WORKPLACE HAZARD ASSESSMENT RECORDED BY: Chelsea SIGNATURE: //s// SHOP NAME: 32/Service Shop UIC NUMBER: M30001012 SHOP PRIORITY: 2 DATE: September 9, 2014 LOCATION: BUILDING 3252 COMMAND: Facilities Maintenance Section POC: William Taylor PHONE: (703)432-2017 TOTAL PERSONNEL: 23 Soldering Silver (spool/year) 19 - - - PPE: Face shield or safety goggles, heat resistant gloves (low heat), safety toe shoes Small Quantity of material/product used Finding/Observation: Personnel use solder and flux to perform minor plumbing repairs on metal pipes. The solder and flux contain silver. Given the frequency and method of use (1-2 ounces per week), personal exposure to these metals in excess of the levels allowed in 29 CFR 1910.1000 is not expected. Locksmith Noise, Metal debris 1 - - - Determined by previous sampling PPE: Single hearing protection, face shield or safety goggles, (general purpose) leather gloves, safety toe shoes - IH judgment based on interviews and observation Finding/Observation: Personnel may be potentially exposed to high noise levels. Personnel are required to be in the Hearing Conservation Program, based on sampling from a similar exposure group. With future monitoring, this requirement may be removed upon further evaluation. Recommendation: Please contact Occupational Health at (703)784.1673 to initiate baseline monitoring.
RECORDED BY: Chelsea Ford-Gladieux SIGNATURE: //s// UIC NUMBER: M30001012 SHOP PRIORITY: 2 DATE: September 9, 2014 COMMAND: Facilities Maintenance Section Shop Process (if applicable) Recommended Medical Surveillance # Of Personnel FMS Building & Trades 41 Hearing Conservation Program (503) 35 FMS Production Control 20 Hearing Conservation Program (503) 11 FMS Electric/HVAC/Mechanical Shop 51 Hearing Conservation Program (503) 49 FMS GUAD Service 34 Hearing Conservation Program (503) 26 FMS Heating Plant 81 Hearing Conservation Program (503) 8 FMS Roads & Grounds 71 Hearing Conservation Program (503) 42 FMS Service 32 Hearing Conservation Program (503) 25 FMS Utilities 61 Hearing Conservation Program (503) 21 FMS Waste Water Treatment Plant 84 Hearing Conservation Program (503) 12 FMS Water Treatment Plant 83 Hearing Conservation Program (503) 11 FMS Electric/HVAC/Mechanical Shop 51 Maintaining and repairing refrigeration and A/C units Freon Surveillance Program (718) 22 FMS Electric/HVAC/Mechanical Shop 51 Soldering/brazing Sight Conservation Program (708) 19 FMS Electric/HVAC/Mechanical Shop 51 Welding Sight Conservation Program (708) 2 FMS Roads & Grounds 71 Grounds keeping Grounds keeping Vibration (508) 17 FMS Roads & Grounds 71 Grounds keeping Minor road patching Vibration (508) 3 FMS Roads & Grounds 71 Grounds keeping Concrete repair Vibration (508) 17 FMS Roads & Grounds 71 Grounds keeping Heavy equipment operation Vibration (508) 6 FMS Roads & Grounds 71 Grounds keeping Tree Work Vibration (508) 2 2 Attachment (3) TABLE 1.1
TABLE 1.2 Facilities Maintenance Section (FMS) VENTILATION Date Location/Equipment Flow Rate Average Results Comments 6/4/13 Water Treatment Plant/ Shop #83/ Flouride Feeder #1 129 fpm Adequate Ventilation Smoke Test-Good 6/4/13 Water Treatment Plant/ Shop #83/ Flouride Feeder #2 N/A N/A Not “ON” at time of inspection 6/4/13 Water Treatment Plant/ Shop #83/ Soda Ash N/A Inadequate Ventilation Smoke Test-Negligible Note: Machine is working; however, ventilation is not operable during the time of inspection. 6/4/13 Water Treatment Plant/ Shop #83/ Chemistry Water Lab 173 fpm Adequate Ventilation Smoke Test-Good 6/4/13 Water Treatment Plant/ Shop #83/ Operator control room 104 fpm Adequate Ventilation Smoke Test-Good Manufacturer: Hamilton 6/6/13 Roads and Grounds/ Shop #71/ Vehicle Exhaust #1 1700 fpm Adequate Ventilation Smoke Test-Good 6/6/13 Roads and Grounds/ Shop #71/ Vehicle Exhaust #2 1583 fpm Adequate Ventilation Smoke Test-Good 2.2 Attachment (4)