           |                               |
| \ |                      |           |                               |
| _ |                      |           |                               |
| \ |                      |           |                               |
| ] |                      |           |                               |
| T |                      |           |                               |
| h |                      |           |                               |
| i |                      |           |                               |
| s |                      |           |                               |
| e |                      |           |                               |
| m |                      |           |                               |
| p |                      |           |                               |
| l |                      |           |                               |
| o |                      |           |                               |
| y |                      |           |                               |
| e |                      |           |                               |
| e |                      |           |                               |
| i |                      |           |                               |
| s |                      |           |                               |
| n |                      |           |                               |
| o |                      |           |                               |
| t |                      |           |                               |
| a |                      |           |                               |
| u |                      |           |                               |
| t |                      |           |                               |
| h |                      |           |                               |
| o |                      |           |                               |
| r |                      |           |                               |
| i |                      |           |                               |
| z |                      |           |                               |
| e |                      |           |                               |
| d |                      |           |                               |
| t |                      |           |                               |
| o |                      |           |                               |
| o |                      |           |                               |
| p |                      |           |                               |
| e |                      |           |                               |
| r |                      |           |                               |
| a |                      |           |                               |
| t |                      |           |                               |
| e |                      |           |                               |
| a |                      |           |                               |
| g |                      |           |                               |
| o |                      |           |                               |
| v |                      |           |                               |
| e |                      |           |                               |
| r |                      |           |                               |
| n |                      |           |                               |
| m |                      |           |                               |
| e |                      |           |                               |
| n |                      |           |                               |
| t |                      |           |                               |
| m |                      |           |                               |
| o |                      |           |                               |
| t |                      |           |                               |
| o |                      |           |                               |
| r |                      |           |                               |
| v |                      |           |                               |
| e |                      |           |                               |
| h |                      |           |                               |
| i |                      |           |                               |
| c |                      |           |                               |
| l |                      |           |                               |
| e |                      |           |                               |
| o |                      |           |                               |
| r |                      |           |                               |
| s |                      |           |                               |
| p |                      |           |                               |
| e |                      |           |                               |
| c |                      |           |                               |
| i |                      |           |                               |
| a |                      |           |                               |
| l |                      |           |                               |
| i |                      |           |                               |
| z |                      |           |                               |
| e |                      |           |                               |
| d |                      |           |                               |
| e |                      |           |                               |
| q |                      |           |                               |
| u |                      |           |                               |
| i |                      |           |                               |
| p |                      |           |                               |
| m |                      |           |                               |
| e |                      |           |                               |
| n |                      |           |                               |
| t |                      |           |                               |
| . |                      |           |                               |
| ] |                      |           |                               |
| { |                      |           |                               |
| . |                      |           |                               |
| s |                      |           |                               |
| m |                      |           |                               |
| a |                      |           |                               |
| l |                      |           |                               |
| l |                      |           |                               |
| c |                      |           |                               |
| a |                      |           |                               |
| p |                      |           |                               |
| s |                      |           |                               |
| } |                      |           |                               |
| * |                      |           |                               |
+---+----------------------+-----------+-------------------------------+
| * |                      | *[Org     |                               |
| [ |                      | anization |                               |
| S |                      | Code]{.sm |                               |
| u |                      | allcaps}* |                               |
| p |                      |           |                               |
| e |                      |           |                               |
| r |                      |           |                               |
| v |                      |           |                               |
| i |                      |           |                               |
| s |                      |           |                               |
| o |                      |           |                               |
| r |                      |           |                               |
| ' |                      |           |                               |
| s |                      |           |                               |
| N |                      |           |                               |
| a |                      |           |                               |
| m |                      |           |                               |
| e |                      |           |                               |
| ] |                      |           |                               |
| { |                      |           |                               |
| . |                      |           |                               |
| s |                      |           |                               |
| m |                      |           |                               |
| a |                      |           |                               |
| l |                      |           |                               |
| l |                      |           |                               |
| c |                      |           |                               |
| a |                      |           |                               |
| p |                      |           |                               |
| s |                      |           |                               |
| } |                      |           |                               |
| * |                      |           |                               |
+---+----------------------+-----------+-------------------------------+
| * |                      | *[        |                               |
| [ |                      | Date]{.sm |                               |
| P |                      | allcaps}* |                               |
| o |                      |           |                               |
| s |                      |           |                               |
| i |                      |           |                               |
| t |                      |           |                               |
| i |                      |           |                               |
| o |                      |           |                               |
| n |                      |           |                               |
| t |                      |           |                               |
| i |                      |           |                               |
| t |                      |           |                               |
| l |                      |           |                               |
| e |                      |           |                               |
| ] |                      |           |                               |
| { |                      |           |                               |
| . |                      |           |                               |
| s |                      |           |                               |
| m |                      |           |                               |
| a |                      |           |                               |
| l |                      |           |                               |
| l |                      |           |                               |
| c |                      |           |                               |
| a |                      |           |                               |
| p |                      |           |                               |
| s |                      |           |                               |
| } |                      |           |                               |
| * |                      |           |                               |
+---+----------------------+-----------+-------------------------------+

Attachment 1-1

**Appendix F**

**Grand Junction BLM Complex**

**GRAND JUNCTION COMPLEX, COLORADO - BUREAU OF LAND MANAGEMENT**

**SAFETY COMMITTEE CHARTER**

(Revised, 2008)

INTRODUCTION

The Grand Junction Complex Safety Committee, hereafter referred to as
the GJCSC, is established in accordance with 29 CFR 1960 and BLM Manual
Handbook, H-1112-2, Safety and Health for Field Operations. BLM
offices/staffs participating in the GJCSC are: 1) Northwest District, 2)
Grand Junction Field Office, 3) Colorado Canyons National Conservation
Area, 4) Upper Colorado River Interagency Fire, 5) Grand Junction Air
Center BLM employees, 6) CSO Engineering Field Office, and 7) WO and CSO
staffs located at Grand Junction, Colorado. This charter is intended to
set guidelines for operation of the GJCSC. It will become the Grand
Junction Complex policy and be made an amendment to all Safety Manuals
currently existing as of the approval of this charter. This policy
supersedes all other Grand Junction office memos or guidance on the
Safety Committee. This program and charter may be modified or amended as
needed by the signatories of this charter through the Safety Committee.

The GJCSC is responsible for helping, as well as encouraging a positive
attitude by all employees in all offices of the Grand Junction Complex.
The committee can set a positive tone by affirming safety as a core
value within the Grand Junction Complex. The GJCSC can help managers,
supervisors, and employees understand their personal responsibility to
insure a safe working environment by:

1\) Providing recommendations on safety issues to the respective office
managers and supervisors.

2\) Becoming involved in the safety aspects of all programs and
activities.

3\) Providing incentives, recognition and awards to units and
individuals.

MISSION STATEMENT

The Bureau policy is the overall mission statement for the Grand
Junction Complex Safety Program and Safety Committee and is derived from
the regulations at 29 CFR 1910 and 1926.

\"It is Bureau policy to hold paramount the safety, health, and welfare
of its employees, volunteers, contractors, and the visiting public by
providing a safe workplace, facilities, and sites that are operationally
free from recognized physical or environmental hazards or conditions
which are causing, or which have the potential to cause harm to persons,
property, or the environment. This policy shall be implemented by
including safety and health as an integral part of every Bureau
operation, in compliance with all safety manuals and applicable Federal,
State, and local laws or regulations. Managers and supervisors are
responsible for implementing this policy.\"

The Grand Junction Complex Safety Committee is established to create and
promote a positive safety attitude and awareness and to promote a
healthy and safe environment for all employees and visitors to our
facilities through the involvement of all individuals with regards to
education, communication, and safe work practices. The principal role of
the committee is to make safety an integral component of all staff
programs and activities. The GJCSC's function is to ensure that all
matters of safety within all Grand Junction Complex offices are
communicated between employees and management. It is the forum for which
employees can bring forth safety concerns/matters.

The committee will assist the Northwest District Safety Specialist with
administration of the safety program as outlined by this charter. On all
safety matters, the Committee will follow the guidelines set forth in
the BLM Manual 1112-2.

COMMITTEE STRUCTURE/ORGANIZATION

The committee will consist of the following members:

Northwest District Safety Specialist
\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--Standing
Member

Grand Junction Field Office CDSO
\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--Standing
Member

Hazardous Materials Program Coordinator
\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--
Standing Member

Upper Colorado Interagency Fire Safety Officer
\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--Standing
Member

Grand Junction Air Center Aviation Manager
\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--Standing
Member

Law Enforcement
\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--Standing
Member

Northwest District Building/Vehicle Coordinator/Property Manager
\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-- Standing Member

McInnis Canyon National Conservation Area
\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--1
Member

Field Office Management Team
\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--1
Member

CSO Engineering Field Office, WO & CSO staff
\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--1
Member

OPERATING GUIDELINES

A. Membership Duration - The objective is to ensure active participation
by all committee members. Each office representative will serve a
three-year term on the Safety Committee. Initial terms of appointment as
Safety Committee Representative will vary to ensure that there is not
more than a one-third (1/3) turn-over rate each year. All Safety
Committee members will be permanent, full time employees. (NOTE: The
annual Safety Action Plan contains the membership roster)

B. Meetings - The committee will meet at a minimum quarterly, throughout
the year with seasonal emphasis on topics. If a member cannot attend the
meeting, then the member will be responsible for having an alternate
represent their organization. An agenda will be posted to all employees
two weeks prior. Minutes will be sent to all employees within 2 days
after the meeting. Special meetings may be convened as needed.

C. Grand Junction Complex Safety Action Plan - The Committee will
prepare and implement the GJ Complex Safety Action Plan for approval by
the charter signatories by identifying safety issues, proposals, awards,
training and budget. The annual safety action plan will provide the
direction and focus of the GJ Complex safety program. Safety Committee
members will assist the Northwest District Safety Specialist,
supervisors, employees or program leads in completing the annual safety
action plan.

D. Integration of Safety into Field Office/District Programs and
Divisions - Safety is everyone\'s responsibility. It is the goal of the
safety committee to integrate safety into the work environment. The
safety program should become integrated into each employee's activities
by individual commitment and management support of the safety program.
Supervisors are responsible to ensure employee involvement in the safety
program in all aspects of their job. Management can support by ensuring
attendance to the committee meetings and by recognition and
implementation of recommendations made by the safety committee.
Supervisors can also integrate safety into the workplace by conducting a
Risk Assessment Analysis of operational work and using that analysis to
provide a safe working environment.

E. Awards - A positive safety attitude can be greatly enhanced with a
proactive safety awards program. The committee will act as a clearing
house for recognition of exemplary contributions to the GJ Complex
safety program.

ROLES AND RESPONSIBILITIES OF COMMITTEE MEMBERS

The officers of the committee will serve a staggered 3‑year term. The
officers will consist of a Chairperson, a Vice‑Chairperson, and a
Secretary. Officers will be elected by the committee membership at the
third quarter meeting of each year to begin their tenure the following
October.

Charter Signatory Responsibilities:

Enforce all safety and health rules and procedures.

Allow time for committee representative participation in management team
meetings.

Allocate the funds/resources necessary to implement safety and health
committee activities.

Lead by example in following all health and safety rules and practices.

Provide timely feedback to the committee.

Perform the initial investigation of all injuries, incidents and near
misses.

Committee Responsibilities

All committee members shall be acting as the \"eyes and ears\" of the
Grand Junction Complex offices/staffs for safety concerns and should be
the channel to give out and receive all safety information. Members
should bring forward to the committee for discussion, topics such as
accidents and possible prevention methods, safety and health promotions,
awards, employee's safety attitudes, employee suggestions, hazards noted
on inspections, injury occurrences, work related illness, public safety
problems, and other pertinent subjects. The committee will decide the
need and urgency for what action must be taken on any topic and what
course of action should be taken. Committee members may be requested to
assist in accident investigations. Actions concerned with accident and
injury prevention should take precedence and result in an information
memo to all employees if others could learn from the situation.

The committee members are responsible, through the Northwest District
Safety Specialist or CDSO for keeping the Management Team advised of
safety matters and researching and making recommendations on specific
safety matters.

The committee may recommend changes on any existing policies and all
other Grand Junction Complex safety matters. Committee members also act
as the coordinators for, and assist the Northwest District Safety
Specialist or in local safety functions (i.e., annual vehicle
inspections) and safety training.

Specific Duties:

The health and safety activities of the committee will include, but are
not limited to, the following:

Identify unsafe work practices and conditions and suggest appropriate
remedies.

Review accident/incident reports. Types of accidents, causes and trends
shall be identified and appropriate corrective action suggested.

Assist in the development and implementation of effective health and
safety awareness programs.

Oversees GJ Complex Safety Incentive and Awards program (subcommittee)

Encourage feedback from all individuals with regard to health and safety
related ideas, problems, and solutions.

Serve as an advisory body to management on health and safety issues.

Prepares annual GJ Complex Safety Action Plan for committee review at
fall meeting to be distributed through management as an IM each October.

Coordinate Safety Week among all units, making the most efficient use of
training opportunities where possible.

Northwest District Safety Specialist Responsibilities

Has the lead responsibility to update, revise, and change the Emergency
Evacuation Plan and Continuity of Operations Plan annually for
Management Approval, Confined Space survey, and facility/Site
inspections. Will act as lead for CASHE audits, PMR's (program
management reviews)

Has lead responsibility to provide and/or coordinate technical safety
training to supervisors and employees using a wide variety of
informational aids. Promotes safety through the GJCSC meetings, posts
safety displays and prepares all GJ Complex safety memorandums.

.

Provides assistance to Law Enforcement Rangers and Field Office/Center
Managers as requested in investigations of employee accidents (i.e.
assist with paperwork flow of estimates of damage, necessary reports,
injury compensation forms, and administrative tort claims, ensures that
these items are prepared and submitted timely through proper channels
and follows up as necessary). Ensure all accident and injuries are
documented in SMIS by the respective supervisors. Assists in any
required OWCP actions relating to accidents or injuries

Works with the GJ Complex Hazardous Materials Coordinator to ensure
proper handling and storage of materials within the facilities and ware
yards. Assists the Hazardous Materials Coordinator and Complex
representatives in updating the Hazardous Communication Plan for the GJ
Complex facility. Assists the Hazardous Materials Coordinator in
conducting Hazardous Communication and First Responder Awareness Level
training.

Coordinates with appropriate parties, and ensures the timely preparation
of all necessary documentation and reports required by WO, SO and GJ
Complex Safety Program requests and reports.

Serves as program lead for the GJ Complex safety program budget, is
responsible for coordinating the development and implementation of the
safety budget and related actions.

Serves as the chairperson for the GJCSC. The Western Slope Center Safety
Officer will be the liaison between the safety committee and the GJ
Complex Management Team. The Western Slope Center Safety Officer will be
the standing representative on the State Safety Committee.

Lead responsibility for data input into the Safety Management
Information System (SMIS) for the Northwest District.

Assists Field Office/Center Managers and supervisors, as requested, in
preparing Risk Management Assessments for operational work.

Ensure safety programs are compliant with OSHA and Bureau Health and
Safety regulations/policies.

Responsible for updating safety bulletin boards and posters.

Obtain and analyze available data on past injuries and illnesses and
identify trends and suggest appropriate corrective actions.

HAZMAT Coordinator Responsibilities

Function as the Subject Matter Expert (SME) on Hazmat/HAZCOM issues.

Ensure complex is in compliance with applicable HAZMAT/HAZCOM
regulations, and all applicable plans are up to date.

Ensure that employees have the knowledge to properly respond to
hazardous materials spills in the workplace.

Assist in inspections/audits and report preparation.

Takes lead on all EPA required reports.

Conduct yearly chemical inventories for all facilities and provide those
inventories to managers/supervisors who will then ensure that Material
Data Safety Sheets (MSDS's) for all products are on file.

Supervisors Responsibilities

Ensure a safe working environment for all employees, promote a positive
safety attitude, be aware of, and take corrective actions on safety
problems and abate any noted safety hazards identified from inspections,
etc. They shall be responsive to their employees' safety concerns, use
tailgate safety sessions and provide proper safety equipment and
training/updating of the training database.

Report all accidents and incidents, stress accident prevention and
communicate with management on safety issues.

Review and assess potential safety problems for projects; include safety
items in all project proposals and EA\'s.

Complete Risk Management Analysis for operational work, assure that
worksites, machine and equipment operations are inspected by a qualified
inspector, and also ensure that environmental conditions, work
practices, protective equipment and safety procedures are followed and
records infractions of standards as outlined for jobs in the methodology
of the Risk Management Analysis. SMIS input responsibilities .

How about safety training database input for their employees?

Employees Responsibilities

Each employee shall:

Think safety first, adopt safety as a personal priority, and comply with
safety policy and procedures.

Use safety devices, like seat belts and personal protective equipment.

Take corrective actions when needed to perform duties in a safe manner;
report unsafe conditions; use the safety committee as your \"eyes and
ears\" on safety matters;

report all accidents or incidents and look for ways to do your job
safely.

.

Employees will recognize their responsibility to see that volunteers and
casual hires working under their direction adhere to the safety
policies.

Approval

The Grand Junction Complex Safety Committee Charter is approved by:

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Northwest District Safety Specialist Date

­­­­­­­­­­­­­\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Grand Junction Field Office Manager Date

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Upper Colorado Interagency Fire FMO Date

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

CSO Engineering Field Office Manager Date

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

McInnis Canyons National Conservation Area Manager Date

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

DSD Support Services, CSO Date

**Appendix G**

**WHITE RIVER NATIONAL FOREST**

**HEALTH, SAFETY & WELLNESS COMMITTEE CHARTER**

**Safety and Occupational Health Action Plan**

**2008**

![](media/image3.wmf){width="1.8388888888888888in"
height="1.5930555555555554in"}

+----------------------------------------------+-----------------------+
| **USDA Forest Service**                      | ![](medi              |
|                                              | a/image4.png){width=" |
| **White River National Forest**              | 0.7729166666666667in" |
|                                              | height="0             |
|                                              | .8673611111111111in"} |
+----------------------------------------------+-----------------------+

Contents

[Policy/Mission Statement 2](#__RefHeading___Toc145382259)

[Goals and Objectives 3](#__RefHeading___Toc145382260)

[Goals 3](#__RefHeading___Toc145382261)

[Objectives 3](#__RefHeading___Toc145382262)

[Standards 3](#__RefHeading___Toc145382263)

[Special-Emphasis Items 3](#__RefHeading___Toc145382264)

[Slips, Trips and Falls 3](#__RefHeading___Toc145382265)

[Lifting Injuries to Backs 3](#__RefHeading___Toc145382266)

[Motor Vehicle Accidents 4](#__RefHeading___Toc145382267)

[Hantavirus Exposure 4](#__RefHeading___Toc145382268)

[Use of JHAs and Tailgate Safety Sessions
4](#__RefHeading___Toc145382269)

[Housekeeping 5](#__RefHeading___Toc145382270)

[Motor Vehicle Use 5](#__RefHeading___Toc145382271)

[Human Resource Programs 5](#__RefHeading___Toc145382272)

[Personnel Protective Equipment 6](#__RefHeading___Toc145382273)

[Responsibilities 6](#__RefHeading___Toc145382274)

[Forest Supervisor: 6](#__RefHeading___Toc145382275)

[District Rangers, Staff Officers and Supervisors
6](#__RefHeading___Toc145382276)

[Administrative Officer 6](#__RefHeading___Toc145382277)

[Program Managers 6](#__RefHeading___Toc145382278)

[Work Supervisors 7](#__RefHeading___Toc145382279)

[Forest Safety Officer 7](#__RefHeading___Toc145382280)

[District Safety Coordinators 8](#__RefHeading___Toc145382281)

[Fleet Manager 8](#__RefHeading___Toc145382282)

[The White River National Forest Safety Committees
8](#__RefHeading___Toc145382283)

[Accident Prevention 9](#__RefHeading___Toc145382284)

[Training 9](#__RefHeading___Toc145382285)

[First Aid Training 9](#__RefHeading___Toc145382286)

[Driver Training 9](#__RefHeading___Toc145382287)

[Seasonal Employees with Supervisory Responsibilities
9](#__RefHeading___Toc145382288)

[Employee Orientation 9](#__RefHeading___Toc145382289)

[Horses and Pack Stock 10](#__RefHeading___Toc145382290)

[Qualified Trainers 10](#__RefHeading___Toc145382291)

[Motor Vehicle Use and Training 10](#__RefHeading___Toc145382292)

[Motor Vehicles with a Rating of Less Than 15,000 GVW
10](#__RefHeading___Toc145382293)

[Motorcycles and All-Terrain Vehicles 10](#__RefHeading___Toc145382294)

[Over-Snow Vehicles 10](#__RefHeading___Toc145382295)

[Specialized Equipment 11](#__RefHeading___Toc145382296)

[Adverse Road & Weather Conditions 11](#__RefHeading___Toc145382297)

[Headlights On 11](#__RefHeading___Toc145382298)

[Driver Distraction 11](#__RefHeading___Toc145382299)

[Communications 11](#__RefHeading___Toc145382300)

[Personal Portable Radios (Hand Held Radios)
11](#__RefHeading___Toc145382301)

[Radio-Communication Training for All Field-Going Personnel
12](#__RefHeading___Toc145382302)

[Radio Maintenance 12](#__RefHeading___Toc145382303)

[Communication 12](#__RefHeading___Toc145382304)

[Emergency-Evacuation Plans and Communication Plans
12](#__RefHeading___Toc145382305)

[Actions 12](#__RefHeading___Toc145382306)

[Check-In / Check-Out Policy 12](#__RefHeading___Toc145382307)

[Employee Assistance Program 12](#__RefHeading___Toc145382308)

[Confidentiality 12](#__RefHeading___Toc145382309)

[Self-Referral Assistance 12](#__RefHeading___Toc145382310)

[EAP Contacts 12](#__RefHeading___Toc145382311)

[Accident Reporting 13](#__RefHeading___Toc145382312)

[Immediate Responsibility 13](#__RefHeading___Toc145382313)

[Notifications 13](#__RefHeading___Toc145382314)

[Notification Standards 13](#__RefHeading___Toc145382315)

[Accident Investigation 13](#__RefHeading___Toc145382316)

[Safety Awards Program 14](#__RefHeading___Toc145382317)

[Individual Nonmonetary Awards for No Accidents
14](#__RefHeading___Toc145382318)

[Forest Supervisor's Special Achievement Awards
14](#__RefHeading___Toc145382319)

[Appendix A: Key Contacts 15](#__RefHeading___Toc145382320)

[Appendix B: The Safety Library 16](#__RefHeading___Toc145382321)

[Appendix C: Safety Committee Charter and Members
17](#__RefHeading___Toc145382322)

[Appendix D: SAFETY COMMITTEES 28](#__RefHeading___Toc145382323)

[Appendix E: Notification Procedures 19](#__RefHeading___Toc145382324)

[Appendix F: Accident Reporting Flow Chart
20](#__RefHeading___Toc145382325)

[MANDATORY SAFETY & HEALTH TRAINING 22](#__RefHeading___Toc145382326)

[Technical Skills Training1 23](#__RefHeading___Toc145382327)

**Policy/Mission Statement**

The White River National Forest shall provide and maintain safe and
healthy working conditions for all employees, volunteers, human resource
program enrollees and the visiting public. We expect all employees to
understand and execute their roles and responsibilities in implementing
the Safety and Health program, working continuously to promote safe and
healthful work practices among all employees and to develop and
implement a safety culture. Employee and public safety shall be the
primary consideration in all planning and execution of activities
undertaken on the White River National Forest. Safety of employees shall
not be compromised for production or attainment of targets.

Goals and Objectives

Goals

Promote safety and health as a way of life, creating a safe working
environment thus implementing and sustaining a safety culture.

Reduce the number of personal injuries, motor vehicle incidents,
job-related illnesses, and property damage incidents.

Implement the requirements of this plan concurrently with national and
regional safety plans, requirements, directions and policies as
directed.

Objectives

Minimize or eliminate unsafe attitudes, behaviors, and working
conditions, to prevent injury or property damage incidents.

Strive to have the fewest incidents; reduce reported incidents and the
cost of personal injuries, motor vehicle damage, and property damage
each year.

Recommend, develop and implement policies and procedures to reduce the
forest's motor vehicle and personal injury accident frequency rates and
trends on a yearly basis.

Standards

The White River National Forest Health and Safety Accident Prevention
Plan shall meet the requirements of FSH Supplement 6709.12 and is the
basis of the White River NF's Health and Safety Program. (This plan will
be implemented in October, 2007 and will remain in effect until October
1, 2010, with updates by Safety Committees on a yearly basis or as
directed by Regional and or National policy).

Additional, specific safety topics, issues, and concerns shall be
addressed in individual Job Hazard Analyses. Additional specific
District plans such as Emergency Evacuation Plans, (EEP) Occupant
Evacuation Plans (OEP) Hearing Conservation Plans, Communications Plans,
Safety Plans etc. shall be developed separately as per Forest Service
policy on all districts as directed and be addendum to the Health &
Safety Plan.

Special-Emphasis Items

Special-emphasis items are of particular concern to the White River NF.
These are activities with a high potential for injury or damage, and
items of especially high accident frequencies and rates. Current
emphasis items are listed below. (The Forest Safety Committees on a
yearly basis will address specific motor vehicle accidents and personal
injury trends).

A summary of Safety Year 2007 Year-to-Date as of March, 2008 indicates
the following injuries in selected Emphasis Areas:

Slips, Trips and Falls

Supervisors shall emphasize preventive measures in their safety programs
and tailgate sessions. Field crews shall not go to the field until there
is documented slip--and--fall tailgate session. Refer to FSH 6709.11;
Ch. 18, Walking and Hiking Safety. Videos on slips and falls are
available on-forest. Supervisors shall ensure that adequate warm-up and
stretching is completed prior to the start of any walking, physical
conditioning training, running or lifting.

Responsibility: All supervisors.

Lifting Injuries to Backs

Supervisors shall emphasize proper lifting techniques in their safety
programs. This training shall be documented in tailgate safety or
district safety sessions. References are available through your district
safety coordinator. The Health And Safety Code Handbook also provides
guidelines for proper lifting techniques in Chapter 39.64

Responsibility: All supervisors.

**Motor Vehicle Accidents**

Motor vehicles continue to be one of our major risk factors due to miles
driven and driving conditions.

A continued emphasis on defensive driving, operator training, and
accountability will be implemented at all times. The Travel/Driving JHA
will be read, acknowledged and signed by all employees who drive motor
vehicles while on official business.

Inattention while driving is a major causal and contributing factor in
the forest's motor vehicle accident frequency rates. Stay Focused on the
task of driving.

When Backing and Parking vehicles follow the procedures listed in the
Travel/Driving JHA.

Responsibility: All operators, supervisors, and line officers.

Hantavirus Exposure

All employees must be aware of preventive measures, and we all need to
work together to minimize risks.

All employees shall review the Hantavirus JHA for their unit. All
employees shall be instructed in the symptoms of the disease, and shall
be instructed to immediately report these symptoms if they occur.

All Districts shall ensure that proper supplies for dealing with rodents
and rodent feces are available at all times and are used properly.

Hantavirus shall be discussed thoroughly at blood-borne--pathogen
training (both the initial and the refresher).

During annual facilities inspections, particular note shall be taken of
rodent infestations. Actions shall be taken to reduce or eliminate this
hazard.

Professional cleaning, disinfecting and rodent proofing of facilities
may be required in severe cases.

Responsibility: Line Officers, Forest Safety Officer, and Forest
Supervisor

**Physical Training**

Supervisors will review with employees the best practices for physical
fitness and aerobic training to minimize the potential for injury.
Considerations shall include health and fitness, warming up, stretching,
post-exercise stretching as well as tips to reduce the potential for
injury when running, jogging, strength training and working in hot
climates.

**Responsibility: All Supervisors**

**Hazardous Materials (HAZMAT)**

Untrained personnel should not handle hazardous materials and spills. If
you come upon what you think are hazardous materials you should do the
following.

Secure the area, if possible. Protect yourself and others from the
hazard.

Keep a safe distance and stay upwind.

Notify the Forest Spill Coordinator through your district contact.

Each District/Unit shall designate a Hazmat Coordinator.

The Forest Spill Coordinator is Olivia Garcia.

Use of JHAs and Tailgate Safety Sessions

The Forest and Districts shall continue to emphasize proper use of these
tools.

The Safety Committees shall monitor use of these tools. When accidents
are reported, copies of the JHA and any relevant, documented tailgate
safety sessions shall be forwarded to the Forest Safety Officer and used
by the Safety Committee in the quarterly accident review.

**All Tailgate Safety Sessions will be documented in writing.**

All **JHAs** shall be reviewed for consistency with FSH 6709.11 Health
and Safety Handbook on an annual basis and updated to meet project
requirements if necessary.

Responsibility: All supervisors, all line officers, all safety committee
members.

Housekeeping

Safety is attitude, awareness, and behavior. Housekeeping and
organization are very important. If the offices, work areas, and
equipment look disorganized, the unit probably is disorganized. Our
Corporate Image is important for both our employees and the visiting
public.

All office workspaces, warehouses, garages, shops, engine bays,
boathouses, living quarters, bunk houses, etc. shall be maintained in an
organized, neat, and safe condition year-round. It is the responsibility
of all employees to ensure that office-related housekeeping is
maintained at an acceptable level. (All facilities shall be inspected on
an annual basis, refer to the Health and Safety Code

Handbook checklist on pages 30-69 to 30-71 for an Inspection Checklist)

Particularly important for safety is:

Placement of electrical extension cords and computer cables must
minimize tripping and electrical-overload hazards.

Stacking more than three bookcase sections is not acceptable, unless
they are secured to the wall. Maximum height allowed is 5 feet.

Storage of documents and equipment on top of cabinets/bookcases is a
hazard and should be avoided.

File drawers and bookcase/storage-cabinet doors should be closed when
not in use, so people do not harm themselves.

Equipment and miscellaneous gear should not be stacked or placed on the
floor, so as to not cause a hazard.

To prevent the spread of illness and disease, offices should be cleaned
on a regularly scheduled basis. Bathrooms, lunchrooms and food
preparation areas, sinks, counters, and tables should also be cleaned
and disinfected on a regular basis. (Disinfection of hand contact
surface areas and handrails is especially important during cold and flu
season).

**Responsibility: All Employees**

**Motor Vehicle Use**

**All operators of motor** vehicles shall receive the proper training
required for such vehicles, before operating them. The White River NF's
Driver Orientation Course with attached forms shall be completed for all
new employees, prior to operating government vehicles. All employees are
required to have an OF --346 U.S. Government Motor Vehicle Operator's
Identification Card with proper endorsements for the vehicles that they
operate. Operators of all government motor vehicles shall read,
acknowledge, and sign the Travel/Driving JHA for the White

River National Forest or your District and read the Health And Safety
Code Handbook, and the Driver - Operator Guide that is located in the
vehicle's logbook, prior to driving/operating any motor vehicle.

**Responsibility: All supervisors and all vehicle operators**

Human Resource Programs

This White River NF Health and Safety Accident Prevention Action Plan
applies not only to regular employees, but also to individuals enrolled
in the various Human Resource Programs (volunteers, SCSEP, YCC, Hosts,
etc).

The standards that apply to regular employees also extend to these
individuals. They shall attend safety meetings and tailgate sessions.
They shall be provided the same training and personal protective
equipment as regular employees doing the same tasks. Each unit manager
is responsible for seeing that adequate safety training and orientation
is given to HRP enrollees.

Some enrollees may require extra training and supervision, due to their
youth and inexperience. Others may require extra effort because of
long-established work habits or safety prejudices. Job assignments must
be matched to the physical capabilities of the enrollee. Medical
examinations must be completed as required.

Personnel Protective Equipment

The minimum required personal protective equipment (PPE) for various
tasks is found in FSH 6709.11, Ch. 72 Exhibit 01. Pages 70-13 to 70-28.
Personnel engaged in the listed tasks are required to use the listed PPE
at all times, as well as any other PPE identified in a task-specific Job
Hazard Analysis (JHA). This listing may not be complete. If hazards are
identified and PPE may be obtained to mitigate them, this should be
included in JHAs, and this PPE shall be required at all times. Note that
PPE should be the last choice in mitigating a hazard. Avoidance, project
redesign, or engineering controls are preferable mitigation measures.

**Responsibilities**

**Forest Supervisor:**

The Forest Supervisor is responsible for providing all employees with a
Health and Safety Accident Prevention Program and is accountable to the
Regional Forester for its successful implementation. The Forest
Supervisor shall provide the direction and leadership to ensure that
management\'s attitude toward accident prevention is reflected
throughout the organization.

The Forest Supervisor shall review all chargeable accident reports and
assign investigations, as listed in FSH 6709.12, Ch 30.

District Rangers, Staff Officers and Supervisors

District Rangers, Staff Officers and Supervisors are accountable to the
Forest Supervisor for the implementation of the White River National
Forest Health and Safety Accident Prevention Plan.

District Rangers shall personally review all accident reports
originating on their district, to ensure proper corrective actions are
implemented and submission of reports is made in a timely fashion.
District Rangers are also responsible and accountable for all elements
of their district's safety and health program, including evaluations of
each employee's safety and health performance at performance-rating
time.

District Rangers, Staff Officers, Program Managers and Supervisors shall
ensure that safety procedures shall not be sacrificed to maintain
current levels of production. Each District Ranger shall appoint a
District Safety Coordinator, to assist her/him in fulfilling safety and
wellness responsibilities. The District Safety Coordinator will be the
chairperson for the District Safety Committee.

Administrative Officer

The AO may be part of, or appoint a representative to sit on, the Forest
Safety Committee.

Program Managers

Program Managers in conjunction with the safety committees shall ensure,
in planning, programming, and budgeting, that funds are identified for
implementation of the Safety and Health program. This includes funds for
a recognition program, training, and purchase of required safety
equipment.

FSH 6709.12 Ch. 14.04, states in part, "The Person responsible for
preparing project work plans shall complete Form FS 6700-7, Job Hazard
Analysis. All Job Hazard Analysis (JHAs) shall be approved by the
appropriate line officer and reviewed at least annually. These
individuals shall seek advice and information from work supervisors
charged with implementing work plans as to needs and costs of
safety-related needs for the project, based on that project\'s approved
Job Hazard Analysis. (Note that it is Forest Service and White River NF
policy that a JHA be completed for each work project or activity.)

Work Supervisors

Work supervisors are accountable for assuring elements of the Health and
Safety Accident Prevention Plan are being implemented. Work supervisors
shall place emphasis on safety supervision, to ensure the health and
safety of their employees. Work supervisors shall be given training that
meets the requirements in 29 CFR 1960 - Training of Supervisors. (Note
that all Line Officers, Staff Officers and Program Managers, are also
required to complete 29 CFR 1960 Training as per WO and OSHA
requirements).

**Basic responsibilities of every work supervisor include:**

Reviewing the Job Hazard Analysis with the crew before initiating
project work and conducting "Tailgate Safety Sessions to emphasize
precautions identified in JHAs " Reference 6709.11 04 RESPONSIBILITY

Instructing employees on precautions, procedures, and safe work
practices to follow on job assignments.

Keeping the District Ranger and Safety Coordinator informed on accidents
or near misses.

Ensuring that all accidents reports are filed promptly and correctly.

Ensuring required Personnel Protective Equipment is available and worn
properly when required.

Correcting hazardous conditions and unsafe acts immediately.

Completing the Supervisor\'s Report of Accident within established time
constraints. This also includes completing, signing, and submitting all
accident report/sections of/on SF 94, SF 91, CA-1's, CA-2's, AD 112's,
etc.

Knowing Forest Service Safety and Health requirements, policies and
procedures.

**Employees**

Every employee is responsible for contributing to the success of the
Safety and Health program. Basic employee responsibilities include, but
are not limited to:

Notifying the supervisor immediately of any hazardous conditions or
practices that may cause a personal injury or result in property damage.

Observing all safety rules, policies and procedures and making maximum
use of all prescribed Personal Protective Equipment.

Reporting all accidents in a factual manner immediately to the
supervisor, and completing all accident forms if needed. Photographing
accident scene & damage to property when necessary.

Discussing with the supervisor assignments, which the employee does not
feel capable of performing safely, or for which necessary training
and/or certification has not been provided.

Being aware and complying with the White River NF Health and Safety
Accident Prevention Plan and the role of employees in preventing
accidents.

Forest Safety Officer

The Forest Safety Officer is accountable to the Forest Supervisor and is
responsible for monitoring the White River National Forest Health and
Safety Program. The Safety Officer is also responsible for keeping the
Forest Supervisor informed on the effectiveness of the safety program
and current safety problems, as well as advising on appropriate measures
to correct such problems, and/or maintain or improve effectiveness.

**The Forest Safety Officer shall:**

Coordinate educational, engineering, supervisory, and enforcement
aspects related to the White River NF Safety and Health Accident
Prevention Plan.

Provide assistance to District Rangers and District Safety Coordinators
in Safety and Health training as requested.

Monitor the Safety Training program.

Review and analyze motor vehicle and personal injury accidents for
trends and develop recommendations to prevent future occurrences.

Recommend changes in program direction, safety procedures, and
practices.

Participate as a team member on all major accident investigations that
have Forest Supervisor investigation responsibilities. Review all
accident and personal injury accident reports.

Maintain the accident-investigation kit.

Monitor the Safety and Health Program for adherence to manual regional
and national requirements as needed or directed.

**District Safety Coordinators**

A key to an effective Safety and Health Program on a District is the
Safety Coordinator who informs employees of current safety problems and
safety and health issues. Safety Coordinators are members of the
District Safety Committee and are expected to be an active advocate for
safety on their district. Safety Coordinators are accountable to their
District Ranger for the following:

Informing District Rangers of safety problems, advising them on
corrective measures, monitoring the program, and ensuring that employees
are in compliance with established safety policies and guidelines.

Monitoring and analyzing the Safety program to ensure accident
prevention measures are properly implemented, and that the Health and
Safety Accident Prevention Plan is being followed.

Investigating compliance with applicable safety direction and plans.

Arranging for and coordinating safety committee meetings and topics
discussed at them.

Recommending safety procedures and practices and changes in existing
procedures.

Coordinating and documenting Unit Safety Training.

Serving as a communications link with the Forest Safety Officer.

Participating in accident investigations or reviews of personal-injury
accidents and motor vehicle accidents within the District Ranger's
responsibility.

Working with supervisors to ensure all district employees receive a
safety orientation, including procedures, protective equipment,
training, and accident reporting.

Being an active participant on the district and Forest Safety
Committees.

\[See Appendix A for current safety coordinators.\]

Fleet Manager

The Forest Fleet Manager or their representative will serve as a member
of the Forest Supervisor\'s investigation team for accidents involving
fleet equipment, GSA or rental motor vehicles. The Fleet Manager shall
also be part of the White River National Forest Safety Committee.

The White River National Forest Safety Committees

Safety Committees shall be established on all Districts including the
Supervisor's Office. A safety committee chairperson shall also be
designated for each committee. The Forest Safety Officer will attend
individual safety committee meetings when practical and provide
direction to/for the committees. The Forest Safety Officer will maintain
a list of current safety committees and members.

The Deputy Forest Supervisor shall chair the White River NF Safety
Committee. Membership on this committee includes the Deputy Forest
Supervisor, the Forest Safety Officer, District Safety Coordinators,
representatives from Administration, the Fleet Manager and Law
Enforcement. \[See Appendix A for current Safety Committee members and
District Coordinators.\]

The purpose of the Forest Safety Committee is to conduct an ongoing
review of the White River NF Safety Program and recommend/implement
actions for improvement.

All Safety Committees are expected to be an advocate for safety and a
resource to the Leadership Team and employees. The committees shall hold
meetings at least every 3 months to accomplish specific goals. To
increase effectiveness and/or to accomplish action items or tasks,
"extinguish brush fires" subcommittees may be appointed which may have
meetings in addition to regularly scheduled full-committee meetings.

**Accident Prevention**

Training

All employees will receive United States Department of Agriculture
Forest Service -Mandatory Safety & Health Training per 29CFR, FSH
6709.11, and FSH 6709.12 requirements. The District Safety Coordinators
will be provided with the list of required training.

A systematic training program shall also be implemented, to ensure that
employees have the knowledge to recognize and effectively react to
hazardous situations and to perform tasks in a manner that minimizes the
total hazard. It is the responsibility of each District Ranger to ensure
that personnel on the unit meet the following minimum training
requirements. Note (All employees whose jobs requiring specialized
training, such as white water rescue, mountain climbing, communication
tower climbing, avalanche control, air operations, boat, raft operation
etc. shall have the appropriate and documented training and
certifications prior to undertaking these activities).

First Aid Training

The standard for the White River NF is that all employees shall have at
least standard First Aid training. In-group work situations; this means
someone in the work group shall have the appropriate training and
certification. Other individuals and groups may be required to have
First Aid, First responder and CPR training and certification on a
continuing basis. This requirement shall be addressed in the
individual's project JHA.

**Driver Training**

All employees shall receive Defensive Driving training before operating
government vehicles and shall have a refresher every three years
thereafter.

Seasonal Employees with\
Supervisory Responsibilities

All seasonal employees assigned supervisory responsibilities shall be
given instruction as to their supervisory duties and responsibilities.
These employees shall be given a minimum of eight hours safety training,
with emphasis on the employee\'s role and responsibility in safe work
performance.\
\
The eight-hour requirement can be met with training selected by the
district ranger, including the following: orientation to the White River
NF Health and Safety Accident Prevention Plan, Health and Safety
Handbook, Job Hazard Analysis, District Safety Orientation and accident
reporting. In the event training is not provided before actual
supervisory duties begin, the District Rangers shall ensure interim
close supervision until training can be given. The responsibility for
this training lies with the first-line supervisor of these individuals.

Employee Orientation

First Line Supervisors shall ensure that all new employees and Human
Resource Program enrollees shall receive a basic orientation to the
safety program. This shall consist of an overview of safety plans,
policies, and procedures, and use of required safety equipment and
techniques if needed. All employees will receive Safety Training for
Personal Safety in Remote Locations, and an Orientation from Law
Enforcement on hazards that exist on the forest.

Horses and Pack Stock

Only employees who have received horse-and-pack-stock training will be
authorized to ride, pack, transport, or otherwise handle pack stock.
Inexperienced riders shall have experienced riders accompany them.
District Ranger and district Livestock manager will determine employee
qualifications and training needs as per the Forest Livestock Plan.

**Chainsaw Use\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

All employees operating chainsaws are required to be certified under
Region 2\'s Chainsaw Certification Program. This program consists of
classroom and field training in use of chainsaws. The Chainsaw
Certification coodinator for the forest can be found in Appendix A. All
persons operation chainsaws will be certified to do so by the Forest
Chainsaw Coordinator, or his/her designee. All requirements for chainsaw
use also apply to use for crosscut saws. The Forest will also offer
specialized training in use of crosscut saws.

Qualified Trainers

District Rangers shall designate qualified trainers for use of all
motorized equipment, including tractors, forklifts, trailers, stock, or
other specialized equipment. ATV trainers shall be ASI-Certified
Instructors. These trainers must be experienced in the use of such
equipment. When necessary, units shall share trainers.

**Motor Vehicle**\
**Use and Training**

Motor Vehicles with a Rating of Less Than 15,000 GVW

Before operating a motor vehicle, all employees shall receive training
appropriate to that vehicle. The minimum required training for operation
of two-wheel-drive vehicles with a rating of less than 15,000 GVW shall
be possession of a valid state operator's permit; completion of
Defensive Driving training; and an orientation about driver
responsibility, accident reporting, and preventive maintenance of
equipment. All drivers shall review the Driver/Operator Guide,
EM-7130-2, the Health and Safety Code Handbook FSH 6709.11, and the
Travel Driving JHA before being authorized to operate equipment.

Supervisors shall review driving abilities of new employees with--in 30
days of employment. The authorization for an employee to drive on
official business must be reviewed and documented by the supervisor when
the employee starts work within 30 days and on a subsequent 4- year
interval. Supervisors shall also ensure that new drivers are capable of
safely driving in a forest environment, including steep, narrow roads;
use of manual transmissions; and dealing with adverse weather conditions
typically found on the Forest.

Drivers operating 4-wheel- or all-wheel-drive equipment shall receive
additional training in safe operation from supervisors before operating
such equipment. The supervisor shall road test employees in these
vehicles before authorizing independent use. Results of this road test
shall be documented and placed in unit files. Endorsement for 4-Wheel
Drive vehicles must be shown on an employee\'s 0F-346.

Motorcycles and\
All-Terrain Vehicles

Motorcycle and all-terrain-vehicle operators must attend a training
session before being licensed as qualified operators. For ATVs this
shall be the American Safety Institute course. Operators passing this
training will then be certified to ride under the direct supervision of
an experienced rider. This requirement shall be for a minimum of eight
hours actual operation, and then as long as needed, at the supervisor's
discretion. Endorsement for Motorcycles and ATV's shall be shown on the
employee's OF-346.

The supervisor shall document completion of this operator-experience
requirement, and shall submit a list of experienced operators to their
unit safety coordinator, and shall update this list as necessary.
Refresher training shall be as required by Forest Service policy and
regulations, or every three years.

Over-Snow Vehicles

Operators of over-snow vehicles shall be trained and qualified to
operate such equipment. Training shall be offered as needed. In addition
to snowmobile operator training an experienced operator must accompany
inexperienced operators. All persons operating snowmobiles shall receive
basic winter-survival training. Refresher training shall be given as
required by the Health and Safety Code Handbook (currently every three
years). Endorsement to operate a snowmobile must be shown on an
individual's 0F- 346.

**Specialized Equipment**

All motorized vehicles with a rating of 15,000 GVW or above are
considered "specialized equipment." It is the employee and supervisor's
responsibility to maintain all the required qualifications needed to
operate specialized equipment. Employees' authorization to use
specialized equipment shall be documented on the SF-46, U.S. Government
Motor Vehicle Operator\'s Identification Card. The Forest Fleet Manager
is the Driver Examiner. Contact them for names of qualified instructors
on specialized equipment.

Adverse Road & Weather Conditions

During the winter, roads may be slippery, or there may be low visibility
due to blowing snow or fog. During other seasons, roads may be muddy,
slippery, or dusty. When traveling in hazardous conditions, all
employees should stop and consider if the travel is necessary. All
employees have the right---and the responsibility---not to travel in
dangerous conditions.

**Use 4-wheel drive and/or chains when winter conditions warrant.**

Use extra caution when driving on mountain roads. Hazards include soft
shoulders, falling rocks, and slick conditions when wet, especially on
collapsed roadbeds. Drive slowly. Washboard bumps can cause a vehicle to
fishtail. Switchbacks should be entered slowly and as far to the right
as possible, as visibility of oncoming traffic is poor. Stay to the
right on narrow mountain roads and be able to stop within one half of
visible distance. Watch for changing weather, especially with a change
of elevation. Afternoon thunderstorms are frequent in the summer and can
create hazardous driving conditions.

Headlights On

It is White River NF policy that Forest Service motor vehicles are
operated with headlights on at all times.

Driver Distraction

All employees shall operate motor vehicles in a safe, defensive manner.
This includes maintaining awareness of their driving environment.
Drivers are not to allow distractions to interfere with the safe
operations of motor vehicles. Driver inattention while driving is a
major causal and contributing factor in motor vehicle accidents. FSH
6709.11 Ch 12.34 prohibits the following activities while driving.

**Engaging in distracting conversation or activities.**

Eating or drinking.

Using a hand-held cellular telephone.

Using radio/stereo headphones.

Taking prescription drugs that may cause dizziness or lack of
concentration, or reduce response time.

Reading maps or other material.

Refer to Travel/Driving JHA for further information.

Communications

Personal Portable Radios (Hand Held Radios)

All personnel in the field shall have a two-way radio or cell phone to
maintain communications. If personnel are to be away from vehicles
equipped with radios, or are using vehicles not equipped with mobile
radios, they shall have an operational personal portable radio. This is
to be considered required personal protective equipment for all projects
on the forest, and shall be operationally tested prior to going to the
field.

Radio-Communication Training for All Field-Going Personnel

It is the responsibility of all first-line supervisors to ensure that
their employees understand the White River NF radio system, as well as
other systems to which we have emergency access (BLM, counties, fire
districts), and can use the system.

Radio Maintenance

To request maintenance or repair for your radios, file a request through
the EUSC HelpDesk at :
<https://167.210.172.105/webuser/bin/files/login.cgi> . You will need
your Lotus Notes short-name and the password " helpnow! ". Select Get
Help, and then select Option 3 to describe your radio and the service
required.

**Communication**

CAUTION: All White River National Forest personnel are to be made aware
that not all of the forestlands have radio or cell phone coverage. Ask,
communicate, and know dead spots in your work area.

All units shall have in place, and communicate to all employees, a plan
as to how to maintain communications while working in dead spots, or
when repeaters are down. Options include use of cell phones, alternate
repeaters, gaining permission to use other agencies' system, and setting
up "human" repeaters as well as portable or "rover" repeaters. The last
option is to postpone a project until communications can be resumed.

**Emergency-Evacuation Plans and Communication Plans**

Forest Service policy requires Emergency Evacuation Plans along with a
Communication Plan for all work projects and activities.

Actions

All Programs and Districts shall prepare a Field/Worksite JHA/Evacuation
Plan and a Communication Plan for all projects. These plans should cover
who to call for help, how to call for help, options (helicopter
ambulance vs. ground ambulance), and available resources.

A basic plan should be prepared for each district, and modified, if
necessary, for each project. In general, a single plan should cover most
projects on a single Ranger District.

Check-In / Check-Out Policy

The Forest and Districts shall establish procedures to track all
employees. All employees are responsible for checking in and out of
their respective office and to ensure they can accurately report their
location while in the field. Supervisors shall ensure they know where
their crews/employees are at all times and that they have reasonable
communications. All Forest Programs and Districts shall have procedures
to ensure that crews/ personnel arriving late actually get home safely.
These procedures shall be addressed in JHA's, and or District Safety
Plans.

Employee Assistance Program

This program is designed to assist employees with problems that are
affecting their job performance or conduct. These problems include, but
are not limited to, alcoholism, other drug dependence, mental illness,
as well as financial, legal, and domestic difficulties.

Confidentiality

Problems brought to the Employee Assistance Program (EAP) are strictly
confidential and are in no way reflected in personnel records.

Self-Referral Assistance

Assistance is available to employees on a self-referral basis and to
supervisors who feel that employees have problems that are affecting job
performance or conduct. It is also available on a self-referral basis to
employees\' families.

EAP Contacts

EAP Advisor: See Appendix A.

Current Contractor: The Magellan Group, phone (1-800-222-0364) for
information and referral.

Accident Reporting

All accidents or incidents with potential for injuries or property
damage are reportable. At a minimum, all accidents should be reported to
the District Ranger, Staff Officer or Program Manager through the work
supervisor. Also refer to the Notification Procedures and the Accident
Reporting Guide Flow Chart for the White River NF located in Appendix F
in this document.

Immediate Responsibility

The first step after any accident must be the immediate care and comfort
of any injured, followed by the prevention or reduction of additional
occurrences of injury and property damage.

Notifications

The District Rangers shall be notified as soon as possible of any
accident or incident. Additionally, for any injury requiring
hospitalization, emergency transport by ambulance, helicopter or other
means; accidents with serious potential; more than \$2500.00 or any
damage to private property, the District Ranger, shall, as soon as
possible, notify the Forest Safety Officer who will notify the Deputy
Forest Supervisor and the Forest Supervisor.

Notification Standards

Any personal injury that requires professional medical treatment, or
serious property damage (in excess of \$ 2500.00 damage to government
property, any damage to private property, vehicle undriveable, or a high
potential for personal injury) should be reported to the immediate
supervisor and the Forest Safety Officer. The Forest Safety Officer will
activate the Accident Notification Procedure.

If using the forest's radio system or cell phones, do not use the
victim's name, and limit the amount of information broadcast. If a
personal injury does not require professional medical treatment, or
property damage is minor, and to government property only, notification
of the District Ranger is still required. Additional notification,
reporting, and processing shall be done in accordance with the following

Following the Guidelines as shown in Notification Procedures and the
White River NF Flow Chart for Reporting Accidents in Appendix F of this
document.

If possible photograph the scene & any affected private and government
property prior to moving equipment.

Accident Investigation

All accidents, regardless of severity, require some degree of
investigation and or review. Every accident shall be
investigated/reviewed to the extent necessary to determine the facts,
conditions, and background factors present, to determine appropriate
preventive measures. This includes all motor vehicle and personal injury
accidents. Supervisors will provide the Forest Safety Officer with a
written report for all personal injuries.

District Rangers are responsible for investigating accidents that do not
result in hospitalizations, or when damage to government property is
less than \$2500.00

When an employee is involved in a motor vehicle accident or unsafe
driving practice, the work supervisor may consider suspending the
operator\'s driving privileges, temporarily or permanently. If the
operator is found to have been negligent (or, depending on the degree of
responsibility and number of previous accidents, etc.), certain driving
privileges may be revoked or suspended, pending additional training
and/or other corrective action. This action will be reviewed on an
individual basis. The Forest Fleet Equipment Manager or their
representative shall participate in the investigation of every vehicle
or equipment accident that is attributed in any way to mechanical
failure.

For accidents resulting in hospitalization or that exceed \$ 2500.00 in
damage to government property or do any damage to private property, (3rd
party) the Forest Supervisor shall be responsible for authorizing the
investigation of the accident. The Forest Supervisor may appoint an
Accident Investigation Team. Law Enforcement personnel shall also
investigate these accidents.

"For accidents that involve Fatalities, Serious injuries, or
Hospitalization of Three or More Employees, Enrollees, Cooperators,
Contract Employees or Private Citizens." -- Immediately contact the
Forest Supervisor, the Deputy Forest Supervisor and the Forest Safety
Officer. The Forest Supervisor will initiate the investigation process
for any accident involving fatality, serious injury (where death is
likely), or hospitalization of three or more employees, cooperators,
contract employees or private citizens, with direct Forest Service
involvement. Notify the appropriate Occupational Safety and Health
Administration (OSHA) field office and USDA Safety and Health Management
Division (SHMD) within \* hours. The SHMD shall notify OSHA Headquarters
within the required 8 hours. Management Division.

Safety Awards Program

The purpose of the White River NF Safety Incentive Awards Program is to
promote a positive, safety-conscious, attitude and culture. This is to
be achieved by recognizing those individuals, crews, and units/districts
that have demonstrated accomplishments in the Safety Program.

Individual Nonmonetary Awards for No Accidents

Individual awards may be given to recognize achievements of individual
employees. This includes permanent seasonal employees.

Each District Ranger may develop a program that suits each unit's needs.
Such awards must be honorary in nature and be capable of being worn,
displayed, or used in the work environment or awarded per/on each
district's award's program criteria.

For the definition of Non-monetary Awards refer to the USDA Guide For
Employee Recognition.

Forest Supervisor's Special Achievement Awards

All employees are eligible to compete for these awards. Nominations
(including supporting information) shall be submitted to the Safety
Committees for selection of the award recipient, and can be made by any
employee through his/her supervisor Nominations should clearly identify
the reason for the award, and the type of award recommended.

The intent of this award is to recognize someone who does more than
simply have an accident-free year. This award shall be given to
individuals or groups who have contributed to the safety program in a
significant way that warrants special recognition. Accomplishing a
difficult or dangerous project without injuries, involvement in the
safety program "beyond the call of duty," active promotion and
leadership of employee safety or wellness, or similar actions may be
considered. This award may not be presented each year, and more than one
may be presented in any year.

A library of safety, health and wellness program information will be
established for all employees to use. This Information will be located
on all units/districts. The District Safety Coordinators will be
responsible for the implementation and upkeep of these materials.
Additional information may be provided on the Forest Intranet. A copy of
this approved plan will be provided to all Safety Coordinators.

![](media/image5.wmf){width="2.2069444444444444in"
height="1.8965277777777778in"}

**WHITE RIVER NATIONAL FOREST HEALTH, SAFETY & WELLNESS COMMITTEE
CHARTER**

**Policy Statement:**

The White River National Forest holds as paramount the health, safety
and welfare of its employees and in doing so, recognizes that safe work
production is the primary responsibility of each individual employee.
The Forest Supervisor, in concert with the Forest Leadership Team (FLT)
will be recognized as the Forest Safety Board and will provide active
leadership in forming policies, procedures and systems that will promote
both a safe and accident free work environment and the realization of
safe and efficient operations thus creating a safety culture on the
White River National Forest.

**Objectives:**

The Forest Safety Committees are formed to: 1) stimulate employee and
management participation and interest in health and safety awareness,
safety topics, and special safety emphasis items. 2) To establish and
sustain a commitment to health and safety and safe work production
activities; 3) to ensure implementation of the White River National
Forest Health and Safety Accident Prevention Plan and to develop
additional safety plans for all forest employees.4) To reduce the number
of personal injury and motor vehicle accidents on the White River
National Forest and to act as advocates for safety on their units. The
Committee's also act as a supplement to the Safety Board and provide an
opportunity for employees to participate in the design and
implementation of safe and healthy work activities.

**Authority:**

The Forest Safety Committees are empowered by the Forest Supervisor to
carry out direction. The Forest Safety Officer reports directly to the
Forest Safety Board. Recommendations for implementation of Safety and
Health items are presented to the Forest Safety Board (FLT) for
approval.

**Committee Membership**

Six Safety Committees comprise the forest. These committees are to
establish on all management units as follows: Aspen/Sopris, Dillon,
Blanco, Holy Cross/Eagle, Rifle, UCR and the SO (Supervisor's Office). A
Forest Safety Committee with representation from all units and
Supervisor's Office staff will also be established.

Unit Safety Committees will consist of members from each of the
respective disciplines with a lead safety representative who serves as
chairperson.

The Committees shall, as to the extent possible, reflect a cross-section
of all series, grades, job titles, gender and experience of employees on
all units.

**Term of Office:**

The term of office of each Committee member will be for a two-year
period. Appointment to the Committee will be by Line Officer or Staff
Officer in the SO. Rotation of the chairperson will be on an annual
basis.

**Roles and Responsibilities:**

The Safety Committees shall execute the Forest Safety Board's (FLT)
direction and the responsibilities as listed in the White River National
Forest -- Health and Safety Accident Prevention Plan under District
Safety Coordinators and Safety Committees.

The Safety Committees shall also field safety and health items and
issues that are developed/generated on their unit and provide their
respective District Ranger and the Forest Safety Officer with this
information so that this information can be presented to the Forest
Safety Board in a timely manner. The Forest Safety officer will provide
direction to the Safety Committees and the FLT as stated in the White
River National Forest --Health and Safety Accident Prevention Plan.

**Meeting Frequency:**

Meetings will be convened on a quarterly basis with special meetings
scheduled at the Committee Chairperson's discretion, or the Forest
Safety Board's direction.

**Notification Procedures**

![](media/image6.jpeg){width="4.5in" height="8.375in"}

The Accident Reporting Flow Chart follows as a 2-page document. It
contains information

about reporting injuries and accidents. It also contains some of the
phone numbers of contacts

named in the flow chart.

These charts are available from the White River NF Intranet home page.
Under the 'Health & Safety' heading, look for '2006 Accident Reporting
Flowchart.' They are in Excel format.

**United States Department of Agriculture Forest Service**

**MANDATORY SAFETY & HEALTH TRAINING**

Foundation Skills Training (All Employees)

+------------------------+-----------------------+---------------------+
| TRAINING COURSE        | FREQUENCY             | REFERENCE           |
+------------------------+-----------------------+---------------------+
| Employee Rights--Safe  | Initial assignment    | 29 CFR Part 1960    |
| and Healthful          |                       |                     |
| Workplace Environment  |                       |                     |
+------------------------+-----------------------+---------------------+
| Occupant Emergency     | a\. Initial           | 29 CFR 1910.38      |
| Plan                   | assignment            |                     |
|                        |                       |                     |
| (Includes Fire         | b\. Whenever employee |                     |
| Prevention Plans)      | responsibilities      |                     |
|                        | change                |                     |
|                        |                       |                     |
|                        | c\. Whenever the plan |                     |
|                        | is changed            |                     |
+------------------------+-----------------------+---------------------+
| Violence in the        | Initial assignment    | 36 CFR 261.         |
| Workplace              |                       |                     |
|                        |                       | FSM 6710.4          |
+------------------------+-----------------------+---------------------+
| Employee Assistance    | Initial assignment    | USDA Safety and     |
| Program                |                       | Health Manual       |
|                        |                       |                     |
|                        |                       | FSM 6143            |
+------------------------+-----------------------+---------------------+

Technical Skills Training1

+---------------+---------------------+------------------+------------+
| TRAINING      | AUDIENCE            | FREQUENCY        | REFERENCE  |
| COURSE        |                     |                  |            |
+===============+=====================+==================+============+
| Defensive     | All drivers of      | Every 3-years    | FSH        |
| Driving       | Government-owned or |                  | 6709.      |
|               | -leased vehicles;   |                  | 11,section |
|               | POVs used on        |                  | 12.11      |
|               | official business   |                  |            |
+---------------+---------------------+------------------+------------+
| Respiratory   | All occupationally  | a\. Prior to     | 29 CFR     |
| Protection    | exposed employees   | assignment       | 1910.134   |
|               |                     |                  |            |
|               |                     | b\. Annually     | 29 CFR     |
|               |                     | (refresher)      | 1926.103   |
|               |                     |                  |            |
|               |                     | c\. When:        | FSH        |
|               |                     |                  | 6709.11,   |
|               |                     | \(1\) Changes in | section    |
|               |                     | workplace        | 21.13      |
|               |                     |                  |            |
|               |                     | or type of       |            |
|               |                     | respirator       |            |
|               |                     |                  |            |
|               |                     | \(2\)            |            |
|               |                     | Inadequacies in  |            |
|               |                     |                  |            |
|               |                     | employee         |            |
|               |                     | knowledge or use |            |
|               |                     |                  |            |
|               |                     | of respirators   |            |
|               |                     |                  |            |
|               |                     | \(3\) Other      |            |
|               |                     | situations       |            |
|               |                     | indicting        |            |
|               |                     |                  |            |
|               |                     | need for         |            |
|               |                     | retraining       |            |
+---------------+---------------------+------------------+------------+
| Occupational  | All employees       | a\. Prior to     | 29 CFR     |
| Noise         | exposed to noise at | noise exposure   | 1910.95    |
| Protection    | or above an 8-hour  | at or above 85   |            |
|               | time weighted       | decibels         | 29 CFR     |
|               | average of 85       |                  | 1926.52    |
|               | decibels            | b\. Annually     | and        |
|               |                     | (refresher)      | 1926.101   |
|               |                     |                  |            |
|               |                     |                  | FSH        |
|               |                     |                  | 6709.11,   |
|               |                     |                  | section    |
|               |                     |                  | 21.13      |
+---------------+---------------------+------------------+------------+
| First Aid/CPR | Field work crews    | Prior to         | 29 CFR     |
|               | and office groups   | expiration of    | 1910.151   |
|               | (at least one       | certifications   |            |
|               | person in each crew |                  | 29 CFR     |
|               | or group)           |                  | 1926.50    |
|               |                     |                  |            |
|               |                     |                  | FSH        |
|               |                     |                  | 6709.11,   |
|               |                     |                  | section    |
|               |                     |                  | 21.12      |
+---------------+---------------------+------------------+------------+
| Bloodborne    | All occupationally  | a\. Initial      | 29 CFR     |
| Pathogens     | exposed employees   | assignment       | 1910.1030  |
|               | (as determined by   |                  |            |
|               | employer)           | b\. Annually     | FSH        |
|               |                     | thereafter       | 6709.11,   |
|               |                     | (within one-year | section    |
|               |                     | of previous      | 52.3       |
|               |                     | training)        |            |
|               |                     |                  |            |
|               |                     | c\. New or       |            |
|               |                     | changed tasks or |            |
|               |                     | procedures       |            |
+---------------+---------------------+------------------+------------+
| Hazard        | All employees       | a\. Initial      | 29 CFR     |
| Communication | working with or     | assignment       | 1910.1200  |
|               | potentially exposed |                  |            |
| (Employee     | to hazardous        | b\. Whenever     | 29 CFR     |
| Right to      | materials           | hazards change   | 1926.59    |
| Know)         |                     |                  |            |
|               |                     |                  | FSH        |
|               |                     |                  | 6709.11,   |
|               |                     |                  | section    |
|               |                     |                  | 61.1       |
+---------------+---------------------+------------------+------------+
| Hazardous     | All employees       | a\. Initial      | 29 CFR     |
| Waste         | working on-site     | assignment       | 1910.120   |
| Operations    |                     |                  |            |
| and Emergency |                     | b\. Annually     |            |
| Response      |                     | (refresher)      |            |
+---------------+---------------------+------------------+------------+
| Pe            | All affected        | a\. Prior to     | 29 CFR     |
| rmit-Required | employees (those    | assignment       | 1910.146   |
| Confined      | whose work is       |                  |            |
| Spaces        | regulated by 29 CFR | b\. Before any   | FSH        |
|               | 1910.146)           | change in        | 6709.11,   |
|               |                     | assignment       | section    |
|               |                     |                  | 38.2       |
|               |                     | c\. Change in    |            |
|               |                     | permit space     |            |
|               |                     | operations which |            |
|               |                     | create new       |            |
|               |                     | hazards          |            |
|               |                     |                  |            |
|               |                     | d\. Inadequacies |            |
|               |                     | in employee's    |            |
|               |                     | knowledge        |            |
+---------------+---------------------+------------------+------------+
| Forklifts     | All designated and  | a\. Initial      | 29 CFR     |
| (Powered      | authorized          | assignment       | 1910.178   |
| Industrial    | operators           |                  |            |
| Trucks)       |                     | b\. Every        | FSH        |
|               |                     | 3-years          | 6709.11,   |
|               |                     | (reevaluation)   | section    |
|               |                     |                  | 44.6       |
|               |                     | c\. Refresher    |            |
|               |                     | when:            |            |
|               |                     |                  |            |
|               |                     | \(1\) Unsafe act |            |
|               |                     | occurs           |            |
|               |                     |                  |            |
|               |                     | \(2\) Poor       |            |
|               |                     | performance      |            |
|               |                     |                  |            |
|               |                     | \(3\)            |            |
|               |                     | Accident/near    |            |
|               |                     | miss             |            |
|               |                     |                  |            |
|               |                     | \(4\) Different  |            |
|               |                     | lift used        |            |
|               |                     |                  |            |
|               |                     | \(5\) Change in  |            |
|               |                     | environments     |            |
+---------------+---------------------+------------------+------------+
| All-Terrain   | Al designated and   | a\. Initial      | FSH        |
| Vehicles      | authorized          | assignment       | 6709.11,   |
|               | operators           |                  | section    |
|               |                     | b\. Every        | 13.4       |
|               |                     | 3-years          |            |
|               |                     | (                |            |
|               |                     | recertification) |            |
+---------------+---------------------+------------------+------------+
| Snowmobile    | All designated and  | a\. Initial      | FSH        |
| Operations    | authorized          | assignment       | 6709.11,   |
|               | operators           |                  | section    |
|               |                     | b\. Every        | 13.2       |
|               |                     | 3-years          |            |
|               |                     | (                |            |
|               |                     | recertification) |            |
+---------------+---------------------+------------------+------------+
| Control of    | All employees       | a\. Initial      | 29 CFR     |
| Hazardous     | servicing or        | assignment       | 1910.147   |
| Energy        | maintaining         |                  |            |
| (L            | equipment and       | b\. Change in    | FSH        |
| ogout/Tagout) | machines who are    | job assignments  | 6709.11,   |
|               | exposed to          |                  | section    |
|               | unexpected          | c\. Change in    | 38.3       |
|               | energization,       | equipment        |            |
|               | startup, or release |                  |            |
|               | of hazardous energy | d\. Change in a  |            |
|               |                     | process that     |            |
|               | All other employees | presents new     |            |
|               | whose work          | hazards          |            |
|               | operations are or   |                  |            |
|               | may be in an area   | e\. Change in    |            |
|               | where energy        | energy control   |            |
|               | control procedures  | procedures       |            |
|               | are used            |                  |            |
+---------------+---------------------+------------------+------------+
| Chain         | All designated and  | a\. Initial      | FSH        |
| Saw/Crosscut  | authorized sawyers  | assignment       | 6709.11,   |
| Saw           |                     |                  | section    |
|               |                     | b\. Every        | 22.48      |
| "A"           |                     | 3-years          |            |
| Apprentice    |                     |                  |            |
| Sawyer        |                     | (                |            |
|               |                     | recertification) |            |
+---------------+---------------------+------------------+------------+
| Chain         | All designated and  | a\. Initial      | FSH        |
| Saw/Crosscut  | authorized sawyers  | assignment       | 6709.11,   |
| Saw           |                     |                  | section    |
|               |                     | b\. Every        | 22.48      |
| "B"           |                     | 3-years          |            |
| Intermediate  |                     | (                |            |
| Sawyer        |                     | recertification) |            |
+---------------+---------------------+------------------+------------+
| Chain         | All designated and  | a\. Initial      | FSH        |
| Saw/Crosscut  | authorized sawyers  | assignment       | 6709.11,   |
| Saw           |                     |                  | section    |
|               |                     | b\. Every        | 22.48      |
| "C" Advanced  |                     | 3-years          |            |
| Sawyer        |                     | (                |            |
|               |                     | recertification) |            |
+---------------+---------------------+------------------+------------+
| Chain         | All designated and  | a\. Initial      | FSH        |
| Saw/Crosscut  | authorized sawyers  | assignment       | 6709.11,   |
| Saw           |                     |                  | section    |
|               |                     | b\. Every        | 22.48      |
| "C" Sawyer    |                     | 3-years          |            |
| Certification |                     |                  |            |
|               |                     | (                |            |
|               |                     | recertification) |            |
+---------------+---------------------+------------------+------------+
| Blasting      | All designated and  | a\. Initial      | FSM 6745   |
| Certification | authorized blasters | assignment       |            |
|               |                     | (blaster         | FSH        |
|               |                     | trainee)         | 6709.11,   |
|               |                     |                  | section    |
|               |                     | b\. 1-year       | 62.1       |
|               |                     | (recertification |            |
|               |                     | for blaster)     |            |
+---------------+---------------------+------------------+------------+
| Scientific    | All employees       | a\.              | 29 CFR     |
| Diving        | designated and      | Prerequisites:   | 19         |
|               | authorized to       |                  | 10.401(iv) |
|               | engage in           | \(1\) Medical    |            |
|               | scientific diving   | evaluation       | Appendix B |
|               |                     |                  | to Subpart |
|               |                     | \(2\) Emergency  | T to Part  |
|               |                     | care training    | 1910       |
|               |                     |                  |            |
|               |                     | b\. Entry-Level  | FSH        |
|               |                     | Diver            | 6709.12,   |
|               |                     |                  | chapter 17 |
|               |                     | c\.              | (ID)       |
|               |                     | D                |            |
|               |                     | iver-in-Training |            |
|               |                     |                  |            |
|               |                     | d\. Scientific   |            |
|               |                     | Diver            |            |
+---------------+---------------------+------------------+------------+
| Firearms for  | Any employee        | Annually (each   | FSH        |
| Non-Law       | authorized to carry | term of          | 6709.11,   |
| Enforcement   | a firearm           | employment or    | section    |
| Personnel     |                     | field season     | 51.22      |
|               |                     | requiring        |            |
|               |                     | firearms use)    |            |
+---------------+---------------------+------------------+------------+
| Aerosol       | Any employee        | a\. Initial      | FSH        |
| Defensive     | authorized to carry | assignment       | 6709.11,   |
| Spray Use     | aerosol defensive   |                  |            |
|               | spray               | b\. Every        | section    |
|               |                     | 2-years          | 51.32      |
|               |                     | (refresher)      |            |
+---------------+---------------------+------------------+------------+
| Telec         | All employees       | a\. Prior to     | 29 CFR     |
| ommunications | authorized to climb | assignment       | 1910.268   |
| Tower and     | telecommunications  |                  |            |
| Pole Climbing | towers and poles    | b\. Every        | FSH        |
|               |                     | 2-years          | 6709.11,   |
|               |                     | (recommended     | section    |
|               |                     | refresher)       | 26.62      |
|               |                     |                  |            |
|               |                     | c\. Every        |            |
|               |                     | 3-years          |            |
|               |                     | (mandatory       |            |
|               |                     | refresher)       |            |
+---------------+---------------------+------------------+------------+
| Personal      | Any person required | a\. Initial      | 29 CFR     |
| Protective    | to wear PPE. (for   | assignment       | 1          |
| Equipment     | example, hard hats, |                  | 910.132(f) |
|               | gloves, safety      | b\. Retraining   |            |
|               | shoes, eye          | required when:   | FSH        |
|               | protection, hearing |                  | 6709.11,   |
|               | protection)         | \(1\) Changes in | section 72 |
|               |                     | the work or      |            |
|               |                     |                  |            |
|               |                     | PPE are          |            |
|               |                     | necessary        |            |
|               |                     |                  |            |
|               |                     | \(2\) Apparent   |            |
|               |                     | inadequacies     |            |
|               |                     |                  |            |
|               |                     | in employee      |            |
|               |                     | knowledge        |            |
+---------------+---------------------+------------------+------------+
| Portable Fire | Any time portable   | a\. Initial      | 29 CFR     |
| Extinguishers | fire extinguishers  | assignment       | 1910.157   |
|               | are provided for    |                  | (g)        |
|               | employee use in the | b\. Annual       |            |
|               | workplace.          | refresher        |            |
+---------------+---------------------+------------------+------------+
| Oxygen-Fuel   | Persons designated  | Initial          | 29 CFR     |
| Gas Welding   | to operate such     | assignment       | 1910.297   |
| and Cutting   | equipment           |                  |            |
|               |                     |                  | 29 CFR     |
|               |                     |                  | 1926.350   |
+---------------+---------------------+------------------+------------+
| Arc Welding   | Persons designated  | Initial          | 29 CFR     |
| and Cutting   | to operate such     | assignment       | 1910.254   |
|               | equipment           |                  |            |
|               |                     |                  | 29 CFR     |
|               |                     |                  | 1926.351   |
+---------------+---------------------+------------------+------------+
| Resistance    | Persons designated  | Initial          | 29 CFR     |
| Welding       | to operate such     | assignment       | 1910.255   |
|               | equipment           |                  |            |
+---------------+---------------------+------------------+------------+

1This Technical Skills Training matrix is not all-inclusive, but
represents numerous functions performed

by employees on a service wide basis.

+------------------------+-----------------------+---------------------+
| Employee Rights--Safe  | Initial assignment    | 29 CFR Part 1960    |
| and Healthful          |                       |                     |
| Workplace Environment  |                       |                     |
+------------------------+-----------------------+---------------------+
| Occupant Emergency     | a\. Initial           | 29 CFR 1910.38      |
| Plan                   | assignment            |                     |
|                        |                       |                     |
| (Includes Fire         | b\. Whenever employee |                     |
| Prevention Plans)      | responsibilities      |                     |
|                        | change                |                     |
|                        |                       |                     |
|                        | c\. Whenever the plan |                     |
|                        | is changed            |                     |
+------------------------+-----------------------+---------------------+
| Violence in the        | Initial assignment    | 36 CFR 261.         |
| Workplace              |                       |                     |
|                        |                       | FSM 6710.4          |
+------------------------+-----------------------+---------------------+
| Employee Assistance    | Initial assignment    | USDA Safety and     |
| Program                |                       | Health Manual       |
|                        |                       |                     |
|                        |                       | FSM 6143            |
+------------------------+-----------------------+---------------------+

D

Forest Safety Officer Larry Anderson Phone -- (970) 945- 3275

Forest Administration Officer Stephen Moore Phone -- (970) 945-3208

Aspen Safety Coordinator Chandra Allred Phone -- (970) 963-2266

Blanco Safety Coordinator Kasey Cox Phone -- (970) 964-3717

Dillon Safety Coordinator Phone -- (970) 242-5548

Holy Cross Safety Coordinator Phone -- (970) 827-5159

Rifle Safety Coordinator Travis Bruch Phone---\[970\] 625-6580

UCR Safety Hal Coombs Phone -- (970) 625-2371

Supervisor's Office Safety Coordinator Kieth Giezentanner Phone -- (970)
945-3244

Wellness Coordinator Anita Moulton Phone -- (970) 945-3216

Law Enforcement Harry Shiles Phone - (970) 963-2266

Other Contacts

Hazardous Materials Coordinator TBD

Hazardous Materials Spill Coordinator TBD

ASI Certified ATV Instructor Jim McBreen Phone -- \[970\] 945-3274

Snowmobile Instructors Linn Pettijohn Phone -- \[970\] 878-4039

Horse and Pack Stock Certifiers Wayne Ives Phone -- \[970\] 963-2266

Ron Taussig Phone -- \[970\] 878-4039

Trailer-Towing Certifier Larry Anderson Phone -- \[970\] 945-3275

**Appendix H**

**Unit Aviation Plan**

![](media/image7.png){width="5.750694444444444in" height="1.5in"}

Unit Aviation Plan

January 2007

NO AVIATION ACTIVITY IS SO IMPORTANT THAT IT

CANNOT BE ACCOMPLISHED SAFELY

Prepared by: \_\_\_/s/ Guy
Keene\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_Date: January 25, 2007 Unit
Aviation Officer

Reviewed by: \_\_\_\_/s/ Chad Johnson\_ \_\_\_\_\_\_\_\_\_\_\_\_\_Date:
January 26, 2007

Helitack Foreman

Reviewed by: \_\_/s/ Stephanie Rocco \_\_\_\_\_\_\_\_\_\_\_\_\_\_ Date:
January 26, 2007 Air Center Manager

Reviewed by: \_\_/s/ J. Kent Hamilton\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_Date:
January 30, 2007

BLM, State Aviation Manager

Reviewed by: \_\_\_\_/s/ Hank Dominguez\_\_\_\_\_\_\_\_\_\_\_ Date:
February 26, 2007

USFS, Acting Region 2 Aviation Officer

Approved by: \_/s Catherine Robertson\_\_\_\_\_ Date: March 12, 2007

UCR Zone Board of Directors Chair

Approved by: \_\_/s/ Maribeth Gutafson\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Date:
March 1, 2007

Forest Supervisor, White River NF

Table of Contents

I. Preface 3

II\. Significant Changes -- 2007 3

III\. Introduction 4

IV\. Area Airports and Heliports 6

V. Organization, Roles and Responsibilities 7

VI\. Operational Policy 8

Authorization for Use of Non-Agency Approved Aircraft 9

Authorized Passengers 10

Individuals Other than Government Employees in Agency Aircraft 10

Flight Scheduling 10

Approved Aircraft and Pilots 11

Night Flights 11

Instrument Flights 11

Transportation of Hazardous Materials 12

Low Level Flights 12

Communications 13

Personal Protective Equipment 14

Temporary Flight Restrictions 15

Use of Aircraft over Wildernesses or Wilderness Study Areas 16

Flights by Agency Law Enforcement Personnel 16

VII\. Training Requirements 17

VIII\. Use and Management of Airtankers 18

Aerial Supervision Requirements over Incidents 19

IX\. Management of Helicopters 21

X. Use and Management of Military Aircraft 21

XI\. Ordering, Dispatching and Controlling Flights 23

XII\. Special Project Flights -- Aviation Project Safety Planning 24

XIII\. End Product Contracts (Job Contracts) 25

XIV\. Overdue and Missing Aircraft Procedures 25

XV\. Search and Rescue Operations 26

XVI\. Incident/Accident Reporting Procedures 26

Preface

This Unit Aviation Plan consolidates applicable agency aviation
management direction from Aviation Management Directorate of the
National Business Center (DOI) and USFS sources including National,
Regional and State manuals, handbooks, and plans.

This aviation plan provides direction for undertaking aviation
management activities in support of accomplishing resource management
objectives on DOI lands administered by the Grand Junction and Glenwood
Springs Field Offices of the Bureau of Land Management, and lands
administered by the White River National Forest as well as lands
administered by the Grand Valley Ranger District of the Grand Mesa,
Uncompahgre and Gunnison National Forests.

In most cases, aviation policy is the same for both agencies.Differences
are highlighted where applicable for the reader.

The content of this plan focuses on aviation management activities
conducted in support of natural resource management and wildland fire
suppression. This plan does not supercede or replace project aviation
safety plans or operational guides used to manage aviation resources at
the project or Unit level.

Significant Changes to the Unit Aviation Plan - 2007

The following changes to policy and procedures are highlighted for the
reader. Additional information is available in the respective portions
of this document.

Colorado Zone 2 Air-to-Ground Frequency Change

In an agreement with Craig Interagency Dispatch Center, the Grand
Junction Interagency Dispatch Center will assign the Zone 2 Secondary
Air-to-Ground frequency when dispatching aircraft to an incident. Craig
will assign the Zone 2 Primary Air-to-Ground frequency to their
incidents. This will help to avoid bleed over and confusion of assigned
A/G frequencies in Zone 2 which is a major boundary area for both
dispatch centers.

Interagency Aviation Training Now Required for Forest Service Employees

Previously, only DOI employees were required to comply with Interagency
Aviation Training standards. As of 2006, the Forest Service has adopted
these training requirements as well. More information can be found at
the IAT website: iat.nifc.gov. Combination Helicopter/Airplane Safety
training is now the standard requirement for any one flying in any
'special use' mission, which is defined as anything not straight and
level flight in a straight line from one airport to another airport. If
individuals are qualified for aviation positions under 5109.17/ 310.1 in
IQCS then there is no additional training requirements but if they are
not in fire but are involved in other natural resource work the
Interagency Aviation Training (A-courses) would be a requirement. (See
section VII, Training Requirements.)

Aircraft Availability

There will be one single engine air tanker (SEAT) based at the Grand
Junction Air Center. Although there is no heavy airtanker to be
stationed at Grand Junction, the tanker base will remain open and heavy
airtankers may be prepositioned to Grand Junction as fire activity
dictates. See the 2007 Colorado Interagency SEAT Operations Plan for
more information.

A SEAT under contract to the Colorado State Forest Service (CSFS) may be
prepositioned at Grand Junction or one of the other commercial airports
in the local area (Rifle, Meeker, Eagle County, or Aspen) during periods
of heightened fire danger.

There is a BLM Aerial Supervision Module (ASM) platform based in Grand
Junction. This resource will be used as a leadplane and may act as an
aerial supervision module (ASM) if the position of air tactical group
supervisor (ATGS) is not staffed.

Aerial Supervision Requirements

The most current version of exemption 392 from 14 CFR Part 91.119
requires that a

leadplane (or ASM) be ordered (not present) prior to conducting tactical
aviation

operations over congested areas.

New Air Tactical Group Supervisor (ATGS) PPE Requirements

For 2007, leather shoes or boots and full length cotton or nomex pants
or flight suit is required PPE for all interagency ATGS operations.
Refer to: Interagency Standards for Fire and Aviation Operations 2007,
Red Book Chapter 17-13.

Introduction

Aviation Uses

Aviation resources are utilized in support of land management activities
for reconnaissance, data gathering, law enforcement and administrative
flights. In addition to traditional activities in support of fire
management, aircraft are used for specialized activities such as wild
horse gathering, aerial seeding and other Special Use missions as
described in OPM-29.3(C).

Local Topographic and Climatic Conditions

Aviation activities are conducted over rugged terrain at elevations
ranging from 4000' MSL to over 14000' MSL. Lower elevations are
characterized by breaklands and canyons dominated by high desert shrubs
and grasses. Middle elevations include steep breaklands and sideslopes
associated with mesa and plateaus. Gambel Oak, Pinyon-juniper, sagebrush
and associated shrub species transition to Aspen at the upper
elevational bounds downslope from mixed conifer stands. Upper elevations
below timberline are dominated by Lodgepole Pine, Sub-alpine Fir and
Engelmann Spruce. Alpine areas above timberline are covered with snow
through much of the year.

Over 750,000 acres of the Unit is designated as Wilderness. Numerous
wilderness study areas are administered by the BLM. Both designations
may constrain aircraft use particularly during non-emergency activities.
Application of fire retardant chemicals may be constrained as well.

At lower elevations, hot, dry conditions dominate through much of the
field season with daily temperatures ranging from the low 90's to low
100's. Higher elevations typical of the Eastern portion of the Unit
around the Continental Divide are typified by high density altitude
during much of the summer months. Rugged terrain features both at high
and low elevations influence orographic wind conditions and thermal
lifting which warrant consideration by vendor pilots as well as aviation
users.

Significant Flight Hazards

Flight hazards commonly encountered in the local area include frequent,
intense thunderstorm activity during the summer months. Heavy snow, high
wind and poor visibility are typical of the higher terrain and portions
of the Colorado River corridor during winter months.

No designated military training routes (MTR) are present on the Unit.
Walker Field in Grand Junction supplies military fuel and maintenance
for aircraft operating just west of the Colorado/Utah state line.

Power lines adjacent to the I-70 corridor and associated communities
constitute a significant flight hazard for low level (\< 500' AGL)
operations along the Colorado and Eagle River corridors. Power lines and
remnant cables used for river crossings are located in major drainages
throughout the Unit.

Gas and oil drilling platforms often have tall rigs associated with them
which are located in traditionally fire prone areas on the unit. These
platforms are not depicted on flight sectionals. Local hazard maps and
aviation specialists should be consulted before undergoing low level
flight operations in the area. A high reconnaissance of areas is
encouraged before beginning operations.

The Colorado Army National Guard conducts low-level helicopter training
activities on interagency lands around the towns of Eagle and Gypsum.
Training activities occur in the Flat Tops Wilderness as well as
non-wilderness lands.

Unexploded ordinance at Camp Hale (Holy Cross Ranger District) and
surrounding areas used for training by the 10th Mountain Division during
World War II pose a flight hazard to aircraft engaged in low level
flight in support of fire suppression and/or resource management
activities.

The UCR hazard map identifies known flight hazards discussed above.
Sectionals are also commonly used to identify known flight hazards on
the Unit.

Aircraft Availability

Fixed-wing aircraft are available from several local vendors through
standard agency procurement processes. Helicopter services on a
call-when-needed (CWN) basis are limited to selected vendors in Western
Colorado, the Salt Lake City area and the Front Range of Colorado.

The Unit Aviation Manager or staff of the Grand Junction Interagency
Dispatch Center can assist users by providing information regarding the
availability of aircraft, their cost and applicability for the intended
mission. All aircraft procurement (excluding agency end-product or job
contracts) will be undertaken by the staff of the Grand Junction
Interagency Dispatch Center.

The Unit supports the following aviation resources in support of fire
suppression activities:

Type I and 2 Airtanker Base -- Grand Junction

Satellite Smokejumper Base - Grand Junction

Single Engine Air Tanker (SEAT) - Grand Junction

Aerial Supervision Module (ASM) - Grand Junction

Type III Helicopter - Rifle

Single Engine Air tanker (SEAT) Base - Rifle

Area Airports and Heliports

Five airports serve the local area. Key parameters and information for
each of these facilities is noted below.

+-----------+---------+---------+----------+----------+--------------+
| Airport   | Coor    | El      | Runway   | VHF-AM   | Remarks      |
|           | dinates | evation |          |          |              |
|           |         |         | Di       | F        |              |
|           |         |         | mensions | requency |              |
+-----------+---------+---------+----------+----------+--------------+
| Aspen     | N 39    | 7815'   | 7004' X  | Tower    | Restricted   |
| (ASE)     | 13.39   |         | 100'     | 118.85   | Operating    |
|           |         |         |          |          | Hours. Hang  |
|           | W 106   |         |          |          | gli          |
|           | 52.13   |         |          |          | der/parasail |
|           |         |         |          |          | activity     |
|           |         |         |          |          | South of     |
|           |         |         |          |          | airport      |
|           |         |         |          |          | toward town. |
|           |         |         |          |          | Small        |
|           |         |         |          |          | aircraft     |
|           |         |         |          |          | congestion,  |
|           |         |         |          |          | caution!     |
+-----------+---------+---------+----------+----------+--------------+
| Eagle     | N 39    | 6535'   | 8000' X  | Tower    | Military     |
| County    | 38.55   |         | 150'     | 119.80   | helicopter   |
| Regional  |         |         |          |          | training     |
| (EGE)     | W 106   |         |          |          | activity on  |
|           | 55.06   |         |          |          | North Ramp   |
|           |         |         |          |          | and 1000'    |
|           |         |         |          |          | AGL X 25 nm  |
+-----------+---------+---------+----------+----------+--------------+
| Meeker    | N 40    | 6421'   | 6500' X  | Unicom   |              |
| (EEO)     | 02.93   |         | 60'      | 122.80   |              |
|           |         |         |          |          |              |
|           | W 107   |         |          |          |              |
|           | 53.15   |         |          |          |              |
+-----------+---------+---------+----------+----------+--------------+
| Rifle     | N 39    | 5544'   | 7000' X  | Unicom   | Caution with |
| (RIL)     | 31.58   |         | 100'     |          | increasing   |
|           |         |         |          | 122.80   | jet traffic  |
|           | W 107   |         |          |          | and          |
|           | 43.62   |         |          |          | congestion   |
+-----------+---------+---------+----------+----------+--------------+
| Grand     | N 39    | 4858'   | 10501' X | Tower    |              |
| Junction  | 07.35   |         | 150'     | 118.10   |              |
| (GJT)     |         |         |          |          |              |
|           | W 108   |         |          |          |              |
|           | 31.60   |         |          |          |              |
+-----------+---------+---------+----------+----------+--------------+

The use of the Glenwood Springs airport is not allowed by direction from
Regional and State Aviation Managers due to numerous incidents in the
past related to this airport being surrounded by mountainous terrain and
subject to light to moderate turbulence during approach and departures.

Commercial airlines service Grand Junction on a year-round basis. Most
of the transport of personnel and cargo in support of fire management
activities occurs at Walker Field in Grand Junction. Support of extended
attack incidents with point-to-point aircraft operations, incident
reconnaissance and limited tactical aviation activities can be
accommodated at either Rifle or Eagle.

No FAA designated heliports are located on lands administered by Federal
land management agencies except the helibase at the Grand Junction Air
Center. Two heliports are identified at the Garfield County Airport.

Neither the BLM nor USFS maintains heliports or helispots on Federal
lands. In most cases, unimproved landing areas can be found in close
proximity to work areas for resource management projects. Requirements
for designating a helispot can be found in the Interagency Helicopter
Operations Guide (IHOG).

Organization, Roles and Responsibilities

Agency Line Officer -- The Forest Supervisor (USFS) is responsible for
all aviation related activities on National Forest lands. Field Office
Managers (BLM) has the responsibility for aviation management activities
on BLM lands.

Some responsibilities for planning, procurement and administration of
aviation related activities have been retained by the State Aviation
Manager (BLM) and Regional Aviation Officer (USFS).

Unit Aviation Manager -- The Unit Aviation Manager (UAM) has been
delegated much of the day-to-day responsibility to coordinate, supervise
and review all phases of the aviation related activities on the Unit.
This individual ensures aviation operations are planned and conducted in
compliance with applicable agency policy and procedures.

Grand Junction Interagency Dispatch Center Staff -- The Dispatch Center
Manager and staff are responsible for procurement of aircraft from
approved sources (except for end-product or job-service contracts which
are procured through agency specific procurement processes). All
aviation related activities planned on the Unit will be coordinated with
the Unit Aviation Manager and the Dispatch Center staff in advance of
planned operations to ensure that airspace management considerations are
addressed. Flight following is accomplished by the Dispatch Center
staff.

Administration of exclusive use aircraft contracts as well as support
and coordination activities for most aviation resources associated with
fire suppression is the responsibility of the Unit Aviation Manager. All
payment documents for mission flights for any non-exclusive contract
aircraft will be reviewed by the Unit Aviation prior to payment.

Unit Aviation Management Staff -- Several staff members have job
responsibilities in one or more areas of aviation management. These
individuals can assist aviation users by providing technical expertise
in planning and implementing aviation related activities on the Unit.

Guy Keene Unit Aviation Manager (970) 683-7701

Chris Farinetti Operations Spec., GJAC (970) 257-4809

Chad Johnson Helitack Foreman, Rifle (970) 625-2872

Bob Leighty AFMO, Fuels, Glenwood Springs (970) 945-3128

Flight Manager --A Fixed Wing or Special Use Flight Manager will be
assigned to all aircraft flights in which agency employees are being
transported. In addition, many of the same responsibilities are carried
out by a designated project inspector for aviation operations associated
with resource management activities.

Responsibilities of the Fixed Wing or Special Use Flight Manager
include:

Verifying that the aircraft and pilot are approved (carded) for the
mission to be conducted.

Ensuring that a flight plan has been filed and activated by the pilot.

Ensuring that all passengers are manifested and personnel/equipment are
weighed.

Ensuring that the pilot is briefed on mission objectives.

Ensuring that all passengers receive a safety briefing from the pilot or
authorized crew member.

Ensuring that applicable PPE is available and worn by all personnel

Contacting the Interagency Dispatch Center via radio or telephone with
updates of flight status including delays which exceed 30 minutes.

Additional information regarding the responsibilities of the Flight
Manager is included in Appendix E.

All Agency Employees -- All employees are responsible to report to their
supervisor, aviation officer or line officer any agency aviation
operation they believe is being conducted in a manner which is hazardous
or which does not adhere to applicable agency policy or Federal Aviation
Regulations. This report shall be documented in writing within 48 hours
of the incident occurring on a SAFECOM (refer to Appendix B).

All employees are responsible to initiate action(s) to stop any aviation
operation when conditions indicate that continuing the activity would
jeopardize the safety of agency employees, the public and/or the
aircraft vendor's employees.

No agency employee will ride in any aircraft or with any pilot not
carded for the mission. Individual aircraft users are responsible to
check agency approval cards prior to undertaking the flight or mission.

All aviation incidents or accidents will be reported immediately to the
Grand Junction Interagency Dispatch Center at (970) 257-4800 upon
discovery or notification by cooperators or members of the public. This
includes all general aviation (private), commercial, military, and
contractor or cooperator aircraft.

Operational Policy

All aviation activities will be implemented in compliance with
applicable Federal Aviation Regulations (FAR) and agency specific
manuals, handbooks and associated direction including those noted below.

FSH 6709.11 Forest Service Health and Safety Code

FSM 5700 Forest Service Aviation Management Manual

FSH 5709.11 Forest Service Flight Operations Handbook

BLM 1112-2 BLM Safety and Health Handbook for Field Operations

DM 350-354 DOI Aviation Policy and related NBC-AM memoranda

BLM 9400 BLM Aviation Management Manual

ACETA Handbook

Interagency Helicopter Operations Guide

Interagency Lead Plane Operations Guide

Interagency Aerial Ignition Guide

Interagency Airspace Coordination Guide

Interagency Air Tactical Group Supervisor Operations Guide

Interagency Air Tanker Base Operations Guide

Interagency Single Engine Airtanker Operations Guide

Interagency Smokejumper Pilots Operations Guide

Aerial Supervision Module Operations Guide (BLM)

NO DEVIATIONS FROM THE ABOVE REGULATIONS ARE PERMISSABLE EXCEPT IN AN
EMERGENCY

The following are a series of policy statements to be used as a
reference by all employees involved in the planning and implementation
of aviation related activities on the Unit.

Authorization for Use of Non-Agency Approved Aircraft

In all instances, agency employees will fly with pilots and aircraft
approved by either USFS or NBC-Aviation Management Directorate (AMD)
inspectors.

In specific cases where approved aircraft are not available or their use
is not practical, agency personnel may fly in unapproved aircraft to
perform an evacuation in a life threatening situation. The Regional
Forester (USFS) or via the State Aviation Manager -- National Aviation
Office - NBC-Aviation Management West Area Office (BLM) for concurrence
and approval in advance of the planned flight. Approval will be by
letter and will include the name(s) of the authorized employees,
restrictions and expiration date.

Agency law enforcement personnel are exempt from this requirement for
covert operations with the Colorado Army National Guard. A memorandum of
understanding provides the basis for agency participation in these types
of missions.

In certain situations, employees may find it necessary to fly in
corporate or private aircraft when accompanying individuals or groups on
government business. The Flight Manager may not approve such flights.
These flights must be authorized in advance by the Regional Forester and
RAO (USFS) or NBC-Aviation Management West Area Office (BLM) as
previously discussed.

Employees should forward the following information to the Unit Aviation
Manager regarding their participation in flights using non-approved
aircraft:

Name of participating employee(s)

Description and duration of the proposed flight(s)

Name, telephone number and point of contact for the vendor to be used

Aircraft make and model, FAA registration number of the aircraft (N
Number)

Names(s) of flight crew and FAA Certificate numbers

Brief narrative why the employee(s) are required to fly in a
non-approved aircraft in performance of their duties.

In emergency situations such as search and rescue or medical
evacuations, agency personnel may need to ride in unapproved military,
commercial or private aircraft. The appropriate sub-Unit or Unit Line
Officer may verbally authorize these actions with follow up
documentation via a SAFECOM within 48 hours of the occurrence.

Authorized Passengers

Unless specifically approved in writing in advance by the Unit Line
Officer or his/her representative, only employees of the Federal
Government with a specific need to fly will be authorized to fly.

Individuals other than Government Employees in Agency Aircraft

The Unit Line Officer may authorize individuals other than Government
employees to participate in agency flights if their presence is
advantageous to the Government (350 DM 1.70, FSM 5716.4, and FSM 6540).
Cooperative agreements have been completed with several State agencies
to accommodate this need.

Non-government persons must be authorized prior to the flight on a Day
Trip Authorization (FS-5700-12, Appendix J) by the Unit sponsoring the
flight. The authorization must clearly state the nature of the mission.

Members of the press or other media may be authorized to fly by the Unit
Line Officer having jurisdiction over the event of interest, the
Regional Director of Fire and Aviation Management (USFS) or for an
incident in progress, by the Incident Commander.

Delegation of this responsibility to the Incident Commander should be
included in the delegation of authority letter prepared by the agency
Line Officer. Unless specifically addressed in writing, Incident
Commanders are NOT authorized to assume this responsibility.

Passengers may be carried on administrative flights and routine mission
flights including training and proficiency flights. Tactical fire
suppression flights are restricted to essential personnel unless an
exception is granted by the Regional Director of Fire and Aviation
Management (USFS) or NBC-Aviation Management West Area Office (BLM).

Flight Scheduling

To ensure that only qualified and essential crew members and observers
are used on project flights, all flights will be scheduled through the
Grand Junction Interagency Dispatch Center. For further information on
requesting aviation resources, refer to the 2007 Grand Junction
Interagency Dispatch Center Mobilization Guide.

Approved Aircraft and Pilots

Except for scheduled air carriers and planned point-to-point flights,
all aircraft and pilot(s) must have in their possession a current
(non-expired) USFS or Aviation Management Directorate (AMD) card
approving the specific mission or project to be undertaken. Pilot cards
must directly correspond to the make, model and series of aircraft to be
used.

Agency employees should contact the Unit Aviation Manager or the Grand
Junction Interagency Dispatch Center staff with any questions regarding
approval cards prior to initiating the mission or flight. Agency
employees must fly point-to-point with vendors operating under FAR Part
135.

  ----------------------------------- -----------------------------------
  Approval                            Form/Card

  Fixed-Wing Aircraft                 FS-5700-21 or OAS Form 36A

  Helicopter                          FS-5700-21A or OAS Form 36B

  Pilot -- Fixed Wing                 FS-5700-3A or OAS Form 30A

  Pilot -- Helicopter                 FS-5700-20 or OAS Form 30B
  ----------------------------------- -----------------------------------

Non-recurrent use of National Guard aircraft and pilots for missions in
the interest of the Government are acceptable providing both the
aircraft and pilots are authorized for use by the Regional Aviation
Officer or NBC-AMD (USFS and BLM). The Regional Helicopter Operations
Specialist completes this authorization annually.

National Guard pilots are authorized for specific makes and model of
aircraft. A hard copy of this authorization must be carried onboard all
ANG aircraft.

Operating procedures and PPE requirements for agency personnel will
adhere to military policy and procedures unless agency requirements are
more restrictive.

Law enforcement flights are exempt from the above requirements as
outlined in the applicable memorandum of understanding with the Colorado
Army National Guard.

Night Flights

For general planning purposes, other than point-to-point flights in
multi-engine aircraft, NO flights will be conducted with agency
personnel onboard at night. Certain exceptions apply to this rule.
Contact the Unit Aviation Manager for further information. Refer to 351
DM 1.3 (BLM) and FSM 5716.2 (USFS) for agency specific information.

Instrument Flights

Vendor operated multi-engine aircraft are required for night flights for
both BLM and USFS personnel. Certain exceptions pertaining to
single-engine aircraft apply to USFS employees as follows:

Single engine aircraft may be used for flights under instrument flight
rules (IFR) provided they meet the requirements of FAR 135.181 (1) (2)
where visual flight rules (VFR conditions) exist to a point no more than
15 minutes flight time at normal cruise speed from the departure airport
(FSM 5716.12).

IFR conditions generally exist when visibility is less than three (3)
miles and clouds are less than 1,000 feet above the ground.

Flights in DOI owned or operated single engine aircraft must comply with
351 DM 1.3B.

Transport of Hazardous Materials

All transport of hazardous materials during field operations will
conform to the requirements outlined in the Interagency Aviation
Transport of Hazardous Material Guide (January 2005, NFES 1068). This
guide and letter of exemption (Reference IAT at: iat.nifc.gov. Module
and guide all available on-line) must be carried onboard the aircraft
and must be available to the flight crew and ground personnel for
reference as needed. The guide does not pertain to carrying hazardous
materials on commercial air carriers.

Material carried on commercial air carriers must comply with the
requirements of 49 CFR 175. For general planning purposes, chain saws
and fusees will not be accepted for transport by commercial air
carriers.

Military aircraft may have more restrictive regulations pertaining to
the transport of hazardous materials than those referenced in the above
guide. Users should check with the military liaison or pilot in command
for specific requirements as appropriate.

Low Level Flights

Operations of fixed-wing aircraft at altitudes less than 500 feet above
the ground and closer than 1000 feet to persons, vehicles and structures
is authorized under Exemption No. 392 from FAR 91.119 (Minimum Safe
Altitudes).

Exemption No. 392 is subject to the following:

The deviation is limited to project PASP, aerial surveys, cargo dropping
and aerial application of fire retardants subject to the following
provisions:

A thorough survey for obstacles and check of air conditions in each
operating area shall be made prior to low-level flight operations.

All flights below 500 feet AGL shall be confined to the immediate area
being treated or where operational requirements make such flights
essential.

All aircraft are to follow a planned flight course.

Low-level flight operations shall be conducted under VFR conditions
during daylight hours (one hour before sunrise to one hour after
sunset).

The pilot must avoid creating any unnecessary hazard to passengers or
persons or property on the surface.

Agency personnel are required to wear appropriate personal protective
equipment (PPE) for the type of mission being conducted (refer to
Aviation Life Support Equipment (ALSE) Handbook at the Aviation
Management Directorate (AMD) website under the Safety Library:
amd.nbc.gov/safety/library).

Communications

Communications must be established and maintained between all aircraft
and the Grand Junction Interagency Dispatch Center. The designated
flight following frequency for all aircraft operations is:

VHF-FM 168.650 (Tx/Rx)

A fifteen (15) minute check-in period is the standard for all aircraft
operating on agency sponsored projects or incidents. If required, the
Dispatch Center staff shall request assistance for flight following from
sub-Units before the flight is initiated to ensure adequate radio
coverage (portions of the Dillon Ranger District).

The BLM permits onsite flight following for agency operated project
aircraft. Contact must be maintained with Dispatch via telephone or
radio.

Aircraft engaged in job contracts (USFS) are exempt from this
requirement. It is recommended that the agency project manager and
contractor establish a similar type of flight following system using a
discrete frequency at the job site. On USFS end-product services
contracts, the contractor is responsible to establish and maintain
flight following.

The flight following frequency identified above shall not be used for
air-to-ground communications or other incident related aviation
management activities.

Air-to-ground (VHF-FM) and air-to-air (VHF-AM) frequencies will be
requested through the Grand Junction Interagency Dispatch Center prior
to planned use for incident communications. Region 2 has established six
Initial Attack Zones with pre-assigned frequencies for initial attack
use only. Additional frequencies must be requested from the Grand
Junction Interagency Dispatch Center for extended attack. Frequencies
must be approved by the Rocky Mountain Area Coordination Center (RMACC)
or Area Frequency Coordinator to avoid conflicts with other incidents in
the area.

Transitory agency aircraft crossing over the Unit should contact the
Grand Junction Interagency Dispatch Center with the planned flight route
and estimated time enroute to avoid possible airspace conflicts,
identify established TFR's and to ensure flight following services are
available.

Use of Air Guard (168.625 Tx/Rx)(Tone 110.9) is restricted to emergency
traffic only.

Automated Flight Following (AFF) is a flight following system that
allows users to track equipped aircraft via the internet. It
automatically tracks the location, altitude, course, and speed of
aircraft, providing this information in real time to dispatchers,
aviation managers, and other system users. Implementation of the system
is taking place in stages, and most all of the aircraft on the unit are
now equipped with the necessary hardware. AFF equipped aircraft entering
or transiting the unit may either be tracked by the dispatch center from
with the aircraft originally departed, or tracked by the local dispatch
center. Coordination between neighboring units is necessary to ensure
that tracking is maintained. More information on AFF can be found at
[https://aff.nifc.gov](https://aff.nifc.gov/) or the Rocky Mountain Mob
Guide.

Personnel Protective Equipment

Individuals flying on helicopters shall wear the following personal
protective equipment:

Shirt and trousers or one-piece flight suit made of fire resistant cloth
(Nomex or equivalent) which must overlap gloves and footwear while the
individual is seated.

Gloves made of leather or fire resistant material (Nomex).

Leather footwear with uppers at least 8 inches high. Synthetic uppers
are specifically prohibited unless approved in writing.

Approved Flight Helmet (SPH 4 or 5). Firefighters being transported to
and from helispots may wear a hardhat with an attached chin strap in
lieu of an approved flight helmet.

The reader should refer to the Aviation Life Support Equipment (ALSE)
Handbook (BLM) for further information.

All personnel flying or working around helicopters should wear
appropriate eyewear and hearing protection.

PPE required for fixed-wing operations conducted above 500 feet AGL.

The following PPE is required for all interagency ATGS operations:

Leather shoes or boots

Full length cotton or nomex pants or flight suit.

Reference: Interagency Standards for Fire and Aviation Operations 2007,
Red Book Chapter 17-13.

The same personal protective equipment identified above is required for
fixed-wing operations conducted below 500 feet AGL except for flight
helmet.

Temporary Flight Restrictions

Temporary flight restrictions may be warranted when:

It becomes necessary to protect persons or property on the ground or in
the air from hazards associated with a ground based incident.

Providing a safe environment for operations of disaster-relief aircraft
is required.

A high level of public interest in an incident or event results in
congestion associated with sightseeing and other aircraft.

Multiple aircraft operations are anticipated or in progress

A local NOTAM (Notice to Airmen) for a project/incident is rarely issued
if ever except for Prescribed Fire (RX) located in close proximity to
approach and departure paths for general aviation traffic to a local
airport.

The nature of the incident generates significant media attention.

Tactical aviation operations are anticipated for several operational
periods.

The Unit Aviation Manager can provide feedback in determining if a
temporary flight restriction is appropriate. Refer to the Interagency
Airspace Coordination Guide for further information.

In most cases, a TFR for land management activities or disaster relief
activities (fire suppression) will be requested/approved under FAR
91.137 (a) (2). This type of TFR prohibits most general aviation
activities within the specified areas, but allows for the following
activities:

Aircraft carrying law enforcement officials

Aircraft operating under an ATC approved IFR flight plan

Aircraft operating directly to or from an airport in the area where VFR
flight around or above the restricted area is impractical due to weather
or terrain

Aircraft carrying accredited media representatives when a flight plan is
filed with the FAA and the operation of the aircraft is conducted above
the altitude used by disaster relief aircraft unless otherwise
authorized by the official in charge of on scene emergency response
activities

It should be noted that information describing the TFR is distributed to
the general aviation community via a NOTAM. If pilots are unaware of the
TFR, airspace violations can and frequently do result.

All TFR's for interagency fire/land management activities will be
requested through the Grand Junction Interagency Dispatch Center.

The process for requesting or rescinding a TFR is as follows:

1\. TFR Request (Line Officer/Incident Commander) Dispatch Center

2\. Dispatch CenterGeographic Area Coordination Center (RMACC)

3\. RMACCAir Route Traffic Control Center (ARTCC)

Use of Aircraft within Designated Wilderness or Wilderness Study Areas
(FSM 2326 and BLM Handbook H-8550-1)

For lands administered by the Forest Service, the Forest Supervisor has
been delegated the authority to approve the use of aircraft within
wilderness areas under the following conditions:

Emergencies where the situation involves an inescapable urgency and

temporary need for speed beyond that available by primitive means.
Categories include fire suppression, health and safety, law enforcement
involving serious crimes or pursuit of fugitives, removal of deceased
persons and aircraft accident investigations.

Exploration and development of valid mineral rights.

All other proposed use of aircraft within wilderness areas must be
approved by the Regional Forester prior to such use (FSM 2326.04b).

The Forest Supervisor will approve all aircraft use within designated
wilderness areas, and a Request Form for Motorized/Mechanized Use
Authorizations in Wilderness must be completed and submitted to the
Forest Supervisor or designated for approval (FSM 2326.04c).

For lands administered by the BLM, which include Wilderness Study areas
(WSA) or National Conservation Area (NCA), Field Office Manager approval
is required before any landings in wilderness take place. Water bucket
or longline operations can be implemented without prior approval.

Helicopter operations in support of fire suppression, law enforcement
and search and rescue may be conducted in such a manner that minimally
impairs wilderness suitability for Wilderness Study Areas (WSA)
administered by the BLM. Reclamation will be completed as soon as
possible following the conclusion of the incident. Non-emergency
missions such as reconnaissance or surveys using helicopters may utilize
unimproved sites as long as non-impairment criteria is met.

Unit Resource Advisors should be consulted in situations where the
potential to impair wilderness suitability exists.

Flights by Law Enforcement Personnel

Non-covert missions conducted by law enforcement personnel in aircraft
procured through the Grand Junction Interagency Dispatch Center are
required to flight follow with the Center or designee at 15 minute
intervals. A grid system may be used at the request of law enforcement
personnel in lieu or reporting geographic or legal location to maintain
security during the operation.

Law enforcement personnel engaged in aviation activities with other
local, State and Federal cooperators will ensure that similar flight
following procedures are in place with the lead agency prior to
participating in the mission. Affected agency personnel will contact the
Grand Junction Interagency Dispatch Center on a daily basis (via
telephone) immediately prior to and immediately following the conclusion
of flight operations to provide a status check on their well being if
the lead law enforcement agency is not redeeming this requirement on the
behalf of agency employees.

BLM law enforcement personnel engaging in missions using ANG aircraft
under the terms of the applicable memorandum of understanding should
coordinate their activities with the Special Agent in Charge.

The Unit Aviation Manager will be advised of law enforcement related
aviation activities over lands administered by the Unit to ensure that
the potential for airspace conflicts is minimized and other emergency
response activities such as search and rescue or fire suppression can be
conducted without incurring an unacceptable level of risk.

VII\. Training Requirements

All employees

All employees (previously only DOI employees, but now Forest Service
employees as well) who participate in special use aviation activities
are required to maintain basic aviation safety awareness by
participating in basic aviation safety training every three (3) years
(Module B3).

Supervisors and Collateral Duty Aviation Safety Personnel

In addition to the above requirement, DOI supervisors and collateral
duty aviation safety personnel will participate in Aviation Management
Training for Supervisors (Module M3) every three (3) years. USFS
supervisors are highly recommended to attend this training.

Aerial Observers

Agency personnel qualified as aerial observers and not receiving
aviation safety refresher training by some other means will attend
refresher training every two (2) years.

VIII\. Use and Management of Airtankers

Incident Commander/Operations Section Chief Responsibilities

All initial requests for retardant will be placed through the Grand
Junction Interagency Dispatch Center. Operations personnel will be
advised of the availability, aircraft type, tail number, ETA and
air-to-ground radio frequency by the Dispatch Center staff.

Operations personnel may request reloads directly with the airtanker or
coordinate with aerial supervision resources on station such as the
leadplane, air tactical group supervisor (ATGS) or Aerial Supervision
Module (ASM).

In the absence of aerial supervision, Operations personnel are
responsible to advise airtankers of the following:

Location of known flight hazards

Location of personnel on the incident

Priorities for retardant application

Critical resource values to be protected

Recommended coverage level

Preference for direct or indirect attack

Providing feedback to the airtanker pilot on the success or failure of
the drop is an important element in optimizing the effectiveness of
retardant application.

Management of Airtankers

Unit aerial observers are not authorized to act in the capacity of air
tactical group supervisors unless qualified to do so. The presence of
two or more tactical aircraft over an incident requires that all
aircraft involved be carded for Interagency Fire. This requirement
implies having compatible VHF-FM communications capability.

Aerial observer aircraft should clear the area prior to the arrival of
an airtanker or orbit at an altitude which will not interfere with
arriving tactical aircraft (generally 2000 feet AGL above the tactical
aircraft or ATGS platform).

Reference: Redbook January 2007, 17-12

Air tactical operations will not be conducted in the absence of discrete
air-to-ground communications within a designated ground contact on
incidents in support of incidents located on agency or cooperator
jurisdictions.

Note: Single engine aircraft must be on the ground at legal sunset,
therefore some parts may not apply.

Aerial Supervision Requirements Over Incidents

+------------------+------------------+----+--------------------+----+
| Situation        | Lead Plane/ASM   | Re | ATGS               | Re |
|                  |                  | f. |                    | f. |
+------------------+------------------+----+--------------------+----+
| Airtanker pilot  | Required         | 1  |                    |    |
| is not initial   |                  |    |                    |    |
| attack rated     |                  |    |                    |    |
+------------------+------------------+----+--------------------+----+
| MAFFS            | Required         | 1  |                    |    |
+------------------+------------------+----+--------------------+----+
| Retardant drops  | Must be ordered  | 1  | May use until      |    |
| in congested     |                  |    | LEAD/ASM1 arrives  |    |
| areas            |                  |    | on scene           |    |
+------------------+------------------+----+--------------------+----+
| Level II rated   | Required if ATGS | 1  | Required if        | 1  |
| SEAT operating   | is not on scene  |    | LEAD/ASM1 is not   |    |
| over an incident |                  |    | on scene           |    |
| with more than   |                  |    |                    |    |
| one (1) other    |                  |    |                    |    |
| tactical         |                  |    |                    |    |
| aircraft on      |                  |    |                    |    |
| scene            |                  |    |                    |    |
+------------------+------------------+----+--------------------+----+
| Foreign          | Required if ATGS | 1  | Required if        | 1  |
| Government       | is not on scene  |    | LEAD/ASM1 is not   |    |
| airtankers       |                  |    | on scene           |    |
+------------------+------------------+----+--------------------+----+
| Retardant drops  | Required if ATGS | 1  | Required if        | 1  |
| conducted- 30    | is not on scene  | ,2 | LEAD/ASM1 is not   |    |
| minutes prior to |                  |    | on scene           |    |
| sunrise          |                  |    |                    |    |
|                  |                  |    |                    |    |
| until            |                  |    |                    |    |
|                  |                  |    |                    |    |
| 30 minutes after |                  |    |                    |    |
| sunrise          |                  |    |                    |    |
+------------------+------------------+----+--------------------+----+
| Retardant drops  | Required if ATGS | 1  | Required if        | 1  |
| conducted- 30    | is not on scene  | ,2 | LEAD/ASM1 is not   | ,2 |
| minutes prior to |                  |    | on scene           |    |
| sunset           |                  |    |                    |    |
|                  |                  |    |                    |    |
| to               |                  |    |                    |    |
|                  |                  |    |                    |    |
| 30 minutes after |                  |    |                    |    |
| sunset           |                  |    |                    |    |
+------------------+------------------+----+--------------------+----+
| Four or more     | Must be ordered  | 1  | Must be ordered    | 1  |
| airtankers       |                  |    |                    |    |
| assigned to an   |                  |    |                    |    |
| incident         |                  |    |                    |    |
+------------------+------------------+----+--------------------+----+
| Two or more      | Must be ordered  | 1  | Must be ordered    | 1  |
| helicopters with |                  |    |                    |    |
| two or more      |                  |    |                    |    |
| airtankers over  |                  |    |                    |    |
| an incident      |                  |    |                    |    |
+------------------+------------------+----+--------------------+----+
| Periods of       | Must be ordered  | 1  | Must be ordered    | 1  |
| marginal         |                  |    |                    |    |
| weather, poor    |                  |    |                    |    |
| visibility or    |                  |    |                    |    |
| turbulence       |                  |    |                    |    |
+------------------+------------------+----+--------------------+----+
| Two or more      | Must be ordered  | 1  | Must be ordered if | 3  |
| airtankers over  |                  |    | Lead Plane/ATCO is |    |
| an incident      |                  |    | not available      |    |
+------------------+------------------+----+--------------------+----+
| When requested   | Required         | 1  | Required           |    |
| by airtanker     |                  |    |                    |    |
| pilot            |                  |    |                    |    |
+------------------+------------------+----+--------------------+----+
| Presence of      | Must be ordered  | 1  | Must be ordered    | 1  |
| smokejumper or   |                  |    |                    | ,4 |
| paracargo        |                  |    |                    |    |
| aircraft with    |                  |    |                    |    |
| two or more      |                  |    |                    |    |
| airtankers over  |                  |    |                    |    |
| an incident      |                  |    |                    |    |
+------------------+------------------+----+--------------------+----+
| Incident has two |                  |    | Must be ordered    | 1  |
| or more branches |                  |    |                    | ,4 |
+------------------+------------------+----+--------------------+----+

NOTE: Aerial Supervision Modules (ASM1) may act as either a Lead or ATGS
depending on incident requirements

1\. Interagency Lead Plane Operations Guide and Interagency Air Tactical
Operations Guide (NFES 1393)

2\. Requires determination by either the ATGS or Lead Plane that
visibility and safety factors are suitable

for retardant operations and dispatch has been notified of this
determination.

3\. USFS FSM 5716.32 Standards for Fire and Aviation Operations

4\. Both the ILOG and ATGS Guide reference ordering an ATGS only for
these missions. FSM 5716.32

classifies these missions as complex. An ATCO and/or HLCO should be
ordered as appropriate in

addition to the ATGS.

Priorities for Use of Heavy Airtankers

The following guidance was derived from USFS direction (April 2003):

The primary mission for airtankers is initial and extended attack

Assignment to large fire support will be on a case-by-case basis, only
when initial and extended attack objectives have been met and if deemed
cost effective. The following criteria will be used:

Imminent threat to human life including occupied structures

Imminent threat to communities, community infrastructure, historically
significant cultural resources, commercial business and principal
residences

Threats to other structures and improvements such as seasonal homes,
cabins and high value outbuildings

Threats to natural resources

Threats to low value structures

Management of Single Engine Airtankers

Single engine airtankers (SEAT) may be based at Grand Junction or other
local airports during periods of heightened fire danger or in support of
ongoing wildfire incidents. A Category II SEAT base was established at
the Garfield County Airport in Rifle in 2006 with a retardant mix plant
and storage facilities being added there. The Colorado Interagency SEAT
Operation Plan (CISOP) Blanket guide provides more specific information
regarding management and effective use of this resource. See the UCR
SEAT Operations Plan for additionally local information.

The airport at Glenwood Springs is not approved for SEAT operations in
support of suppression operations under the direction of Federal
agencies. Local cooperators may choose to use this airport for SEAT
operations in support of incident under non federal jurisdiction or non
federal contract aircraft (CSFS).

Single engine airtankers should be considered for initial attack when
they can reach the incident sooner than multi-engine airtankers and fire
behavior/fuel types are conducive to effectively accomplishing the
mission. (consider ordering two SEATS as an alternative to a heavy air
tanker).

Use of unimproved sites (not identified in the Unit Aviation Plan) as
operating bases for single engine airtankers on agency administered
lands require Line Officer approval as well as that of the Pilot in
Command prior to use.

Considerations for selection and use of an unimproved site include:

Public safety; establish and maintain road closures/security

Wind indicators

Adequate access for vehicles and portable retardant base

Flight hazards (power lines, groups of people, etc)

Ability to mitigate EPA issues (HAZMAT)

Development of a site specific crash/fire/rescue plan

Single engine airtanker operations over congested areas require the use
of aerial supervision and initiation of a temporary flight restriction
(TFR) in accordance with the CISOP.

SEATS may be used in conjunction with other tactical aviation resources
over an incident subject to interagency aerial supervision requirements
(refer to preceding table).

IX\. Management of Helicopters

A list of interagency personnel qualified to manage helicopter
operations is maintained by the Dispatch Center. Fully qualified
personnel will manage all helicopter operations conducted on the Unit.
Neither exclusive use nor call-when-needed helicopters will be used for
any aviation operations unless a full compliment of qualified
interagency personnel is assigned to the project/incident.

Helicopter management personnel (modules) will be 'married up' with a
call-when-needed aircraft at a specified location away from the incident
prior to arriving at the incident helibase.

For all project aviation operations, the Unit Aviation Manager must
approve Project Aviation Safety Plans (PASP) prior to initiating
helicopter operations to provide for a safe working environment for
agency personnel as well as the aircraft and pilot. End Product
Contracts, both USFS and BLM are excepted from this requirement.

X. Use and Management of Military Aircraft

Resource Management Use

OMB Circular No. A-76 (Revised) limits military aircraft use for
missions in support of agency resource management activities to those
situations where missions cannot be accomplished by commercial vendors.

Military helicopters will not be used to conduct missions in support of
resource management activities on the Unit without prior written
approval. If aircraft with adequate payload capabilities are available
in the area, the determination to use military aircraft will not be
justified on the basis of available project funds.

The justification to use military aircraft will be approved by the Unit
Aviation Manager for USFS proposals. Approval from the Assistant
Secretary -- Policy Management and Budget is required for proposals
pertaining to lands under DOI jurisdiction.

When considering the use of military aircraft, the 'area' is defined as
commercial vendors within the State of Colorado and Eastern/Central
Utah.

Fire Suppression Use

National Guard aircraft may not be used in fire suppression activities
on incidents located on USFS/BLM lands unless commercial/contract
aircraft sources have been exhausted or are not readily available to
respond. 'Readily available' is defined as the ability to arrive at the
incident within four (4) hours of placing a resource order.

Use of National Guard resources shall be approved by the Unit Line
Officer in advance of requesting these resources (FSM 5713.43, R2 Supp,
5710-91-1).

All requests for National Guard resources will be processed through the
Grand Junction Interagency Dispatch Center and forwarded to the Rocky
Mountain Area Coordination Center (RMACC).

National Guard aircraft and pilots will be authorized in advance of use
by the Regional Aviation Officer (FSM 5713.43) and NBC-AMD. This
authorization will address the most common use of aircraft including
personnel transport, internal and external cargo operations and bucket
operations.

The written authorization will be carried onboard the aircraft and
should be verified by agency personnel to ensure that both the pilot's
name and aircraft tail number are listed.

Both DOI and USDA employees may be transported by National Guard
aircraft subject to the requirements discussed above.

Use of National Guard aircraft will be supplemented by placing a
resource order for commercial aircraft with similar capabilities. When
the commercial aircraft arrive at the incident, the National Guard
resources will be released to their home base.

Compatible air-to-ground and air-to-air communications capability must
be installed in National Guard aircraft prior to arrival at the
incident. Military flight crews must have the capability to monitor both
VHF-AM and VHF-FM frequencies simultaneously.

A qualified Helibase Manager (HEB1) will be assigned and on site prior
to the arrival of military aircraft (FSM 5713.43, R2 Supp. 5710-91-1).

National Guard aircraft may be used by local cooperators (County
Sheriff, VFD's) without regard to the above policy requirements. On
multi-jurisdictional incidents, mixing military and commercial
helicopter resources should be considered ONLY as a last resort.
Operating procedures for integrating civilian (commercial) and military
aircraft will be established in advance of requesting additional
call-when-needed or exclusive use helicopter assets.

Agency personnel are not authorized to assist military personnel in any
operational capacity such as preparing or attaching external loads.

XI\. Ordering, Dispatching and Controlling Flights

Ordering Flights

All requests for aircraft other than scheduled commercial carriers will
be processed through the Grand Junction Interagency Dispatch Center. The
Dispatcher should be advised of aircraft needs as far in advance as
possible. The following information should be provided when requesting
aircraft services:

Purpose of and planned duration of mission

Chief of Party/Flight Manager

Departure point and destination

Date and time of departure

Names/weights of all passenger (including flight gear)

Weight/bulk of cargo or baggage to be transported

Job Code to which the flight will be charged

Note: The Unit Aviation Managers should be contacted to ensure all
Project Aviation Plans are in place and signed.

For routine reconnaissance missions, the project proponent or Chief of
Party will forward a map of the area to be surveyed to the Grand
Junction Interagency Dispatch Center with flight route legs from the
originating airport identified with arrows.

For non-routine missions (other than reconnaissance or passenger
transport), a (PASP) must be completed and submitted to the Grand
Junction Interagency Dispatch Center prior to initiating the flight. The
Unit Aviation Manager is available to assist in preparing this plan (FSM
5711, R2 Supp. 5700-97-4).

When considering the use of WCF aircraft, the project manager is
responsible to complete a cost comparison justifying the use of such
aircraft over use of commercial vendors (refer to Appendix I).

Dispatching Flights

The Grand Junction Interagency Dispatch Center staff will complete all
necessary information on the aircraft transportation request (Appendix
D), Aircraft Flight Request/Schedule, Form 9400-1a. A copy of this form
will be forwarded to agency procurement specialists upon request.

Controlling Flights

Flights on the Unit will file a flight plan with the Grand Junction
Interagency Dispatch Center. The Flight Manager will submit the
following information:

Names of all passengers

Description of route

Hours of fuel onboard

Expected duration of flight

XII\. Special Project Flights -- Project Aviation Safety Planning

Special project flights are resource management missions which exclude
aerial detection, reconnaissance, passenger transport and fire
suppression.

All special project flights (excluding DOI/USFS end product contract
flights) shall have an Project Aviation Safety Plan (PASP) and
associated job hazard analysis (JHA) completed and reviewed by the Unit
Aviation Manager prior to initiating the project. A copy of the approved
plan will be submitted to the Regional Aviation Safety Officer (USFS)
and State Aviation Manager (BLM) prior to initiating the project. The
Unit Aviation Manager and the Project Manager will retain copies of the
approved plan.

Examples of activities that require completion of an aviation project
safety plan include:

Aerial seeding and fertilizing

Aerial spraying

Resource surveys

Aerial ignition

External load operations (helicopter)

Low-level fixed-wing flights (animal counts)

Animal gathering

The project manager is responsible to prepare the aviation project
safety plan for review by the Unit Aviation Manager. The plan does not
need to be any more complex than that required to ensure safe
operations. An outline of plan components is included in Appendix I.

At a minimum, a qualified helicopter manger will be assigned to all
helicopter operations that meet the following criteria:

Only one helicopter will be used

Only one person is required to safely manage and oversee the project

The project will occur at an altitude and temperature that permits the
helicopter to hover (IGE) at its maximum certificated gross weight

No external loads will be carried

No hazardous material will be carried onboard

No landings or takeoffs will occur on snow

Winds are less than 20 mph

For projects exceeding the above criteria, additional helicopter
management personnel including an individual qualified as HEB2 (Helibase
Manager) will be required to manage the aviation operation as
appropriate to the mission.

XIII\. Job Contract/End Product Contracting Requirements

When it is considered likely that either a fixed-wing or helicopter will
be used to complete a contract at the Contractors' option, an aviation
safety and operations plan must be completed and approved by the
Regional Aviation officer prior to proceeding with the project.

Aerial seeding/fertilizing and animal gathering/wild horse herding
projects are examples of projects that may be conducted using a job/end
product contract.

USFS and BLM End Product Contracts may be initiated and coordinated by
the Project Manager with the assistance or oversight of the Unit
Aviation Manager. The project manager should notify the Grand Junction
Interagency Dispatch Center prior to initiating flight operations to
ensure that airspace conflicts will not result with other aviation
activities on the Unit.

XIV\. Overdue/Missing Aircraft Procedures

In the event an agency owned, leased or contract aircraft is determined
to be overdue (30 minutes after the estimated time of arrival at its
destination or fifteen minutes after no radio check-in), the Grand
Junction Interagency Dispatch Center staff will immediately complete a
preliminary communications search (via radio) in attempting to contact
the aircraft. If the search fails to locate the aircraft, the Dispatcher
will actions associated with the Overdue Aircraft procedures in Appendix
A.

An aircraft is considered missing when its fuel duration as reported on
the request for flight following or as reported on the FAA Flight Plan
has been exceeded and the aircraft location is not known. Agency
personnel have the option of initiating missing aircraft procedures at
ANY time prior to the fuel exhaustion.

XV\. Search and Rescue Operations

The Grand Junction Interagency Dispatch Center will initiate actions for
all overdue/missing agency controlled aircraft. Initially, this entails
repeated attempts to establish radio contact with the aircraft and a
telephone search of airports/fixed base operators in the vicinity of the
intended route of flight.

Once the aircraft is declared missing, the Grand Junction Interagency
Dispatch Center (in consultation with the Unit Aviation Manager, if
possible) will initiate search and rescue operations by contacting the
appropriate County Sheriff's Office.

Procedures

Any agency employee who knows of or suspects an aircraft is 'down' shall
contact the Interagency Dispatch Center by any available means. The
Dispatch Center will contact key agencies and individuals to initiate
search and rescue operations (Appendix A).

Witnesses of Aircraft Accidents

Any agency employee who is a witness to an aircraft accident should
follow the procedures outlined in Appendix A (Initial Action Checklist).

Use of Helitack for Search and Rescue

The interagency helitack crew and exclusive-use aircraft may be used to
assist the County Sheriff in search and rescue activities which are
'time critical' in nature. Authorized search and rescue missions include
aerial searches, transport of SAR members/teams and transport of
internal/external cargo.

Pilot approval to undertake the mission is a prerequisite for engaging
in search and rescue activities.

The interagency helitack crew is NOT required to assist in the recovery
or preparation of human remains for transport. Transport of human
remains requires pilot approval.

XVI\. Incident/Accident Reporting

Any aviation incident/accident occurring on lands administered by
Federal cooperators will be reported immediately to the Interagency
Dispatch Center. In addition to agency owned or procured aircraft,
employees will report incidents/accidents involving general aviation,
commercial and military aircraft. 1-888-4 MISHAP

All employees have the responsibility to complete a SAFECOM after
observing an aircraft related incident regardless of how minor the
incident appears to be (Appendix B). The Unit Aviation Manager or Grand
Junction Interagency Dispatch Center staff should be contacted within 24
hours with the pertinent details regarding the observed incident.

In situations having serious potential, employees should contact the
Unit Aviation Manager or Grand Junction Interagency Dispatch Center by
telephone to discuss the incident.

A SAFECOM should be completed and forwarded by electronic mail. There is
now an interagency SAFECOM submission site at http://www.safecom.gov.
When submitted, the SAFECOM is automatically forwarded to the
appropriate agency aviation safety manager. It is desirable to forward a
hard copy to the Unit Aviation Manager as soon as possible to help in
initiating remedial actions as appropriate.

Examples of incidents include (but are not limited to):

Use of unauthorized pilots or aircraft

Unusually rough landings

Radio or instrument failures

Failure to adhere to flights plans/flight following or designated flight
routes

Warning horns or lights activated during flight

Observed deviations from standard operating procedures such as flying
too low, flying VFR in poor visibility or weather conditions, or night
flights in single engine aircraft

Near misses with other aircraft

Lack of a comprehensive safety briefing by the pilot or flight crew

Failure to use supplemental oxygen for sustained flights at high
altitude

**Appendix I**

**Reporting Unsafe or Unhealthy Working Conditions and Allegations of
Reprisals**

Reporting Unsafe or Unhealthy Working Conditions and Allegations of
Reprisals

Any employee who believes that an unsafe or unhealthy working conditions
exists in any workplace has the right to make a report to the supervisor
or the designated safety person and request an inspection of such
workplace. The employee can make this report verbally or in writing. The
supervisor shall evaluate the risk of personal injury, public liability
and damages to property or equipment, and initiate steps for correction
of unsafe conditions

If the supervisor is not available or the problem can not be corrected
in a timely manner the employee shall follow the chain of command to
make sure the appropriate management personnel are informed of the
problem Any employee may call the Safety Officer to report Unsafe
condition if timely corrective actions has not been taken.

Employee will not be subjected to restraint, coercion, discrimination or
reprisals for submitting a report of unsafe or unhealthy working
conditions

**Appendix J**

**Upper Colorado River Fire Management Unit**

**SAFETY ACTION SCHEDULE**

(Supplement to Grand Junction, Glenwood Spring BLM and White River
National Forest Safety Plans)

FY 2008

+----------+----------+----------+--------+-----------+--------------+
| ITEM     | RESPON   | DUE DATE | TARGET | STATUS    | COMMENTS     |
|          | SIBILITY |          | GROUP  | (up date  |              |
|          |          |          |        | q         |              |
|          |          |          |        | uarterly) |              |
+----------+----------+----------+--------+-----------+--------------+
| Adult    | Sup      | Mar.     | All    |           | Current      |
| CPR and  | ervisors | April    | emp    |           | Adult CPR    |
| Standard |          |          | loyees |           | required for |
| First    |          | Seasonal |        |           | field        |
| Aid      |          | training |        |           | employees    |
|          |          | in       |        |           | (chainsaw    |
| C        |          | May/June |        |           | operators    |
| PR/First |          |          |        |           | and crew     |
| Aid      |          |          |        |           | leaders.     |
| (full)   |          |          |        |           | Standard 1st |
|          |          |          |        |           | Aid required |
| C        |          |          |        |           | every three  |
| PR/First |          |          |        |           | yrs.         |
| Aid      |          |          |        |           |              |
| R        |          |          |        |           |              |
| efresher |          |          |        |           |              |
+----------+----------+----------+--------+-----------+--------------+
| D        | Sup      | Same as  | All    |           | Training     |
| efensive | ervisors | above    | emp    |           | required for |
| Driving  |          |          | loyees |           | any new      |
|          |          |          |        |           | employee, or |
| Driver   |          |          |        |           | employees    |
| Testing  |          |          |        |           | who are      |
| and      |          |          |        |           | involved in  |
|          |          |          |        |           | traffic      |
| Qualif   |          |          |        |           | accidents.   |
| ications |          |          |        |           | All          |
|          |          |          |        |           | employees    |
| 4WD      |          |          |        |           | must have a  |
| Training |          |          |        |           | signed       |
|          |          |          |        |           | Drivers      |
|          |          |          |        |           | Q            |
|          |          |          |        |           | ualification |
|          |          |          |        |           | Checklist    |
+----------+----------+----------+--------+-----------+--------------+

+----------+----------+----------+--------+------------+--------------+
| ATV      | Sup      | Before   | All    |            | Refreshers   |
| Training | ervisors | o        | emp    |            | annually,    |
|          | /        | perating | loyees |            | especially   |
| Sno      | Managers |          | who    |            | if           |
| wmobiles |          |          | have   |            | operations   |
|          |          |          | duties |            | are          |
| Mot      |          |          | that   |            | i            |
| orcycles |          |          | i      |            | ntermittent. |
|          |          |          | nclude |            |              |
| Trailers |          |          | ope    |            | Trailers     |
|          |          |          | rating |            | must have    |
|          |          |          | these  |            | annual       |
|          |          |          | speci  |            | safety       |
|          |          |          | alized |            | inspections  |
|          |          |          | equ    |            |              |
|          |          |          | ipment |            |              |
|          |          |          |        |            |              |
|          |          |          | Any    |            |              |
|          |          |          | one    |            |              |
|          |          |          | p      |            |              |
|          |          |          | ulling |            |              |
|          |          |          | a      |            |              |
|          |          |          | t      |            |              |
|          |          |          | railer |            |              |
+----------+----------+----------+--------+------------+--------------+
| Remarks  |          |          |        |            |              |
+----------+----------+----------+--------+------------+--------------+
| ITEM     | RESPON   | DATE     | TARGET | STATUS     | COMMENTS     |
|          | SIBILITY |          | GROUP  |            |              |
+----------+----------+----------+--------+------------+--------------+
| H        | Managers | As       | P      |            | Will be      |
| epatitis |          | Needed   | ersons |            | offered to   |
| Vac      |          |          | requ   |            | target group |
| cination |          |          | esting |            |              |
+----------+----------+----------+--------+------------+--------------+
| Blood    | Sup      | May/June | Any    |            | Initial      |
| borne    | ervisors |          | em     |            | training     |
| P        |          |          | ployee |            | only.        |
| athogens |          |          | who    |            |              |
|          |          |          | has    |            | Refresher    |
|          |          |          | risk   |            | annually     |
|          |          |          | of     |            |              |
|          |          |          | ex     |            |              |
|          |          |          | posure |            |              |
+----------+----------+----------+--------+------------+--------------+
| H        | Alan     | May/June | All    |            | Initial      |
| azardous | Kraus,   |          | emp    |            | training     |
| Commun   |          |          | loyees |            | only.        |
| ications |          |          |        |            | Supervisors  |
|          |          |          |        |            | are          |
| HAZWOPER |          |          |        |            | encouraged   |
|          |          |          |        |            | to give      |
| (A       |          |          |        |            | tailgate     |
| wareness |          |          |        |            | sessions in  |
| Level)   |          |          |        |            | appropriate  |
|          |          |          |        |            | handling of  |
|          |          |          |        |            | hazardous    |
|          |          |          |        |            | materials.   |
+----------+----------+----------+--------+------------+--------------+
| Training | Safety   | Jan      | Safety |            | Training     |
| for      | officer  |          | com    |            | required for |
| Safety   |          |          | mittee |            | each new or  |
| C        |          |          | m      |            | existing     |
| ommittee |          |          | embers |            | member who   |
| OSHA     |          |          | and    |            | hasn't       |
|          |          |          | Safety |            | previously   |
| 6000     |          |          | O      |            | attended.    |
|          |          |          | fficer |            |              |
+----------+----------+----------+--------+------------+--------------+
| Evacuat  | Managers | Annually | All    |            | Annual trng  |
| ion/Fire |          |          | Emp    |            | & evacuation |
| Drill    |          |          | loyees |            | is required; |
| and Fire |          |          |        |            | however, may |
| Exti     |          |          |        |            | occur more   |
| nguisher |          |          |        |            | than once a  |
| Trng     |          |          |        |            | year upon    |
|          |          |          |        |            | mgmt         |
|          |          |          |        |            | direction.   |
|          |          |          |        |            |              |
|          |          |          |        |            | Fire         |
|          |          |          |        |            | Extinguisher |
|          |          |          |        |            | must be      |
|          |          |          |        |            | check        |
|          |          |          |        |            | monthly      |
+----------+----------+----------+--------+------------+--------------+
| Aircraft | Grand    | April or | All    |            | Training     |
| Safety   | Junction | May      | emp    |            | required     |
| (OAS     | Air      | prior to | loyees |            | every three  |
|          | Center   | field    | who    |            | years.       |
| B-3      | Aviation | season   | u      |            |              |
| Class)   | Officer  |          | tilize |            |              |
|          |          |          |        |            |              |
|          |          |          | ai     |            |              |
|          |          |          | rcraft |            |              |
|          |          |          | for    |            |              |
|          |          |          | field  |            |              |
|          |          |          | oper   |            |              |
|          |          |          | ations |            |              |
+----------+----------+----------+--------+------------+--------------+
| Remarks  |          |          |        |            |              |
+----------+----------+----------+--------+------------+--------------+
| ITEM     | RESPON   | DATE     | TARGET | STATUS     | COMMENTS     |
|          | SIBILITY |          |        |            |              |
|          |          |          | GROUP  |            |              |
+----------+----------+----------+--------+------------+--------------+
| Medical  | Managers | Jan-June | All    |            |              |
| Exams    |          |          | emp    |            |              |
|          |          |          | loyees |            |              |
|          |          |          | w      |            |              |
|          |          |          | ishing |            |              |
|          |          |          | to     |            |              |
|          |          |          | parti  |            |              |
|          |          |          | cipate |            |              |
|          |          |          | fire   |            |              |
+----------+----------+----------+--------+------------+--------------+
| Im       | FMO,     | On-going | All    |            | Each unit    |
| plement/ | Safety   |          | emp    |            | Safety       |
| continue | Officer, |          | loyees |            | Committee    |
| Hearing  | CDSO,    |          | iden   |            | will be      |
| Cons     | Sup      |          | tified |            | setting up   |
| ervation | ervisors |          | as     |            | contractors  |
| Program  |          |          | needed |            |              |
+----------+----------+----------+--------+------------+--------------+
| District | BLM      | June     | Zones, |            |              |
| Safety   | District | 1st,     | Air    |            |              |
| Mgr      | Safety   | 2008     | Center |            |              |
| tasks:   | Officer  |          |        |            |              |
|          |          |          |        |            |              |
| COOP,    |          |          |        |            |              |
| OEP,     |          |          |        |            |              |
| CASHE    |          |          |        |            |              |
| Audit,   |          |          |        |            |              |
| Fire     |          |          |        |            |              |
| Pr       |          |          |        |            |              |
| evention |          |          |        |            |              |
| Plan     |          |          |        |            |              |
+----------+----------+----------+--------+------------+--------------+
| Inv      | Sup      | As       |        |            |              |
| estigate | ervisors | needed   |        |            |              |
| a        |          |          |        |            |              |
| ccidents |          |          |        |            |              |
| and      |          |          |        |            |              |
| report   |          |          |        |            |              |
| in SMIS  |          |          |        |            |              |
| or SHIPS |          |          |        |            |              |
+----------+----------+----------+--------+------------+--------------+
| Safety   | M        | Before   | New    |            | Accident     |
|          | anagers, | Fire     | Emp    |            | reporting    |
| Orie     | Safety   | Ass      | loyees |            |              |
| ntation: | Officer, | ignments |        |            | Tailgate     |
|          | Sup      |          |        |            | Safety       |
|          | ervisors |          |        |            | Meeting      |
|          |          |          |        |            |              |
|          |          |          |        |            | JHA/ Risk    |
|          |          |          |        |            | Management , |
|          |          |          |        |            | PPE, Safety  |
|          |          |          |        |            | E            |
|          |          |          |        |            | xpectations, |
|          |          |          |        |            | Safety       |
|          |          |          |        |            | Awards       |
|          |          |          |        |            | Program      |
+----------+----------+----------+--------+------------+--------------+
| Open     |          |          |        |            |              |
| blocks   |          |          |        |            |              |
+----------+----------+----------+--------+------------+--------------+
|          |          |          |        |            |              |
+----------+----------+----------+--------+------------+--------------+
| Remarks  |          |          |        |            |              |
+----------+----------+----------+--------+------------+--------------+
| ITEM     | RESPON   | DUE DATE | TARGET | STATUS     | COMMENTS     |
|          | SIBILITY |          | GROUP  |            |              |
+----------+----------+----------+--------+------------+--------------+
| Develop  | FMO,     | June     | All    |            | Co-ordinate  |
| Safety   | Supe     | 15th     | emp    |            | with Ranger  |
| Week/Ori | rvisors, | 2008     | loyees |            | Districts,   |
| entation | Safety   |          |        |            | Field        |
| Events:  | Officer  |          |        |            | offices      |
|          |          |          |        |            |              |
| Required |          |          |        |            |              |
| t        |          |          |        |            |              |
| raining: |          |          |        |            |              |
|          |          |          |        |            |              |
| -Safety  |          |          |        |            |              |
| Program  |          |          |        |            |              |
| Overview |          |          |        |            |              |
|          |          |          |        |            |              |
| -First   |          |          |        |            |              |
| aid/CPR  |          |          |        |            |              |
|          |          |          |        |            |              |
| -Bl      |          |          |        |            |              |
| oodborne |          |          |        |            |              |
| p        |          |          |        |            |              |
| athogens |          |          |        |            |              |
|          |          |          |        |            |              |
| -OSHA    |          |          |        |            |              |
| HAZWOPER |          |          |        |            |              |
|          |          |          |        |            |              |
| (A       |          |          |        |            |              |
| wareness |          |          |        |            |              |
| Level)   |          |          |        |            |              |
|          |          |          |        |            |              |
| -OSHA    |          |          |        |            |              |
| HAZCOM   |          |          |        |            |              |
|          |          |          |        |            |              |
| -D       |          |          |        |            |              |
| efensive |          |          |        |            |              |
| Driving  |          |          |        |            |              |
|          |          |          |        |            |              |
| -Fire    |          |          |        |            |              |
| exti     |          |          |        |            |              |
| nguisher |          |          |        |            |              |
|          |          |          |        |            |              |
| -        |          |          |        |            |              |
| chainsaw |          |          |        |            |              |
| re       |          |          |        |            |              |
| freshers |          |          |        |            |              |
|          |          |          |        |            |              |
| fire     |          |          |        |            |              |
| r        |          |          |        |            |              |
| efresher |          |          |        |            |              |
|          |          |          |        |            |              |
| Other    |          |          |        |            |              |
| T        |          |          |        |            |              |
| raining: |          |          |        |            |              |
|          |          |          |        |            |              |
| -driver  |          |          |        |            |              |
| testing  |          |          |        |            |              |
|          |          |          |        |            |              |
| -4X4     |          |          |        |            |              |
| training |          |          |        |            |              |
|          |          |          |        |            |              |
| -trailer |          |          |        |            |              |
| towing   |          |          |        |            |              |
|          |          |          |        |            |              |
| -ATV use |          |          |        |            |              |
|          |          |          |        |            |              |
| -pu      |          |          |        |            |              |
| rchasing |          |          |        |            |              |
|          |          |          |        |            |              |
| -tim     |          |          |        |            |              |
| ekeeping |          |          |        |            |              |
|          |          |          |        |            |              |
| -radio   |          |          |        |            |              |
| use      |          |          |        |            |              |
|          |          |          |        |            |              |
| -Check   |          |          |        |            |              |
| in/out   |          |          |        |            |              |
|          |          |          |        |            |              |
| -fire    |          |          |        |            |              |
| r        |          |          |        |            |              |
| eporting |          |          |        |            |              |
|          |          |          |        |            |              |
| -envir   |          |          |        |            |              |
| onmental |          |          |        |            |              |
| hazards  |          |          |        |            |              |
|          |          |          |        |            |              |
| -drug    |          |          |        |            |              |
| lab      |          |          |        |            |              |
| a        |          |          |        |            |              |
| wareness |          |          |        |            |              |
+----------+----------+----------+--------+------------+--------------+
| Remarks  |          |          |        |            |              |
+----------+----------+----------+--------+------------+--------------+
| ITEM     | RESPON   | DATE     | TARGET | STATUS     | COMMENTS     |
|          | SIBILITY |          |        |            |              |
|          |          |          | GROUP  |            |              |
+----------+----------+----------+--------+------------+--------------+
| Develop  | Safety   | June 1st | All    |            | Supervisors  |
| Training | Officer  | 2008     | emp    |            | need to      |
| Tracking |          |          | loyees |            | input        |
| database |          |          |        |            | employees    |
| for      |          |          |        |            | data         |
| Safety   |          |          |        |            |              |
| -related |          |          |        |            |              |
| training |          |          |        |            |              |
+----------+----------+----------+--------+------------+--------------+
| 2008     | Managers | April    |        |            | Line officer |
| Risk     | and      | 1st 2008 |        |            | signatures   |
| Ma       | Sup      |          |        |            |              |
| nagement | ervisors |          |        |            |              |
| Ass      |          |          |        |            |              |
| essments |          |          |        |            |              |
| & JHAs   |          |          |        |            |              |
+----------+----------+----------+--------+------------+--------------+
| I        | FMO      | On-going |        |            |              |
| mplement | Safety   |          |        |            |              |
| Hearing  | Officer, |          |        |            |              |
| Cons     | CDSO,    |          |        |            |              |
| ervation | Sup      |          |        |            |              |
| Program  | ervisors |          |        |            |              |
+----------+----------+----------+--------+------------+--------------+
| District | BLM      | June     | Zones, |            |              |
| Safety   | District | 1st,     | Air    |            |              |
| Mgr      | Safety   | 2008     | Center |            |              |
| tasks:   | Officer  |          |        |            |              |
|          |          |          |        |            |              |
| COOP,    |          |          |        |            |              |
| OEP,     |          |          |        |            |              |
| CASHE    |          |          |        |            |              |
| Audit,   |          |          |        |            |              |
| Fire     |          |          |        |            |              |
| Pr       |          |          |        |            |              |
| evention |          |          |        |            |              |
| Plan     |          |          |        |            |              |
+----------+----------+----------+--------+------------+--------------+
| Inspect  | Safety   | S        |        |            |              |
| Hazmat   | officer  | eptember |        |            |              |
| Bldg     |          | 1st,     |        |            |              |
|          | Hazmat   | 2008     |        |            |              |
|          | Coord.   |          |        |            |              |
+----------+----------+----------+--------+------------+--------------+
| Update   | FMO,     | May 1    |        |            |              |
| HAZCOM   | Hazmat   |          |        |            |              |
| center(  | Coord.   |          |        |            |              |
| MSDS)    |          |          |        |            |              |
| and      |          |          |        |            |              |
| Hazmat   |          |          |        |            |              |
| I        |          |          |        |            |              |
| nventory |          |          |        |            |              |
+----------+----------+----------+--------+------------+--------------+
| F        | All      | November |        |            |              |
| ollow-up | Managers | 1st 2008 |        |            |              |
| on       |          |          |        |            |              |
| in       | Safety   |          |        |            |              |
| spection | Officer  |          |        |            |              |
| findings |          |          |        |            |              |
|          | Hazmat   |          |        |            |              |
|          | Coord.   |          |        |            |              |
|          |          |          |        |            |              |
|          | CDSO     |          |        |            |              |
+----------+----------+----------+--------+------------+--------------+
| Conduct  | Ma       | On -     |        |            | Daily        |
| All      | nagement | going    |        |            | 6-Minutes    |
| Employee | Assigned |          |        |            | for Safety   |
| Safety   | Groups   |          |        |            | should be    |
| Meetings |          |          |        |            | part of ever |
|          |          |          |        |            | daily        |
|          |          |          |        |            | briefing     |
+----------+----------+----------+--------+------------+--------------+
| Remarks  |          |          |        |            |              |
+----------+----------+----------+--------+------------+--------------+

**Appendix K**

**Grand Junction Field Office Complex Safety Action**

+------------+--------+----------------------------------------+------+
| Action     | Due    | +----------+-------+--------+-----+    | St   |
| Item       | Date   | | Action   | Due   | Re     | Sta |    | atus |
|            |        | | Item     | Date  | sponsi | tus |    |      |
|            |        | |          |       | bility |     |    |      |
|            |        | +----------+-------+--------+-----+    |      |
|            |        | | Re-issue | Dec   | CDSO   |     |    |      |
|            |        | | GJ       | ember |        |     |    |      |
|            |        | | FO/MCNCA | 1st,  | Ma     |     |    |      |
|            |        | | Safety   | 2007  | nagers |     |    |      |
|            |        | | Policy   |       |        |     |    |      |
|            |        | |          |       | Safety |     |    |      |
|            |        | |          |       | Com    |     |    |      |
|            |        | |          |       | mittee |     |    |      |
|            |        | +----------+-------+--------+-----+    |      |
|            |        | | Check    | Ja    | Di     |     |    |      |
|            |        | | status   | nuary | strict |     |    |      |
|            |        | | of       | 1st,  | Safety |     |    |      |
|            |        | | District | 2008  | O      |     |    |      |
|            |        | | Safety   |       | fficer |     |    |      |
|            |        | | Mgr      |       |        |     |    |      |
|            |        | | tasks:   |       |        |     |    |      |
|            |        | |          |       |        |     |    |      |
|            |        | | COOP,    |       |        |     |    |      |
|            |        | | OEP,     |       |        |     |    |      |
|            |        | | CASHE    |       |        |     |    |      |
|            |        | | Audit,   |       |        |     |    |      |
|            |        | | Fire     |       |        |     |    |      |
|            |        | | Pr       |       |        |     |    |      |
|            |        | | evention |       |        |     |    |      |
|            |        | | Plan     |       |        |     |    |      |
|            |        | +----------+-------+--------+-----+    |      |
|            |        | |          | Ja    | Assoc  |     |    |      |
|            |        | |          | nuary | F.M.   |     |    |      |
|            |        | |          | 1st,  |        |     |    |      |
|            |        | |          | 2008  | CDSO   |     |    |      |
|            |        | +----------+-------+--------+-----+    |      |
|            |        | | 2008     | Ja    | Ma     |     |    |      |
|            |        | | Risk     | nuary | nagers |     |    |      |
|            |        | | Ma       | 28th, | and    |     |    |      |
|            |        | | nagement | 2008  | Super  |     |    |      |
|            |        | | Ass      |       | visors |     |    |      |
|            |        | | essments |       |        |     |    |      |
|            |        | +----------+-------+--------+-----+    |      |
|            |        | | Update   | On-   | CDSO   |     |    |      |
|            |        | | this     | going |        |     |    |      |
|            |        | | plan at  |       |        |     |    |      |
|            |        | | S:       |       |        |     |    |      |
|            |        | | /blmshar |       |        |     |    |      |
|            |        | | e/safety |       |        |     |    |      |
|            |        | | plans    |       |        |     |    |      |
|            |        | | and      |       |        |     |    |      |
|            |        | | memos    |       |        |     |    |      |
|            |        | +----------+-------+--------+-----+    |      |
|            |        | | Clean up | Feb   | CDSO   |     |    |      |
|            |        | | and      | ruary |        |     |    |      |
|            |        | | organize | 1st,  | Admin  |     |    |      |
|            |        | | el       | 2008  | staff  |     |    |      |
|            |        | | ectronic |       |        |     |    |      |
|            |        | | safety   |       |        |     |    |      |
|            |        | | inf      |       |        |     |    |      |
|            |        | | ormation |       |        |     |    |      |
|            |        | +----------+-------+--------+-----+    |      |
|            |        | | I        | On-   | CDSO   |     |    |      |
|            |        | | mplement | going |        |     |    |      |
|            |        | | OF-346   |       | John   |     |    |      |
|            |        | | Program  |       | Ryan   |     |    |      |
|            |        | +----------+-------+--------+-----+    |      |
|            |        | | Confirm  | Dec   | Zone   |     |    |      |
|            |        | | Confined | ember | Safety |     |    |      |
|            |        | | Space    | 1st,  | O      |     |    |      |
|            |        | | Survey   | 2007  | fficer |     |    |      |
|            |        | | Current  |       |        |     |    |      |
|            |        | +----------+-------+--------+-----+    |      |
|            |        | | I        | On-   | Acting |     |    |      |
|            |        | | mplement | going | Zone   |     |    |      |
|            |        | | Hearing  |       | Safety |     |    |      |
|            |        | | Cons     |       | Of     |     |    |      |
|            |        | | ervation |       | ficer, |     |    |      |
|            |        | | Program  |       | CDSO,  |     |    |      |
|            |        | |          |       | Super  |     |    |      |
|            |        | |          |       | visors |     |    |      |
|            |        | +----------+-------+--------+-----+    |      |
|            |        | | Update   | April | Super  |     |    |      |
|            |        | | Check    | 1st   | visors |     |    |      |
|            |        | | In/Out   |       |        |     |    |      |
|            |        | | Policy   |       |        |     |    |      |
|            |        | +----------+-------+--------+-----+    |      |
|            |        |                                        |      |
|            |        | Training                               |      |
|            |        |                                        |      |
|            |        | +----------+---------+--------+---+    |      |
|            |        | | Action   | Due     | Re     | S |    |      |
|            |        | | Item     | Date    | sponsi | t |    |      |
|            |        | |          |         | bility | a |    |      |
|            |        | |          |         |        | t |    |      |
|            |        | |          |         |        | u |    |      |
|            |        | |          |         |        | s |    |      |
|            |        | +----------+---------+--------+---+    |      |
|            |        | | Develop  | D       | CDSO   |   |    |      |
|            |        | | Training | ecember |        |   |    |      |
|            |        | | Tracking | 1st     | IT     |   |    |      |
|            |        | | database | 2007    | s      |   |    |      |
|            |        | | for      |         | taff(M |   |    |      |
|            |        | | Safety   | (devel  | artha) |   |    |      |
|            |        | | -related | opment) |        |   |    |      |
|            |        | | training |         |        |   |    |      |
|            |        | |          | April   |        |   |    |      |
|            |        | |          | 1st,    |        |   |    |      |
|            |        | |          | 2008    |        |   |    |      |
|            |        | |          |         |        |   |    |      |
|            |        | |          | (i      |        |   |    |      |
|            |        | |          | mplemen |        |   |    |      |
|            |        | |          | tation) |        |   |    |      |
|            |        | +----------+---------+--------+---+    |      |
|            |        | | Develop  | April   | CDSO   |   |    |      |
|            |        | | Safety   | 1st,    | (      |   |    |      |
|            |        | | Week/Ori | 2008    | Coordi |   |    |      |
|            |        | | entation |         | nator) |   |    |      |
|            |        | | Events:  |         |        |   |    |      |
|            |        | |          |         | Safety |   |    |      |
|            |        | | Required |         | Com    |   |    |      |
|            |        | | t        |         | mittee |   |    |      |
|            |        | | raining: |         |        |   |    |      |
|            |        | |          |         | Admin  |   |    |      |
|            |        | | -Safety  |         | staff  |   |    |      |
|            |        | | Program  |         |        |   |    |      |
|            |        | | Overview |         | Ma     |   |    |      |
|            |        | |          |         | nagers |   |    |      |
|            |        | | -First   |         |        |   |    |      |
|            |        | | aid/CPR  |         | Super  |   |    |      |
|            |        | |          |         | visors |   |    |      |
|            |        | | -Bl      |         |        |   |    |      |
|            |        | | oodborne |         | P      |   |    |      |
|            |        | | p        |         | rogram |   |    |      |
|            |        | | athogens |         | Leads  |   |    |      |
|            |        | |          |         |        |   |    |      |
|            |        | | -OSHA    |         |        |   |    |      |
|            |        | | HAZWOPER |         |        |   |    |      |
|            |        | |          |         |        |   |    |      |
|            |        | | (A       |         |        |   |    |      |
|            |        | | wareness |         |        |   |    |      |
|            |        | | Level)   |         |        |   |    |      |
|            |        | |          |         |        |   |    |      |
|            |        | | -OSHA    |         |        |   |    |      |
|            |        | | HAZCOM   |         |        |   |    |      |
|            |        | |          |         |        |   |    |      |
|            |        | | -D       |         |        |   |    |      |
|            |        | | efensive |         |        |   |    |      |
|            |        | | Driving  |         |        |   |    |      |
|            |        | |          |         |        |   |    |      |
|            |        | | -Fire    |         |        |   |    |      |
|            |        | | exti     |         |        |   |    |      |
|            |        | | nguisher |         |        |   |    |      |
|            |        | |          |         |        |   |    |      |
|            |        | | Other    |         |        |   |    |      |
|            |        | | T        |         |        |   |    |      |
|            |        | | raining: |         |        |   |    |      |
|            |        | |          |         |        |   |    |      |
|            |        | | -driver  |         |        |   |    |      |
|            |        | | testing  |         |        |   |    |      |
|            |        | |          |         |        |   |    |      |
|            |        | | -4X4     |         |        |   |    |      |
|            |        | | training |         |        |   |    |      |
|            |        | |          |         |        |   |    |      |
|            |        | | -trailer |         |        |   |    |      |
|            |        | | towing   |         |        |   |    |      |
|            |        | |          |         |        |   |    |      |
|            |        | | -ATV use |         |        |   |    |      |
|            |        | |          |         |        |   |    |      |
|            |        | | -pu      |         |        |   |    |      |
|            |        | | rchasing |         |        |   |    |      |
|            |        | |          |         |        |   |    |      |
|            |        | | -tim     |         |        |   |    |      |
|            |        | | ekeeping |         |        |   |    |      |
|            |        | |          |         |        |   |    |      |
|            |        | | -radio   |         |        |   |    |      |
|            |        | | use      |         |        |   |    |      |
|            |        | |          |         |        |   |    |      |
|            |        | | -Check   |         |        |   |    |      |
|            |        | | in/out   |         |        |   |    |      |
|            |        | |          |         |        |   |    |      |
|            |        | | -fire    |         |        |   |    |      |
|            |        | | r        |         |        |   |    |      |
|            |        | | eporting |         |        |   |    |      |
|            |        | |          |         |        |   |    |      |
|            |        | | -envir   |         |        |   |    |      |
|            |        | | onmental |         |        |   |    |      |
|            |        | | hazards  |         |        |   |    |      |
|            |        | |          |         |        |   |    |      |
|            |        | | -drug    |         |        |   |    |      |
|            |        | | lab      |         |        |   |    |      |
|            |        | | a        |         |        |   |    |      |
|            |        | | wareness |         |        |   |    |      |
|            |        | |          |         |        |   |    |      |
|            |        | | Orie     |         |        |   |    |      |
|            |        | | ntation: |         |        |   |    |      |
|            |        | |          |         |        |   |    |      |
|            |        | | -BBQ     |         |        |   |    |      |
|            |        | |          |         |        |   |    |      |
|            |        | | -History |         |        |   |    |      |
|            |        | | of BLM   |         |        |   |    |      |
|            |        | |          |         |        |   |    |      |
|            |        | | -Program |         |        |   |    |      |
|            |        | | O        |         |        |   |    |      |
|            |        | | verviews |         |        |   |    |      |
|            |        | |          |         |        |   |    |      |
|            |        | | (range,  |         |        |   |    |      |
|            |        | | weeds,   |         |        |   |    |      |
|            |        | | wil      |         |        |   |    |      |
|            |        | | dlife/fi |         |        |   |    |      |
|            |        | | sheries, |         |        |   |    |      |
|            |        | | T&E,     |         |        |   |    |      |
|            |        | | rec      |         |        |   |    |      |
|            |        | | reation, |         |        |   |    |      |
|            |        | | realty,  |         |        |   |    |      |
|            |        | | m        |         |        |   |    |      |
|            |        | | inerals, |         |        |   |    |      |
|            |        | | fire     |         |        |   |    |      |
|            |        | +----------+---------+--------+---+    |      |
|            |        |                                        |      |
|            |        | Inspections/Drills                     |      |
|            |        |                                        |      |
|            |        | +--------+-------+---------+-----+     |      |
|            |        | | Action | Due   | Respons | Sta |     |      |
|            |        | | Item   | Date  | ibility | tus |     |      |
|            |        | +--------+-------+---------+-----+     |      |
|            |        | | C      | On-   | CDSO    |     |     |      |
|            |        | | onduct | going |         |     |     |      |
|            |        | | m      |       | Hazmat  |     |     |      |
|            |        | | onthly |       | Coord.  |     |     |      |
|            |        | | Fire   |       |         |     |     |      |
|            |        | | Exting |       |         |     |     |      |
|            |        | | uisher |       |         |     |     |      |
|            |        | | Checks |       |         |     |     |      |
|            |        | +--------+-------+---------+-----+     |      |
|            |        | | I      | Sept  | Zone    |     |     |      |
|            |        | | nspect | ember | Safety  |     |     |      |
|            |        | | GJ     | 1st,  | Mgr     |     |     |      |
|            |        | | Bldg   | 2008  |         |     |     |      |
|            |        | | and    |       | CDSO    |     |     |      |
|            |        | | Wa     |       |         |     |     |      |
|            |        | | reyard |       | Hazmat  |     |     |      |
|            |        | |        |       | Coord.  |     |     |      |
|            |        | |        |       |         |     |     |      |
|            |        | |        |       | Safety  |     |     |      |
|            |        | |        |       | Co      |     |     |      |
|            |        | |        |       | mmittee |     |     |      |
|            |        | +--------+-------+---------+-----+     |      |
|            |        | | Fol    | Nov   | M       |     |     |      |
|            |        | | low-up | ember | anagers |     |     |      |
|            |        | | on     | 1st   |         |     |     |      |
|            |        | | insp   | 2008  | Zone    |     |     |      |
|            |        | | ection |       | Safety  |     |     |      |
|            |        | | fi     |       | Mgr     |     |     |      |
|            |        | | ndings |       |         |     |     |      |
|            |        | |        |       | Hazmat  |     |     |      |
|            |        | |        |       | Coord.  |     |     |      |
|            |        | |        |       |         |     |     |      |
|            |        | |        |       | CDSO    |     |     |      |
|            |        | +--------+-------+---------+-----+     |      |
|            |        | | Review | Nov   | Office  |     |     |      |
|            |        | | Evacu  | ember | Em      |     |     |      |
|            |        | | ation/ | 1st,  | ergency |     |     |      |
|            |        | | Fire   | 2007  | Evac    |     |     |      |
|            |        | | Drill  |       | uations |     |     |      |
|            |        | | Plan   |       | Group   |     |     |      |
|            |        | +--------+-------+---------+-----+     |      |
|            |        | | I      | May   | V       |     |     |      |
|            |        | | nspect | 1,    | ehicle/ |     |     |      |
|            |        | | Ve     | 2008  | Trailer |     |     |      |
|            |        | | hicles |       |         |     |     |      |
|            |        | | and    |       | A       |     |     |      |
|            |        | | Tr     |       | ssignee |     |     |      |
|            |        | | ailers |       |         |     |     |      |
|            |        | +--------+-------+---------+-----+     |      |
|            |        |                                        |      |
|            |        | Safety and Health Promotion            |      |
|            |        |                                        |      |
|            |        | +--------+------+----------+-----+     |      |
|            |        | | Action | Due  | Respon   | Sta |     |      |
|            |        | | Item   | Date | sibility | tus |     |      |
|            |        | +--------+------+----------+-----+     |      |
|            |        | | C      | Jan, | Safety   |     |     |      |
|            |        | | onduct | Ma   | C        |     |     |      |
|            |        | | qua    | rch, | ommittee |     |     |      |
|            |        | | rterly | J    |          |     |     |      |
|            |        | | Safety | une, |          |     |     |      |
|            |        | | Com    |      |          |     |     |      |
|            |        | | mittee | S    |          |     |     |      |
|            |        | | Me     | epte |          |     |     |      |
|            |        | | etings | mber |          |     |     |      |
|            |        | +--------+------+----------+-----+     |      |
|            |        | | C      | 1st  | Ma       |     |     |      |
|            |        | | onduct | Mo   | nagement |     |     |      |
|            |        | | M      | nday | Assigned |     |     |      |
|            |        | | onthly | each | Groups   |     |     |      |
|            |        | | All    | m    |          |     |     |      |
|            |        | | Em     | onth |          |     |     |      |
|            |        | | ployee |      |          |     |     |      |
|            |        | | Safety |      |          |     |     |      |
|            |        | | S      |      |          |     |     |      |
|            |        | | ession |      |          |     |     |      |
|            |        | +--------+------+----------+-----+     |      |
|            |        | | Dist   | On-g | CDSO     |     |     |      |
|            |        | | ribute | oing |          |     |     |      |
|            |        | | safety |      |          |     |     |      |
|            |        | | alerts |      |          |     |     |      |
|            |        | | and    |      |          |     |     |      |
|            |        | | perio  |      |          |     |     |      |
|            |        | | dicals |      |          |     |     |      |
|            |        | +--------+------+----------+-----+     |      |
|            |        | | Brief  | J    | CDSO     |     |     |      |
|            |        | | Mana   | an., |          |     |     |      |
|            |        | | gement | Ma   |          |     |     |      |
|            |        | | Team   | rch, |          |     |     |      |
|            |        | | qua    | J    |          |     |     |      |
|            |        | | rterly | une, |          |     |     |      |
|            |        | | on     |      |          |     |     |      |
|            |        | | safety | S    |          |     |     |      |
|            |        | | p      | epte |          |     |     |      |
|            |        | | rogram | mber |          |     |     |      |
|            |        | | status |      |          |     |     |      |
|            |        | +--------+------+----------+-----+     |      |
|            |        | | Imp    | Nove | Safety   |     |     |      |
|            |        | | lement | mber | C        |     |     |      |
|            |        | | Safety | 1st, | ommittee |     |     |      |
|            |        | | Award  | 2007 |          |     |     |      |
|            |        | | &      |      | CDSO     |     |     |      |
|            |        | | Recog  |      |          |     |     |      |
|            |        | | nition |      | Managers |     |     |      |
|            |        | | P      |      |          |     |     |      |
|            |        | | rogram |      |          |     |     |      |
|            |        | | for    |      |          |     |     |      |
|            |        | | 2007   |      |          |     |     |      |
|            |        | | field  |      |          |     |     |      |
|            |        | | season |      |          |     |     |      |
|            |        | +--------+------+----------+-----+     |      |
|            |        | | Stock  | As   | CDSO     |     |     |      |
|            |        | | break  | ne   |          |     |     |      |
|            |        | | room   | eded |          |     |     |      |
|            |        | | 1st    |      |          |     |     |      |
|            |        | | aid    |      |          |     |     |      |
|            |        | | box    |      |          |     |     |      |
|            |        | +--------+------+----------+-----+     |      |
|            |        | | Update | May  | Hazmat   |     |     |      |
|            |        | | HAZCOM | 1    | Coord.   |     |     |      |
|            |        | | center |      |          |     |     |      |
|            |        | |        |      | CDSO     |     |     |      |
|            |        | +--------+------+----------+-----+     |      |
|            |        |                                        |      |
|            |        | Accident Investigation and Reporting   |      |
|            |        |                                        |      |
|            |        | +--------+-------+---------+------+    |      |
|            |        | | Action | Due   | Respons | St   |    |      |
|            |        | | Item   | Date  | ibility | atus |    |      |
|            |        | +--------+-------+---------+------+    |      |
|            |        | | Inves  | As    | Supe    |      |    |      |
|            |        | | tigate | n     | rvisors |      |    |      |
|            |        | | acc    | eeded |         |      |    |      |
|            |        | | idents |       | (CDSO   |      |    |      |
|            |        | | and    |       | assist) |      |    |      |
|            |        | | report |       |         |      |    |      |
|            |        | | in     |       |         |      |    |      |
|            |        | | SMIS   |       |         |      |    |      |
|            |        | +--------+-------+---------+------+    |      |
|            |        | |        |       |         |      |    |      |
|            |        | +--------+-------+---------+------+    |      |
|            |        | |        |       |         |      |    |      |
|            |        | +--------+-------+---------+------+    |      |
|            |        |                                        |      |
|            |        | Program Evaluation                     |      |
|            |        |                                        |      |
|            |        | +-------+-------+---------+------+     |      |
|            |        | | A     | Due   | Respons | St   |     |      |
|            |        | | ction | Date  | ibility | atus |     |      |
|            |        | | Item  |       |         |      |     |      |
|            |        | +-------+-------+---------+------+     |      |
|            |        | | Yea   | Oc    | M       |      |     |      |
|            |        | | r-end | tober | anagers |      |     |      |
|            |        | | clo   | 30    |         |      |     |      |
|            |        | | seout |       | CDSO    |      |     |      |
|            |        | | of    |       |         |      |     |      |
|            |        | | s     |       |         |      |     |      |
|            |        | | afety |       |         |      |     |      |
|            |        | | pr    |       |         |      |     |      |
|            |        | | ogram |       |         |      |     |      |
|            |        | +-------+-------+---------+------+     |      |
|            |        | |       |       |         |      |     |      |
|            |        | +-------+-------+---------+------+     |      |
|            |        | |       |       |         |      |     |      |
|            |        | +-------+-------+---------+------+     |      |
|            |        |                                        |      |
|            |        | New Building Safety Items (if          |      |
|            |        | applicable)                            |      |
|            |        |                                        |      |
|            |        | +--------+------+---------+------+     |      |
|            |        | | Action | Due  | Respons | St   |     |      |
|            |        | | Item   | Date | ibility | atus |     |      |
|            |        | +--------+------+---------+------+     |      |
|            |        | | New    | TBD  | CDSO    |      |     |      |
|            |        | | Bu     |      |         |      |     |      |
|            |        | | ilding | P    | Safety  |      |     |      |
|            |        | | Evac   | rior | Co      |      |     |      |
|            |        | | uation | to   | mmittee |      |     |      |
|            |        | | Plan   | Mov  |         |      |     |      |
|            |        | |        | e-in | Safety  |      |     |      |
|            |        | |        |      | Officer |      |     |      |
|            |        | +--------+------+---------+------+     |      |
|            |        | | New    | TBD  | CDSO    |      |     |      |
|            |        | | Bu     |      |         |      |     |      |
|            |        | | ilding | P    |         |      |     |      |
|            |        | | First  | rior |         |      |     |      |
|            |        | | Aid    | to   |         |      |     |      |
|            |        | | and    | Mov  |         |      |     |      |
|            |        | | AED    | e-in |         |      |     |      |
|            |        | | S      |      |         |      |     |      |
|            |        | | tation |      |         |      |     |      |
|            |        | +--------+------+---------+------+     |      |
|            |        | | New    | TBD  | CDSO    |      |     |      |
|            |        | | Bu     |      |         |      |     |      |
|            |        | | ilding | P    |         |      |     |      |
|            |        | | Eye    | rior |         |      |     |      |
|            |        | | Wash   | to   |         |      |     |      |
|            |        | | St     | Mov  |         |      |     |      |
|            |        | | ations | e-in |         |      |     |      |
|            |        | +--------+------+---------+------+     |      |
|            |        | | New    | TBD  | CDSO    |      |     |      |
|            |        | | Bu     |      |         |      |     |      |
|            |        | | ilding | P    | Em      |      |     |      |
|            |        | | Fire   | rior | ergency |      |     |      |
|            |        | | Alarm  | to   | Eva     |      |     |      |
|            |        | | Test   | Mov  | cuation |      |     |      |
|            |        | |        | e-in | Group   |      |     |      |
|            |        | +--------+------+---------+------+     |      |
|            |        | | New    | TBD  | CDSO    |      |     |      |
|            |        | | Bu     |      |         |      |     |      |
|            |        | | ilding | At   | Em      |      |     |      |
|            |        | | Fire   | Mov  | ergency |      |     |      |
|            |        | | Alarm  | e-in | Eva     |      |     |      |
|            |        | | Drill  |      | cuation |      |     |      |
|            |        | |        |      | Group   |      |     |      |
|            |        | +--------+------+---------+------+     |      |
|            |        | | New    | TBD  | CDSO    |      |     |      |
|            |        | | Bu     |      |         |      |     |      |
|            |        | | ilding | At   |         |      |     |      |
|            |        | | Safety | Mov  |         |      |     |      |
|            |        | | Bu     | e-in |         |      |     |      |
|            |        | | lletin |      |         |      |     |      |
|            |        | | Board  |      |         |      |     |      |
|            |        | | and    |      |         |      |     |      |
|            |        | | M      |      |         |      |     |      |
|            |        | | essage |      |         |      |     |      |
|            |        | | Center |      |         |      |     |      |
|            |        | +--------+------+---------+------+     |      |
|            |        | | New    | TBD  | CDSO    |      |     |      |
|            |        | | Bu     |      |         |      |     |      |
|            |        | | ilding | At   |         |      |     |      |
|            |        | | Re     | Mov  |         |      |     |      |
|            |        | | quired | e-in |         |      |     |      |
|            |        | | OSHA   |      |         |      |     |      |
|            |        | | P      |      |         |      |     |      |
|            |        | | osters |      |         |      |     |      |
|            |        | +--------+------+---------+------+     |      |
|            |        | | New    | TBD  | Zone    |      |     |      |
|            |        | | Bu     |      | Safety  |      |     |      |
|            |        | | ilding | At   | Officer |      |     |      |
|            |        | | COO    | Mov  |         |      |     |      |
|            |        | | Plan   | e-in |         |      |     |      |
|            |        | +--------+------+---------+------+     |      |
+------------+--------+----------------------------------------+------+
| Re-issue   | De     | CDSO                                   |      |
| GJFO/MCNCA | cember |                                        |      |
| Safety     | 1st,   | Managers                               |      |
| Policy     | 2007   |                                        |      |
|            |        | Safety Committee                       |      |
+------------+--------+----------------------------------------+------+
| Check      | J      | District Safety Officer                |      |
| status of  | anuary |                                        |      |
| District   | 1st,   |                                        |      |
| Safety Mgr | 2008   |                                        |      |
| tasks:     |        |                                        |      |
|            |        |                                        |      |
| COOP, OEP, |        |                                        |      |
| CASHE      |        |                                        |      |
| Audit,     |        |                                        |      |
| Fire       |        |                                        |      |
| Prevention |        |                                        |      |
| Plan       |        |                                        |      |
+------------+--------+----------------------------------------+------+
| OSHA 6000  | J      | Assoc F.M.                             |      |
| for CDSO   | anuary |                                        |      |
|            | 1st,   | CDSO                                   |      |
|            | 2008   |                                        |      |
+------------+--------+----------------------------------------+------+
| 2008 Risk  | J      | Managers and Supervisors               |      |
| Management | anuary |                                        |      |
| A          | 28th,  |                                        |      |
| ssessments | 2008   |                                        |      |
+------------+--------+----------------------------------------+------+
| Update     | On     | CDSO                                   |      |
| this plan  | -going |                                        |      |
| at         |        |                                        |      |
| S:/blmsh   |        |                                        |      |
| are/safety |        |                                        |      |
| plans and  |        |                                        |      |
| memos      |        |                                        |      |
+------------+--------+----------------------------------------+------+
| Clean up   | Fe     | CDSO                                   |      |
| and        | bruary |                                        |      |
| organize   | 1st,   | Admin staff                            |      |
| electronic | 2008   |                                        |      |
| safety     |        |                                        |      |
| i          |        |                                        |      |
| nformation |        |                                        |      |
+------------+--------+----------------------------------------+------+
| Implement  | On     | CDSO                                   |      |
| OF-346     | -going |                                        |      |
| Program    |        | John Ryan                              |      |
+------------+--------+----------------------------------------+------+
| Confirm    | De     | Zone Safety Officer                    |      |
| Confined   | cember |                                        |      |
| Space      | 1st,   |                                        |      |
| Survey     | 2007   |                                        |      |
| Current    |        |                                        |      |
+------------+--------+----------------------------------------+------+
| Implement  | On     | Acting Zone Safety Officer, CDSO,      |      |
| Hearing    | -going | Supervisors                            |      |
| Co         |        |                                        |      |
| nservation |        |                                        |      |
| Program    |        |                                        |      |
+------------+--------+----------------------------------------+------+
| Update     | April  | Supervisors                            |      |
| Check      | 1st    |                                        |      |
| In/Out     |        |                                        |      |
| Policy     |        |                                        |      |
+------------+--------+----------------------------------------+------+

Training

+-----------------+-----------------+-----------------+-----------------+
| Action Item     | Due Date        | Responsibility  | Status          |
+-----------------+-----------------+-----------------+-----------------+
| Develop         | December 1st    | CDSO            |                 |
| Training        | 2007            |                 |                 |
| Tracking        |                 | IT              |                 |
| database for    | (development)   | staff(Martha)   |                 |
| Safety-related  |                 |                 |                 |
| training        | April 1st, 2008 |                 |                 |
|                 |                 |                 |                 |
|                 | (               |                 |                 |
|                 | implementation) |                 |                 |
+-----------------+-----------------+-----------------+-----------------+
| Develop Safety  | April 1st, 2008 | CDSO            |                 |
| W               |                 | (Coordinator)   |                 |
| eek/Orientation |                 |                 |                 |
| Events:         |                 | Safety          |                 |
|                 |                 | Committee       |                 |
| Required        |                 |                 |                 |
| training:       |                 | Admin staff     |                 |
|                 |                 |                 |                 |
| -Safety Program |                 | Managers        |                 |
| Overview        |                 |                 |                 |
|                 |                 | Supervisors     |                 |
| -First aid/CPR  |                 |                 |                 |
|                 |                 | Program Leads   |                 |
| -Bloodborne     |                 |                 |                 |
| pathogens       |                 |                 |                 |
|                 |                 |                 |                 |
| -OSHA HAZWOPER  |                 |                 |                 |
|                 |                 |                 |                 |
| (Awareness      |                 |                 |                 |
| Level)          |                 |                 |                 |
|                 |                 |                 |                 |
| -OSHA HAZCOM    |                 |                 |                 |
|                 |                 |                 |                 |
| -Defensive      |                 |                 |                 |
| Driving         |                 |                 |                 |
|                 |                 |                 |                 |
| -Fire           |                 |                 |                 |
| extinguisher    |                 |                 |                 |
|                 |                 |                 |                 |
| Other Training: |                 |                 |                 |
|                 |                 |                 |                 |
| -driver testing |                 |                 |                 |
|                 |                 |                 |                 |
| -4X4 training   |                 |                 |                 |
|                 |                 |                 |                 |
| -trailer towing |                 |                 |                 |
|                 |                 |                 |                 |
| -ATV use        |                 |                 |                 |
|                 |                 |                 |                 |
| -purchasing     |                 |                 |                 |
|                 |                 |                 |                 |
| -timekeeping    |                 |                 |                 |
|                 |                 |                 |                 |
| -radio use      |                 |                 |                 |
|                 |                 |                 |                 |
| -Check in/out   |                 |                 |                 |
|                 |                 |                 |                 |
| -fire reporting |                 |                 |                 |
|                 |                 |                 |                 |
| -environmental  |                 |                 |                 |
| hazards         |                 |                 |                 |
|                 |                 |                 |                 |
| -drug lab       |                 |                 |                 |
| awareness       |                 |                 |                 |
|                 |                 |                 |                 |
| Orientation:    |                 |                 |                 |
|                 |                 |                 |                 |
| -BBQ            |                 |                 |                 |
|                 |                 |                 |                 |
| -History of BLM |                 |                 |                 |
|                 |                 |                 |                 |
| -Program        |                 |                 |                 |
| Overviews       |                 |                 |                 |
|                 |                 |                 |                 |
| (range, weeds,  |                 |                 |                 |
| wild            |                 |                 |                 |
| life/fisheries, |                 |                 |                 |
| T&E,            |                 |                 |                 |
| recreation,     |                 |                 |                 |
| realty,         |                 |                 |                 |
| minerals, fire  |                 |                 |                 |
+-----------------+-----------------+-----------------+-----------------+

Inspections/Drills

+-----------------+-----------------+-----------------+-----------------+
| Action Item     | Due Date        | Responsibility  | Status          |
+-----------------+-----------------+-----------------+-----------------+
| Conduct monthly | On-going        | CDSO            |                 |
| Fire            |                 |                 |                 |
| Extinguisher    |                 | Hazmat Coord.   |                 |
| Checks          |                 |                 |                 |
+-----------------+-----------------+-----------------+-----------------+
| Inspect GJ Bldg | September 1st,  | Zone Safety Mgr |                 |
| and Wareyard    | 2008            |                 |                 |
|                 |                 | CDSO            |                 |
|                 |                 |                 |                 |
|                 |                 | Hazmat Coord.   |                 |
|                 |                 |                 |                 |
|                 |                 | Safety          |                 |
|                 |                 | Committee       |                 |
+-----------------+-----------------+-----------------+-----------------+
| Follow-up on    | November 1st    | Managers        |                 |
| inspection      | 2008            |                 |                 |
| findings        |                 | Zone Safety Mgr |                 |
|                 |                 |                 |                 |
|                 |                 | Hazmat Coord.   |                 |
|                 |                 |                 |                 |
|                 |                 | CDSO            |                 |
+-----------------+-----------------+-----------------+-----------------+
| Review          | November 1st,   | Office          |                 |
| Evacuation/     | 2007            | Emergency       |                 |
| Fire Drill Plan |                 | Evacuations     |                 |
|                 |                 | Group           |                 |
+-----------------+-----------------+-----------------+-----------------+
| Inspect         | May 1, 2008     | Vehicle/Trailer |                 |
| Vehicles and    |                 |                 |                 |
| Trailers        |                 | Assignee        |                 |
+-----------------+-----------------+-----------------+-----------------+

Safety and Health Promotion

+-----------------+-----------------+-----------------+-----------------+
| Action Item     | Due Date        | Responsibility  | Status          |
+-----------------+-----------------+-----------------+-----------------+
| Conduct         | Jan, March,     | Safety          |                 |
| quarterly       | June,           | Committee       |                 |
| Safety          |                 |                 |                 |
| Committee       | September       |                 |                 |
| Meetings        |                 |                 |                 |
+-----------------+-----------------+-----------------+-----------------+
| Conduct Monthly | 1st Monday each | Management      |                 |
| All Employee    | month           | Assigned Groups |                 |
| Safety Session  |                 |                 |                 |
+-----------------+-----------------+-----------------+-----------------+
| Distribute      | On-going        | CDSO            |                 |
| safety alerts   |                 |                 |                 |
| and periodicals |                 |                 |                 |
+-----------------+-----------------+-----------------+-----------------+
| Brief           | Jan., March,    | CDSO            |                 |
| Management Team | June,           |                 |                 |
| quarterly on    |                 |                 |                 |
| safety program  | September       |                 |                 |
| status          |                 |                 |                 |
+-----------------+-----------------+-----------------+-----------------+
| Implement       | November 1st,   | Safety          |                 |
| Safety Award &  | 2007            | Committee       |                 |
| Recognition     |                 |                 |                 |
| Program for     |                 | CDSO            |                 |
| 2007 field      |                 |                 |                 |
| season          |                 | Managers        |                 |
+-----------------+-----------------+-----------------+-----------------+
| Stock break     | As needed       | CDSO            |                 |
| room 1st aid    |                 |                 |                 |
| box             |                 |                 |                 |
+-----------------+-----------------+-----------------+-----------------+
| Update HAZCOM   | May 1           | Hazmat Coord.   |                 |
| center          |                 |                 |                 |
|                 |                 | CDSO            |                 |
+-----------------+-----------------+-----------------+-----------------+

Accident Investigation and Reporting

+-----------------+-----------------+-----------------+-----------------+
| Action Item     | Due Date        | Responsibility  | Status          |
+-----------------+-----------------+-----------------+-----------------+
| Investigate     | As needed       | Supervisors     |                 |
| accidents and   |                 |                 |                 |
| report in SMIS  |                 | (CDSO assist)   |                 |
+-----------------+-----------------+-----------------+-----------------+
|                 |                 |                 |                 |
+-----------------+-----------------+-----------------+-----------------+
|                 |                 |                 |                 |
+-----------------+-----------------+-----------------+-----------------+

Program Evaluation

+-----------------+-----------------+-----------------+-----------------+
| Action Item     | Due Date        | Responsibility  | Status          |
+-----------------+-----------------+-----------------+-----------------+
| Year-end        | October 30      | Managers        |                 |
| closeout of     |                 |                 |                 |
| safety program  |                 | CDSO            |                 |
+-----------------+-----------------+-----------------+-----------------+
|                 |                 |                 |                 |
+-----------------+-----------------+-----------------+-----------------+
|                 |                 |                 |                 |
+-----------------+-----------------+-----------------+-----------------+

**Appendix L**

**Glenwood Spring Field Office Safety Committee Charter and 2008 Safety
Action Plan**

**Glenwood Springs Safety Committee Charter**

The Glenwood Springs Safety Committee (GSSC) is established in
accordance with 29 CFR 1960 and BLM Manual Handbook, H-1112-2, Safety
and Health for Field Operations. BLM offices/staffs participating in the
GSSC are: 1) Glenwood Springs Field Office, 2) Glenwood Springs Energy
Office, and 3) Upper Colorado River Interagency Fire. This charter is
intended to set guidelines for operation of the GSSC. It will become the
Glenwood Springs policy and be made an amendment to all Safety Manuals
currently existing as of the approval of this charter. This policy
supersedes all other Glenwood Springs office memos or guidance on the
Safety Committee. This program and charter may be modified or amended as
needed by the signatories of this charter through the Safety Committee.

The GSSC is responsible for helping, as well as encouraging a positive
attitude by all employees in all offices. The committee can set a
positive tone by affirming safety as a core value and help managers,
supervisors, and employees understand their personal responsibility to
insure a safe working environment by:

-   Providing recommendations on safety issues to the respective
    employees, managers and supervisors.

-   Becoming involved in the safety aspects of all programs and
    activities.

-   Providing incentives, recognition and awards to units and
    individuals.

[Mission Statement]{.underline}

> The mission of the Glenwood Springs Safety Committee is to develop and
> promote a healthy and safe environment for all employees and visitors
> to our facilities through the involvement of all individuals with
> regards to education, communication and safe work practices.

[Bureau Policy]{.underline}

The Bureau policy is the overall mission statement for the Glenwood
Springs Safety Program and Safety Committee and from 29 CFR 1910 and 29
CFR 1926, the policy is as follows:

"It is Bureau policy to hold paramount the safety, health, and welfare
of its employees, volunteers, contractors, and visiting public by
providing a safe workplace, facilities, and sites that are operationally
free from recognized physical or environmental hazards or conditions
which are causing, or which have the potential to cause harm to persons,
property, or the environment. This policy shall be implemented by
including safety and health as an integral part of every Bureau
operation, in compliance with all safety manuals and applicable Federal,
State, and local laws or regulations. Managers and supervisors are
responsible for implementing this policy."

The GSSC is established to create and promote a positive safety attitude
and awareness and to ensure a safe workplace. The principal role of the
committee is to make safety and integral component of all staff programs
and activities. The GSSC function is to ensure that all matters of
safety within all offices are communicated between employees and
management. It is the forum for which employees can bring forth safety
concerns/matters.

The committee will assist the Northwest District Safety Specialist with
administration of the safety program and outlined by this charter. On
all safety matters, the Committee will follow the guidelines set forth
in the BLM Manual 1112-1.1 and 1112-1.2.

**Committee structure/organization**

[The committee make-up will be the following:]{.underline}

Northwest District Safety Specialist standing member

Glenwood Springs Field Office CDSO standing member

Field Office Management Team 1 member

Upper Colorado Interagency Fire Safety Officer standing member

Law Enforcement standing member

Field Office Staff 2 members

[Operating Guidelines]{.underline}

a.  Membership Duration -- The objective is to ensure active
    participation by all committee members. Each committee member will
    serve a two-year term. Initial terms of appointment as Safety
    Committee Representative will vary to ensure that there is not more
    than a two-thirds (2/3) turn-over rate each year. All Safety
    Committee members will be permanent, full time employees. (NOTE: The
    annual Safety Action Plan contains the membership roster.)

b.  Meetings -- The committee will meet at a minimum quarterly,
    throughout the year with seasonal emphasis on topics. If a member
    cannot attend the meeting, then the member will be responsible for
    having an alternate represent their organization. An agenda will be
    posted to all employees two weeks prior. Minutes will be sent to all
    employees within 5 working days after the meeting. Special meetings
    may be convened as needed.

c.  Glenwood Springs Safety Action Plan -- The committee will prepare
    and implement the safety action plan for approval by the Field
    manager by identifying safety issues, proposals, awards, training
    and budget. The annual safety action plan will provide the direction
    and focus of the Glenwood Springs safety program. Safety committee
    members will assist the Northwest District Safety Specialist,
    supervisors, employees or program leads in completing the annual
    safety action plan.

d.  Integration of safety into Field Office Programs -- Safety is
    everyone's responsibility. It is the goal of the safety committee to
    integrate safety into the work environment. The safety program
    should become integrated into each employee's activities by
    individual commitment and management support of the safety program.
    Supervisors are responsible to ensure employee involvement in the
    safety program in all aspects of their job. Management can support
    by ensuring attendance to the committee meetings and by recognition
    and implementation of recommendations made by the safety committee.
    Supervisors can also integrate safety into the workplace by
    conducting a Risk Assessment Analysis of operational work and using
    that analysis to provide a safe working environment.

e.  Awards -- A positive safety attitude can be greatly enhanced with a
    proactive safety awards program. The committee will act as a
    clearing house for recognition of exemplary contributions to the
    Glenwood Springs Safety Program.

Roles and Responsibilities of Committee Members

The officers of the committee will serve a 2-year term. The officers
will consist of a Chairperson, a Co-Chairperson, and a Secretary.
Officers will be elected by the committee membership at the third
quarter meeting of each year to begin their tenure the following
October.

**Responsibilities**

[Supervisors]{.underline}

-   Enforce all safety and health rules and procedures.

-   Allow time for committee representative participation in management
    team meeting.

-   Allocate the funds/resources necessary to implement safety and
    health committee activities.

-   Lead by example in following all health and safety rules and
    practices.

-   Provide timely feedback to the committee.

-   Perform the initial investigation of all injuries, incidents and
    near misses.

[Northwest District Safety Specialist]{.underline}

-   Has the lead responsibility to update, revise, and change the
    Emergency Evacuation Plan and Continuity of Operations Plan (COOP)
    annually for Management Approval, Confined Space survey, and
    facility/site inspections. Will act as lead for CASHE audits,
    program management reviews (PMR). As needed, the NWDSS will ask for
    assistance from the local CDSO to complete tacks.

-   Has lead responsibility to provide and/or coordinate technical
    safety training to supervisors and employees using a wide variety of
    informational aids. Promotes safety through the GSSC meetings, posts
    safety displays and prepares all Glenwood Springs safety
    memorandums.

-   Provides assistance to Law Enforcement Ranger and Field Office
    Manager as requested in investigations of employee accidents (i.e.
    assist with paperwork flow of estimates of damage, necessary
    reports, injury compensation forms, and administrative tort claims,
    ensures that these items are prepared and submitted timely through
    proper channels and follows up as necessary). Ensure all accident
    and injuries are documented in SMIS by the respective supervisors.
    Assists in any required OWCP actions relating to accidents of
    injuries.

-   Works with the GJ Complex Hazardous materials Coordinator to ensure
    proper handling and storage of materials within the facilities and
    ware yards. Assists the Hazardous Materials Coordinator and Glenwood
    Springs representatives in updating the Hazardous Communication Plan
    for the Glenwood Springs facilities. Assists the Hazardous Materials
    Coordinator in conducting Hazardous Communication and First
    Responder Awareness Level training.

-   Coordinates with appropriate parties, and ensures the timely
    preparation of all necessary documentation and reports required by
    WO, SO and GS Safety program requests and reports.

-   The Northwest District Safety Specialist will be the standing
    representative on the State Safety Committee.

-   Lead responsibility for reviewing data input into the Safety
    management Information System (SMIS) for the Northwest District.

-   Assists Field Office, as requested, in preparing Risk Management
    Assessments and tailgate talks for operational work.

-   Ensure safety programs are compliant with OSHA and Bureau Health and
    Safety regulations/policies.

-   Responsible for distributing items needed to update the safety
    boards and posters.

-   Obtain and analyze data on past injuries and illnesses and identify
    trends and suggest appropriate corrective actions.

[Committee]{.underline} - The health and safety activities of the
committee will include, but are not limited to the following:

-   Identify unsafe work practices and conditions and suggest
    appropriate remedies.

-   Review accident/incident reports. Types of accidents, near misses,
    causes and trends shall be identified and appropriate corrective
    action suggested.

-   Assist in the development and implementation of effective health and
    safety awareness programs.

-   Oversees Glenwood Springs Incentive and Awards program.

-   Encourage feedback from all individuals with regard to health and
    safety related ideas, problems, and solutions.

-   Outline and review annual safety assignments, recommend safety
    topics schedule.

-   Serve as an advisory body to management on health and safety issues.

-   Prepares annual Glenwood Springs Safety Action Plan for committee
    review at fall meeting. Distribute through management as IM each
    October.

-   Coordinate Safety Week making the most efficient use of training
    opportunities where possible.

Safety Committee Members -- All committee members shall be acting as the
"eyes and ears" of the Glenwood Springs staffs for safety concerns and
should be the channel to give out and receive all safety information.
Members should bring forward to the committee for discussion, topics
such as accidents and possible prevention methods, safety and health
promotions, awards, employee's safety attitudes, employee suggestions,
hazards noted on inspections, injury occurrences, work related illness,
public safety problems, and other pertinent subjects. The committee will
decide the need and urgency for what action must be taken on any topic
and what course of action should be taken. Committee members may be
requested to assist in accident investigations. Actions concerned with
accident and injury prevention should take precedence and result in an
information memo to all employees if others could learn from the
situation.

The committee members are responsible, through the Northwest District
Safety Specialist, for keeping the Management Team advised of safety
matters and researching and making recommendations on specific safety
matters.

The committee may recommend changes on any existing policies and all
other Glenwood Springs safety matters. Committee members also act as
coordinator for and assist the Northwest District Safety Specialist in
local safety functions (i.e. annual vehicle inspections) and safety
training.

Glenwood Springs Safety Committee Charter approved by:

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Glenwood Springs Field Manager Date

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Northwest District Safety Specialist Date

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Upper Colorado River Interagency Fire FMO Date

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

DSD, Support Services, CSO Date

**Glenwood Springs Field Office**

**Safety and Occupational Health Action Plan**

**FY 2008**

Prepared by:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Glenwood Springs CDSO Date

Approved by:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Glenwood Springs Field Manager Date

+--------------------------------------+------+---------------+-------+
| **Safety Action Item**               | **D  | **Res         | **Sta |
|                                      | ue** | ponsibility** | tus** |
+--------------------------------------+------+---------------+-------+
| Reissue Glenwood Springs Safety      | 2/   | CDSO,         |       |
| Policy Memo                          | 8/08 | Management,   |       |
|                                      |      | Safety        |       |
|                                      |      | Committee     |       |
+--------------------------------------+------+---------------+-------+
| Check status of District Safety Mgr  | 2/2  | NW District   |       |
| tasks: COOP, OEP, CASHE Audit, Fire  | 9/08 | Safety        |       |
| Prevention Plan                      |      | Officer       |       |
+--------------------------------------+------+---------------+-------+
| OSHA 6000 for CDSO                   | 2/2  | CDSO          |       |
|                                      | 9/08 |               |       |
+--------------------------------------+------+---------------+-------+
| 2008 Risk Management Assessments     | 1/2  | Manager       |       |
|                                      | 8/08 | s/Supervisors |       |
+--------------------------------------+------+---------------+-------+
| Update this plan at                  | 2/1  | CDSO          |       |
| S:/blmshare/safety                   | 3/08 |               |       |
+--------------------------------------+------+---------------+-------+
| Implement OF-346 Program             | On-g | CDSO          |       |
|                                      | oing |               |       |
+--------------------------------------+------+---------------+-------+
| Confirm Confined Space Survey        | 12/  | NW District   |       |
| Current                              | 1/08 | Safety        |       |
|                                      |      | Officer       |       |
+--------------------------------------+------+---------------+-------+
| Update Check In/Out Policy           | 2/   | Supervisors   |       |
|                                      | 8/08 |               |       |
+--------------------------------------+------+---------------+-------+
| Develop Training Tracking database   | 4/   | CDSO/IT       |       |
| for safety-related training          | 1/08 |               |       |
+--------------------------------------+------+---------------+-------+
| Inspect Glenwood Springs Office      | 9/   | NW District   |       |
| Buildings and Ware-yard              | 1/08 | Safety        |       |
|                                      |      | Office        |       |
|                                      |      | r/CDSO/Hazmat |       |
|                                      |      | Coord.        |       |
+--------------------------------------+------+---------------+-------+
| Follow-up on inspection findings     | 11/  | Managers/NW   |       |
|                                      | 1/08 | District      |       |
|                                      |      | Safety        |       |
|                                      |      | O             |       |
|                                      |      | fficer/Hazmat |       |
|                                      |      | Coord./CDSO   |       |
+--------------------------------------+------+---------------+-------+
| Conduct quarterly Safety Committee   | Q    | Safety        |       |
| Meetings                             | uart | Committee     |       |
|                                      | erly |               |       |
+--------------------------------------+------+---------------+-------+
| Distribute safety alerts and         | On-g | CDSO          |       |
| periodicals                          | oing |               |       |
+--------------------------------------+------+---------------+-------+
| Brief Management Team quarterly on   | Q    | CDSO          |       |
| safety program status                | uart |               |       |
|                                      | erly |               |       |
+--------------------------------------+------+---------------+-------+
| Implement Safety Award & Recognition | 11/  | Safety        |       |
| Program for 2007                     | 1/08 | Committee/    |       |
|                                      |      |               |       |
|                                      |      | CDSO/Managers |       |
+--------------------------------------+------+---------------+-------+
| Investigate accidents and report in  | As   | Supervisors   |       |
| SMIS                                 | ne   |               |       |
|                                      | eded |               |       |
+--------------------------------------+------+---------------+-------+
| Year-end closeout of safety program  | 10/3 | Managers/CDSO |       |
|                                      | 0/08 |               |       |
+--------------------------------------+------+---------------+-------+
|                                      |      |               |       |
+--------------------------------------+------+---------------+-------+

The following are the Glenwood Springs FY08 safety assignments with
guidance for completion of assignments. For safety assignments requiring
employee tracking please provide the list of employees with date of
participation to the Collateral Duty Safety Officer (CDSO).

+-----------------------------------------+-------+----------+--------+
| **Safety Assignment**                   | **    | **       | **St   |
|                                         | Due** | Responsi | atus** |
|                                         |       | bility** |        |
+-----------------------------------------+-------+----------+--------+
| **ATV Care & Maintenance** --           |       | Pittman  |        |
| Coordinate maintenance and repairs,     |       |          |        |
| perform monthly checks of ATV's for any |       |          |        |
| safety concerns.                        |       |          |        |
+-----------------------------------------+-------+----------+--------+
| **ATV Training** -- Attend training     |       | Kinser   |        |
| when needed to be certified as an       |       |          |        |
| instructor. Track training needs for    |       | Anderson |        |
| employees and schedule and perform      |       |          |        |
| trainings. Presentation required at the |       |          |        |
| June staff meeting.                     |       |          |        |
+-----------------------------------------+-------+----------+--------+
| **Building Security Systems FO & EO**   |       | Lehman   |        |
+-----------------------------------------+-------+----------+--------+
| **Cabin, A-Frame** - Open/Close cabin   |       | Fresques |        |
| for winter season. Coordinate any       |       |          |        |
| maintenance/repairs. Presentation at    |       |          |        |
| June staff meeting on use of cabin.     |       |          |        |
+-----------------------------------------+-------+----------+--------+
| **Cabin, King Mountain** - Open/Close   |       | Hopkins, |        |
| cabin for winter season. Coordinate any |       | K.       |        |
| maintenance/repairs.                    |       |          |        |
+-----------------------------------------+-------+----------+--------+
| **Cache Audit** - Follow-up Action      |       | O'Mara   |        |
+-----------------------------------------+-------+----------+--------+
| **Chainsaws** -- Maintain and repair    | 6/    | Byers    |        |
| saws in spring making them ready for    | 30/08 |          |        |
| use. Track and coordinate training for  |       |          |        |
| employees using saws.                   |       |          |        |
+-----------------------------------------+-------+----------+--------+
| **COOP Plan/Employee Data** -- Keep     | 3/    | Vacant   |        |
| COOP plan updated with location,        | 11/08 |          |        |
| employee data, etc. Presentation        |       |          |        |
| required at the March staff meeting.    |       |          |        |
+-----------------------------------------+-------+----------+--------+
| **CPR/First Aid** --Track card          | 6/    | Huey     |        |
| expiration dates and schedule training  | 30/08 |          |        |
| for all employees/seasonals keeping     |       |          |        |
| office updated.                         |       |          |        |
+-----------------------------------------+-------+----------+--------+
| **Critical Incident Family Liaison**    | As    | Connell  |        |
|                                         | n     |          |        |
|                                         | eeded |          |        |
+-----------------------------------------+-------+----------+--------+
| **Critical Incident Management Plan** - | 9     | Vacant   |        |
| Keep plan updated Presentation at       | /9/08 |          |        |
| September staff meeting.                |       |          |        |
+-----------------------------------------+-------+----------+--------+
| **Defensive Driving** -- Track and      | 6/    | Harrison |        |
| coordinate training needs for           | 30/08 |          |        |
| defensive, four wheel, and winter       |       |          |        |
| driving.                                |       |          |        |
+-----------------------------------------+-------+----------+--------+
| **Drinking Water** - Monitor/Tracking   |       | O        |        |
| the drinking water at the A-Frame and   |       | 'Connell |        |
| King Mountain Cabins                    |       |          |        |
+-----------------------------------------+-------+----------+--------+
| **Emergency Evac EO** -- Keep plan      |       | Conrath, |        |
| updated with any new information.       |       | K.       |        |
| Schedule and perform evacuation drills. |       |          |        |
+-----------------------------------------+-------+----------+--------+
| **Emergency Evac FO** - Keep plan       |       | Vacant   |        |
| updated with any new information.       |       |          |        |
| Schedule and perform evacuation drills. |       |          |        |
+-----------------------------------------+-------+----------+--------+
| **Employee Wellness** -- Update         |       | Petry    |        |
| corporate membership at the Community   |       |          |        |
| Center. Maintain exercise equipment at  |       |          |        |
| field office. Provide employees with    |       |          |        |
| information on the use of equipment at  |       |          |        |
| the office and membership discounts at  |       |          |        |
| the community center.                   |       |          |        |
+-----------------------------------------+-------+----------+--------+
| **Employee Wellness** -- Coordinate     |       | Gergen   |        |
| annual blood screening and flu shots    |       |          |        |
| for employees through the community     |       |          |        |
| health fair and medical center.         |       |          |        |
+-----------------------------------------+-------+----------+--------+
| **Ergonomics** -- Research and provide  |       | S        |        |
| information to employees about          |       | paulding |        |
| ergonomics in the workplace.            |       |          |        |
+-----------------------------------------+-------+----------+--------+
| **Fire Extinguishers EO** -- Coordinate |       | Gall     |        |
| annual extinguisher checks. Have        |       |          |        |
| extinguishers charged, repaired or      |       |          |        |
| replaced when necessary. Perform        |       |          |        |
| monthly checks on extinguishers in      |       |          |        |
| office. Provide instruction/training    |       |          |        |
| for extinguisher use.                   |       |          |        |
+-----------------------------------------+-------+----------+--------+
| **Fire Extinguishers FO** - Coordinate  |       | DeYoung  |        |
| annual extinguisher checks. Have        |       |          |        |
| extinguishers charged, repaired or      |       |          |        |
| replaced when necessary. Perform        |       |          |        |
| monthly checks on extinguishers in      |       |          |        |
| office. Provide instruction/training    |       |          |        |
| for extinguisher use.                   |       |          |        |
+-----------------------------------------+-------+----------+--------+
| **First Aid Kits EO** -- Check office   |       | Crockett |        |
| and vehicle first aid kits and replace  |       |          |        |
| outdated/expired items by April 30^th^. |       |          |        |
| Check office kits monthly replacing any |       |          |        |
| used items.                             |       |          |        |
+-----------------------------------------+-------+----------+--------+
| **First Aid Kits FO** - Check office    |       | Brogan   |        |
| and vehicle first aid kits and replace  |       |          |        |
| outdated/expired items by April 30^th^. |       |          |        |
| Check office kits monthly replacing any |       |          |        |
| used items.                             |       |          |        |
+-----------------------------------------+-------+----------+--------+
| **Flammable Materials Storage** --      |       | Ennes    |        |
| Inventory flammable materials storage   |       |          |        |
| for compliance with regulations.        |       |          |        |
+-----------------------------------------+-------+----------+--------+
| **Forklift** -- Coordinate maintenance, |       | Sandberg |        |
| repairs and training for employees      |       |          |        |
| authorized to operate the forklift.     |       |          |        |
+-----------------------------------------+-------+----------+--------+
| **Hand Tools** -- Spring/Fall clean and |       | S        |        |
| inventory hand tools. Replace, repair   |       | easonals |        |
| and dispose of broken or hazardous      |       |          |        |
| tools.                                  |       |          |        |
+-----------------------------------------+-------+----------+--------+
| **Hazcom Plan -- MSDS** -- Keep Hazcom  |       | Stoneman |        |
| plan updated and do presentation on     |       |          |        |
| plan at June staff meeting. Inventory   |       |          |        |
| and keep MSDS sheet updated in          |       |          |        |
| hazardous materials book.               |       |          |        |
+-----------------------------------------+-------+----------+--------+
| **Hearing Conservation** -- Identify    |       | Geyer    |        |
| employees needing to be in the Hearing  |       |          |        |
| Conservation Program based on job       |       |          |        |
| duties. Coordinate with local vendor to |       |          |        |
| provide employees with hearing test.    |       |          |        |
| Maintain list of employees in program,  |       |          |        |
| when tested and when test results are   |       |          |        |
| sent to official employee file in HR    |       |          |        |
| and the State Office. Testing is to be  |       |          |        |
| completed by May 31^st^.                |       |          |        |
+-----------------------------------------+-------+----------+--------+
| **New Employee Orientation** -- Provide | As    | Mendonca |        |
| new employees with information on the   | n     |          |        |
| office safety program any hazards       | eeded | Bennett  |        |
| related to work duties and office       |       |          |        |
| security system.                        |       |          |        |
+-----------------------------------------+-------+----------+--------+
| **Office Radon Testing** -- Test and    |       | Maiorano |        |
| monitor radon level in offices          |       |          |        |
+-----------------------------------------+-------+----------+--------+
| **Personal Protection Equipment & H2S   |       | Ficklin  |        |
| Awareness** -- Research and provide     |       |          |        |
| employees requirements for PPE.         |       |          |        |
| Schedule and present H2S awareness      |       |          |        |
| training for field going employees.     |       |          |        |
+-----------------------------------------+-------+----------+--------+
| **Power Tools & Electrical Safety       |       | Cook     |        |
| Compliance** -- Inventory and maintain  |       |          |        |
| offices power tools. Provide            |       |          |        |
| information, instruction, and/or        |       |          |        |
| training for the use of power tools and |       |          |        |
| electrical safety. Coordinate with CDSO |       |          |        |
| on electrical safety compliance.        |       |          |        |
+-----------------------------------------+-------+----------+--------+
| **Radio Communications** -- Coordinate  |       | Clayton, |        |
| with Radio Technician to provide radio  |       | B.       |        |
| maintenance, programming, and training  |       |          |        |
| for base station, vehicle and handheld  |       |          |        |
| radios.                                 |       |          |        |
+-----------------------------------------+-------+----------+--------+
| **Recycling Fluorescent Lamp Tubes and  |       | Conrath, |        |
| NiCad Batteries** -- Identify safe area |       | F.       |        |
| to store lamp tubes and batteries until |       |          |        |
| they can be disposed of correctly.      |       |          |        |
| Coordinate disposal with center         |       |          |        |
| hazardous material coordinator.         |       |          |        |
+-----------------------------------------+-------+----------+--------+
| **Risk Management Assessment            |       | Steck    |        |
| Sheets/Notebook** -- Create and update  |       |          |        |
| RMA sheets                              |       |          |        |
+-----------------------------------------+-------+----------+--------+
| **Risk Management Assessment            |       | Zatorski |        |
| Sheets/Notebook** - Create and update   |       |          |        |
| RMA sheets                              |       |          |        |
+-----------------------------------------+-------+----------+--------+
| **Safety Bulletin Board EO** -- Update  |       | B        |        |
| safety information on boards. Materials |       | renneman |        |
| on boards need to be changed monthly    |       |          |        |
| unless information is necessary and     |       |          |        |
| needs to be posted longer.              |       |          |        |
+-----------------------------------------+-------+----------+--------+
| **Safety Bulletin Board FO** - Update   |       | Boyd     |        |
| safety information on boards. Materials |       |          |        |
| on boards need to be changed monthly    |       |          |        |
| unless information is necessary and     |       |          |        |
| needs to be posted longer.              |       |          |        |
+-----------------------------------------+-------+----------+--------+
| **Safety Web Maintenance** -- Keep      |       | Miller   |        |
| office safety intranet page updated by  |       |          |        |
| coordinating with CDSO and employees    |       |          |        |
| that have safety assignments related to |       |          |        |
| intranet page.                          |       |          |        |
+-----------------------------------------+-------+----------+--------+
| **Seasonal Orientation** - Provide new  |       | Hopkin,  |        |
| employees with information on the       |       | K.       |        |
| office safety program any hazards       |       |          |        |
| related to work duties and office       |       |          |        |
| security system.                        |       |          |        |
+-----------------------------------------+-------+----------+--------+
| **Trailers** - Perform monthly care and |       | Wilson   |        |
| maintenance check on trailers. Provide  |       |          |        |
| instructions/training on proper use of  |       |          |        |
| trailers.                               |       |          |        |
+-----------------------------------------+-------+----------+--------+
| **Vehicle Care/Maintenance** --         |       | Latil    |        |
| Coordinate annual vehicle safety check. |       |          |        |
| Provide assistance to vehicle operators |       |          |        |
| with maintenance and repairs to         |       |          |        |
| vehicles.                               |       |          |        |
+-----------------------------------------+-------+----------+--------+
| **Vehicle Orientation** -- Provide      |       | Haskins  |        |
| instruction/training                    |       |          |        |
+-----------------------------------------+-------+----------+--------+
| **Warehouse/Wareyard** -- Schedule      |       | Allen    |        |
| annual clean-up. Perform periodic check |       |          |        |
| for hazards, keeping walkways and       |       | Sandberg |        |
| vehicle driveways clear.                |       |          |        |
+-----------------------------------------+-------+----------+--------+
| **Water Safety** -- Provide information |       | Hopkins, |        |
| and training for water safety and       |       | B.       |        |
| proper use of BLM raft.                 |       |          |        |
+-----------------------------------------+-------+----------+--------+
| **Wildlife Encounters/Hazards** --      |       | Ausmus   |        |
| Provide employees with information      |       |          |        |
+-----------------------------------------+-------+----------+--------+