October 30, 2017 | Author: Anonymous | Category: N/A
14.6 Incident/Near Miss Reporting . MiniRAE PID w/ 11.7 eV lamp or equivalent. ✓. 4-gas ......
H E A L T H
A N D
S A F E T Y
SITE HEALTH AND SAFETY PLAN FORMER KAST PROPERTY CARSON, CALIFORNIA
Prepared for: Shell Oil Products US 20945 South Wilmington Avenue Carson, California
October 14, 2015
999 Town and Country Road Orange, California 92868
P L A N
HEALTH AND SAFETY PLAN FORMER KAST PROPERTY CARSON, CALIFORNIA
Project Number:
60422689
PHONE
Project Manager:
Christian Osterberg
(714) 689-7316 or (714) 227-1363 (cell)
Site Manager:
Robert Ponce
(714) 720-4051 (cell)
Site Safety Officer:
Devon Molitor Or Qualified Alternate
(858) 531-9666 (cell)
Plan Preparer:
Chris Elmore
(714) 689-7329 or (954) 258-6944 (cell)
Preparation Date:
August 15, 2008
Revisions:
September 25, 2009; February 22, 2010; July 14, 2010; January 15, 2011; June 1, 2011; May 25, 2012; May 1, 2013; May 15, 2014; April15, 2015; September 1, 2015
Expiration Date:
October 1, 2016
APPROVALS
Chris Elmore Plan Prepare~
\;2~ Galen Cooter, CHMM, CSP Area Safety Manager
8-31-15 (DATE)
8-3 1-15 (DATE)
~t4~ 2
Christian Osterberg Project Manager
This Health and Safety Plan is valid only for this specific project as described in Section 3.0. It is not to be used for other projects or subsequent phases of this project without the written approval of the Area Safety Manager. A copy of this plan is to be maintained at the Site at all times.
Former Kast Property Health and Safety Plan T AB L E O F C O N T E N T S
1.0
PLAN-AT-A-GLANCE ............................................................................................. 1-1
2.0
SITE BACKGROUND & PROJECT SCOPE .......................................................... 2-1 2.1 2.2
Site Background ................................................................................................ 2-1 Scope of Work ................................................................................................... 2-2
3.0
APPLICABILITY ....................................................................................................... 3-1
4.0
RESPONSIBILITIES ................................................................................................. 4-1 4.1 4.2 4.3 4.4 4.5
5.0
Project Manager (AECOM) .............................................................................. 4-1 Site Safety Officer ............................................................................................. 4-2 Area Safety Manager (AECOM) ..................................................................... 4-3 Project Personnel .............................................................................................. 4-3 Subcontractor’s Safety Representative ......................................................... 4-3
JOB HAZARD ANALYSIS....................................................................................... 5-1 5.1
Chemical Hazards ............................................................................................. 5-1 5.1.1 5.1.2 5.1.3 5.1.4
5.2
Site Constituents .............................................................................................. 5-1 Chemical Injection Hazards ............................................................................ 5-9 Asbestos Hazards ............................................................................................ 5-9 Hazard Communication Materials ................................................................. 5-9 Physical Hazards............................................................................................. 5-10 5.2.1 Drilling Hazards and Control ........................................................................ 5-10 5.2.2 Heat Stress Recognition and Control.......................................................... 5-13 5.2.3 Noise Hazards ................................................................................................ 5-14 5.2.4 Slip/Trip/Fall Hazards .................................................................................... 5-14 5.2.5 Lifting Hazards ................................................................................................ 5-14 5.2.6 Heavy Equipment and Drilling Safety ......................................................... 5-15 5.2.7 Utilities Clearance .......................................................................................... 5-15 5.2.8 Electrical Safety/Lock-out /Tag-out (LO/TO) .............................................. 5-16 5.2.9 Hand Tools and Portable Equipment .......................................................... 5-17 5.2.10 Work Area Protection .................................................................................... 5-18 5.2.11 Confined Space Entry Hazards.................................................................... 5-18 5.2.12 Hand Augering ................................................................................................ 5-18 5.2.13 Railroad Safety ............................................................................................... 5-19 5.2.14 Hand Safety/Open Blade Prohibition .......................................................... 5-19 5.2.15 Biological Hazards ......................................................................................... 5-19 5.2.16 Illumination ...................................................................................................... 5-20 5.2.17 Safe Driving..................................................................................................... 5-20 5.2.18 Excavation and Trenching ............................................................................ 5-20 5.2.19 Ladders ............................................................................................................ 5-21 5.2.20 Aerial Lifts ........................................................................................................ 5-21 5.2.21 Corrosives (Acids and Caustics).................................................................. 5-21 5.2.22 Hot Work .......................................................................................................... 5-21 5.2.23 Cranes and Rigging ....................................................................................... 5-21 Appendix B Kast HASP October 2015 GalenReview.docx
i
Former Kast Property Health and Safety Plan 5.2.24 Powered Industrial Trucks (Forklifts)........................................................... 5-22 5.2.25 Concrete and Cement ................................................................................... 5-25 5.2.26 Use of Nuclear Density Gauges .................................................................. 5-25 5.2.27 Ergonomic Hazards ....................................................................................... 5-25 5.2.28 Compressed Gas Hazards ........................................................................... 5-26
6.0
STOP WORK AUTHORITY ..................................................................................... 6-1
7.0
SHELL 12 LIFE-SAVING RULES .......................................................................... 7-1 7.1 7.2 7.3 7.4 7.5 7.6 7.7 7.8 7.9 7.10 7.11 7.12
8.0
EXPOSURE MONITORING PLAN .......................................................................... 8-1 8.1 8.2 8.3 8.4 8.5 8.6
9.0
Work Permit........................................................................................................ 7-1 Gas Testing ........................................................................................................ 7-1 Hazardous Energy Isolation ............................................................................ 7-1 Confined Space Entry....................................................................................... 7-1 Safety Critical Equipment................................................................................. 7-2 Fall Protection, Work from Heights................................................................. 7-2 Suspended Loads ............................................................................................. 7-2 Designated Smoking Areas ............................................................................. 7-2 No Drugs or Alcohol while Driving or Working.............................................. 7-2 No Cell Phone while Driving and Do Not Exceed Speed Limits ................ 7-2 Seatbelt ............................................................................................................... 7-3 Journey Management plan .............................................................................. 7-3
Chemical Exposure Monitoring ..................................................................... 8-1 8.1.1 Personal Exposure Monitoring ....................................................................... 8-2 Background Readings ...................................................................................... 8-2
Data Logging ...................................................................................................... 8-2 Dust Control ....................................................................................................... 8-3 Carbon Monoxide Hazards and Control ........................................................ 8-3 Explosive Atmospheres .................................................................................... 8-3
PERSONAL PROTECTIVE EQUIPMENT ................................................................ 9-1 9.1 9.2
Limitations of Protective Clothing ................................................................... 9-1 Duration of Work Tasks .................................................................................... 9-2
10.0 RESPIRATORY PROTECTION.............................................................................. 10-1 10.1 10.2 10.3 10.4 10.5 10.6 10.7
Respirator Protection ...................................................................................... 10-1 Medical Screening ........................................................................................... 10-1 Fit Testing ......................................................................................................... 10-1 Respirator Use Instructions ........................................................................... 10-2 Respirator Inspection ...................................................................................... 10-2 Cleaning of Respirators .................................................................................. 10-3 Maintenance of Respirators........................................................................... 10-4 Appendix B Kast HASP October 2015 GalenReview.docx
ii
Former Kast Property Health and Safety Plan 10.8 Storage of Respirators ................................................................................... 10-4 10.9 Additional Information ..................................................................................... 10-4
11.0 SITE CONTROL .................................................................................................... 11-1 11.1 General ............................................................................................................. 11-1 11.2 Work Zones ...................................................................................................... 11-1
12.0 DECONTAMINATION PROCEDURE ..................................................................... 12-1 12.1 Sanitation .......................................................................................................... 12-1 12.2 Decontamination of Personnel ...................................................................... 12-1 12.2.1 Decontamination Procedures for Level C PPE ......................................... 12-1 12.2.2 Decontamination Procedures for Level B PPE .......................................... 12-2 12.3 Decontamination – Medical Emergencies ................................................... 12-2
12.4 Decontamination of Tools .............................................................................. 12-2 12.5 Decontamination of Heavy Equipment ........................................................ 12-3
13.0 SAFE WORK PRACTICES ................................................................................... 13-1 13.1 General ............................................................................................................. 13-1 13.2 Sampling Practices ......................................................................................... 13-2 13.3 Sample Shipment/Hazardous Materials Shipment .................................... 13-2
14.0 EMERGENCY RESPONSE PLAN ......................................................................... 14-1 14.1 14.2 14.3 14.4
Places of Refuge ............................................................................................. 14-1 Fire..................................................................................................................... 14-1 Communication ................................................................................................ 14-2 Emergency Response Procedures ............................................................... 14-2
14.5 14.6 14.7 14.8 14.9
Medical Emergency Response Plan ............................................................ 14-5 Incident/Near Miss Reporting ........................................................................ 14-5 Operation Shutdown ....................................................................................... 14-6 Severe Weather Shutdown ............................................................................ 14-6 Spill or Hazardous Materials Release .......................................................... 14-6
14.4.1 Emergency Response Team ........................................................................ 14-2
15.0 TRAINING, MEDICAL SURVEILLANCE, SITE INSPECTIONS ............................ 15-1 15.1 15.2 15.3 15.4
Training and Medical Surveillance ............................................................... 15-1 Daily Task Hazard Analysis ........................................................................... 15-2 Behavior Based Safety Observations .......................................................... 15-2 Regulatory Inspections ................................................................................... 15-2
16.0 RECORDKEEPING ................................................................................................ 16-1 List of Attachments Appendix B Kast HASP October 2015 GalenReview.docx
iii
Former Kast Property Health and Safety Plan Attachment A Attachment B Attachment C Attachment D Attachment E Attachment F Attachment G Attachment H Attachment I Attachment J
Health Clinic Route Map / Hospital Route Map / Site Map Safety Plan Compliance Agreement AECOM-Shell Daily Tailgate Meeting and Work Clearance Form Shell Oil Products US Forms Material Safety Data Sheets/Safety Data Sheets Behavior Based Safety Checklist AECOM Safety Management Standards Visitor Log form Task Hazard Analyses Blank Daily Task Hazard Analysis Form
Appendix B Kast HASP October 2015 GalenReview.docx
iv
Former Kast Property Health and Safety Plan GLOSSARY OF TERMS, ACRONYMS, AND ABBREVIATIONS ACGIH analyzer ASHEM atm ºC Carcinogen cc CIH CGI CNS CSP eV ºF HSMS HSP IP kg LACFD LEL LNAPL Lpm MSDS m mg mg/M3 ml mm ND NIOSH OBZ OEL OSHA OSR PEL PID PM ppb ppm REL SHE SMS SOPUS SOURSE SSO SSR STEL TLV UEL VOC
American Conference of Governmental Industrial Hygienists refers to the field instrument described in Section 8.1 Area Safety, Health, and Environment Manager atmosphere centigrade a substance that can cause cancer cubic centimeter Certified Industrial Hygienist Combustible Gas Indicator Central Nervous System Certified Safety Professional Electron Volts Fahrenheit Health and Safety Program and Management System Health and Safety Plan Ionization Potential kilogram Los Angeles County Fire Dept. Lower Explosive Limit light on-aqueous phase liquid liters per minute Material Safety Data Sheet meter milligram milligrams per cubic meter milliliter millimeter not detected National Institute for Occupational Safety and Health operator’s breathing zone Occupational Exposure Limit Occupational Safety and Health Administration Office Safety Representative Permissible Exposure Limit Photoionization Detector project manager parts per billion parts per million Recommended Exposure Limit Safety, Health, and Environment Safety Management Standard Shell Oil Products United States URS’ Corporate Intranet Site Safety Officer Subcontractor’s Safety Representative Short Term Exposure Limit Threshold Limit Value Upper Explosive Limit Volatile Organic Compound Appendix B Kast HASP October 2015 GalenReview.docx
iv
Former Kast Property Health and Safety Plan 1.0
PLAN-AT-A-GLANCE HSP SUMMARY SHEET
THIS SUMMARY SHEET IS PROVIDED AS A QUICK-REFERENCE/OVERVIEW ONLY. THE REMAINDER OF THIS SITE-SPECIFIC HSP IS INTEGRAL TO THE SAFE CONDUCT OF SITE OPERATIONS AND MUST BE APPLIED IN ITS ENTIRETY. EMERGENCY INFORMATION Ambulance -
911
Fire -
911
Police -
911
Hospital -
(310) 222-3528 Los Angeles County Harbor-UCLA Medical Center 1000 West Carson Street, Torrance, CA 90509
Occupational Clinic - (310) 638-1113 US Healthworks Medical Group of CA 2499 South Wilmington Ave, Compton, CA Hours: 8 am to 5 pm (URGENT CARE) Monday through Friday Occupational Health Nurse: WorkCare
(888) 449-7787 (24/7)
AECOM Project Manager: Christian Osterberg
(714) 689-7316 (714) 227-1363 (cell)
AECOM Site Manager:
Robert Ponce
(714) 720-4051 (cell)
AECOM SH&E Rep:
Devon Molitor, CSP
(858) 531-9666 (cell)
AECOM ASM:
Galen Cooter, CSP
(805) 452-3523 (cell)
Cal OES
(800) 852-7550
Shell SGW Project Manager: Douglas Weimer
(310) 816-2043 (703) 403-6790 (cell)
Note that persons without serious or life-threatening injuries should be escorted to an occupational health clinic or urgent care facility instead of a hospital. Contact the Occupational Health Nurse or Workcare prior to proceeding to the clinic (888) 449-7787. See Section 14.5. OCCUPATIONAL CLINIC DIRECTIONS: (310) 638-1113 US Healthworks Medical Group of CA 2499 South Wilmington Ave, Compton, CA Hours: 8 am to 5 pm (URGENT CARE) Monday through Friday Refer to occupational clinic route map in Attachment A. Appendix B Kast HASP October 2015 GalenReview.docx
1-1
Former Kast Property Health and Safety Plan HOSPITAL DIRECTIONS: (310) 222-3528 Los Angeles County Harbor-UCLA Medical Center 1000 West Carson Street, Torrance, CA 90509 Refer to the hospital route map in Attachment A. Additional information concerning emergency procedures is located in Section 14.0 and the hospital route map is located in Attachment A. A copy of the hospital route map must be readily available in each Site vehicle that may be used to transport accident victims to the hospital. CONSTITUENTS OF CONCERN 1. Gasoline, methane, diesel, fuel oil, and crude oil and constituents 2. Chlorinated solvents Additional information regarding Site history, constituents of concern, and scope of work activities is located in sections 2.0 and 5.0.
Appendix B Kast HASP October 2015 GalenReview.docx
1-2
Former Kast Property Health and Safety Plan PROJECT HAZARD ANALYSIS Task
Chem. Hzds.
Heat Stress
Noise
Slip/Trip /Fall
Lifting Hzds.
Mech’l. Hzds.
Electro -cution
Explosio n/Methan e
1. Site Mobilization 2. Calibration of field instruments 3. Utility clearance using subsurface geophysical 4. Shallow soil hand augering and soil sampling 5. Sub-slab and soil vapor probe installation 6. Sub-slab vapor probe sampling 7. Street soil vapor probe sampling 8. Borehole clearance by air knife 9. Drilling, soil sampling and well installation by hollow-stem auger, mud/air-rotary or sonic drilling methods 10. Groundwater well development 11. Direct push soil sampling and vapor probe installation using Geoprobe rig or CPT rig 12. Hydropunch groundwater sampling 13. Abandonment of boreholes 14. Installation of shallow pilot test wells via hand augering 15. Management of investigation-derived waste 16. Conducting initial indoor air preliminary interviews of homeowners 17. Indoor air methane field screening 18. Inventory, segregation and field screening of stored household chemicals
N/A
Med
Low
Med
Med
N/A
N/A
Low
Low
Low
Med
Low
Low
Low
N/A
Med
Low
Med
Med
Low LowMed MedHigh
MedHigh
Low
LowMed
Med
Low
Med
LowMed
MedHigh
Low
Low
Med
MedHigh
Med
Low
Low
Med
MedHigh LowMed MedHigh MedHigh
Low
Med
LowMed LowMed LowMed
Low
Low
Low
Low
Low
Low
LowMed LowMed LowMed LowHigh
Med
Low
Med
LowHigh
MedHigh
Med
Med
LowHigh
LowHigh
MedHigh
Med
Med
MedHigh
Low
Low
LowHigh
LowHigh
MedHigh
Med
Med
MedHigh
Low
Low
LowHigh
LowHigh
MedHigh
Med
Med
MedHigh
Low
Low
LowMed LowMed
MedHigh LowMed
Low
Low
Low
Low
LowMed LowMed
Med Med
MedHigh MedHigh
Med Med
LowMed
Med
Low
Med
LowMed
LowMed
Low
Low
LowMed
Med
MedHigh
Med
LowMed
LowMed
Low
Low
N/A
Low
Low
Med
LowMed
Low
Low
Low
Low
Low
Low
Med
LowMed
Low
LowMed
Low
LowMed
LowMed
Low
Med
LowHigh
Low
Low
Low
Appendix B Kast HASP October 2015 GalenReview.docx
1-3
Former Kast Property Health and Safety Plan Task
Chem. Hzds.
Heat Stress
Noise
Slip/Trip /Fall
Lifting Hzds.
Mech’l. Hzds.
Electro -cution
Explosio n/Methan e
19. Indoor air sampling 20. Groundwater/LNAPL gauging and sampling 21. LNAPL bail down test and/or recovery 22. Working in the railroad right of way (see Sec. 2.2) 23. Soil vapor extraction pilot test and operation 24. Excavation, trenching and shoring 25. Installation of horizontal wells via trenching 26. Excavation side wall sampling
Low LowMed MedHigh
Low
Low
Med
Low
Low
Med
Low LowMed
Low
Med
Low LowMed
Low
Low
Med
MedHigh
Med
Med
Med
Low
Low
MedHigh
MedHigh
Med
Med
MedHigh
Low
Low
Med
Med
Low
Low
Low
Low
Low
Low
Low
27. Soil compaction testing 28. Confined space entry
MedHigh LowMed MedHigh MedHigh MedHigh LowMed LowMed
MedHigh MedHigh MedHigh
LowMed MedHigh MedHigh MedHigh
MedHigh MedHigh MedHigh
Low
Med
Med
Med
Low
Low
Low
MedHigh
Med
LowMed
Low
Low
MedHigh MedHigh MedHigh
MedHigh MedHigh MedHigh MedHigh
Med Low
Med
Med
29. Operation and Low- Low- MedMed- Medmaintenance of SVE Med Med Low High High High High High system 30. Excavation, disposal Med- Med- Med- Med- Medand site surface Low Low Low High High High High High restoration 31. Chemical injection and MedLowLow- LowMed Med Low Low monitoring High Med Med Med 32. Bioventing using SVE LowMedLowMed Med Med Med Low system Med High Med 33. Installation and repair of LowMedLowmethane mitigation Med Med Med Med Low Med High Med system 34. Sampling and Low- Lowmonitoring of methane Low Med Low Low Low Low Med Med mitigation system 35. Oversight and sampling Med- Med- Med- Med- Med- Medon non-project utility Low Low High High High High High High excavations High - Exposure likely more than 50% of the time Med - Exposure likely 10-50% of the time Low - Exposure likely less than 10% of the time N/A – Exposure not anticipated Additional information concerning Project Hazards and their control can be found in Section 5.0.
Appendix B Kast HASP October 2015 GalenReview.docx
1-4
Former Kast Property Health and Safety Plan
TASK
MINIMUM PROTECTIVE CLOTHING/EQUIPMENT REQUIREMENTS
1, 2, 6, 1719 & 34
Hard hat (as appropriate and not required for indoor activities where overhead hazards are not present), steel-toed boots, safety glasses, hearing protection (as appropriate), work gloves (as appropriate), nitrile gloves (as appropriate and where contact with chemicals and/or possible contamination is present), and traffic vest.
3-5, 7-15, 22, 23, 32, 33 & 35
Hard hat, steel-toed boots, safety glasses, hearing protection (as appropriate), work gloves (as appropriate), nitrile gloves (as appropriate where contact with possible contaminated is present), traffic vest and respirator (as appropriate).
16
Nitrile gloves (as appropriate where contact with household chemicals may be present).
28
Equipment for confined space entry per Confined Space Entry permit conditions.
20, 21, 29 & 31
Hard hat, steel-toed boots, safety glasses, hearing protection (as appropriate), work gloves (as appropriate), nitrile gloves or nitrile coated work gloves, face shield or splash goggles (as appropriate when possibility of splashing is present), traffic vest, and respirator (as appropriate).
24-27 & 30
Hard hat, steel-toed boots, safety glasses, hearing protection (as appropriate), work gloves (as appropriate), nitrile gloves where contact with possible contaminated soil or groundwater is present, face shield (as appropriate), traffic vest, and respirator (as appropriate). Dosimeter for work involving soil density gauges.
PROTECTIVE CLOTHING (First Action Level) Chemical Protective Clothing Outer Coveralls: Kleenguard® or Tyvek®‡ Outer Gloves: Nitrile Inner Gloves: Surgical Nitriles Chemical protective steel-toed boots or chemical-resistant boot covers over steel-toed boots ‡ Substitute poly-Coated Tyvek® if there is a potential for contact with liquids (groundwater, mud, etc.) The HSP Preparer has conducted a Hazard Assessment for this project based upon information provided by the Project Manager, in accordance with 8 CCR 3380(f). For more information on PPE and respiratory protection requirements, see the Action Levels tables (Pages 1-8 and 1-9) and Sections 9.0 and 10.0. ENGINEERING CONTROLS TO BE USED (as applicable) Appendix B Kast HASP October 2015 GalenReview.docx
1-5
Former Kast Property Health and Safety Plan Natural wind forces to reduce exposure to airborne contaminants Light colored PPE to reduce solar load for heat stress control Exhaust fans for local ventilation Sound curtains for noise abatement Water and/or suppressants to control fugitive dust, vapors, and odors Construction Traffic Management Plan will be implemented to provide traffic, pedestrian and bicycle safety For more information, see Section 5.0.
Appendix B Kast HASP October 2015 GalenReview.docx
1-6
Former Kast Property Health and Safety Plan INSTRUMENTATION TO BE USED (AS REQUIRED PER TASK) __ __
HNu PID w/ __ eV probe OVM PID w/ __ eV lamp Photovac MicroFID I/S (FID) or equivalent Photovac Microtip PID w/ _11.7_ eV lamp or equivalent MiniRAE PID w/ 11.7 eV lamp or equivalent 4-gas Combustible Gas/O2 Indicator or equivalent Foxboro TVA-1000 (FID/PID) Miniram Real-time Dust Monitor Colorimetric tubes Multi-gas/H2S Monitor or equivalent IH sampling equipment; validated passive samplers
For more information, see Section 8.0. PERSONAL EXPOSURE SAMPLING __
Will be conducted
Will be conducted if PID readings require the use of respiratory protection as described in the Action Level Table (page 1-7) and in Section 8.1
Will be conducted for selected excavation areas if required by AECOM RSHEM/CHMM
__
Is not anticipated (other than excavation)
For more information on Monitoring, see Section 8.0. HAZ-COM MATERIALS INVENTORY ABC fire extinguisher TSP or Alconox (decontamination) Isobutylene (calibration gas) Methane/50% LEL (calibration gas) Hydrogen (equipment fuel - FID) Gasoline (equipment fuel) Hydrogen sulfide (calibration gas) Hexane (calibration gas) Hydrochloric Acid (sample preservative) Bentonite (well construction and abandonment) Cement (well construction and abandonment) or cement slurry (excavation) Quick-expanding cement (probe installation) Silica Sand (well construction) Helium (tracer gas) Appendix B Kast HASP October 2015 GalenReview.docx
1-7
Former Kast Property Health and Safety Plan Isopropanol (tracer gas) Difluorethane (tracer gas) Rhodamine (ISCO injection tracer dye) Oxygen (compressed for ozone generation) Ozone (ISCO injection gas) PVC pipe primers and cements Nitrogen, compressed gas (compressed air source) Simple Green (decontamination and odor suppression) Various cleaning agents for field office (update SDS folder in field office)
Appendix B Kast HASP October 2015 GalenReview.docx
1-8
Former Kast Property Health and Safety Plan SHELL SITE ACTION LEVELS FOR ORGANIC VAPOR (for Photoionization Detector) Analyzer Reading* 10 ppm (1st Action Level) 10 ppm (2nd Action Level)
>50 ppm (3rd Action Level)
>100 ppm OR >200 ppm (4thAction Level)
Location Point of Operations/ Release Source point Point of Operations/ Release Source point OBZ
OBZ
OBZ
OBZ OBZ
Duration
Action
Personal Protective Equipment
-----
Continued periodic monitoring
Minimum Site ensemble
> 1 minute
Monitor OBZ; don protective clothing
Minimum Site Ensemble
----
> 1 minute
No respirators required Provide respiratory protection; Contact the ASM to discuss personal exposure monitoring per Section 8.1.1.
Minimum Site Ensemble Add half-face or full face respirators with organic vapor cartridges
Increase respiratory protection
Replace ½-face respirators with fullface respirators with organic vapor cartridges.
Stop work; move upwind while >1 minute vapors dissipate. If elevated levels instantaneo remain, cover us boring and cuttings, evacuate upwind and notify ASM or PM.
As specified by ASM
>1 minute
*above background readings OBZ= Operator’s Breathing Zone ‡Substitute poly-coated Tyvek® if there is potential for contact with liquids (groundwater, mud, etc) For additional information on Action Levels and their implementation, see Sections8.0 and 9.0.
Appendix B Kast HASP October 2015 GalenReview.docx
1-9
Former Kast Property Health and Safety Plan SHELL SITE PERSONNEL ACTION LEVELS FOR METHANE (for Flame ionization detector) NOTE: FID shall be calibrated to methane or correction factor shall be applied FID readings Analyzer Personal Protective Location Duration Action Reading* Equipment Point of Operations/ Continuous Minimum Site 500 ppm > 1 minute Monitor OBZ Release Ensemble Source point >500 ppm to 1000 ppm
>1000 ppm
OBZ
OBZ
> 1 minute
> 1 minute
Continuous monitoring
Minimum Site Ensemble
Stop work; Ventilate area
Minimum Site Ensemble; contact ASM if elevated levels above 1000 ppm persist
*above background readings OBZ= Operator’s Breathing Zone ‡Substitute poly-coated Tyvek® if there is potential for contact with liquids (groundwater, mud, etc) ACTION LEVELS (for the Combustible Gas Indicator) – Standard Operations Outdoors* LEL Reading
Location
Action
>1% LEL
Point of Operations/General Work Area
>10% LEL
Point of Operations/General Work Area
Continue site operations and continue periodic monitoring. Notify Project Manager Shut down operations, evaluate source, ventilate work area
LEL = Lower Explosive Limit *Non-residential operations ACTION LEVELS (Hydrogen Sulfide) H2S Reading 5 ppm
Location Point of Operations/General Work Area Point of Operations/General Work Area Point of Operations/General Work Area
Action Continue site operations and continue periodic monitoring Continue site operations and perform continuous monitoring Shut down operations, evaluate source, ventilate work area
For additional information on Action Levels and their implementation, see Sections8.0 and 9.0.
Appendix B Kast HASP October 2015 GalenReview.docx
1-10
Former Kast Property Health and Safety Plan HEALTH AND SAFETY EQUIPMENT LIST REQ OPT
URS Safety Management Standards (relevant to project – see next page) Cal/OSHA “Safety on the Job” Posters Hardhats (optional for indoor air sampling associated activities) Safety glasses Ear plugs or muffs Nomex coveralls Traffic safety vest Tyvek® coveralls Polycoated Tyvek® Q-23 Coveralls Steel-toed boots Chemical-resistant steel-toed boots or chemical-resistant boot covers Work gloves Nitrile outer gloves Surgical nitrile inner gloves Plastic sheeting (visqueen) 55 gallon 17-H drums (for contaminated solids) 55 gallon 17-E drums (for liquids) Drum liners Barricade tape and barricades Wash tubs and scrub brushes Decon solution (i.e., TSP) Folding chairs 5 or 10 gallon ANSI-approved portable eyewash (concrete work, corrosives Neutrailizer (for concrete operations) Respirator sanitizing equipment First Aid kit Infection control kit Drinking water Gatorade or similar drink Type ABC fire extinguishers or CO2 extinguisher Half-face respirators (NIOSH approved) Full-face respirators (NIOSH approved) as needed Respirator cartridges (organic vapor or organic vapor/P100) Photoionization Detector (PID) w/11.7 eV lamp and calibration kit Combustible Gas Meter (4-gas meter) and calibration kit Flame ionization detector (FID) and calibration kit Garden sprayer Compressed gas horn Duct tape Paper towels and hand soap Spill sorbent Plastic garbage bags Broom and/or shovel Appendix B Kast HASP October 2015 GalenReview.docx
1-11
Former Kast Property Health and Safety Plan SAFETY MANAGEMENT STANDARDS REFERENCED BY THIS HSP URS Safety Management Standards (SMS’s) were utilized in the development of safety documentation for this project. I should be noted that due to the merger between the AECOM and URS Corporation, documentation is currently being updated to reflect a unified organization and set of standards. Any changes made to documentation relevant to this HASP will be reflected in HASP updates. Updates to safety related documentation will in no way compromise the safety of individuals on-site; nor will it have major impacts on the day to day operations of work at the site. The majority of changes are expected to be cosmetic in nature. SMS 1 2 3 5 7 8 9 10 12 13 14 15 16 17 18 19 20 21 23 24 25 26 28 29 30 32 34 38 40 41 42 43 44 46
TOPIC Inspections by Regulatory Agencies Hazard Communication (Worker Right to Know) Emergency Preparedness Plans Injury and Illness Prevention Program (California) Aerial Lifts Asbestos Operations Corrosive and Reactive Materials Confined Space Entry Electrical Safety Excavation Fire Protection and Prevention Flammable and Combustible Liquids and Gasses Hand Tools and Portable Equipment Hazardous Waste Operations Heat Stress Heavy Equipment Operations Hot Work Housekeeping Lockout and Tagout Safety Medical Screening and Surveillance New Employee Health, Safety, and Environment Orientation Noise and Hearing Conservation Ladders Personal Protective Equipment Sanitation Work Zone Traffic Control Utility Clearances and Isolation Cranes and Derricks Fall Protection Rigging Respiratory Protection Personal Monitoring (Industrial Hygiene) Nuclear Soil Density Gauges Subcontractor Health and Safety Requirements Appendix B Kast HASP October 2015 GalenReview.docx
1-12
Former Kast Property Health and Safety Plan SMS 47 48 49 50 54 55 56 57 58 60 61 63 64 65 66 69 70 72 78 86 87 88 91 98
TOPIC Biological Hazards Hazardous Materials/Dangerous Goods Shipping Injury/Illness/Incident Reporting and Notifications Toxic and Hazardous Substances Office Ergonomics Health, Safety, and Environment Training Drilling Safety Guidelines Vehicle Safety Program Process Safety Management Fatigue Management Machine Guarding Railroad On-Track Safety Hand Safety Injury and Claims Management Incident Investigation Manual Material Handling Powered Industrial Vehicles Behavior Based Safety Short Service Employees Managing Health, Safety, and Environment-Related Risks Compressed Air Systems and Testing Signs, Signals, and Barricades Concrete Management of Change
Copies of Safety Management Standards (SMSs) are available on the SOURSE at http://thesourse.urscorp.com/thesourse/corporate/hse/hse.nsf. Click on the “Safety Management Standards” web page to print the complete SMS. For the duration of this project, procedures may be changed and updated as a matter of continuous improvement. If this occurs, this HASP and list of associated procedures will be updated as well. SHELL OIL PRODUCTS US STANDARDS AND FORMS INCLUDED IN THIS HSP TOPIC ES Safe System of Work AECOM Shell Life Saving Rules and Safety Expectations AECOM Shell US Incident, Near Miss, and PI Report ES Traffic Control Guidelines ES Subsurface Investigation Procedure ES Pre-Construction/Pre-Job Planning Checklist ES Borehole Clearance Checklist
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Former Kast Property Health and Safety Plan Copies of the SMS documents and Shell Oil Products US (SOPUS) procedures referenced by this HSP are to be maintained on site. SOPUS forms and SMS documents are provided in Attachments D and G, respectively. Project Managers are responsible to see that other SMSs sections or Shell Oil Products US procedures relevant to field activities but not directly referenced by this HSP are also available on site.
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Former Kast Property Health and Safety Plan REQUIRED HEALTH & SAFETY AND FIELD DOCUMENTATION FORM
TOPIC
COMMENT
Emergency Response
Complete as appropriate
AECOM Attachment B
Contact and Safety Compliance
Signed by all onsite personnel prior to starting Any fieldwork
AECOM-SHELL Attachment C
AECOM -Shell Daily Tailgate Meeting and Work Clearance Form
Completed daily as part of the tailgate meeting conducted prior to beginning work each day
AECOM-SHELL Attachment D
AECOM Shell US Incident, Near Miss, and PI Report
Follow incident reporting flowchart and timeline requirements
AECOM-SHELL Attachment D
Unsafe Act/Condition or Positive Intervention Completed once per every 750 man hours Report or enter into AECOM HSSE data
AECOM-SHELL Attachment D
AECOM -Shell Daily Safety Observation Form or AECOM -Shell US Field HSSE Assessment Form
Completed once per every 750 man hours
AECOM Attachment I
Task Hazard Analysis (THA)
Reviewed daily and revised as appropriate (task specific)
AECOM Attachment J
Task Hazard Analysis Form
Completed for tasks without formal THAs
Sanitation Inspection Sheet
Completed at the beginning of project and mid-project
AECOM
p. 14-4
AECOM SMS 030
30-1
AECOM SMS 049
49-1
AECOM SMS 005
Incident Report Form
Complete and distribute within 24 hours of the incident (for injuries)
5-1
Evaluation Checklist
Initiation of project and annually thereafter
AECOM SMS 018
18-2
Employee Stress Exposure Monitoring Record
Complete as appropriate
AECOM SMS 019
19-1
Daily Heavy Equipment Safety Inspection Checklist
Completed daily when heavy equipment are in use
AECOM SMS 029
29-1
Hazard Assessment Certification Form
Completed at the start of field activities and as conditions change
AECOM SMS 029
29-2
Personal Protective Equipment Inspection Sheet
Completed periodically
AECOM SMS 046
46-1
Subcontractor Safety Evaluation Form
Completed prior to initiation of fieldwork
AECOM SMS 072
72-1
Behavior Based Safety Observation Form
Completed per every 200 man hours or a minimum or of once a week.
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Former Kast Property Health and Safety Plan 2.0 2.1
SITE BACKGROUND & PROJECT SCOPE
SITE BACKGROUND
The Former Kast Property (Site) is a former crude oil and bunker storage facility from the mid1920s to the mid-1960s that was redeveloped as the Carousel Community residential housing tract by others in the late 1960s. The Site is located in the area between Marbella Avenue on the west and Panama Avenue on the east and E. 244th Street on the north to E. 249th Street to the south. It is bordered to the north by the Los Angeles County Metropolitan Transportation Authority railroad tracks (this railroad right-of-way was formerly owned by the BNSF Railway Company); to the south by East Lomita Boulevard; to the west by residential properties in the Monterey Pines neighborhood and by the former Turco Products Facility, which currently operates as a warehouse and distribution center; and, to the east by residential properties in the Island Avenue neighborhood. The Site is located in an area that historically has been heavily industrial. The Site was undeveloped until 1923 when Shell Company of California purchased the Site from Mary Kast and constructed oil storage reservoirs on the Site. Based upon the historical records found to date, Site use remained as an active oil storage facility until approximately the late 1950s or early 1960s, when the Site became used on a standby, reserve basis. The facility consisted of three oil reservoirs with capacities of approximately 750,000 barrels, 750,000 barrels, and 2,000,000 barrels; one of which was temporarily leased to General Petroleum Corporation in the 1920s. An oil pump house was located within the southwest portion of the 44-acre property. Oil was pumped into the reservoirs and withdrawn from the reservoirs via pipelines. The reservoirs were mostly used to store crude oil. There are some indications that bunker oil or heavier intermediate refinery streams may also have been stored in the reservoirs at one time. In October of 1965, Shell Oil Company sold the Site, with the oil storage reservoirs intact, under a purchase option contract to Richard Barclay or his nominee. Richard Barclay was a principal in Barclay-Hollander-Curci, Inc. and Lomita Development Company. In December, 1965, Richard Barclay designated Lomita Development Company as his nominee for the purchase of the Site. The property was evaluated for BHC and Lomita Development by Pacific Soils Engineering, Inc., which performed soil borings and developed engineering studies and grading plans for the Site. In 1966, BHC and Lomita Development and their contractors conducted those studies, removed the residual oil and water from the reservoirs, demolished the reservoirs, submitted grading plans for the Site to the County of Los Angeles, and graded the Site. Lomita Development’s request to rezone the Site from industrial to residential was approved by Los Angeles County in October 1966 and, in the same month title was transferred to Lomita Development under the purchase option contract. Construction and sale of 285 homes on the Site by Lomita Development began in 1967, proceeded in stages, and was apparently completed in 1969. The Site has remained residential since that time. Current investigations include both Site-wide assessment of impacts to soil vapor, soil, and groundwater in roadways and an adjacent rail right-of-way, and property-specific indoor air, soil vapor and soil investigations at individual residential properties. Methane screening, soil sampling and testing along with sub-slab vapor probes installation and sampling have been Appendix B Kast HASP October 2015 GalenReview.docx
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Former Kast Property Health and Safety Plan conducted in the majority of the homes present in the Carousel Community. Indoor air sampling and chemical inventory activities are currently being conducted at the residences. Investigations of residential properties within the Former Kast Property are continuing as access is granted by individual homeowners or the owners’ legal representatives. Site investigations have detected soil impacts by a number of petroleum-related and nonpetroleum-related constituents. Total petroleum hydrocarbons quantified as gasoline-range organics, diesel-range organics, and motor oil-range organics have been detected in Site soils and groundwater. A number of volatile organic compounds, including compounds associated with petroleum hydrocarbons (e.g., benzene, toluene, ethylbenzene, xylenes, trimethylbenzenes and other substituted aromatic compounds), and non-petroleum-related VOCs, including the chlorinated solvents trichloroethene and tetrachloroethene and related breakdown products have been detected in Site soils and to a lesser extent in soil vapor. In addition, a number of polycyclic aromatic hydrocarbons, including naphthalene and benzo(a)pyrene, have been detected in Site soils associated with hydrocarbon-impacted soils. Sampling data indicate the following maximum concentrations of contaminants that are more frequently detected: benzene to 24 mg/kg; ethylbenzene to 33 mg/kg; toluene to 57 mg/kg, xylenes to 140 mg/kg, TPH as diesel to 70,000 mg/kg, TPH as gasoline to 7,000 mg/kg, TPH as motor oil to 100,000 mg/kg, and methylene chloride to 2.1 mg/kg, vinyl chloride to 0.049 mg/kg. Additionally, 1,2,4trimethylbenzene to 60 mg/kg, 1,3,5-trimethylbenzene to 25 mg/kg, and individual PAHs, such as 2-methylnapthalene to 280 mg/kg were detected. Less prevalent concentrations of metals, such as lead, copper, nickel, arsenic, and others were also noted. On March 11, 2011 the Regional Board issued Cleanup and Abatement Order (CAO) No. R42011-0046 to SOPUS. Among other directives, Section 3.a. of the CAO orders SOPUS to develop a pilot testing work plan to evaluate the feasibility of removing impacted soils to 10 feet below ground surface (bgs) and former reservoir concrete slabs encountered within the uppermost 10 feet beneath the residential properties. 2.2
SCOPE OF WORK
Field work at and around the Site consists of a number of sub-surface activities as well as disposal of impacted soil and water; site restoration; and indoor air field screening and sampling. Onsite activities include: Mobilization to and from the Site; Calibration of field instruments; Utility clearance using surface geophysical methods; Shallow soil hand augering and soil sampling; Sub-slab and soil vapor probe installation; Sub slab vapor probe sampling; Street soil vapor probe sampling; Appendix B Kast HASP October 2015 GalenReview.docx
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Former Kast Property Health and Safety Plan Borehole clearance by air knife; Drilling, soil sampling, Simulprobe sampling and well installation by hollow-stem auger, mud/air rotary or sonic drilling methods; Groundwater well development; Direct push soil sampling and vapor probe installation using Geoprobe rig or CPT rig; Hydropunch groundwater sampling; Abandonment of boreholes; Installation of shallow pilot test wells via hand augering; Management of investigation-derived residuals stored in soil bins and/or steel drums; Conducting initial indoor air preliminary interviews of homeowners; Indoor air methane field screening; Inventory, segregation and field screening of stored household chemicals in preparation for indoor air sampling activities; Indoor air sampling; Groundwater and LNAPL gauging and sampling; LNAPL recovery and bail down test; Work tasks listed above (drilling and soil sampling, vapor probe installation, vapor probe sampling) conducted within the railroad right of way. Operation of mobile soil vapor extraction/treatment equipment (the operation of mobile soil vapor equipment is anticipated to require operation of carbon canister equipment powered by a portable generator; additional methods [such as thermal oxidation] may be used in the future); Excavation pilot testing and excavation of impacted soils using the following methods: o Large unshored excavation to approximately 10 feet with sloped sidewalls, o Unshored slot trenches to 10 feet, o Slide - rail shored excavation, o Trench box shored excavation, and o Unshored surgical excavation. (Excavations will be backfilled with clean imported fill and area will be restored to preexcavation conditions); Installation of horizontal for pilot testing wells via trenching; Excavation side wall sampling; Soil compaction testing; In-situ chemical oxidation pilot testing using the following technologies: o Rhodamine dye injection, and o Ozone injection. (Post pilot test monitoring and sampling will be conducted using work tasks listed above); Bioventing pilot testing using soil vapor extraction/treatment equipment; Installation and repair of methane mitigation system; Appendix B Kast HASP October 2015 GalenReview.docx
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Former Kast Property Health and Safety Plan Sampling of methane mitigation system; and Oversight and sample collection on non-project utility excavations.
Appendix B Kast HASP October 2015 GalenReview.docx
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Former Kast Property Health and Safety Plan 3.0
APPLICABILITY
The purpose of this plan, which was developed specifically for activities at the former Kast Property located in Carson, California, is to assign responsibilities, establish personal protection standards and mandatory safety procedures, and provide for contingencies that may arise while soil and groundwater exploration activities are being conducted at the Site. This plan complies with, but does not replace, Federal Health and Safety Regulations as set forth in 29 Code of Federal Regulations (CFR) 1910 and 1926, California Health and Safety Regulations as set forth in Title 8, California Code of Regulations (CCR), and guidance established by the California Environmental Protection Agency. This plan is to be used by AECOM and subcontractor personnel as a supplement to such rules, regulations, and guidance, as well as the Shell Products US Environmental Services Contractor Health, Safety, and Environment Program. This health and safety plan is to be augmented by the AECOM Health and Safety Program and Management System, relevant standards from which are required to be available on Site during all activities. Relevant sections of the SOPUS procedures and standards are also applicable to this project. The provisions of the plan are mandatory for all onsite employees engaged in hazardous material management activities or work/operations covered by the OSHA HAZWOPER standard associated with this project which may involve health and safety hazards. A separate Safe Work Plan is provided for use by non-HAZWOPER personnel engaged only in inventory, segregation and field screening of stored household chemicals in preparation for indoor air sampling activities. Changing and/or unanticipated Site conditions may require modification of this Site safety plan in order to maintain a safe and healthful work environment. Any proposed changes to this plan should be reviewed with the AECOM Area Safety, Health, and Environment Manager and the SOPUS Project Manager prior to their implementation. The AECOM terms Area Safety, Health, and Environment Manager, ASHEM, Area Safety Manager, and ASM are equivalent to the legacy URS terms Regional Health, Safety, and Environment Manager, RHSEM, Regional Safety Manager and RSM. If this is not feasible, the Site/project manager may modify the plan and record all changes in the field log book; under no circumstances will modifications to this plan conflict with Federal, state, or other governmental health and safety regulations. AECOM is providing a copy of this Health and Safety Plan to each Site subcontractor in order to fulfill its obligation under 8 CCR 5192(b) to inform subcontractors of Site hazards. This Health and Safety Plan is part of AECOM's Injury and Illness Prevention Program (IIPP), as required by 8 CCR 3203. A copy of AECOM's written Injury and Illness Prevention Program is located in Safety Management Standard (SMS) 5, which is to be available on Site. Each subcontractor is required to implement their company’s IIPP, as relevant to their operations.
Appendix B Kast HASP October 2015 GalenReview.docx
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Former Kast Property Health and Safety Plan 4.0
RESPONSIBILITIES
AECOM will have Site safety and health oversight and coordination responsibilities for AECOM and subcontractor personnel; however, each subcontractor will be expected to participate in the implementation of this plan and safety process and require safe and healthful work performance by each of their employees, subcontractors, or support personnel who may enter the Site. AECOM will strictly adhere to the provisions of this health and safety plan, along with the applicable regulations issued by governmental entities. 4.1
PROJECT MANAGER (AECOM)
The Project Manager (PM) shall direct onsite operations. The PM is responsible for holding a pre-deployment operational readiness meeting to discuss the scope of work, staffing, equipment, budget, etc. The PM may delegate all or part of these duties to a properly qualified AECOM employee who is designated as the Site Manager. At the Site, the PM, assisted by the Site Safety Officer (SSO), has primary responsibility for: 1. Seeing that appropriate personal protective equipment and monitoring equipment is available and properly utilized by all onsite employees. 2. Establishing that personnel are aware of the provisions of this plan, are instructed in the work practices necessary to ensure safety, and are familiar with planned procedures for dealing with emergencies. 3. Evaluation of project health and safety hazards in accordance with SMS 86, Managing Health and Safety and Environment-Related Risks. 4. Establishing that all onsite personnel have completed a minimum of 40 hours of health and safety training and have appropriate medical clearance as required by 8 CCR 5192, have been fit tested for the appropriate respirators, and completed the SOPUS 12 Life Saving Rules training. 5. Ensures that SSEs are identified and mentored in the field per SMS 78. 6. Ensure all new employees are trained per SMS 25. 7. Verifying that subcontractors (of any tier) retained by AECOM meet minimum health and safety criteria as described by SMS 46. 8. Seeing that personnel are aware of the potential hazards associated with Site operations. 9. Monitoring the safety performance of all personnel to see that the required work practices are employed. 10. Correcting any work practices or conditions that may result in injury or exposure to hazardous substances. 11. Preparing any accident/incident reports for activities (see Section 14.6). 12. Seeing to the completion of Safety Plan Compliance Agreements by personnel (See Attachment B). 13. Halting Site operations, if necessary, in the event of an emergency or to correct unsafe work practices. Appendix B Kast HASP October 2015 GalenReview.docx
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Former Kast Property Health and Safety Plan 14. Implementing management of change procedures as described in SMS 98. 15. Seeing that utility clearances are obtained prior to the commencement of work. 16. Seeing that the SOPUS Borehole Clearance Check List is completed prior to drilling operations (see Attachment D). 17. Seeing that required permits (such as “hot work”) are obtained through the appropriate personnel trained in SOPUS Safe System of Work 2.0. 18. Seeing that the appropriate SMSs and SOPUS HES sections are appended to this HSP and are available on Site (see "Plan at a Glance"). 19. Reviewing and approving this project health and safety plan. 20. Preparing a “Post Job HSE Review” as detailed in the Shell Products US Environmental Services Contractor Health, Safety, and Environment Program. 4.2
SITE SAFETY OFFICER
The SSO’s duties may be carried out by the PM or other qualified AECOM Site Manager. The SSO is responsible for: 1. Implementing project Health and Safety Plans, and reporting any deviations from the anticipated conditions described in the plan to the PM, and, if necessary, the RSM. 2. Evaluating that monitoring equipment is used properly by personnel and is calibrated in accordance with manufacturer’s instructions or other standards, and that results are properly recorded and filed. 3. Checking with the office Health and Safety Representative or ASM to see that assigned AECOM personnel have current medical and training authorizations. 4. Assuming any other duties as directed by the PM or ASM. 5. Coordinating with AECOM’s Medical Surveillance Program Administrator to identify AECOM personnel on Site for whom special PPE, exposure monitoring, or work restrictions may be required. Contractor personnel are to be participating in their own medical surveillance program. 6. Conducting safety meetings for all Site personnel in accordance with Section 15.0, and completing the Daily Tailgate Meeting and Work Clearance Form (see Attachment C). 7. Conducting task hazard analysis (THAs) (Attachment I or J) prior to the start of each shift and documenting on the Daily Tailgate Meeting and Work Clearance Form found in Attachment C. 8. Providing ongoing review of the protection level needs as project work is performed, and informing the PM of the need to upgrade/downgrade protection levels as appropriate. 9. Seeing that decontamination procedures described in Section 12.0 are followed by personnel. 10. Establishing monitoring of personnel and recording results of exposure evaluations. 11. Halting Site operations, if necessary, in the event of an emergency or to correct unsafe work practices. 12. Maintaining the visitor log (provided in Attachment H). 13. Posting OSHA “Safety of the Job” and other required posters at the site. Appendix B Kast HASP October 2015 GalenReview.docx
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Former Kast Property Health and Safety Plan 4.3
AREA SAFETY MANAGER (AECOM)
The Area Safety Manager (ASM) is responsible for: 1. Evaluating the need for periodic audits of the operation to evaluate compliance with this plan. 2. Providing health and safety support as requested by the SSO and PM. 4.4
PROJECT PERSONNEL
Project personnel involved in onsite explorations and operations are responsible for: 1. Taking reasonable precautions to prevent injury to themselves and to their fellow employees. 2. Performing only those tasks that they believe they can do safely, and immediately reporting any accidents and/or unsafe conditions to the SSO or PM. 3. Implementing the procedures set forth in the Health and Safety Plan, and reporting any deviations from the procedures described in the Plan to the SSO or PM for action. 4. Notifying the PM and SSO of any special medical problems (i.e., allergies) and seeing that onsite personnel are aware of such problems. 5. Reviewing the project health and safety plan and signing Safety Plan Compliance Agreement (see Attachment B). 6. Halting Site operations, if necessary, in the event of an emergency or to correct unsafe work practices. 4.5
SUBCONTRACTOR’S SAFETY REPRESENTATIVE
Each subcontractor is requested to designate a Subcontractor’s Safety Representative (SSR) who is the subcontractor supervisor. The SSR is responsible for the safe and healthful performance of work by his work force and subcontractors. During the subcontractor’s activities onsite, the SSR will perform continuing work area inspections, conduct safety meetings and safety orientations for all new employees, and participate in the development of THAs. The SSR will attend periodic safety meetings with the SSO. The SSR will also investigate accidents and overexposures involving subcontractor personnel.
Appendix B Kast HASP October 2015 GalenReview.docx
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Former Kast Property Health and Safety Plan 5.0
JOB HAZARD ANALYSIS
CHEMICAL HAZARDS
5.1
There are two categories of chemical hazards associated with Site activities: Site Constituents Chemicals used to conduct the Site work Site constituents are those which may exist at the Site and are the cause for conducting Site activities. The chemicals that are brought on Site in order to conduct the work may be hazardous and subject to regulation under Cal/OSHA’s Hazard Communication Standard (8 CCR 5194). 5.1.1
Site Constituents
From an occupational health standpoint, the levels of contaminants that could be encountered during Site activities should not represent a significant concern if the provisions of this HSP are appropriately implemented. However, the Site is still under evaluation, so the potential for exposure to elevated levels of these contaminants may exist. Overviews of the hazards associated with exposure to the chemicals that may pose a hazard during Site activities are presented below in terms of the following types of occupational exposure limits: PEL
Permissible Exposure Limit (Cal/OSHA Standard)
TLV
Threshold Limit Value (ACGIH Guidance)
REL
Recommended Exposure Limit (NIOSH Guidance)
STEL
Short Term Exposure Limit
C
Ceiling
NIC
Notice of Intended Change (ACGIH)
Cal/OSHA PELs and ACGIH TLVs are time-weighted averages (TWAs) defined as concentrations for a normal 8-hour work day and 40-hour work week to which almost all workers can be repeatedly exposed without suffering adverse health effects. NIOSH RELs are timeweighted averages (TWAs) defined as concentrations for up to a 10-hour work day and 40-hour work week. STEL is defined as the concentration to which workers can be exposed for short time periods without irritation, tissue damage, or narcosis sufficient to likely cause impairment of self-rescue or precipitate accidental injury. The STEL is a 15-minute time-weighted average that should not be exceeded at any time during the workday. STELs are used by OSHA, ACGIH and NIOSH for chemical exposure criteria. C is a concentration that should not be exceeded at any time in any workday. Ceiling limits are used by OSHA, ACGIH, and NIOSH for chemical exposure criteria. Summaries on the Site constituents of concern follow.
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Former Kast Property Health and Safety Plan Petroleum Hydrocarbons PEL/TLV = specific to individual compounds Petroleum hydrocarbons are a large chemical grouping that includes compounds such as gases, fuels, oils, greases, waxes, and tars. Most petroleum hydrocarbons present some fire risk, are variably toxic by ingestion and inhalation and cause local skin irritation. Because of the variety of substances that are in this category, an ionization potential (IP) or vapor pressure is not available. Gasoline Cal/OSHA PEL = 300 ppm
PEL/TLVSTEL = 500 ppm
TLV = 300 ppm
REL = Carcinogen
Gasoline is an eye and throat irritant at levels around the PEL, and causes narcotic effects (with symptoms including headache, nausea, dizziness, and blurred vision) at higher levels. Long term exposure can affect liver and kidney function. Some studies indicate a potential for gasoline to be an animal carcinogen, but this has not been fully established. Because gasoline is a mixture of varying proportions of dozens of hydrocarbons, a mean odor threshold has not been determined. Methane Cal/OSHA PEL = None, minimum 19.5% oxygen content required Explosive Range = approximately 5% to 15% in air (50,000 to 150,000 ppmv) Methane is a colorless, odorless gas associated with petroleum production and refining, and the microbial degradation of organic matter in landfills. Methane is both an asphyxiant and may explode at a concentration between 5% in air (50,000 ppm, termed the lower explosive limit, or LEL) and 15% in air (150,000 ppm, termed the upper explosive limit, or UEL). Typical symptoms of exposure to an oxygen deficient atmosphere include dizziness, nausea, and headache. At higher levels, exposure to methane may result in unconsciousness, coma, and death. The ACGIH has set the TLV at 1000 ppm for some indications that high concentrations may cause cardiac sensitization. Diesel Fuel (Fuel Oil) TLV = 100 mg/m3 “skin” (as total hydrocarbons, inhalable fraction and vapor) Diesel fuel is mildly toxic by ingestion. When inhaled, many of the constituents function as central nervous system depressants, with characteristic symptoms (headaches, nausea, dizziness, uncoordination, and vomiting). Diesel fuel has been shown to be a strong skin irritant. Few chronic inhalation or ingestion studies of the toxic effects of diesel vapors/fuels are available. Skin painting studies of experimental animals suggest the potential for weak tumorproducing activity. Appendix B Kast HASP October 2015 GalenReview.docx
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Former Kast Property Health and Safety Plan Because diesel fuel is a complex mixture of varying proportions of hydrocarbons, a mean odor threshold or IP has not been determined. Kerosene TLV = 200 mg/m3 “skin” (as total hydrocarbon vapor) REL = 100 mg/m3 (~14 ppm) Inhalation produces effects typical of other lower molecular weight hydrocarbons, namely dizziness and nausea. Narcosis may occur at high exposure levels due to central nervous system depression. Kerosene vapors are moderately explosive when exposed to heat or flame. Because kerosene is a mixture of varying proportions, a mean odor threshold or IP has not been determined. Benzene PEL = 1 ppm “skin”
PEL/STEL = 5 ppm
REL = 0.1 ppm TLV = 0.5 ppm “skin”
TLV/STEL = 2.5 ppm
Benzene is a central nervous system depressant. Symptoms include headache, nausea, tremors, and fatigue, but these typically do not occur until exposure concentrations are in excess of 150 ppm. There is significant evidence that chronic exposures are carcinogenic causing a progressively malignant disease of the blood-forming organs (leukemia). Benzene is poorly absorbed through intact skin, but contact with liquid benzene may cause blistering and dermatitis. Benzene vapors can cause transient eye irritation. The mean air odor threshold for benzene is 34 ppm. Benzene's IP is 9.25 eV and its vapor pressure is 75 mm Hg. Benzene is known to the State of California to cause cancer under the criteria of Proposition 65. Toluene Cal/OSHA PEL = 10 ppm “skin”
Cal/OSHA STEL = 150 ppm
Ceiling = 500 ppm TLV = 20 ppm "skin"
REL = 100 ppm
Toluene is a central nervous system depressant. Symptoms include headache, nausea, dizziness and fatigue, but such symptoms typically do not occur at exposures below 200 ppm. Repeated and prolonged contact with liquid toluene may cause drying of the skin and dermatitis. Mild, transitory eye irritation may be experienced with exposure to vapors above 200 ppm. Toluene is not considered carcinogenic. Toluene's mean odor threshold is 3 ppm. Toluene's IP is 8.82 eV, and its vapor pressure is 22 mm Hg. Toluene is known to the State of California to cause reproductive toxicity under the criteria of Proposition 65. Ethyl Benzene PEL = 5 ppm
PEL STEL = 30 ppm Appendix B Kast HASP October 2015 GalenReview.docx
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Former Kast Property Health and Safety Plan TLV = 20 ppm
TLV STEL = 125 ppm
Ethyl benzene is an eye and mucous membrane irritant at levels well above the TLV. Liquid ethyl benzene is a significant skin irritant, and can cause defatting and blistering with repeated exposures. Vapor can cause transitory eye irritation at concentrations above 200 ppm. The mean odor threshold is 0.5 ppm. Ethyl benzene's IP is 8.76 eV, and its vapor pressure is 10 mm Hg. Ethyl benzene is known to the State of California to cause cancer under the criteria of Proposition 65. Xylene (o-, m-, p-isomers) PEL/TLV/REL = 100 ppm
TLV/STEL = 150 ppm
Ceiling = 300 ppm Xylene is an eye, nose and throat irritant at concentrations nearing 200 ppm. At higher concentrations, it is a central nervous system depressant, with symptoms including nausea, fatigue, and headaches. Liquid xylene acts on the skin as an irritant and can cause dermatitis. Exposure to vapor can cause eye irritation. Xylene is not considered carcinogenic. Xylene's mean odor threshold is 1 ppm. The IP for the Xylene isomers are 8.56, 8.56, and 8.44 eV, respectively, and the vapor pressures range from 7 to 9 mm Hg. Ethyl benzene is known to the State of California to cause cancer under the criteria of Proposition 65. Polynuclear Aromatic Hydrocarbons (PAH) Polynuclear aromatic hydrocarbons (PAHs) are a class of compounds form during the incomplete combustion of organic materials containing carbon and hydrogen. Several hundred different PAHs have been identified. These include naphthalene, benzanthracene, benzpyrene, and chrysene among many others. PAHs are highly lipid soluble and, in general, are probably readily absorbed by all routes of exposure. A most significant aspect of the PAHs is that several compounds in this category have been shown to cause cancer in humans or in experimental animals. Many PAHs are known to the State of California to cause cancer under the criteria of Proposition 65. Naphthalene PEL/REL = 10 ppm “skin”
PEL STEL = 15 ppm
TLV = 10 ppm “skin” Inhalation of naphthalene vapor may cause headache, nausea, and loss of appetite. Concentrations above 15 ppm produce noticeable eye irritation. Optical neuritis and injury to the cornea and lens have been reported in workers occupationally exposed to naphthalene. The STEL is based on minimizing eye irritation. Naphthalene has a strong coal tar odor, with a mean air-odor threshold for naphthalene is 0.038 ppm. Naphthalene's IP is 8.14 eV, and its vapor pressure is 0.08 mm Hg. Naphthalene has designated as carcinogen by the State of California under the criteria of Prop 65. Hydrogen Sulfide (H2S) Appendix B Kast HASP October 2015 GalenReview.docx
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Former Kast Property Health and Safety Plan Cal/OSHA PEL = 10 ppm
Cal/OSHA STEL = 15 ppm
Cal/OSHA Ceiling = 50 ppm TLV= 1 ppm
TLV STEL = 5 ppm
REL = 10 ppm (ceiling) In higher concentrations hydrogen sulfide gas is a rapidly acting systemic poison which causes respiratory paralysis, leading to unconsciousness and death from asphyxiation. Inhalation of lower concentrations may cause headache, dizziness, and upset stomach. Hydrogen sulfide can also irritate the eyes, nose and throat. Eye effects may occur at concentrations beginning slightly above the PEL. Hydrogen sulfide has a strong rotten egg odor. Although the mean air-odor threshold is 0.008 ppm, the nose may lose its ability to detect elevated levels above the PEL, notably in the range where acute systemic toxic effects occur. Because of this inadequate warning property, air monitoring is required to prevent exposure to elevated levels of H2S. H2S can also pose a significant fire/ explosion hazard in concentrations well above the PEL. Its LEL is 4.3 percent and UEL is 46 percent. H2S has a very high vapor pressure (20 atmospheres) and an ionization potential of 10.46 eV. Trichloroethylene (Trichloroethene; TCE) Cal/OSHA PEL = 25 ppm TLV = 10 ppm REL = 25 ppm
STEL = 100 ppm TLV/STEL = 25 ppm
Ceiling = 300 ppm
TCE is a central nervous system depressant. Symptoms include headache, nausea, tremors, and fatigue, but these typically do not occur until concentrations reach 175-200 ppm. Chronic effects include liver damage and some studies indicate TCE is an animal carcinogen. Excessive skin contact can cause defatting of the skin and subsequent dermatitis. The mean air odor threshold for TCE is 82 ppm, which gives it a poor warning property. TCE's ionization potential (IP) is 9.47 eV, and its vapor pressure is 58 mm Hg. Trichloroethylene is known to the State of California to cause cancer under the criteria of Proposition 65. Perchloroethylene (Tetrachloroethylene; PCE; Perc) Cal/OSHA PEL = 25 ppm
Cal/OSHA STEL = 100 ppm
TLV = 25 ppm
TLV/STEL = 100 ppm
Ceiling = 300 ppm
REL = Carcinogen; Lowest Feasible Concentration PCE is a central nervous system depressant, with symptoms such as headache, nausea, dizziness and fatigue appearing at concentrations above 200 ppm. Eye and mucous membrane irritation can occur with exposures above 100 ppm. There is potential for liver injury with chronic exposure to higher concentrations. PCE is considered to be a probable human carcinogen. Its mean odor threshold is 47 ppm. PCE's ionization potential is 9.32 eV and its vapor pressure is 14 mm Hg. Perchloroethylene is known to the State of California to cause cancer under the criteria of Proposition 65. Appendix B Kast HASP October 2015 GalenReview.docx
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Former Kast Property Health and Safety Plan 1,2-Dichloroethylene (Acetylene dichloride, 1,2-DCE) PEL/TLV/REL = 200 ppm 1,2-DCE is a central nervous system depressant, with symptoms such as headache, nausea, dizziness, incoordination, and fatigue at concentrations above the PEL. Much higher concentrations produce narcosis. Lower vapor concentrations are irritating to the eyes. Unlike many other chlorinated hydrocarbon solvents, 1,2-DCE does not appear to produce liver or kidney damage. Excessive skin contact may result in defatting of the skin and subsequent dermatitis. 1,2-DCE is not considered carcinogenic. No odor threshold is available for 1,2-DCE. 1,2-DCE's ionization potential (IP) is 9.65 eV and its vapor pressure is 180-264 mm Hg. 1,1-Dichloroethylene (1,1-Dichloroethene; Vinylidene chloride; VDC; 1,1-DCE) Cal/OSHA PEL = 1 ppm TLV = 5 ppm
TLV/STEL = 20 ppm
REL = Carcinogen; Lowest Feasible Concentration High level, short term exposure can cause nasal irritation. VDC can cause adverse liver and kidney effects at concentrations as low as 25 to 50 ppm. OSHA suggests that VDC is a potential occupational carcinogen. An odor threshold for VDC has not been reported; the ionization potential is 9.46 eV and its vapor pressure is 500 mm Hg. Vinyl Chloride PEL = 1 ppm
"skin"
TLV = 1 ppm
REL = Carcinogen; Lowest Feasible Concentration Vinyl Chloride is used in the manufacture of PVC and other resins, as a chemical intermediate and as a solvent. Vinyl chloride is a known human carcinogen and a causal agent of angiosarcoma of the liver. Excess cancer of the lung and the lymphatic and nervous systems has also been reported. It is considered to be very low in toxicity by acute (short term) inhalation. There is considerable evidence that chronic exposures to concentrations below 5 ppm do not increase the risk of liver cancer. Vinyl chloride has a very high vapor pressure (>1 atm), an odor threshold of 10-20 ppm, and an ionization potential of 10.00 eV. Methylene Chloride (Dichloromethane) Cal/OSHA PEL = 25 ppm
STEL = 125 ppm
TLV = 50 ppm REL = Carcinogen; Lowest Feasible Concentration Methylene chloride is an eye and skin irritant. At very high levels, slight narcosis can occur. Long term exposures above the TLV can cause liver injury. Methylene chloride is considered a suspected human carcinogen. The mean odor threshold is 250 ppm, which means its warning properties are inadequate for exposure prevention. Methylene chloride's ionization potential (IP)
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Former Kast Property Health and Safety Plan is 11.35 eV, and its vapor pressure is 350 mm Hg. Methylene chloride is known to the State of California to cause cancer under the criteria of Proposition 65. Trimethylbenzene (all isomers) PEL/TLV/REL = 25 ppm Trimethylbenzene is a clear, colorless liquid with a pleasant aromatic odor. All three isomers of trimethylbenzene are present in petroleum and coal tar. Trimethylbenzene is an eye, nose, and respiratory irritant. High concentrations can cause central nervous system depression. Trimethylbenzene's odor threshold is reported to be 0.55 ppm. Its ionization potential (IP) is 8.27 eV and its vapor pressure is 1 mm Hg. Lead PEL = 0.05 mg/m3
Action Level = 0.03 mg/m3
TLV = 0.05 mg/m3
REL = 1 ft.) activities. Resources include Site plans, utility companies, and regional utility locating services, such as the 811 “one call” service. Utilities clearances will completed using geophysics techniques. Additionally, drilling locations will be cleared to a depth of at least 7 feet using air knifing techniques. The proper utility company personnel should certify the deactivation of utilities, and the certification should be retained in the permanent log. AECOM's procedures for activities proximal to utility locations are located in SMS 34, a copy of which is to be maintained on Site. Excavation, drilling, crane, or similar operations adjacent to overhead lines shall not be initiated until operations are coordinated with the utility officials. Operations adjacent to overhead lines are prohibited unless one of the following conditions is satisfied: Power has been shut off and positive means (e.g. lockout/tagout) have been taken to prevent lines from being energized. Wherever possible, the AECOM SSO will observe power shut off and place a lock and tag on the switch. In all cases utility company personnel shall certify in writing to the Site Manager or SSO the deactivation of overhead utilities, and the certification retained in the project files. The Site Manager or
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Former Kast Property Health and Safety Plan SSO must also attempt to verify power shut off by checking that power is no longer available to the affected building or equipment.
The owner, agent, or employer responsible for the operations of equipment shall post and maintain in plain view of the operator and driver on each crane, derrick, power shovel, drilling rig, hay loader, hay stacker, pile driver, or similar apparatus, a durable warning sign legible at 12 feet reading: "Unlawful To Operate This Equipment Within 10 Feet Of High-Voltage Lines of 50,000 Volts Or Less."
In addition to the above wording, the following statement in small lettering shall be provided on the warning sign: "For Minimum Clearances of High-Voltage Lines In Excess of 50,000 Volts, See California Code of Regulations, Title 8, Article 37, High-Voltage Electrical Safety Orders." Equipment, or any part of the equipment, cannot come within the following minimum clearance from energized overhead lines: Power Lines Nominal System (kv) 600v-50 50- 75 75-125 125-175 175-250 250-370 370-550 550-1000 5.2.8
Minimum Required Clearance 10 feet 11 feet 13 feet 15 feet 17 feet 21 feet 27 feet 42 feet
Electrical Safety/Lock-out /Tag-out (LO/TO)
Keep a safe distance from live electricity. Have all electrical equipment properly grounded. Use only three-wire grounded receptacles and extension cords. Use Ground Fault Circuit Interrupter (GFCI) outlets or circuit breakers on all 110 V outside, wet locations, or portable (5 kilowatts or greater) power sources. Test GCFI before operation. See SMS 12. Only qualified personnel shall make electrical repairs or installations. Do not use power tools or electrical equipment while standing in water and keep cords out of liquids. Cord splices or repairs shall be electrically and mechanically equal to that cord’s quality. No substandard patching is permitted. Explosion proof fixtures and connections will be used while working in confined spaces where flammable vapors could be present. Do not use metal ladders within 4 feet of electrical services. Inspect electrical grounding to prevent shock in case tool insulation fails. Inspect cord-supplied equipment for any ground problems before using and report damaged cords or equipment to the SSO. Consider all wires to be live until locked and tagged out. Personnel are required to lockout and tagout any equipment on which they will be performing any kind of maintenance or work that could result in an injury in the event of an unexpected startup. "Lockout" involves physically Appendix B Kast HASP October 2015 GalenReview.docx
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Former Kast Property Health and Safety Plan locking out the energy source(s) to a piece of equipment that is going to be worked on. The lockout rule applies to almost every piece of equipment that is to be worked on. The exception to this is cord-and-plug equipment if it is unplugged and the plug is in the control of the worker at all times, and if there are no other sources of energy to the equipment. The types of work activities which could require Lockout/Tagout procedures include installing a piece of equipment, modifying a piece of equipment, and adjusting, maintaining, or servicing a piece of equipment in a manner in which an unexpected movement or startup of the equipment could cause injury. See SMS 23. The types of energy that may need to be addressed include electrical, hydraulic, pneumatic, and gravitational. Where a piece of equipment has more than a single source or type of energy, each will have to be addressed. Step-by-step procedures for the piece of equipment are to be developed as part of the THA and reviewed and discussed with all personnel. Where a confined space entry is involved, the confined space is to be addressed first, and then the Lockout provisions should be addressed. The lockout hardware used is to be durable for the type of use it will receive, identifiable as to its purpose and owner, and individually assigned so that only the worker using the lock has the key. Workers who will be conducting work which will involve Lockout/Tagout procedures are to notify any other workers who may be affected by the Lockout. No worker is to remove the lock of another without taking the necessary precautions and receiving proper authorization. 5.2.9
Hand Tools and Portable Equipment
Only authorized trained workers will be allowed to use powered hand tools, and only after reviewing the manufacturer's safety procedures. All tools will be inspected by the operator prior to use and defective tools will be removed from service. Guards for moving parts are not to be removed. See SMS 16. Electric-power tools will be double-insulated or grounded. All power tools not plugged directly into a building's fixed electrical system must be plugged into a ground fault circuit interrupterprotected supply (i.e. - an extension cord with a GFCI). Tools shall not be lifted or lowered by their electrical cords. Pneumatic (air-powered) tools are to be connected to the hose in a manner which prevents accidental disconnecting. Impact tools shall have their attachments secured to prevent them from accidentally being expelled. Safety features, such as muzzle-to-work contact actuators on nail drivers, shall not be removed or overridden. Fuel-powered tools shall be stopped while being refueled, serviced, or maintained. Regulations governing the storage and transport of flammable liquids are to be adhered to. If fuel-powered tools are operated indoors or in enclosed spaces, provisions shall be made to prevent the buildup of toxic gases. Indoor working conditions may not have enough natural illumination. Portable generators will be used to supplement the area. Some precautions are noted below: Portable Electric Generator Appendix B Kast HASP October 2015 GalenReview.docx
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Former Kast Property Health and Safety Plan All extension cords which supply power from a portable generator to a piece of equipment or portable power tool are to be equipped with a ground fault circuit interrupter (GFCI). Generators are to be off and should be cool prior to refueling. Electrical components are to be in sound condition with no exposed parts. Grounding continuity is to be maintained between the generator and the frame. Generators are not to be operated within enclosed areas. At least one 20-lb fire extinguisher rated ABC is to be located where gasoline is stored. Only authorized trained workers will be allowed to use powered hand tools, and only after reviewing the manufacturer's safety procedures. Tools will be inspected by the operator prior to use and defective tools will be removed from service. Guards for moving parts are not to be removed. 5.2.10 Work Area Protection As the project operations may be undertaken in a roadway or parking lot, motor vehicles may be a hazard. Consideration should be given to parking a work vehicle within the coned area between the work area and oncoming traffic. AECOM’s procedures for work zone traffic control are located in SMS 32, a copy of which is to be maintained on Site as well as the procedures per SOPUS Program Guide for AECOM Appendix 11.22. 5.2.11 Confined Space Entry Hazards A confined space is defined as a space large enough and so configured that an employee can bodily enter and perform assigned work, has limited means for entry or exit, and is not designed for continuous employee occupancy. Permit Required Confined Space work may pose additional hazards, such as chemical exposures, flammable/explosive atmospheres, electrocution, oxygen deficiency, etc. Confined spaces will be initially considered as “permit required.” The Project Manager and SSO must determine if a confined space requires a permit; the ASHEM can be consulted for assistance in this determination. Only personnel properly trained in Permit Required Confined Space operations shall supervise, participate in confined space entry, or serve as standby attendants. If Permit Required Confined Space operations are required, the Project Manager and SSO must verify there are trained and currently certified confined space rescuers readily available who have practiced rescue operations on the bioreactor or similar spaces. Confined space entry activities shall be coordinated with the client site administrative and emergency response personnel. All Permit Required Confined Space documents must be completed and approved prior to operations, kept in the confined space site during operations, and filed upon completion. Additional information can be found in AECOM SMS 10. 5.2.12 Hand Augering Muscle strains can occur with hand augering. To minimize the occurrence of injury, the following should be observed: Keep augers sharp – a dull auger requires more work to advance through the soil. Before beginning work, stretch or warm up the body as you would prior to exercising. Appendix B Kast HASP October 2015 GalenReview.docx
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Former Kast Property Health and Safety Plan Try to avoid excessive twisting or wrenching motions when using the auger. 5.2.13 Railroad Safety Because the work will take place in the rail road right of way and, at times, in the middle of the tracks, personnel need to be aware of their surroundings and follow some basic rules while at work or when approaching the location(s): Notify Southern California Rail Road Authority (SCRRA) of work schedule to coordinate railroad flagging and/or protection. Only personnel who have completed the SCRRA safety training are allowed to work in the right of way. Comply with the “General Safety Regulations for Third Party Construction and Utility Workers on SCRRA Property” provided to personnel during SCRRA safety training. Always follow the SCRRA employee-in-charge. Stop and look both ways before crossing any track. Know that in a rail yard cars sometimes are moved by gravity, and may approach you without the noise of an engine to provide a warning. Expect trains or cars to move at any time, on any track, in any direction. Never go between moving cars. Give a hand signal and receive an acknowledgement before going around a standing (idling) engine. Never attempt to get on a moving car or engine. Walk to the side of tracks, where the ground is relatively smooth to get to the location of work. Step over rails when crossing tracks. Do not step, walk, or sit on any rail. If working in the middle of the tracks or within eight feet of the rails, arrange to have that section of the tracks shut down by the SCCRA prior to conducting the work. See SMS 63. 5.2.14 Hand Safety/Open Blade Prohibition Gloves must resist puncturing and tearing as well as provide the necessary chemical resistance. In many instances, particularly when protecting against concentrated source materials, gloves may have to be layered. In this case, gloves are referred to as “inner” gloves and “outer” gloves. Heavy leather gloves may be worn over chemical protective gloves when doing heavy work which could tear the chemical glove. If they become contaminated, leather gloves should be discarded because leather is difficult to decontaminate. Open blade tools such as pocket knives, army knives, etc. are not permitted on-site. For cutting tasks, snips or other blade-protected tools must be used instead. Scissors may be used where appropriate. See also SMS 64, Hand Safety. 5.2.15 Biological Hazards Personnel may encounter insects, snakes, poisonous plants, and animals during the course of this project. The best precaution is avoidance; do not disturb insect nests, burrows, or areas Appendix B Kast HASP October 2015 GalenReview.docx
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Former Kast Property Health and Safety Plan where creatures would likely be encountered. Crawl spaces, well vaults, piles of firewood, etc. should be expected to harbor vermin. Likewise, personnel should also avoid interacting with homeowner pets, as their temperament is unknown and the presence of strangers and equipment in their environment may be unsettling to animals. See also SMS 47 concerning biological hazards. 5.2.16 Illumination During night operations, a minimum of 5 foot candles illumination is needed in the work area. Illumination must be sufficient to see the walking surface and any equipment that is used. See also Section 4B of SMS 11 regarding minimum illumination requirements. 5.2.17 Safe Driving Personnel driving automobiles shall have an appropriate and updated license and AECOM employees must have completed required driver training per SMS 57. Drivers shall demonstrate safe driving behavior at all times when operating a vehicle. Compliance with site, local, state, and federal traffic laws is required. Drivers should drive defensively at all time by continually watching for hazardous conditions, understanding how to defend against them, and taking action to avoid problems. Keep eyes and attention on the road at and adjust speed to weather and traffic conditions. Occupants shall were seat belts. The use of portable electronic devices AND cell phones is prohibited while driving. A driver shall carefully pull off the road and properly park in a safe location prior to using a portable electric device or cell phone. EXCEPTION: The use of a GPS device is allowed, but data entry shall be conducted only when the vehicle is stopped. 5.2.18 Excavation and Trenching All personnel are prohibited from entering a trench or excavation until it has been inspected by a competent person in accordance with 8 CCR 1540-41. If personnel are required to enter a trench or excavation that is deeper than four feet, the following provisions must be provided prior to entry by the contractor who created the excavation: If hazardous atmospheres are suspected, any trench or excavation more than four feet deep must be monitored. Adequate shoring, sloping, or benching techniques must be employed. Adequate means of employee access and egress must be utilized. The contractor’s trained, competent person must inspect the trench or excavation on a daily basis, before work commences and on an as-needed basis throughout the day. The contractor controlling the excavation must have a current Cal/OSHA trenching/excavation permit. All provisions of these regulations must be complied with when working in a trench or excavation. An excavation permit must be obtained from a competent permit issuer before beginning work per SOPUS Safe System of Work 2.0. Additional guidance and information Appendix B Kast HASP October 2015 GalenReview.docx
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Former Kast Property Health and Safety Plan regarding excavation requirements can be found in SMS 13. See also SMS 40 concerning fall protection requirements. 5.2.19 Ladders Portable ladders are anticipated to be used during the course of this project. Work from standalone extension ladders or similar are prohibited. A-frame or multi-purpose ladders may be used provided they are properly secured and footed. Personnel will use the proper ladder for the application (no metal ladders near electrical hazards for example), check that they are in good condition, place on a level surface, and do not climb above the manufacturer’s recommendations. See also SMS 28. 5.2.20 Aerial Lifts An aerial lift may be used for remedial system installation and maintenance. Aerial lifts introduce hazards related to moving equipment and falls. Aerial lifts can only be operated by trained and qualified personnel. Fall protection (in the form of body harness and lanyard) are required for persons inside the lift basket; an exception can be made for “scissors”-type lifts that do not have articulating motion. See also SMS 7. 5.2.21 Corrosives (Acids and Caustics) Corrosives are low pH (acids) or high pH (caustics or alkalis) substances that, by direct chemical action, are injurious to body tissue or can damage metal. Some sample preservatives, including hydrochloric acid, may be corrosive. Corrosive injury may be minor (irritation) or severe (causing burns or blindness). Caustic burns can be particularly dangerous because strong alkalis gelatinize tissue. Initial contact may not be painful, but prolonged contact or high concentrations can cause deep penetrating burns. The effects of solid corrosives (such as dusts) are largely dependent on their solubility in skin, moisture, and duration of contact. Eye, face, and skin protection should be worn whenever there may be contact with materials suspected of being contaminated with caustics. See SMS 9 for additional information. 5.2.22 Hot Work Hot work such as welding or cutting can only be performed by a qualified person and only in vapor-free areas. Combustible materials such as paper, wood, solvents and cleaners, etc. are not to be in the area where welding or cutting takes place. Fire extinguishers must be readily accessible in the work zone. A fire-watch must be maintained for at least 30 minutes after work is completed as a precaution against a late-starting fire. A hot work permit must be obtained from a competent permit issuer before beginning work per SOPUS Safe System of Work 2.0. See SMS 20 for additional guidance. 5.2.23 Cranes and Rigging Some operations, such as moving remediation system components and installation of excavation shoring, may require the use of a crane. Detailed requirements for the operation of such equipment are found in SMS 38. A hoisting and rigging permit must be obtained from a
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Former Kast Property Health and Safety Plan competent permit issuer before beginning work per SOPUS Safe System of Work 2.0. See also SMS 41 concerning rigging requirements. 5.2.24 Powered Industrial Trucks (Forklifts) A forklift may be used during drilling, installation of system, and excavation. Forklift trucks will only be operated by certified personnel and in accordance with the following excerpts from the OSHA standard. See also SMS 70. Truck operations Trucks shall not be driven up to anyone standing in front of a bench or other fixed object. No person shall be allowed to stand or pass under the elevated portion of any truck, whether loaded or empty. Unauthorized personnel shall not be permitted to ride on powered industrial trucks. A safe place to ride shall be provided where riding of trucks is authorized. The employer shall prohibit arms or legs from being placed between the uprights of the mast or outside the running lines of the truck. When a powered industrial truck is left unattended, load engaging means shall be fully lowered, controls shall be neutralized, power shall be shut off, and brakes set. Wheels shall be blocked if the truck is parked on an incline. A safe distance shall be maintained from the edge of ramps or platforms while on any elevated dock, or platform or freight car. Trucks shall not be used for opening or closing freight doors. Brakes shall be set and wheel blocks shall be in place to prevent movement of trucks, trailers, or railroad cars while loading or unloading. Fixed jacks may be necessary to support a semitrailer during loading or unloading when the trailer is not coupled to a tractor. The flooring of trucks, trailers, and railroad cars shall be checked for breaks and weakness before they are driven onto. There shall be sufficient headroom under overhead installations, lights, pipes, sprinkler system, etc. An overhead guard shall be used as protection against falling objects. It should be noted that an overhead guard is intended to offer protection from the impact of small packages, boxes, bagged material, etc., representative of the job application, but not to withstand the impact of a falling capacity load. A load backrest extension shall be used whenever necessary to minimize the possibility of the load or part of it from falling rearward. Only approved industrial trucks shall be used in hazardous locations. Whenever a truck is equipped with vertical only, or vertical and horizontal controls elevatable with the lifting carriage or forks for lifting personnel, the following additional precautions shall be taken for the protection of personnel being elevated. -
Use of a safety platform firmly secured to the lifting carriage or forks.
-
Means shall be provided whereby personnel on the platform can shut off power to the truck. Appendix B Kast HASP October 2015 GalenReview.docx
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Former Kast Property Health and Safety Plan -
Such protection from falling objects as indicated necessary by the operating conditions shall be provided.
Fire aisles, access to stairways, and fire equipment shall be kept clear. Traveling All traffic regulations shall be observed, including authorized plant speed limits. A safe distance shall be maintained approximately three truck lengths from the truck ahead, and the truck shall be kept under control at all times. The right of way shall be yielded to ambulances, fire trucks, or other vehicles in emergency situations. Other trucks traveling in the same direction at intersections, blind spots, or other dangerous locations shall not be passed. The driver shall be required to slow down and sound the horn at cross aisles and other locations where vision is obstructed. If the load being carried obstructs forward view, the driver shall be required to travel with the load trailing. Railroad tracks shall be crossed diagonally wherever possible. Parking closer than 8 feet from the center of railroad tracks is prohibited. The driver shall be required to look in the direction of, and keep a clear view of the path of travel. Grades shall be ascended or descended slowly. -
When ascending or descending grades in excess of 10 percent, loaded trucks shall be driven with the load upgrade.
-
On all grades the load and load engaging means shall be tilted back if applicable, and raised only as far as necessary to clear the road surface.
Under all travel conditions the truck shall be operated at a speed that will permit it to be brought to a stop in a safe manner. Stunt driving and horseplay shall not be permitted. The driver shall be required to slow down for wet and slippery floors. Dockboard or bridgeplates shall be properly secured before they are driven over. Dockboard or bridgeplates shall be driven over carefully and slowly and their rated capacity never exceeded. Elevators shall be approached slowly, and then entered squarely after the elevator car is properly leveled. Once on the elevator, the controls shall be neutralized, power shut off, and the brakes set. Motorized hand trucks must enter elevator or other confined areas with load end forward. Running over loose objects on the roadway surface shall be avoided. While negotiating turns, speed shall be reduced to a safe level by means of turning the hand steering wheel in a smooth, sweeping motion. Except when maneuvering at a very low speed, the hand steering wheel shall be turned at a moderate, even rate. Loading Appendix B Kast HASP October 2015 GalenReview.docx
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Former Kast Property Health and Safety Plan Only stable or safely arranged loads shall be handled. Caution shall be exercised when handling off-center loads that cannot be centered. Only loads within the rated capacity of the truck shall be handled. The long or high (including multiple-tiered) loads which may affect capacity shall be adjusted. Trucks equipped with attachments shall be operated as partially loaded trucks when not handling a load. A load engaging means shall be placed under the load as far as possible; the mast shall be carefully tilted backward to stabilize the load. Extreme care shall be used when tilting the load forward or backward, particularly when high tiering. Tilting forward with load engaging means elevated shall be prohibited except to pick up a load. An elevated load shall not be tilted forward except when the load is in a deposit position over a rack or stack. When stacking or tiering, only enough backward tilt to stabilize the load shall be used. Operation of the Truck If at any time a powered industrial truck is found to be in need of repair, defective, or in any way unsafe, the truck shall be taken out of service until it has been restored to safe operating condition. Fuel tanks shall not be filled while the engine is running. Spillage shall be avoided. Spillage of oil or fuel shall be carefully washed away or completely evaporated and the fuel tank cap replaced before restarting engine. No truck shall be operated with a leak in the fuel system until the leak has been corrected. Open flames shall not be used for checking electrolyte level in storage batteries or gasoline level in fuel tanks. Maintenance of Industrial Trucks Any power-operated industrial truck not in safe operating condition shall be removed from service. All repairs shall be made by authorized personnel. No repairs shall be made in Class I, II, and III locations. Those repairs to the fuel and ignition systems of industrial trucks that involve fire hazards shall be conducted only in locations designated for such repairs. Trucks in need of repairs to the electrical system shall have the battery disconnected prior to such repairs. All parts of any such industrial truck requiring replacement shall be replaced only by parts equivalent as to safety with those used in the original design. Industrial trucks shall not be altered so that the relative positions of the various parts are different from what they were when originally received from the manufacturer, nor shall they be altered either by the addition of extra parts not provided by the manufacturer or by the elimination of any parts. Additional counterweighting of fork trucks shall not be done unless approved by the truck manufacturer. Appendix B Kast HASP October 2015 GalenReview.docx
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Former Kast Property Health and Safety Plan Industrial trucks shall be examined before being placed in service, and shall not be placed in service if the examination shows any condition adversely affecting the safety of the vehicle. Such examination shall be made at least daily. Where industrial trucks are used on a round-the-clock basis, they shall be examined after each shift. Defects when found shall be immediately reported and corrected. Water mufflers shall be filled daily or as frequently as is necessary to prevent depletion of the supply of water below 75 percent of the filled capacity. Vehicles with mufflers having screens or other parts that may become clogged shall not be operated while such screens or parts are clogged. Any vehicle that emits hazardous sparks or flames from the exhaust system shall immediately be removed from service, and not returned to service until the cause for the emission of such sparks and flames has been eliminated. When the temperature of any part of any truck is found to be in excess of its normal operating temperature, thus creating a hazardous condition, the vehicle shall be removed from service and not returned to service until the cause for such overheating has been eliminated. Industrial trucks shall be kept in a clean condition, free of lint, excess oil, and grease. Noncombustible agents should be used for cleaning trucks. Low flash point (below 100 deg. F.) solvents shall not be used. High flash point (at or above 100 deg. F.) solvents may be used. Precautions regarding toxicity, ventilation, and fire hazard shall be consonant with the agent or solvent used. Industrial trucks originally approved for the use of gasoline for fuel may be converted to liquefied petroleum gas fuel provided the complete conversion results in a truck that embodies the features specified for LP or LPS designated trucks. Such conversion equipment shall be approved. 5.2.25 Concrete and Cement Concrete and cement will be used at the site during well and other construction. Those pouring and surfacing concrete are to wear safety glasses and gloves. An ANSI-approved eyewash and bottles of neutralizer are to be present in any pour area, or any area where dry Portland cement is being handled or mixed with water or aggregate. See SMS 91 for additional concrete requirements. 5.2.26 Use of Nuclear Density Gauges Nuclear density gauges may be used for compaction testing after backfilling and compaction of excavated soil. The use, transport and storage of nuclear density gauges shall be in compliance with the guidelines set in SMS 44 and ALARA principles. Nuclear density gauges may not be stored overnight on Site or in the field office. Personnel using and transporting nuclear density gauges shall have completed an operator’s radiation safety training program. 5.2.27 Ergonomic Hazards Motor tasks such as lifting, repetitive bailing, hand augering or similar activities can lead to neuromuscular illnesses. Repetitive computer work can also lead to the same results. Persons should stretch and flex during their workday. In particular during computer work, persons should vary their tasks, take a few minutes break time from the computer every hour and
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Former Kast Property Health and Safety Plan practice good computer posture. See SMS 54 also for tips on proper ergonomic work station arrangement. 5.2.28 Compressed Gas Hazards Compressed gas cylinders and air compressors will be used onsite. Helium cylinders will be used as a tracer gas in soil gas sampling. Oxygen cylinders may be used in the generation of ozone for injection. Oxygen is non-combustible, but actively supports combustion and is a moderate fire risk. Nitrogen cylinders may be used to power pneumatic pumps during LNAPL recovery activities. Cylinders must be stored and handled appropriately. Safety measures include protecting the valve from damage (keep capped or shrouded when not in use), keeping cylinders away from heat or ignition sources, and ensuring that cylinders are prevented from damage (secured from toppling or being hit by vehicles or equipment). See also SMS 15, Flammable and Combustible Liquids and Gases, including the check sheet SMS 015-2. Air compressors may also be used to drive pneumatic pumps used for LNAPL recovery or groundwater extraction. See SMS 87, Compressed Air Systems and Testing, for guidance on equipment testing and inspections prior to use.
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Former Kast Property Health and Safety Plan 6.0
STOP WORK AUTHORITY
All employees and contractors working at the Former Kast Property Project have stop work authority which gives employees the ability to stop work related to a specific activity being performed when there is an imminent danger to personnel, property, or the environment. If a AECOM employee or contractor observes a site condition or work activity which presents a safety concern, the AECOM employee or contractor may stop work. After stopping work, the AECOM employee shall immediately conduct the following: Notify affected employees working in the area of the situation; Take reasonable actions to protect workers, the public, the environment, and the property; Contact the onsite SSO, Site Manager and Senior Oversight; Contact the immediate supervisor and the contractor’s representative; Contact the AECOM Project Manager. The SSO, Site Manager and/or Senior Oversight will evaluate and investigate the condition and determine the corrective actions needed in order to proceed with work safely. Employees will not receive any kind of reprisal, retribution, or discipline for exercising stop work authority.
Appendix B Kast HASP October 2015 GalenReview.docx
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Former Kast Property Health and Safety Plan 7.0
SHELL 12 LIFE-SAVING RULES
Shell has introduced the 12 Life-Saving Rules as a guide towards the goal of zero injuries or fatalities within the workplace. The 12 Life-Saving Rules focus on activities with the greatest potential for seriously injuring or killing workers. Wilful disregard for these rules can result in penalties including the principle that “If you choose to break the rules, you choose not to work for Shell.” Shell life-saving rules apply to all persons working at Shell sites and are outline below. Personnel working for AECOM on Shell sites must provide proof of LSR training (card provided by AECOM or other Shell Primary Environmental Contractor). Training is provided to AECOM personnel through AECOM’s Learning Management System and to subcontractors through training CDs. 7.1
WORK PERMIT
“Work with a valid work permit when required”. Personnel shall work with a valid work permit when required. A work permit describes what personnel must do to stay safe when performing permit required tasks. All persons working under the work permit should understand and follow the permit conditions. Permit issuers should be competent on the permit being issued and have completed SOPUS Safe System of Work 2.0 training. Prior to starting work, the supervisor shall ensure that the work permit is completed and valid, if required, and that it is safe to start work. 7.2
GAS TESTING
“Conduct gas tests when required”. Personnel shall conduct gas testing when required. The work permit and Section 8.0 of this HSP define when chemical monitoring will be conducted and how often. Calibrated and certified equipment will be used for the testing. Prior to starting work, the supervisor shall ensure that gas testing has been completed and that it is safe to start work. Work should be stopped immediately if conditions change. 7.3
HAZARDOUS ENERGY ISOLATION
“Verify isolation before work begins and use the specified life protecting equipment”. Personnel shall verify isolation before work begins and use the specified life protecting equipment. The work permit and Section 5.2.8 of this HSP define procedures for lockout/tagout. Prior to starting work, the supervisor shall ensure that the proper isolations are in place, that all stored energy has been dissipated, and that it is safe to start work. 7.4
CONFINED SPACE ENTRY
“Obtain authorization before entering a confined space”. Personnel shall obtain authorization before entering a confined space. The work permit and SMS 10 defines procedures for confined space entry. Prior to starting work, the supervisor shall ensure that all entrants have appropriate and up-to-date training and that a confined space Appendix B Kast HASP October 2015 GalenReview.docx
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Former Kast Property Health and Safety Plan permit has been filled out accurately, signed, and procedures followed. Ensure that gas monitoring is being conducted and that an attendant is always present directly outside of the space. Prior to entry, ensure that it is safe to start work. 7.5
SAFETY CRITICAL EQUIPMENT
“Obtain authorization before overriding or disabling safety critical equipment”. Personnel shall obtain authorization before overriding or disabling safety critical equipment. Safety critical equipment must work correctly to keep personnel safe. Safety critical equipment shall not be disabled on this project. 7.6
FALL PROTECTION, WORK FROM HEIGHTS
“Protect yourself against a fall when working at height”. Personnel shall protect themselves against a fall when working at height. Fall Protection must be implemented when working outside of a protective structure where the worker can fall 6 feet or more. Obtain authorization for work outside protective equipment such as guardrails or stairs with handrails. The specific work requirements for fall protection shall be defined in the THA. Work from stand-alone ladders and steel mobile scaffold is not permitted on Shell worksites. Aframe or multi-purpose ladders may be used provided they are properly secured and footed. 7.7
SUSPENDED LOADS
“Do not walk under a suspended load”. Never walk underneath a suspended load. Follow the instructions of the flagman. Place barriers in to prevent un-necessary foot traffic in work zone. 7.8
DESIGNATED SMOKING AREAS
“Do not smoke outside designated smoking areas”. Do not smoke outside of designated areas. Smoking is banned except in designated smoking areas. 7.9
NO DRUGS OR ALCOHOL WHILE DRIVING OR WORKING
“No alcohol or drugs while working or driving”. Alcohol and drugs are banned on Shell sites. Do not use alcohol or drugs while working or driving. Do not work while under the influence of drugs or alcohol. Remove personnel who are not fit for duty. 7.10
NO CELL PHONE WHILE DRIVING AND DO NOT EXCEED SPEED LIMITS
“While driving, do not use your phone and do not exceed speed limits”. Do not use cell phones or other communication devices while driving. Do not use your mobile phone, pager, send or read a test message, or use a hands-free mobile phone device when driving. Do not exceed the posted or vehicle’s speed limit. Further information is detailed in Section 5.2.17 of this HSP. Appendix B Kast HASP October 2015 GalenReview.docx 7-2
Former Kast Property Health and Safety Plan
7.11
SEATBELT
“Wear your seat belt”. A three point seatbelt shall be securely fastened when you are within a moving vehicle. Further information on driving safety is detailed in Section 5.2.17 of this HSP. 7.12
JOURNEY MANAGEMENT PLAN
“Follow prescribed Journey Management Plan”. Follow prescribed Journey Management Plan. A Journey Management Plan is not anticipated to be required for work on this site. Further information on driving safety is detailed in Section 5.2.17 of this HSP.
Appendix B Kast HASP October 2015 GalenReview.docx
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Former Kast Property Health and Safety Plan 8.0
EXPOSURE MONITORING PLAN
Heat stress, noise, and chemical exposures may be encountered at this site. Heat stress monitoring and prevention is addressed in Section 5.2.2. Noise levels will not be monitored; personnel will wear hearing protection as described in Section 5.2.3. 8.1
CHEMICAL EXPOSURE MONITORING
The field instrumentation described in this health and safety plan has been specifically selected for the contaminants that may be reasonably anticipated to be encountered during this course of this project. Selection factors include anticipated airborne concentrations, potential interference, ionization potentials, instrument sensitivity, and occupational exposure limits. The Action Levels specified in Section 1.0 were established with the expectation that specific instruments will be used. DO NOT SUBSTITUTE INSTRUMENTS WITHOUT THE CONSENT OF THE HSP PREPARER OR THE ASM. The monitoring equipment specified in Section 1.0 will be used on a regular basis to evaluate the potential for exposure to airborne contaminants, typically every five to ten minutes. Monitoring will be conducted in the immediate vicinity of the contaminant source point or work area (e.g., at the borehole and cuttings adjacent to the borehole). If readings exceed the first Action Level (>10 ppm > one minute), monitoring in the operator's breathing zone (OBZ) of the person working nearest the point of operations/contaminant source will start immediately, and Site personnel will don protective clothing. For PID : A reading in the Site OBZ above the second Action Level (>10 ppm > one minute) will require the use of half-face respirators with appropriate cartridges. An OBZ reading above the third Action Level (>50 ppm > one minute) will require the use of full-face respirators with appropriate cartridges. If the monitoring instrument reads more than the fourth Action Level (>100 ppm > one minute or >200 ppm instantaneously), work will stop, and workers will move upwind while the airborne contaminants dissipate. If elevated levels remain for more than five minutes, local ventilation will be used or the source of the airborne contamination will be covered with clean soil, plastic sheeting, or foam, (or controlled in an appropriate manner). For FID: Readings detected with the FID, but not on the PID or CO2 detection device can be presumed to be from methane, which has a TLV of 1000 ppm. In addition to the LEL measurements that will be taken “downhole” while installing and testing the sub-slab sampling probes, a FID will be used to check the working area and OBZ as noted here and in the table on page 1-6. If readings > 500 ppm in the work area for more than one minute, the worker’s OBZ will be monitored. If readings are > 1000 ppm in the OBZ for more than one minute, work will stop, and workers will move upwind while the airborne contaminants dissipate. If elevated levels remain for more than five minutes, local ventilation will be used or the source of the airborne contamination will be covered with clean soil, ventilation, plastic sheeting, or foam, (or controlled in an appropriate manner).
Appendix B Kast HASP October 2015 GalenReview.docx
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Former Kast Property Health and Safety Plan 8.1.1
Personal Exposure Monitoring In accordance with 8 CCR 5192(h), a qualified AECOM industrial hygienist will perform quantitative personal monitoring for personnel at greatest risk of exposure (i.e., those working in the exclusion zone). The industrial hygienist will determine who to sample based upon site conditions at the time of the sampling; monitoring will commence when the Second Action Level is exceeded. Personnel will be monitored for aromatic and/or aromatic hydrocarbons in accordance with National Institutes for Occupational Safety and Health (NIOSH) Method 1501 or 1003, respectively. If approved by the industrial hygienist, validated passive samplers may be used in lieu of NIOSH Methods. Colorimetric tubes may be used to aid in decision making. During selected soils excavation activities, personnel will be monitored to assess exposure to various constituents. Exposure to gasoline vapors will be evaluated by OSHA PV2028 (or equivalent) utilizing calibrated sampling pumps and charcoal media. Polynuclear aromatic hydrocarbons will be sampled by NIOSH Method 5506 utilizing calibrated sampling pumps with a PTFE membrane filter and XAD sampling tube. Benzene, toluene, ethyl benzene, and xylenes will be sampled by NIOSH 1501 using calibrated pumps and charcoal media or validated passive samplers. All samples will be collected by or under the direction of a professional industrial hygienist. To aid in the selection of these assessments, colorimetric sampling tubes may be used as a screening device at a given location. The methods above will be used to evaluate full-shift exposure and where indicated, short-term exposure limits. Samples will be submitted to an American Industrial Hygiene Association-accredited laboratory for analysis with chain-of-custody protocol. A laboratory accredited by the American Industrial Hygiene Association will perform analyses, and results will be reported and records maintained in accordance with OSHA criteria. AECOM’s procedures for personal monitoring are located in SMS 43, a copy of which is to be maintained on site. Exposure to certain chemicals, such as benzene, can trigger requirements of substance-specific standards. See SMS 50.
8.2
BACKGROUND READINGS
All direct-reading instrument readings will be evaluated relative to background reading, not “meter zero”. Prior to the start of work at each shift, and whenever there is a significant shift in wind direction, instrument readings will be obtained upwind of the Site work zone in order to evaluate the level of “background” readings from local vehicle traffic, emissions from nearby operations unrelated to the Site, etc. Site readings will be evaluated against these background readings (i.e., if an action level is listed as 20 ppm, it is evaluated as 20 ppm above background). The SSO should consult with the ASM regarding the potential health hazards associated with background readings above 5 ppm. 8.3
DATA LOGGING
Monitoring data, including background readings, will be logged in the field log book or equivalent document. Monitoring instruments will be calibrated in accordance with the manufacturer’s Appendix B Kast HASP October 2015 GalenReview.docx
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Former Kast Property Health and Safety Plan instructions prior to the start of each shift. Calibration should also be performed when inconsistent or erratic readings are obtained. IF AN INSTRUMENT CANNOT BE CALIBRATED TO SPECIFICATION, OR BECOMES OTHERWISE INOPERABLE, INVASIVE SITE WORK (I.E., DRILLING, EXCAVATING) WILL CEASE UNTIL THE INSTRUMENT IS APPROPRIATELY REPAIRED OR REPLACED; the PM or HSP Preparer should be contacted for further guidance. 8.4
DUST CONTROL
High winds and Site operations can cause airborne dust hazards. If Site operations generate sustained visible dust, a water mist will be applied to reduce dust generation. If the mist is not effective in reducing dust generation, personnel will don respirators (half-face or full-face as appropriate for analyzer readings) with combination organic vapor-HEPA (P100) cartridges (such as MSA’s GMC-H cartridges). 8.5
CARBON MONOXIDE HAZARDS AND CONTROL
The use of internal combustion equipment such as concrete cutters, power augers, generators, geoprobe drill rigs, etc. can produce carbon monoxide, a colorless, odorless, and toxic gas. Some of the site work will be conducted indoors. To minimize the chances that carbon monoxide will build up to potentially hazardous levels, the following precautions are to be taken. Equipment is not to be allowed to idle unnecessarily. The source equipment will be located outdoors and extension cords or hoses used to preclude generating carbon monoxide indoors. Windows and doors in the area are to be opened; if possible so that cross ventilation can occur. 8.6
EXPLOSIVE ATMOSPHERES
Due to the potential presence of elevated concentrations of site constituents that have a low flash point, the potential exists for explosive atmospheres at the site. Therefore, a Combustible Gas Indicator/O2 (CGI/O2) meter will be used to monitor ambient conditions. Decisions will be based on the levels measured using a CGI/O2 meter (measurements are in % of the Lower Explosive Limit) as determined by the Action Level Table located on page 1-8. Fire suppression equipment (at least one 20-lb fire extinguisher rated ABC or equivalent) is to be present at all times during site operations in areas where a fire potential exists.
Appendix B Kast HASP October 2015 GalenReview.docx
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Former Kast Property Health and Safety Plan 9.0
PERSONAL PROTECTIVE EQUIPMENT
In general, the minimum Personal Protective Equipment (PPE) for Site personnel includes: Hardhat (with band of orange tape for SSEs) Safety glasses with side shields (or impact resistant goggles) Steel-toed boots or Chemical-resistant steel-toed boots Ear protection in vicinity of noisy equipment Work gloves and/or chemical-resistant gloves Traffic safety vest in the vicinity of heavy equipment As the various monitoring Action Levels are reached, additional PPE is required. Section 1.0 provides the description of the incremental PPE requirements relative to specific Action Levels, as well as the specific kinds of PPE to be use. AECOM's procedures for use and selection of personal protective equipment are located in SMS 29, a copy of which is to be maintained on Site. 9.1
LIMITATIONS OF PROTECTIVE CLOTHING
The protective equipment ensembles selected for this project are anticipated to provide protection against the types and concentrations of hazardous materials that may potentially be encountered during field operations. However, no protective garment, glove or boot is resistant to all chemicals at any concentration; in fact, chemicals may continue to permeate or degrade a garment even after the source of the contamination is removed. In order to obtain optimum usage from PPE, the following procedures are to be followed by all personnel: When using disposable coveralls, don a clean, new garment after each rest break or at the beginning of each shift Inspect clothing, gloves and boots both prior to and during use for: -
Imperfect seams
-
Non-uniform coatings
-
Tears
-
Poorly functioning closures
Inspect reusable garments, boots and gloves both prior to and during use for: -
Visible signs of chemical permeation such as swelling, discoloration, stiffness or brittleness
-
Cracks or any signs of puncture or abrasion
Any reusable garments exhibiting any such characteristics will be discarded. Appendix B Kast HASP October 2015 GalenReview.docx
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Former Kast Property Health and Safety Plan 9.2
DURATION OF WORK TASKS
The duration of work tasks in which personnel use PPE ensembles that include chemical protective clothing (including uncoated Tyvek) will be established by the SSO. Variables to be considered include ambient temperature and other weather conditions, the capacity of individual personnel to work in the required level of PPE in heat and cold, and the limitations of specific PPE ensembles. The recommended rest breaks are as follows: Fifteen minutes midway between shift startup and lunch Lunch break (30-60 minutes) Fifteen minutes midway between lunch and shift end Rest breaks are to be taken in the support zone or other clean area after personnel have completed the decontamination process, including soap and water wash of hands and face.
Appendix B Kast HASP October 2015 GalenReview.docx
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Former Kast Property Health and Safety Plan 10.0 10.1
RESPIRATORY PROTECTION
RESPIRATOR PROTECTION
Engineering controls and safe work practices (e.g. elimination of the source of contamination, ventilation equipment, working upwind, limiting exposure time, etc.) must always be the primary control for air contaminants. Respirators will be used if engineering or work practice controls are not feasible for controlling airborne exposures below acceptable concentrations and as an interim control measure while engineering or work practice controls are implemented. Once the need for respirators has been established, the respirators will be selected on the basis of the hazards to which the worker is exposed. Only NIOSH-approved respirators will be issued. Selection criteria established in 8 CCR 5144 has been used by the HSP Preparer in evaluating respirator requirements for this project. CAUTION: Full-face piece or half-face piece air-purifying respirators are not to be used where there is an oxygen deficiency. Only air-supplied respirators with an emergency escape cylinder or self-contained breathing apparatus will be worn when an oxygen deficiency exists. CAUTION: A respirator does not protect against excessive heat or against hazardous substance that can attack the body through the skin. The form of the airborne contaminants has been evaluated based upon the suspected contaminants of concern. Evaluation of the concentration of the airborne chemical hazard will be performed using direct reading instruments to evaluate what type respirator will be used. Airborne readings will be compared to Action Levels in the table in Section 1.0. See action level/respirator requirements in Section 8.1. 10.2
MEDICAL SCREENING
AECOM project employees are enrolled in the AECOM Medical Surveillance Program and are medically evaluated in compliance with the requirements of 8 CCR 5144(a) (10). Employees who are not physically or psychologically capable of wearing respirators are not assigned to this project. Subcontractor personnel who may wear respirators must be medically qualified. The medical status of each employee is reviewed annually and as may be deemed necessary by the examining physician if the physical status of the employee changes. 10.3
FIT TESTING
A person wearing a respirator must be clean-shaven in the area of the face piece seal. Long hair, sideburns, and skullcaps that extend under the seal are not allowed. Glasses with temple pieces extending under the seal are not allowed for full-face respirators. Persons with facial conditions that prevent a proper seal are not allowed to wear a respirator until the condition is corrected. Facial conditions that may cause a seal problem include missing dentures, scars, severe acne, etc. Contact lenses can be used with air purifying, but not supplied air respirators. No individual will enter an area where the use of respiratory protective equipment is required unless the person has been fit tested within the last year. Fit testing will be performed in Appendix B Kast HASP October 2015 GalenReview.docx
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Former Kast Property Health and Safety Plan accordance with accepted fit test procedures defined in SMS 42, a copy of which is maintained at the Site. Records of fit testing will be maintained on Site or by the employee's office and/or corporate medical surveillance program. Respirator wearers will perform a user seal check each time the respirator is put on. For air purifying respirators, the positive user seal check is performed by first removing the exhalation valve cover, then placing the palm over the respirator exhalation valve and exhaling gently. The respirator mask should puff out without noticeable leakage. The negative user seal check is performed by placing the palms over both of the respirator cartridges, inhaling gently, and holding the breath for 10 seconds. The respirator mask should remain collapsed on the face without noticeable leakage. 10.4
RESPIRATOR USE INSTRUCTIONS
Only those employees who have been properly trained and qualified on the specific type of respirator to be worn may use respirators. No individual will enter an area where the use of respiratory protective equipment is required unless the person has been trained. All employees whose job assignment requires the use of respirators are given training in accordance with 8 CCR 5144 during initial 40-hour and annual Refresher training for hazardous waste operations. Hands-on training on inspecting and donning a respirator, including user seal checks, was also provided at the time of fit testing. Retraining is performed annually on each type of respirator worn by the individual. In addition, Site-specific respirator training is provided during Site Safety Briefings conducted by the SSO. Training records are kept in the employee’s training file. Chemical gas or vapor respirator cartridges will be changed out at least daily. The fit of a chemical gas or vapor respirator should be rechecked and the cartridges changed if the wearer detects chemical odor or feels chemical irritation on the skin, both indicators of leakage or cartridge breakthrough. Where available, an ESLI (end-of-service-life indicator) will be used on chemical respirator cartridges. Cartridges will be changed as soon as the ESLI indicates that the cartridge is saturated and no longer effective in absorbing airborne chemicals. 10.5
RESPIRATOR INSPECTION
The user will inspect respirators before and after each day's use. Inspection procedure, air purifying respirators (full-face piece and half-face piece cartridge respirators): Examine the face piece for: Excessive dirt Cracks, tears, holes, or distortion from improper storage Inflexibility Cracked or badly scratched lenses (full-face only) Incorrectly mounted eyeglass lenses or broken or missing mounting clips (full-face only) Cracked or broken air purifying element holder, badly worn threads, or missing gaskets Appendix B Kast HASP October 2015 GalenReview.docx
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Former Kast Property Health and Safety Plan Examine the head straps or head harness for: Breaks or cracks Broken or malfunctioning buckles Excessively worn serration on the head straps, which may permit slippage Loss of elasticity Examine the inhalation valves (2) and exhalation valve for: Foreign material (e.g. hairs, particles, etc.) Improper insertion of the valve body in the face piece Cracks, tears, or chips in the valve body, particularly in the sealing surface Missing or defective exhalation valve covers Examine the air-purifying cartridge for: Missing or worn cartridge holder gasket Incorrect cartridge/canister for the hazard Incorrect cartridge installation, loose connections, or cross threading in the holder Cracks or dents in the outside case or threads of filter or cartridge/canister 10.6
CLEANING OF RESPIRATORS
Respirators assigned and worn by one individual must be dismantled and thoroughly cleaned and disinfected after each day's use. Visitors or multi-assigned respirators must be cleaned and disinfected after each use. A disinfectant spray or wipe is approved as a disinfectant between uses during the day but not for cleaning and sanitizing after each day's use. Care must be taken to prevent damage from rough handling during the cleaning procedure. After cleaning, respirators must be reassembled. Respirator Cleaning Procedure Washing:
Disassemble and wash with a mild liquid detergent in warm water (not to exceed 110ºF). A stiff bristle (not wire) brush may be used.
Rinsing:
Rinse in clean water (110ºF maximum) to remove all traces of detergent. This is very important to prevent dermatitis.
Disinfecting: Thoroughly rinse or immerse in a sanitizer provided by the manufacturer. Alternatively, a weak chlorine bleach solution (1 milliliter liquid bleach/liter of water) may be used. Final Rinsing: Rinse thoroughly in clean water (110ºF maximum) to remove traces of disinfectant. This is very important to prevent dermatitis. Drying:
Drain and dry hanging by the straps from racks (take care to prevent damage); or towel drying with clean soft clothes or paper towels.
Appendix B Kast HASP October 2015 GalenReview.docx
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Former Kast Property Health and Safety Plan 10.7
MAINTENANCE OF RESPIRATORS
Routine respirator maintenance such as replacing missing valves, gaskets, nose cups etc., must only be performed by trained respirator users or a respirator manufacturer’s representative. Only approved replacement parts must be used. Substitution of parts from a different brand or type of respirator is generally not possible, invalidates the technical approval of the respirator, and is not permitted. Any respirator suspected of being defective must be removed from service and replaced. 10.8
STORAGE OF RESPIRATORS
When not in use, respirators must be stored to protect them from dust, sunlight, heat, extreme cold, excessive moisture, damaging chemicals, and physical damage. Respirators must be stored in sealable (e.g. Ziploc® or twist-tie) reusable plastic bags between shifts. The respirator storage environment must be clean, dry, and away from direct sunlight. Onsite cabinets or cases are suggested. Storing bagged respirators in vehicles is discouraged due to the potential for damage from other material or equipment. 10.9
ADDITIONAL INFORMATION
Additional information on AECOM Respiratory Protection Program is located in SMS 42, a copy of which is to be available on Site.
Appendix B Kast HASP October 2015 GalenReview.docx
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Former Kast Property Health and Safety Plan 11.0 11.1
SITE CONTROL
GENERAL
Barricade tape and/or barricades shall be used to delineate a work zone for safety purposes around the work area. The barriers should be set in a 25-foot radius (as practical) around the work area to provide sufficient maneuvering space for personnel and equipment. A short piece of barricade tape can be affixed to a secure upright (e.g., drill rig mast or vehicle antenna) to serve as a wind direction telltale. A five-foot opening in the barricades at the support zone (upwind of the work area) will serve as the personnel and equipment entry and exit point. The personnel decontamination station will be established at this point if formal decontamination procedures are required (Section 12.0). Entry and exit from the work area will be made at this opening in order to control potential sources of contamination and leave contaminated soil and debris in the work area. At the end of the shift, all boring/sampling holes and excavations must be covered or otherwise secured. All cuttings and decontamination fluids are to be handled in accordance with relevant regulations and instructions from the PM. The PM, Site Manager or SSO will evaluate an upwind evacuation area prior to each shift, and personnel will be notified of its location. A horn or other signaling device will be used to signal an evacuation in the event of an emergency. Three blasts of the horn will be the signal to immediately stop work and proceed to the evacuation area. The SSO will implement the proper traffic control procedures as outlined in SOPUS Program Guide for AECOM Appendix 11.22 and AECOM SMS 32 documents. The SSO will see that Site visitors sign the visitors’ log and that personnel and Site visitors who enter the work area do so only after presenting evidence of both their participation in a medical surveillance program and completion of health and safety training programs that fulfill the requirements of this plan. The SSO will provide Site hazard and emergency action information to Site visitors before they enter the Site. This can be done by providing a copy of this HSP to the visitor. 11.2
WORK ZONES
Work zones must be established as described below. Exclusion Zone – a 25 foot (as practical) circle around the work area will be defined before work starts. The encircled area will constitute the “Exclusion Zone”. This zone is where potentially hazardous contaminants and physical hazards to the workers will be contained. Appropriate personal protection as described in Section 1.0 will be required in this area. Plastic sheeting (visqueen) and/or tarps may be used as necessary to control contaminated materials spilled to the ground during Site operations. The size of the Exclusion Zone may be altered to accommodate Site conditions and to ensure contaminant containment. Contamination Reduction Zone (CRZ) – a corridor leading from the Exclusion Zone will be defined, and will lead from the work area to a break area. All decontamination activities will occur in the CRZ. A waste container will be placed at the end of the Appendix B Kast HASP October 2015 GalenReview.docx 11-1
Former Kast Property Health and Safety Plan corridor so contaminated disposable equipment can be placed inside and covered. Surface/soil contamination in this area should be controlled using plastic sheeting. No AECOM/AECOM personnel or Site visitors will be permitted into the Contamination Reduction Zone or Exclusion Zone unless they are in full compliance with the requirements of this Plan. Support Zone – a Support Zone, the outermost part of the Site, must be defined for each field activity. Support equipment is located in this uncontaminated or clean area. Normal work clothes are appropriate within this zone. The location of this zone depends on factors such as accessibility, wind direction (upwind of work area), and resources (i.e., roads, shelter, utilities). See also Signs, Signals, and Barricades, SMS 88.
Appendix B Kast HASP October 2015 GalenReview.docx
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Former Kast Property Health and Safety Plan 12.0 12.1
DECONTAMINATION PROCEDURE
SANITATION
Potable water will be made available at the Site, either from a pressurized source or commercially available bottled water. Drinking cups will be supplied so personnel will neither drink directly from the source of water nor have to share drinking cups. Sources of non-potable water shall be clearly labeled as such. Unless toilet facilities are available on Site or transportation is readily available to transport personnel to nearby (within five minutes) toilet facilities, portable toilet facilities, such as chemical toilets, will be provided on Site. Washing facilities will be provided on Site, and will be located in the decontamination area or the support area. Soap, clean water, wash basins and single-use towels will be available for personnel use. AECOM's procedures for Site sanitation are located in SMS 30, a copy of which is to be maintained on Site. 12.2
DECONTAMINATION OF PERSONNEL
Remove all equipment, sample containers, and notes from the CRZ. Obtain decontamination solutions and decon tools (shovels, auger flights, etc.) by brushing them under a water rinse. A high-pressure steam cleaner may also be used for decon. All waste and spent decon solutions will be properly contained 12.2.1 Decontamination Procedures for Level C PPE 1. Scrub boots with a stiff bristle brush and water. Washtubs and chairs will be provided. 2. Remove outer gloves (and boot covers, if used). 3. Remove Tyvek coverall; discard in provided container. 4. Remove hardhat and eye protection. 5. Remove respirator. 6. Remove inner gloves. 7. Wash hands and face. The decontamination area will be covered with plastic sheeting, which will be replaced when torn or heavily soiled, and at the end of each shift. Each worker will be responsible for cleaning, sanitizing and storing their own respirator in accordance with manufacturer’s guidance (i.e., washing in warm water and detergent or sanitizing solution, air drying, and storing in a plastic storage bag; see Sections 10.6 and 10.8. Cartridges will be changed in accordance with the procedures described in Section 10.4. All spent decontamination fluids (rinse waters, etc.) shall be handled as directed by the PM and in accordance with relevant regulations. Appendix B Kast HASP October 2015 GalenReview.docx
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Former Kast Property Health and Safety Plan 12.2.2 Decontamination Procedures for Level B PPE The following decontamination procedure will be used when Level B protective gear is required. A decontamination assistant, using PPE as described in Section 9.0, will be present to assist in Level B decon. 1. Remove all monitoring equipment, sample containers, and notes to the CRZ. The decontamination helper will obtain decontamination solutions and decon the equipment as necessary. 2. Scrub boots and gloves with a stiff bristle brush and decontamination solution. Rinse with water. Washtubs and chairs will be provided. 3. Remove tape from around wrist and ankles. 4. Remove outer Nitrile gloves and PVC boot covers. 5. Wash gross contamination from disposable protective suit. 6. Remove chemical protective boot. 7. Remove five-minute escape pack or SCBA backpack. 8. Remove outer disposable coverall taking care not to touch the outside of the garment; discard in provided container. 9. Remove hardhat and eye protection (place in bin to be decontaminated). 10. Rinse inner gloves. 11. Remove respirator facepiece. 12. Remove inner surgical latex gloves; discard in provided container. 13. Remove Vortex cooler (if used). 14. Wash hands and face in soapy water and rinse with potable water. 12.3
DECONTAMINATION – MEDICAL EMERGENCIES
In the event of physical injury or other serious medical concerns, immediate first aid is to be administered in lieu of further decontamination efforts. 12.4
DECONTAMINATION OF TOOLS
When work activities have been completed, contaminated tools used by personnel will be either appropriately decontaminated or properly disposed of as hazardous waste. It is expected that tools will be constructed of non-porous, non-absorbent materials. This will aid the decontamination process. Any tool, or part of a tool, which is made of a porous/absorbent material will be discarded and disposed of as a hazardous waste if it cannot be properly decontaminated. Tools will be placed on a decontamination pad or into a bucket and thoroughly washed using a soap solution and brushing, followed by a fresh water rinse. All visible particles are to be removed before the tool is considered clean.
Appendix B Kast HASP October 2015 GalenReview.docx
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Former Kast Property Health and Safety Plan 12.5
DECONTAMINATION OF HEAVY EQUIPMENT
At locations where it is likely that heavy equipment will come in contact with contaminated material, such heavy equipment should be decontaminated prior to leaving the contamination reduction zone. Partial decontamination efforts can be conducted in the exclusion zone. As much mud, dirt, rocks, etc., as possible will be mechanically removed from the tires, tracks, auger flights, or outside of the equipment. The heavy equipment can then be moved onto a decontamination pad located in the contamination reduction zone adjacent to the exclusion zone. The pad should be constructed in a manner that will permit wash and rinse fluids to be contained and collected; heavy gauge plastic sheeting and sandbags can be used for this purpose, and a suction device used to collect liquids. A high pressure, steam cleaner may be used to wash down heavy equipment. Personnel performing this task are to wear the PPE prescribed for the Decontamination Assistant. Following the washing, the heavy equipment can be driven into the support zone. Under no circumstances should heavy equipment be allowed to leave the Site if it is not decontaminated.
Appendix B Kast HASP October 2015 GalenReview.docx
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Former Kast Property Health and Safety Plan 13.0 13.1
SAFE WORK PRACTICES
GENERAL
1. Anyone at anytime is authorized to stop work, if work practices appear unsafe. 2. Eating, drinking, chewing gum or tobacco, and smoking are prohibited in the contaminated or potentially contaminated area or where the possibility for the transfer of contamination exists. 3. Personnel will enter designated work areas only through the contamination reduction zone (CRZ). Personnel leaving an exclusion/work zone must exit through the CRZ and pass through the decontamination station as described in Section 12.0. 4. Personnel will wash their hands and face thoroughly with soap and water prior to eating, drinking or smoking. 5. Avoid contact with potentially contaminated substances. Do not walk through puddles, pools, mud, etc. Avoid, whenever possible, kneeling, leaning or sitting on contaminated surfaces. Do not place monitoring equipment on potentially contaminated surfaces (i.e., ground, etc.) 6. Field crew members should make use of their senses to alert them to potentially dangerous situations in which they should not become involved (i.e., presence of strong, irritating or nauseating odors). 7. Only those vehicles and equipment required to complete work tasks should be permitted within the exclusion/work zone (drill rigs, excavators, and similar items). All nonessential vehicles should remain within the support zone. 8. Containers, such as drums, will be moved only with the proper equipment and will be secured to prevent dropping or loss of control during transport. 9. Field survey instruments, such as PIDs, should be covered with plastic or similar covering to minimize the potential for contamination. 10. No matches or lighters will be permitted in the work area/exclusion zone or contamination reduction zone. 11. Contaminated protective equipment, such as respirators, hoses, boots, and disposable protective clothing, will not be removed from the work area/exclusion zone or decontamination area until it has been cleaned, or properly packaged and labeled. 12. Prevent, to the extent possible, spills. In the event that a spill occurs, contain liquid if possible. 13. Prevent splashing of the contaminated materials. 14. Field crewmembers shall be familiar with the physical characteristics of the Site operations including: -
Wind direction in relation to the contaminated area;
-
Accessibility to equipment and vehicles;
-
Areas of known or suspected contamination;
-
Site access; and
-
Nearest water sources.
Appendix B Kast HASP October 2015 GalenReview.docx
13-1
Former Kast Property Health and Safety Plan 15. The number of personnel and equipment in the exclusion zone should be minimized but only to the extent consistent with workforce requirements of safe Site operations. 16. All wastes generated during AECOM and/or subcontractor activities at the Site will be disposed of as directed by the PM. 17. All personal protective equipment will be used as specified and required. 18. The buddy system will be used at all times when performing sampling for hazardous material when the first action level criteria have been exceeded or when working in remote areas. 19. Personnel are to immediately notify the SSO or Site Manager if any indications of potential explosions or unusual conditions are observed. 13.2
SAMPLING PRACTICES
For sampling activities, the following standard safety procedures shall be employed: 1. Sampling equipment should be cleaned before proceeding to the Site. 2. At the sampling Site, sampling equipment should be cleaned after each use. 3. Work in “cleaner” areas should be conducted first where practical. 4. Unauthorized personnel will remain outside exclusion zones at all times. 13.3
SAMPLE SHIPMENT/HAZARDOUS MATERIALS SHIPMENT
If samples to be collected during the course of this project fall under the criteria that defines them as hazardous materials under DOT regulations 49 CFR Parts 171-177 (see AECOM guidelines for evaluation), then they must be shipped in accordance with those regulations by an individual who is certified as having been Function-Specific trained as required under the DOT regulations. See also SMS 48.
Appendix B Kast HASP October 2015 GalenReview.docx
13-2
Former Kast Property Health and Safety Plan 14.0
EMERGENCY RESPONSE PLAN
It is AECOM’s policy to evacuate personnel from areas involved in hazardous material emergencies and to summon outside assistance from agencies with personnel trained to respond to the specific emergency. If such a request is made, it should be accommodated as feasible, taking care to shut down equipment as necessary. This section outlines the procedures to be followed by personnel in the event of a Site emergency. These procedures are to be reviewed during the onsite safety briefings conducted by the SSO. See SMS 3. In the event of a fire or medical emergency, the emergency numbers identified in Section 1.0 (page 1-1) can be called for assistance. 14.1
PLACES OF REFUGE
In the event of a Site emergency requiring evacuation, all personnel will evacuate to a predesignated area located a safe distance from any health or safety hazard (typically the Site office, unless conditions dictate otherwise) and safely away from the area of influence. The SSO will designate a primary assembly area prior to the start of work each day. The daily predesignated assembly area may have to be re-designated by the SSO in the event of an emergency where the area of influence affects the primary assembly area. Once assembled, the SSO shall take a head count. The SSO will evaluate the assembly area to verify that the area is outside the influence of the situation; if not, the SSO will redirect the group to a new assembly area where a new head count will be taken. During any Site evacuation, employees shall be instructed to observe wind direction indicators. During evacuation, employees will be instructed to travel upwind or crosswind of the area of influence. The SSO will provide specific evacuation instructions to Site personnel regarding the actual Site conditions. 14.2
FIRE
AECOM's fire prevention procedures are described in SMS 14, a copy of which is to be maintained on Site. To protect against fires, the following special precautions must be taken: Before any flame-producing devices, i.e., cutting torches or welding irons, are used in the exclusion zone, the SSO must be contacted. In some cases, the client may require to be contacted as well to evaluate if a hot work permit is required. A detailed observation of the work area will be conducted to evaluate if potential fire sources exist. The fire sources must be removed to at least 35 feet away before work can commence. Two full 20-lb. type ABC fire extinguishers must be located at the work area when cutting/welding is being conducted, and a fire watch will be posted. Upon completion of the cutting/welding activities the area will be observed for hot metal, slag, etc. The fire watch will remain on station for at least 15 minutes after the hot work is completed. Type ABC fire extinguishers will be available on Site to contain and extinguish small fires. The local or facility fire department shall be summoned in the event of any fire on Site.
Appendix B Kast HASP October 2015 GalenReview.docx
14-1
Former Kast Property Health and Safety Plan 14.3
COMMUNICATION
A communication network must be set up to alert Site personnel of emergencies and to summon outside emergency assistance. Cell phone will be the primary communication means on the site. Where voice communication is not feasible an alarm system (i.e., sirens, horns, etc.) should be set up to alert employees of emergencies. Radio communication may also be used to communicate with personnel in the exclusion zone. Where phone service is not readily available, radios or portable phones should be used to communicate with outside agencies. Site personnel should be trained on the use of the Site emergency communication network. Emergency phone numbers shall be posted at the phone or radio used for outside communication. The SSO is responsible for establishing the communication network prior to the start of work, and for explaining it to all Site personnel during the Site safety briefing. In the event of an emergency, personnel will use the following hand signals where voice communications are not feasible:
14.4
Signal
Definition
Hands clutching throat
Out of air/can’t breathe
Hands on top of head
Need assistance
Thumbs up
OK/I’m alright/I understand
Thumbs down
No/negative
Arms waving upright
Send back support
Grip partner’s wrist
Exit area immediately
EMERGENCY RESPONSE PROCEDURES
14.4.1 Emergency Response Team The emergency response team will consist of employees who assume the following roles: Emergency Care Provider(s) -
Provide first aid/CPR as needed.
-
Communicator: Site Manager, SSO or Senior Oversight
-
The role of the communicator is to maintain contact with appropriate emergency services, providing as much information as possible, such as the number injured, the type and extent of injuries, and the exact location of the accident scene. The communicator should be located as close to the scene as possible in order to transmit to the emergency care providers any additional instructions that may be given by emergency services personnel in route.
Site Manager/Supervisor: Robert Ponce (Senior Oversight – alternate) -
The Site Manager and/or SSO should survey and assess existing and potential hazards, evacuate personnel as needed, and contain the hazard. Follow up responsibilities include replacing or repairing damaged equipment, documenting the incident, and notifying appropriate personnel/agencies described under incident Appendix B Kast HASP October 2015 GalenReview.docx
14-2
Former Kast Property Health and Safety Plan reporting. It also includes reviewing and revising Site safety and contingency plans as necessary. In the event of an emergency, notify Site personnel of the situation. Survey the scene to evaluate if the situation is safe, to evaluate what happened, and to search for other victims. The Emergency Response Checklist can be used to help remember the things to do in an emergency.
Appendix B Kast HASP October 2015 GalenReview.docx
14-3
Former Kast Property Health and Safety Plan EMERGENCY RESPONSE CHECKLIST In an Emergency
Yes
No
Confirm the reported incident
Evacuate and secure the area
Render first aid/emergency medical care
Notify promptly: Project Manager Fire Department Police Department Nearest Hospital or Medical Care Facility
Start Documentation
If spill or leak occurs: Don the proper PPE Stop the source Contain the spill Clean up the spill
Upon evacuating, take attendance at the assembly area
Authority given: Leave the Site Restart the operations
Debrief and document the incident
A copy of the document submitted to the ASM
Appendix B Kast HASP October 2015 GalenReview.docx
14-4
Former Kast Property Health and Safety Plan 14.5
MEDICAL EMERGENCY RESPONSE PLAN
At least one AECOM employee on Site will hold a current certificate in American Red Cross Standard First Aid. This training provides six and one-half hours of Adult CPR and Basic First Aid. Persons with injuries that are not particularly serious or life threatening should be escorted to the nearest occupational health clinic or urgent care facility, if feasible. See SMS 65 for additional information. If a medical emergency exists, consult the emergency phone number list and request an ambulance immediately. Perform First Aid/CPR as necessary, stabilize the injured, decontaminate if necessary, and extricate only if the environment they are in is dangerous or unsafe and ONLY if the rescuers are appropriately protected for potential hazards they may encounter during the rescue. When emergency services personnel arrive, communicate first aid activities that have occurred. Transfer responsibility for care of the injured/ill to the emergency services personnel. The following items and emergency response equipment will be located within easy access at all times: First Aid Kit and Infection Control Kit; Eyewash – A 15-minute eyewash (required if corrosives are present or concrete is mixed or poured) will be available on Site for flushing foreign particles or contaminants out of eyes. The SSO will demonstrate the proper operation of the unit(s) prior to the start of work; Emergency Phone Numbers List; and Portable radios for emergency communications in remote areas. Drugs, inhalants, or medications shall not be included in the First Aid Kit. 14.6
INCIDENT/NEAR MISS REPORTING
Site injuries, illnesses, and incidents must be reported to the SSO and PM immediately following first-aid treatment. Definitions of “incidents” and initial notification requirements are described in Section 5.0 of the SOP ES Contractor HSE Program document. Work is to be stopped until the PM or SSO and ASM have evaluated the cause of the incident and have taken the appropriate action to prevent a reoccurrence. Any injury or illness, regardless of severity, is to be reported to the ASM on the incident report form (SMS 49-1). Near misses are also reported on SMS 491, or for AECOM reporting purposes, near misses, as well as safety observations, may also be submitted electronically via the “Near Miss/Safety Observation” database on the HSE website. . Incident/Accident: Any occupational injury or illness; or any unintentional or undesirable release of a chemical or petroleum product from its designed container, tank, pipeline, hose, dispenser, pump, or other transfer equipment that occurs on or from SOPUS owned, previously owned, leased, or contracted property or equipment; or damage to SOPUS property or equipment. Lesson Learned: Defined as an accident or incident which did not result in, but had the potential to cause an injury, illness, property damage, or other loss resulting in a regulatory warning.
Appendix B Kast HASP October 2015 GalenReview.docx
14-5
Former Kast Property Health and Safety Plan 14.7
OPERATION SHUTDOWN
If known or possible hazardous situations are present, or if work tasks are unclear, any project member may request that site operations be temporarily suspended while the underlying hazard is corrected or controlled. All project members are encouraged to exercise “stop work” authority as part of applying principles of the behavior based safety culture. If the situation is related to emissions, during operation shutdown, all personnel will be required to stand upwind to prevent exposure to fugitive emissions. The SSO will have ultimate authority for operations shutdown and restart. 14.8
SEVERE WEATHER SHUTDOWN
If performing outdoor activities, check for any potential severe weather that may impact the location and identify shelter areas that are available. If performing outdoor activities and thunder is heard or lighting is seen, take cover immediately in a safe location including a building or vehicle. Do not stay in (or on) convertibles, golf carts, riding mowers, open cab construction equipment or the like. Remain in the safe location until at least 30 minutes after the last thunder clap is heard. The SSO will have ultimate authority for operational shutdown and restart. Additionally, earthquakes can trigger tsunamis; if an earthquake is felt, information should be sought concerning if there could be any site impacts. 14.9
SPILL OR HAZARDOUS MATERIALS RELEASE
Small spills are immediately reported to the SSO and are dealt with according to the chemical manufacturer’s recommended procedures found on the MSDS. Steps will be taken to contain and/or collect small spills for approved storage and disposal. In the unlikely event of a larger release of hazardous materials as a result of Site activities, Site personnel will evacuate to the pre-designated assembly area. The local Designated Emergency Response Authority (DERA) will be notified by the SSO immediately and appropriate actions will be taken to protect the public health and mitigate the contaminant release. The DERA can be reached through the local police or fire department. The Site Safety Officer or Site Manager will make the following emergency contacts: AECOM Project Manager Christian Osterberg
(714) 689-7316 or (714) 227-1363
SOPUS Project Contact Douglas Weimer
(310) 816-2043 or (703) 403-6790
(cell) Cal OES (if RQ exceeded or significant release threat)
(800) 852-7550
EPA Response Center (depending if RQ is exceeded)
(800) 424-8802
Appendix B Kast HASP October 2015 GalenReview.docx
14-6
Former Kast Property Health and Safety Plan 15.0 15.1
TRAINING, MEDICAL SURVEILLANCE, SITE INSPECTIONS
TRAINING AND MEDICAL SURVEILLANCE
Site personnel will have met the requirements of 29 CFR 1910.120(e)/8 CCR 5192(e), including: Forty hours of initial off-Site training or its recognized equivalent Eight hours of annual refresher training (as required); Eight hours of supervisor training for personnel serving as Site Safety Officers; and Three days of work activity under the supervision of a trained and experienced supervisor. AECOM Site personnel are participating in medical surveillance programs that meet the requirements of 8 CCR 5192(f). Current copies of training certificates and statements of medical program participation for AECOM personnel are maintained by the local AECOM offices. Short service employees (SSEs) will be mentored in the field by experienced personnel for a period of six months unless a variance has been granted by the employee’s supervisor (see SMS 78 for additional information). Contractor personnel are to provide evidence of their training and medical clearance to the PM or SSO prior to the start of field work. In addition, Site personnel will review this HSP and sign a copy of the Safety Plan Compliance Agreement, which is found in Attachment B. The PM will maintain these agreements at the Site, and place them in the project file at the conclusion of the operation. Prior to the start of operations at the Site, the SSO will conduct a Site safety briefing, which will include personnel involved in Site operations. At this meeting, the SSO will discuss: Contents of this HSP; Types of hazards at the Site and means for minimizing exposure to them; The type of monitoring that will be performed; Action levels for upgrade and downgrade of personal protective equipment; Personal protective equipment that will be used; AECOM's Injury and Illness Prevention Program; Site-specific SOPUS procedures or requirements; Site-specific respiratory protection requirements; Decontamination protocol; Site control measures, including safe operating practices and communication; Location and use of emergency equipment; and Evacuation signals and procedures. Site personnel, including subcontractor personnel, are to attend the briefings and sign the briefing form.
Appendix B Kast HASP October 2015 GalenReview.docx
15-1
Former Kast Property Health and Safety Plan Subsequent Site safety briefings will be conducted at least daily, or whenever there is a change in task or significant change in task location. Briefings will also be conducted whenever new personnel report to the Site. For each briefing, the SSO will complete a Daily Tailgate Meeting and Work Clearance Form (see Attachment C); these are to be maintained in the project file. 15.2
DAILY TASK HAZARD ANALYSIS
The AECOM Site Manager or Site Safety Officer is to conduct a daily review and update of the THAs prior to the start of each shift and document on the Daily Tailgate Meeting and Work Clearance Form found in Attachment C. The purpose of the THA process is to identify the steps in the tasks that will be performed, the respective hazards, and methods to eliminate or control the hazards. The THA will be updated during the shift if new or different tasks or unanticipated hazards are encountered, or if the control measures are inadequate. The completed forms are to be maintained on Site until the completion of the project, at which time they are to be placed in the project files. 15.3
BEHAVIOR BASED SAFETY OBSERVATIONS
A behavior based observation is to be made at least once a week or every 200 hours (whichever results in the greater number of observations) using the form SMS 72-1. Observations may be made by the SSO, PM, other Site employees, or subcontractors. Completed forms are intended to be used to spot trends and serve as an aid for health and safety briefings to communicate both positive work practices and areas in need of improvement. See SMS 72 for additional information. Besides submittal to Shell, safety observations (as well as near misses) are to be submitted electronically to AECOM via the “Near Miss/Safety Observation” database located on the SHE website homepage. 15.4
REGULATORY INSPECTIONS
In the event of a regulatory inspection, such as Cal/OSHA, Cal/EPA RWQCB, or City Government, AECOM will verify the identification of the inspector and then notify the Office SHE Representative/ASM and Project Manager. Following the opening conference with the inspector, the inspector will be escorted to the areas of interest and notes and photographs will be taken. Answer all questions truthfully and do not speculate or admit guilt. Following the closing conference, notifications to the OSR, ASM, and Project Manager will be made. Additional detail concerning the regulatory inspection process, notifications, and AECOM policy is included in SMS 1.
Appendix B Kast HASP October 2015 GalenReview.docx
15-2
Former Kast Property Health and Safety Plan 16.0
RECORDKEEPING
The PM and SSO are responsible for Site recordkeeping. Prior to the start of work, they will review this plan; if there are no changes to be made, they will sign the approval form (PM) or acceptance form (SSO) and maintain in the project file. AECOM personnel will review the HSP and sign the Safety Plan Compliance Agreement in Attachment B; copies of these forms will be maintained in the project file as noted in Section 15.0. The SSO will conduct a Site Safety Briefing or Tailgate Meeting in accordance with Section 15.0 and have attendees sign the Daily Tailgate Meeting and Work Clearance Form in Attachment C; copies will be maintained in the project file. Any incident, exposure, or near miss incident will be investigated (per SMS 49) and the completed form will be forwarded to
[email protected] and the ASM. Instrument readings and calibrations, PPE use and changes, health and safety-related issues, and deviations from or problems with this HSP will be recorded in the field log.
Appendix B Kast HASP October 2015 GalenReview.docx
16-1
Attachment A Health Clinic Route Map Hospital Route Map Site Map
Map to US Health Works – Occupational Clinic 2499 S. Wilmington Avenue, Compton, CA 90220
Total Travel Estimate: 11 minutes / 5.93 miles Hours: 7am – 7pm Start: 24700 Neptune Ave., Carson, CA 90745 1. Start out going SOUTH on NEPTUNE AVE toward E 248TH ST.
0.2 mi
2. Turn LEFT onto E LOMITA BLVD.
0.7 mi
3. Turn LEFT onto WILMINGTON AVE.
5.1 mi
4. 2499 S WILMINGTON AVE. is on the LEFT End: 2499 S Wilmington Ave, Compton, CA 90220
Map to Los Angeles County Harbor-UCLA Medical Center – Emergency Hospital 1000 W. Carson Street, Torrance, CA 90502
Total Travel Estimates: 8 minutes / 3.57 miles Start: 24700 Neptune Ave., Carson, CA 90745 1. Start out going SOUTH on NEPTUNE AVE toward E 248TH ST.
0.2 mi
2. Turn RIGHT onto E LOMITA BLVD.
0.7 mi
3. Turn RIGHT onto FIGUEROA ST.
0.7 mi
4. Turn LEFT onto W SEPULVEDA BLVD.
0.4 mi
5. Turn RIGHT onto S VERMONT AVE.
1.5 mi
6. Turn LEFT onto W CARSON ST.
0.1 mi
7. 1000 W CARSON ST is on the LEFT. End: 1000 W. Carson Street, Torrance, CA 90502
Attachment B Safety Plan Compliance Agreement (Also included in CD)
ATTACHMENT B MEDICAL EMERGENCY CONTACT SHEET AND SAFETY PLAN COMPLIANCE AGREEMENT FORM FORMER KAST PROPERTY CARSON, CALIFORNIA I, have received a copy of the Health and Safety Plan for this Project. I have reviewed the plan, understand it, and agree to comply with all of its provisions. I understand that I could be prohibited from working on the project for violating any of the health and safety requirements specified in the plan.
SIGNED: Signature
Firm:
Date
______________________________
This brief Medical Emergency Contact Sheet will be kept in the Support Zone during Site operations. It is in no way a substitute for Medical Surveillance Program requirements. This data sheet will accompany injured personnel when medical assistance or transport to hospital facilities is necessary. Emergency Contact: Relationship: Do you wear contact lenses?
Phone #:
Attachment C AECOM-Shell Daily Tailgate Meeting and Work Clearance Form (Also included in CD)
AECOM Shell SGW (US) Daily Tailgate Meeting & Job Clearance Form Job Location:
Date:
AECOM Site Supervisor:
AECOM Project Manager:
Issue: January 2, 2011 Revision 9: March 4, 2014
Do NOT pre-populate any field.
List activities to be performed today: Permitted Activities (specific permit to be competed):
Not Applicable Confined Space Entry Excavation/Trenching Hot Work Hoisting/Rigging (any lifting with equipment, excluding drill rigs) Natural Gas System Maintenance
Muster Point:
Spill Kit Location:
First Aid Kit Location:
Fire Extinguisher Location:
Emergency cut-off switches:
Designated cell phone use area(s):
Has the Site Manager/Owner been notified of our activities and/or participated in a pre-work site walk? Is a fuel delivery scheduled for today? Have all personnel reviewed and understand the site specific HASP? Does each activity have a Task Hazard Analysis (THA)? Does each subcontractor have THAs for their activities? Have THAs been reviewed by all affected personnel on-site? Has a site walk been performed to identify additional hazards? Have any newly identified hazards been documented on the THA? Have all members of the work team confirmed understanding of the work, hazards, and controls/ mitigation? Has each person on the work team discussed all hazards and mitigation measures associated with any task which will require their feet to leave the ground? Have work areas been properly cordoned-off to protect workers, site staff, and the public? Have equipment checks been completed, documented, and reviewed? Have there been any equipment modifications made by subcontractor(s)? Is yes, discuss modifications. Do all members of the work team have API Safety Keys (AECOM excluded)? Do all members of the work team have a Shell “Life Saving Rules” Training card? Do all site workers understand injury/ intervention reporting requirements including immediately notifying the AECOM Site Supervisor of any injury near miss, unsafe condition or hazard observation? If permits are required, have they been reviewed and permit conditions understood by the Team? If drilling, did driller physically point out all pinch points to entire team (AECOM and all subs)? If drilling, has the driller & crew agreed the audible and visible signals for “all clear” prior to engaging controls?
Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
No No No* No* No* No* No* No* No* No*
N/A N/A
Yes Yes Yes Yes Yes Yes
No* No* No No* No* No*
N/A N/A N/A N/A
Yes Yes Yes
No* No* No*
N/A N/A N/A
N/A
N/A N/A
* If No, then work cannot be performed until corrective action is completed and documented.
Title of AECOM THAs reviewed today: All personnel are wearing (regardless of activity):
Title of Subcontractor’s THAs reviewed today: Hard Hat
Safety Glasses
Safety Vest
Steel-Toed Boots
See THA for additional task specific PPErequirements.
Other Items Discussed Today:
Gloves (appropriate for task)
Stop Work Authority & Obligation * All employees will stop the job any time anyone is concerned or uncertain about safety. * All employees will stop the job if anyone identifies a hazard or additional mitigation not recorded on the THA. * All employees will be alerted to any changes in personnel or conditions at the worksite. * All employees will stop the job and reassess a task, hazards, and mitigations, and then amend the THA as needed.
1
AECOM Shell SGW (US)
Issue: January 2, 2011 Revision 9: March 4, 2014
Daily Tailgate Meeting & Job Clearance Form
Do NOT pre-populate any field.
SITE WORKERS (including AECOM Contractors and Subcontractors): By signing here, you are stating the following:
* You have been involved in reviewing the THAs and understand the hazards and control measures associated with each task you are about to perform. * You understand the permit to work requirements applicable to the work you are about to perform (if it includes permitted activities). * You understand the Shell Life Saving Rules and are aware that tasks or work that is not risk-assessed shall not be performed. * You are aware of your authority and obligation to 'Stop Work'.
I arrived and departed fit for duty: * You are physically and mentally fit for duty, * You are not under the influence of any type of medication, drugs, or alcohol that could affect your ability to work safely. * You are aware of your responsibility to immediately report any illness, injury (regardless of where or when it occurred), or fatigue issue you may have to the AECOM Site Supervisor. * You will sign-out uninjured unless you have otherwise informed the AECOM Site Supervisor.
Print Name & Company
Initials & Sign In Time
Signature
Initials & Sign Out Time
In & Fit
Out & Fit
In & Fit
Out & Fit
In & Fit
Out & Fit
In & Fit
Out & Fit
In & Fit
Out & Fit
(Attach additional Site Worker sign-in/out sheets if needed)
PERSONAL SAFETY COMMITMENT (Attach additional Personal Safety Commitment sheets, if needed) Print Name “I will personally commit to do the following to positively improve site safety today”:
SITE VISITORS (attach additional Site Visitor sign-in/out sheets if needed) Print Name
Company Name
Arrival Time
Departure Time
SITE REPRESENTATIVE Sign In/Out (operating sites only, and signature must be requested. Sign In: I have discussed this Job Clearance Form with the contractor
Site Representative Name
Signature
If the operator refuses to sign, note this on the Form)
Sign Out: I have discussed this Job Clearance Form with the contractor
Site Representative Signature
Site Representative Name
Site Representative Signature
TWILIGHT TOOL BOX TALK (Complete the following once field activities for the day have been concluded): Were there any Incidents, Near Misses, Potential Incidents, or Positive Interventions today? Were there any ‘Stop Work’ interventions?
Yes
No
If yes, provide details:
Yes
No
If yes, provide details:
Were there any areas for improvement noted?
Yes
No
If yes, provide details:
Is the Site Manager/Owner happy with the way you left the site (including the location of waste drums and/or equipment)? I certify that the above information is true and the job site is being left in a safe condition
Yes
No
If no, provide details:
Yes
No
AECOM Site Supervisor Signature:
2
Attachment D Shell Oil Products US Forms (Also included in CD)
ES Pre-Construction/Pre-Job Planning Checklist HSE Information Discussed Environmental Services HSE Policies and Procedures HSE Responsibilities for Contractor Accident/Incident Reporting and Investigation Procedures and Forms HSE Meetings Emergency Plan & Procedure Security and Access Procedures Housekeeping Powered Equipment (Trucks, Cranes, Forklifts, etc.) Inspection HSE Inspections Industrial Hygiene Monitoring PPE Requirements Work Authorization / Permitting (agency permits, building, etc.) Substance Abuse/Drug/Alcohol/Firearm Prohibitions Chemical & Material Hazards Electrical Safety (Grounding plan, classification areas, tool/equipment condition, site wiring, lock out/tag out) Traffic Control Guidelines Excavation, Trenching and Shoring Procedures Confined Space Entry Procedures and Permitting Underground Services Alert Site Specific HSE Issues Subsurface Investigation Procedures Health and Safety Plan Review by all employees Advise Contractor to alert ES rep immediately about any HSE concerns
ES Traffic Control Guidelines Your Company provides remediation work and services at Shell locations (owned and/or divested) and other associated areas (the “site” or “sites”), including without limitation work in or around the shoulder of active roadways. Pursuant to that contract, your company is required to perform the work in accordance with federal, state, and local laws and regulations and other necessary and appropriate requirements, as applicable, to safely perform the work. Pursuant to the contract, your company is required to develop and implement a site-specific Health and Safety Plan (HASP). This HASP must cover various health and safety topics, including traffic control and safety for the site where your company's workers will be working. This document provides information that should be taken into consideration when you are developing the traffic control provisions of your HASP. Shell Contractors perform many tasks on site (e.g., groundwater sampling, gauging and bailing monitoring wells, drilling, remediation system installation and O&M, etc.) that place field personnel at increased risk of injury from vehicular traffic, particularly on retail service station sites (active or abandoned), and in, or along the shoulder of, active roadways. Each site and well location must be assessed individually, and the appropriate traffic control measures must be implemented, in accordance with local, state, and federal rules, laws, and regulations as well as the Contractor’s internal policies and procedures. A Contractor, to help develop traffic control measures while performing work on Shell sites, may utilize the following guidelines. Shell Sites and other “on-site” locations As there are no lanes marked out for traffic flow through these sites, and numerous entry points onto them, Contractor field personnel (“field personnel”) are vulnerable to traffic from all sides. In order to minimize the risk of being struck by a vehicle while performing tasks on site, field personnel may consider the following guidelines when developing work site traffic control plans: 1. Review the site-specific Health and Safety Plan (“HASP”) for safety and any special traffic control details for the site you will be working on and the tasks you will be performing. 2. Verify that all necessary traffic-control devices for each site to be visited that day are loaded in the vehicles before they leave the office. 3. Wear the appropriate PPE for the work to be performed as indicated in the HASP. 4. Assess the work location for potential traffic exposure. Stay alert at all times since vehicular traffic is often continuous and uncontrolled on Shell sites. Be sure to look at all possible directions from which traffic may approach including the possibility of vehicles backing up. Never assume any potential pathway to be “safe”. Attempt to
Last Revised 6/10/03
set up the work area on site with field personnel facing/looking toward the highest potential for traffic. 5. Conduct a site pre-job safety meeting; complete the Daily Site Checklist, if included in the HASP, and sign-off on both the checklist and the HASP. 6. Using the traffic control devices, establish your work zone as per the specifications detailed within the HASP. 7. Perform all work to be completed within the work zone before breaking down the traffic control system. 8. Clear the work area and break down the traffic control system.
Work Area Traffic Control Devices/Use Traffic control devices may consist of items such as: • • • •
Traffic cones Flags Caution tape Other devices such as signs, barricades, amber flashing lights, fencing, etc.
It is recommended that each work area be cordoned off with traffic cones or other traffic control devices as appropriate to site-specific conditions. To increase visibility to vehicular traffic, it is recommended that every other cone have a flag inserted through its middle. Caution tape should be utilized to join all of the traffic control devices such that no one can easily walk through the work area. It is also recommended that work vehicles be used to shield field personnel from traffic hazards when practical. Work in (or along the shoulder of) Active Roadways Traffic control in these areas should be managed through development of an appropriate traffic control plan. A traffic control plan specific to the work site should be developed and included in the HASP, prior to performing work in these areas. Local and state requirements should also be consulted for possible permitting or additional traffic control requirements prior to performing any work in these areas.
Last Revised 6/10/03
ES Subsurface Investigation Procedure While these procedures must be followed, adherence to them does not relieve Contractor of liability or modify any of Contractor’s obligations in its agreement with the Company. The following guidelines shall be followed prior to initiating any subsurface activities (i.e. excavation, trenching, and/or drilling/probing activities (including over-drilling to abandon wells)): A. Identify and mark either with paint and/or with stakes the proposed boring locations or the outline of the planned trench or excavation area. Contact public underground utilities locating service (i.e. DIG-TESS, J.U.L.I.E., etc.) to locate where utilities enter and travel on property or if drilling, trenching and/or excavating offsite, locate offsite utilities. In addition, contacting a private underground utility locating service 1 to locate utilities onsite is required 2. Subsurface activities may only proceed without utilizing a private underground utility locating service with prior approval from the appropriate Shell Oil Products US (Shell) Environmental Services (ES) Project Manager (PM). All utilities identified by public and private utility locating services shall be illustrated by the site environmental consultant on a site plan for reference during current and/or future subsurface activities. The written consent of off-site property owners (e.g., through an access agreement or right-of-entry agreement) will be required prior to performing any work on non-Company property. Please contact the appropriate Shell ES PM prior to performing work off-site. B. This Subsurface investigation procedure shall be made a part of the Site Specific Health & Safety Plan. In addition, the State one call confirmation number and expiration date shall be listed. Copies of plans or photos showing the locations of underground tanks, lines, utilities, pipelines, etc., are to be requested from facility engineer. If subsurface activities are anticipated in a CRITICAL AREA (as defined in Section F below) and as built drawings cannot be located, contact the UST system and/or leak detection installation Contractor(s) prior to initiation of site subsurface activities to assist in determining the location of onsite underground utilities. C. Prior to mobilization to the site, discuss planned subsurface activities with all responsible parties, noting that the exact location of all underground tanks, lines, utilities, etc. may not be known or supplied by the Company. D. Subsurface activities are normally NOT allowed in any active UST pit or within active product or vent line trenches. The only time subsurface activities are permitted in an active tank pit is during tank maintenance activities or when drilling is conducted through conductor casing that was placed in the tank pit prior to the installation of a new tank system. Other methods of sampling/well installation through an active tank pit should not be considered.
1
Existing consultants and/or contractors may be utilized as a private utility locator service if locating private utilities is a line of service provided by that company. 2 Locating of private utilities is not intended to require the use of geophysical methods (i.e. Ground Penetrating Radar, Infra Red, etc.) unless requested. Appropriate electronic and/or other equipment should be utilized to locate private utilities in proximity to the planned subsurface activities. Rev 07/07 Page 1 of 10
E. Prior to any subsurface activity, a tailgate safety meeting with all site personnel shall be conducted to provide clear direction regarding the items listed below. Acknowledgement of attendance at this tailgate meeting shall be documented with an agenda of items discussed and a signatory page. 1. Knowledge of emergency procedures, including location of fuel pumps shut-off switches; 2. No subsurface activities before investigation of subsurface activity locations are conducted as described below; 3. No subsurface activities without consulting geologist present to observe; 4. For drilling activities a slow rate of auger advancement for the initial 10-feet, removing the cutting key in silt, sand and clay soils; 5. If pea gravel or other suspected back fill material is encountered, the following should be conducted: a. Subsurface activities are immediately terminated and a new location for the activity needs to be identified if possible. The same procedures need to be followed for the new location as listed above. Refer to “E” above as starting point. b. Immediately contact the station manager a Shell ES PM and to check on-site Veeder Root (or comparable automatic leak detection system) for any detection of a possible product loss due to subsurface activities. Shell ES PM will be responsible for contacting Shell/Motiva Engineering & Maintenance, as needed. c. Remove paving or surface improvement to allow clear visibility of subsurface conditions. Clear pea gravel/fill material using most effective method (e.g. vacuum digging, hand digging) to see if any underground piping or utility was impacted. The boring/excavation should be left open temporarily to observe if any subsurface impact is noticed (i.e. flowing fluids, heavy vapors etc.). d. In the case in which pea gravel or other suspected backfill material cannot be avoided, the subsurface activity location should be considered within a CRITICAL AREA and proceed as described below. For flowing backfill materials such as sand and/or pea gravel, vacuum drilling or another alternative should be considered. WIRE PROBES SHOULD NOT BE USED UNDER ANY CIRCUMSTANCES. F. Subsurface Activity locations are divided into CRITICAL and NON-CRITICAL AREAS. CRITICAL AREAS are defined as within 10-feet of the perimeter of the UST pit area, within 10-feet of the drip line of the dispenser/rack canopy 3, those areas within 10-feet of product/vent/instrument lines, gas lines, electrical conduits, sewer lines, water supply lines, telecommunications lines, and all areas between the UST pit and the dispensers, between the 3
If a dispenser canopy is not present, then the CRITICAL AREA is defined as extending 10-feet from the proximal edge of a dispenser island. Page 2 of 10
dispensers/rack and the store/office building and within street utility corridors (typically within a right-of-way easement). For terminals, CRITICAL AREAS will also include any area within a dike area, any area between the above ground storage tanks and the rack and any area between the rack and the office building. Areas outside of the CRITICAL AREAS are NON-CRITICAL AREAS. 1. CRITICAL AREAS (excluding areas within 10-feet of an UST pit) a. Use a concrete saw followed by the use of a jackhammer to saw and break through an asphalt or concrete surface cover. The drill bit on the rig or the teeth of an excavator bucket may also be used to auger through or peel back an asphalt cover. However, the drill bit or excavator bucket are NOT to be used to auger through and/or provide pressure to break through a concrete cover. Do NOT advance bit or mechanical cutting tools beyond the bottom of an asphalt or concrete cover b. Use of an evacuating technology such as an air-knife, vacuum excavators, etc. is required to remove enough soil to visually inspect for subsurface utilities/improvements. The Shell ES PM must approve use of an alternative methodology. 1) For soil borings, the soil in the borehole should be excavated to a diameter of at least three inches greater than the diameter of the drill bit on the lead auger or drill stem that is to be used. The borehole shall be advanced to a depth of at least 5-feet below the surface. If pea gravel, fill material, or refusal is encountered, abandon the boring and immediately contact Shell ES PM to discuss new location and follow the directions of Section E5 above. For Soil borings located within 10 feet of a natural gas supply or service line, a casing must be placed into the excavation used to clear the boring prior to advancing the augers or other mechanical drilling equipment. The casing must extend the entire depth of the clearance excavation, be of sufficient strength to prevent deflection of the drilling tools outside of the casing during completion of the soil boring, and must be of sufficient diameter to prevent binding of the drilling tools while advancing them through the casing. 2) For trenching/excavation activities, remove soil in the vicinity of all marked public or private utilities and/or product/vent/instrument lines identified within 10-feet of planned trenching and/or excavation activities to visibly identify the utilities’ depth and direction of travel. The depth and direction of utilities running parallel to a trench and/or excavation must be confirmed at a minimum of two locations along the line at an interval no greater than 20-feet. The depth and direction of utilities running perpendicular to a trench and/or excavation must be confirmed on both sides of the trench and/or excavation. i.
Exploratory excavations to locate marked utilities must extend vertically until the utility is located or to at least two feet below the depth of the planned trenching/excavation activities, whichever is less.
ii.
If the utility is not located under the marked area to the specified depth, the clearing activities must continue in a perpendicular direction a minimum of 5feet in both directions from the original utility mark or to a maximum distance Page 3 of 10
of 10 feet from the planned excavation area. If the utility is still not located, the utility locating service (private and/or public) must be called to relocate the utility. iii.
For trenching/excavation activities in CRITICAL AREAS, the contractor is responsible for providing a spotter to aid the trenching/excavation equipment operator in the immediate detection of underground structures or utilities. Personnel performing this activity shall exercise extreme caution.
iv.
If during trenching/excavation activities, unexpected pea gravel, other type of utility trench fill material, or a subsurface structure/utility is encountered, stop the excavation activity and immediately contact Shell ES PM to discuss new location and follow the directions of Section E5 above that would pertain to excavation activities.
c. If it is not possible to perform an exploratory boring which meets the diameter requirements as stated in item “b” above, hand auger borings should be installed, to the required depth, surrounding the proposed well/boring location in such a manner that any lines/utilities passing through the proposed well/boring location will be encountered while installing the investigation borings/well. The Shell ES PM must approve the use of hand auger borings. d. If soil samples are required to be collected within the 0-5 feet interval, a hand auger should be utilized only to the extent required prior to using the evacuating technology, to collect native, undisturbed soil samples. The Shell ES PM must approve the use of hand auger borings. e. Drill/probe at least 5-feet away, and perpendicular to, all marked utility lines. f. Following clearance of each boring location and/or confirmation of utilities depth and location, cover the hole(s) with barricades or cones and a sheet of material sufficient in strength to support a person’s weight until it is ready to be drilled or the trenching/excavation activities have been completed. Containerize cuttings as appropriate. If utility clearing for a subsurface activity is conducted the day before (or more) the subsurface activity is conducted, the borehole/utility clearance should be covered with barricades or cones and with a sheet of material sufficient in strength to support a person’s weight. If the borehole/utility clearance is of sufficient size to potentially cause damage to a vehicle if driven over, then the borehole/utility clearance should be covered with a material sufficient in strength to support vehicular weight. In lieu of barricades or cones and a material cover, boring locations may be temporarily backfilled to surface. If a backfill material is utilized, it is important for the material to be flush with the surrounding pavement. For trenching/excavation activities, all utility confirmation excavations must remain open for reference until all trenching/excavation within 10-feet of the identified utility line has been completed.
Page 4 of 10
2. CRITICAL AREAS (within 10-feet of an UST pit) Investigate and mark all subsurface activity locations before initiating subsurface activity (utility clearances should be conducted prior to drill rig/excavation equipment mobilization) as follows: a. Use a concrete saw followed by the use of a jackhammer to saw and break through an asphalt or concrete surface cover. The drill bit on the rig or the teeth on an excavator bucket may also be used to auger through or peel back an asphalt cover. However, the drill bit or excavator bucket are NOT to be used to auger through and/or provide pressure to break through a concrete cover. Do NOT advance bit or mechanical cutting tools beyond the bottom of an asphalt or concrete cover. b. Use of an evacuating technology such as an air-knife, vacuum excavators, etc. is required to remove enough soil to visually inspect for subsurface utilities/improvements. The Shell ES PM must approve the use of alternative methodologies. 1) For Soil borings the soil in the borehole should be excavated to a diameter of at least three inches greater than the diameter of the drill bit on the lead auger or drill stem that is to be used. The borehole shall be advanced to a depth of at least 10-feet 4 below the surface. If pea gravel, fill material, or refusal is encountered, abandon the boring and immediately contact Shell ES PM to discuss a new location and follow the directions of Section E5 above. For Soil borings located within 10 feet of a natural gas supply or service line, a casing must be placed into the excavation used to clear the boring prior to advancing the augers or other mechanical drilling equipment. The casing must extend the entire depth of the clearance excavation, be of sufficient strength to prevent deflection of the drilling tools outside of the casing during completion of the soil boring, and must be of sufficient diameter to prevent binding of the drilling tools while advancing them through the casing. 2) For CRITICAL AREAS within 10-feet of an UST pit, excavation is not permitted except as allowed in the following: i.
For CRITICAL AREAS within 10-feet of an UST pit, trenching will only be allowed in a perpendicular direction between a remediation well (e.g., vapor extraction/sparge point, etc.) to a header trench that is more than 10-feet from the edge of an UST pit. Marked utilities and the potential presence of product lines, electrical conduits, or vent line trenches between the remediation well and a distance of 10-feet from the edge of the UST pit must be cleared to a depth of two feet greater than the planned trench depth with either soft digging (e.g. air knife) and/or manual techniques.
If the depth to the top of the USTs is unknown, have a fueling/maintenance contractor open a sump to make this determination. If the depth to the top of the USTs is 10 feet or greater, then depth of the utility clearing borehole shall be sufficient to encounter a side of the UST. 4
Page 5 of 10
ii.
The utility clearance for the remainder of the trenching may follow procedures for either CRICTICAL AREAs (excluding areas within 10-feet of an UST pit) or NON-CRITICAL AREAS 5.
c. If it is not possible to perform an exploratory boring which meets the diameter requirements as stated in item “b” above, hand auger borings should be installed, to the required depth, surrounding the proposed well/boring location in such a manner that any lines/utilities passing through the proposed well/boring location will be encountered while installing the investigation borings/well. If a UST pit backfill type material is encountered refer to item “b” above. The Shell ES PM must approve the use of hand auger borings. d. If soil samples are required to be collected within the 0-10 feet interval, a hand auger should be utilized only to the extent required prior to using the evacuating technology to collect native, undisturbed soil samples. The Shell ES PM must approve the use of hand auger borings. e. Drill/probe at least 5-feet away and perpendicular to, all marked utility lines. f. Following clearance of each boring location and/or confirmation of utilities depth and location, cover the hole(s) with barricades or cones and a sheet of material sufficient in strength to support a person’s weight until it is ready to be drilled or the trenching /excavation activities have been completed. Containerize cuttings as appropriate. If the utility clearing for a subsurface activity is conducted the day before (or more) the subsurface activity is conducted, the borehole/utility clearance should be covered with barricades or cones and with a sheet of material sufficient in strength to support a person’s weight. If the borehole/utility clearance is of sufficient size to potentially cause damage to a vehicle if driven over, then the borehole/utility clearance should be covered with a material sufficient in strength to support vehicular weight. In lieu of barricades or cones and a material cover, boring locations may be temporarily backfilled to surface. If a backfill material is utilized, it is important for the material to be flush with the surrounding pavement. For trenching/excavation activities, all utility confirmation excavations must remain open for reference until all trenching/excavation within 10-feet of the identified utility line has been completed. 3. NON-CRITICAL AREAS Investigate and mark all subsurface activity locations before initiating subsurface activity (utility clearances should be conducted prior to drill rig/excavation equipment mobilization) as follows: a. Use a concrete saw followed by the use of a jackhammer to saw and break through an asphalt or concrete surface cover. The drill bit on the rig or the teeth of an excavator bucket may also be used to auger through or peel back an asphalt cover. However, the 5
If it appears that the tank pit may extend into the planned trenching area or exploratory excavation, DO NOT REMOVE THE TANK PIT MATERIAL. Stop the trenching/excavation activities and immediately call the Shell ES PM. Page 6 of 10
drill bit or excavator bucket are NOT to be used to auger through and/or provide pressure to break through a concrete cover. Do NOT advance bit or mechanical cutting tools beyond the bottom of an asphalt or concrete cover. b. Use of an evacuating technology such as an air-knife, vacuum excavators, etc. is required to remove enough soil to visually inspect for subsurface utilities/improvements. The Shell ES PM must approve the use of alternative methodologies. 1) For soil borings the soil in the borehole should be excavated to a diameter of at least three inches greater than the diameter of the drill bit on the lead auger or drill stem that is to be used. In NON-CRITICAL AREAS, the borehole shall be advanced to a depth of at least 5-feet below the surface. If pea gravel, fill material, or refusal is encountered, abandon the boring and immediately contact Shell ES PM to discuss a new location and follow the directions of Section E5 above. 2) For trenching/excavation activities in Non-CRITICAL AREAS, the contractor is responsible for providing a spotter to aid the trenching/excavation equipment operator in the immediate detection of underground structures or utilities. Personnel performing this activity shall exercise extreme caution. c. If it is not possible to perform an exploratory boring which meets the diameter requirements as stated in item “b” above, hand auger borings should be installed, to the required depth, surrounding the proposed well/boring location in such a manner that any lines/utilities passing through the proposed well/boring location will be encountered while installing the investigation borings/well. The Shell ES PM must approve the use of hand auger borings. d. If soil samples are required to be collected within the 0-5 feet interval, a hand auger should be utilized only to the extent required prior to using the evacuating technology, to collect native, undisturbed soil samples. The Shell ES PM must approve the use of the hand borings. e. Drill/probe at least 5-feet away and perpendicular to, all marked utility lines. f. If piping or other structures are not encountered, cover the hole with barricades or cones and a sheet of material sufficient in strength to support a person’s weight until it is ready to be drilled. Containerize drill cuttings as appropriate. If excavation of the borehole is conducted the day before actual drilling is conducted, the borehole should be covered with barricades or cones and with a sheet of material sufficient in strength to support a person’s weight. If the borehole is of sufficient size to potentially cause damage to a vehicle if driven over, then the borehole should be covered with a material sufficient in strength to support vehicular weight. In lieu of barricades or cones and a material cover, the boring may be temporarily backfilled to surface. If a backfill material is utilized, it is important for the material to be flush with the surrounding pavement.
Page 7 of 10
G. Utility clearance for chemical injection, grid drilling, trenching and/or excavation. In order to better facilitate utility locations over a larger area, geophysical methodologies may be utilized. However, the performance of a geophysical survey must be conducted by a company, which performs this work as one of their standard lines of service. Investigate all boring locations before drilling (Utility clearances should be conducted prior to drill rig/excavation equipment mobilization) as follows: 1. Ground penetrating radar (GPR) can be used to detect potential utilities and subsurface objects at drilling locations. A Geophysical Survey Systems, Inc. (GSSI) SIR-2000 with 400 MHz antenna or equivalent should be used to conduct the survey. For each drilling location, two 20-foot perpendicular survey lines are positioned over each boring. The GPR data is to be interpreted in real-time during the survey, and suspect features shall be marked on the ground surface as well as field logs. The 400 MHz antenna or equivalent will provide approximately 10-feet of penetration 6. In addition to the GPR survey, a Schonstedt MAC51B magnetic cable locator or equivalent will be used to detect near-surface metallic objects within a 10-foot radius around each boring location (the MAC-51B is not useable on pavements with rebar). Field interpretation logs are to be provided following the survey. If suspect features are detected at or immediately surrounding the boring location, the boring will be moved and resurveyed. 2. For CRITICAL AREAS (excluding areas within 10-feet of an UST pit) in addition to the GPR survey, all borings shall be explored as described above in item “G” above. Within the CRITICAL AREA, 10-feet from the edge of the UST pit, GPR data may be utilized to reduce the required exploratory boring depth from 10-feet to 5-feet.
6
The need for equipment to detect utilities at a greater depth will be dependent upon the UST system. Page 8 of 10
GENERIC RETAIL CRITICAL AREA EXAMPLE
Rev 07/07 Page 9 of 10
GENERIC TERMINAL CRITICAL AREA EXAMPLE
Rev 07/07 Page 10 of 10
BOREHOLE CLEARANCE CHECKLIST Shell Oil Products US - Environmental Services 1. 2. 3.
If “NO” is answered on any of the items below, the consultant should contact the appropriate Shell Project Management Staff (PM) and discuss the issue(s) before proceeding with the subsurface investigation. Document the reason for a “NO” answer on a second sheet and attach to this form. Contact your supervisor for instructions and document instructed actions and results of actions documented.
Site Address:
Contractor Project #:
Borehole #s Reviewed:
YES
NO
N/A
Clearance Performed By:
Date: Project Manager
PRE-MOBILIZATION
Does each borehole location allow for clear entry and exit, adequate workspace, and sufficient clearance (vertical and horizontal) for raising the mast and operating the drill rig and are all proposed boring locations and associated areas of pavement cutting clear of pavement joints, curbs, crash posts, or other engineered structures? Have borehole locations been reviewed and approved by the appropriate Regulatory Agency, PM, Engineering & Maintenance personnel, fueling contractors or facility managers? Are all of the proposed borehole locations and associated areas of pavement cutting at least 5 feet from any subsurface utilities shown on client’s building plans, shown on public right-of-way street improvement or other public property engineering plans and/or identified during a geophysical survey? Are any proposed boring locations within 10-feet of a marked natural gas line and/or a straight line from the meter to the gas main in the utility corridor? Have all appropriate underground utility companies been notified with required lead time (typically 48 hours) and marked out their utilities in the vicinity of the borehole locations or otherwise notified us that they do not have any utilities near the proposed borehole locations? Was a private utility locator contacted? Are all proposed borehole locations and associated areas of pavement cutting at least 5 feet from a visual line connecting any two similar looking manhole covers and at least 5 feet from a visual line perpendicular to the street from the water, gas, and electrical meters? Does the pavement in the vicinity of each proposed borehole location lack signs of previous excavation (e.g. no pavement subsidence, no differences in pavement texture or relief, no pavement patching)?
YES
NO
N/A
PRE-DRILLING
Have all underground utilities been marked by a utility locating service, or, given notification that they do not have any utilities near the proposed borehole locations? If a boring location is within 10-feet of a marked gas line or a straight line drawn from the meter to the gas main in a utility corridor, does the driller have a casing present for drilling? Has the Facility/Station Manager indicated no knowledge of any subsurface utilities within 5 feet of the proposed borehole locations? (Review locations with the Facility/Station Manager). Has a tailgate safety meeting been conducted with all site personnel documenting the identification of potential hazards, the location of fuel shut-off valves, and the reviewing and signing of the Site Specific Health and Safety Plan? Before drilling in a Non-Critical or Critical Area (excluding areas within 10 feet of an UST Pit), has a hole been hand dug or air knifed a hole to 5 feet below grade and is the diameter of the hole at least 3 inches greater than the outer diameter of the lead drilling auger? Before drilling in a Critical Area (including areas within 10 feet of an UST Pit), has a hole been hand dug or air knifed a hole to 10 feet below grade and is the diameter of the hole at least 3 inches greater than the outer diameter of the lead drilling auger? Does the soil encountered in the hand-dug or air knifed hole appear to be native material (i.e., free of clean gravel, clean sand, aggregate base [gravelly sand with ~10% fines], or other non-native looking material)?
While this checklist must be followed, adherence to it does not relieve Contractor of liability or modify any of contractor’s obligations in its agreement with the Company. Page 1 of 1
Last Revised October 19, 2005
ENVIRONMENTAL WELL, REMEDIATION COMPOUND, AND SITE INSPECTION FORM COST CENTER #
ADDRESS
DATE:
CITY & STATE Observations Upon Arrival
Well ID
Manway Cover, Type, Condition & Size
Well Labeled / Painted Properly*
Well Cap (Gripper) Condition
Well Lock Condition
Well Pad / Surface Condition
Page ______ of ______
Note Repairs Made Detailed Explanation of Maintenance Recommended and Performed
Photos of Well Condition
Repair Date and PM Initials
Size (inch)
Standpipe Flush
G
P
Standpipe Flush
G
P
Standpipe Flush
G
P
Standpipe Flush
G
P
Standpipe Flush
G
P
Y
N
G
R
G
R
NL
G
P
Y
N
Y
N
G
R
G
R
NL
G
P
Y
N
Y
N
G
R
G
R
NL
G
P
Y
N
Y
N
G
R
G
R
NL
G
P
Y
N
Y
N
G
R
G
R
NL
G
P
Y
N
Y
N
G
R
G
R
NL
G
P
Y
N
Y
N
G
R
G
R
NL
G
P
Y
N
Y
N
G
R
G
R
NL
G
P
Y
N
Y
N
G
R
G
R
NL
G
P
Y
N
Y
N
G
R
G
R
NL
G
P
Y
N
Y
N
G
R
G
R
NL
G
P
Y
N
Y
N
Size (inch)
Size (inch)
Size (inch)
Size (inch)
Size (inch)
Standpipe Flush
G
P
Standpipe Flush
G
P
Standpipe Flush
G
P
Size (inch)
Size (inch)
Size (inch)
Standpipe Flush
G
P
Standpipe Flush
G
P
Standpipe Flush
G
P
Size (inch)
On-site Drinking Water Well
Size (inch)
TOTAL # CAPS REPLACED = Condition of Soil Boring Patches or Abandoned Monitoring Wells: Remediation Compound Type (Check boxes that apply)
G
P
If POOR, Borings/Well IDs or Location Description:
N/A
Condition of Enclosure
= TOTAL # OF LOCKS REPLACED
Condition of Area Inside Enclosure
Compound Security
Emergency Contact Info Visible
Cleaning / Repairs Recommended and Conducted
Photos of Condition
Repair Date and PM Initials
NA Building
G
Building w/ Fence Comp.
P
N/A
G
P
N/A
G
P
N/A
Y
N
Y
N/A
N
Fenced Compound Trailer Number of Drums On-site
Does the Label Reveal the Source of the Contents
Y G = Good (Acceptable) P = Poor (needs attention)
N
N/A
Labeled Correctly and Writing Legible
Y
N
N/A
R = Replaced NL = No Lock Required
Note: All repairs other than locks and grippers require Shell PM approval prior to repair.
Drum Condition
G
P
N/A
Confirm Drums Related to Environmental
Y
N
Drums Located to Min Business Interference
Y
N
N/A
Detailed Explanation of Any Issues Resolved
Photos of Drum Condition
Y
Date Drums Removed from Site and PM Initials
N
All environmental wells and the remediation compound were in good condition, locked, and secured upon my departure (unless otherwise noted above).
ENVIRONMENTAL WELL, REMEDIATION COMPOUND, AND SITE INSPECTION FORM
Page ______ of ______
* = Groundwater monitoring well covers must be painted and labeled in accordance with applicable regulations. Version 2.4, March 2008
Print or type Name of Field Personnel & Consultant Company
AECOM-Shell Management Safety Site Visit & Discussion Form Before going to the site, review the Lessons Learned and Learning From Incident (LFI) on the AECOM/Shell SharePoint site which are applicable to the work being performed. Site Name
Project Manager
Site Address
Date
Subcontractor(s)
Manager Completing Form
Task observed (refer to THA)
QUESTIONS
ANSWERS
1. What could go wrong during the work you are about to perform? What hazards have you identified? 2. What actions have you taken or do you plan to take to eliminate these hazards? 3. What do you do if something changes (e.g., weather, equipment, or schedule)? 4. Name at least 3 things that could occur during this job that would cause you to stop the work immediately (stop work triggers). 5. Who would you say has the ability to stop work at this site? (if the response given is not “everyone can stop work”, explain to them that all have the ability to stop work at any time they feel unsafe). 6. Are there any safety concerns you currently have regarding the work you are performing or are about to perform, or with any of the equipment used on this site? If so what are they? 7. Are employees and subcontractors aware of recent lessons learned (LFIs) associated with the work they are performing? 8. Is there evidence of L3 involvement (e.g., observations, near misses, etc.)? 9. What would you recommend be done to improve safety or security, in any way, going forward? 10. What was covered during the Twilight Tool Box talks ? Were they helpful in closing out items at the end of the day ? CORRECTIVE ACTIONS Identified corrective actions
By whom?
By when?
Date Completed
COMMENTS
Upload completed form to URS Near Miss/Observation database, under Safety Observation, Safety Discussion Version 04Feb14
URS-Shell Daily SOC Form Version: 06/04/08 Page 1 of 1
AECOM-Shell Daily Safety Observation Form Site Name/Address Site Address Subcontractor Task(s) observed (refer to THA)
Project Manager Date Observer
OBSERVED ITEMS SAFE UNSAFE OBSERVED ITEMS Personal Protective Equipment Procedures & Document High visibility clothes HASP reviewed & available Hard hat THA reviewed & available Safety shoes (steel toe) JCF reviewed & available Long pants PTW reviewed & available Safety glasses or goggles MOC procedures Gloves Air monitoring records Personnel behaviour Ear protection Respiratory protection Change attitude or posture Fall protection device Stop activity Workplace protection Modify activity Fencing, barricades, signs Hiding Good housekeeping Modify tools Hazards identified/removed Lock Out / Tag Out Identified access/egress Readjust PPE Miscellaneous observations Waste management Ladders ITEMS DISCUSSED AND CORRECTIVE ACTIONS AGREED UPON Identified corrective actions By whom
SAFE
UNSAFE
When
Checked
DESCRIPTION OF EVENT OR CONVERSATION
Tips for engaging in a productive conversation: •
Tell me about hazards you recognized at this site. (Leads into actions taken to eliminate hazards, MoC.)
•
Is there anything you recommend to make this task safer?
•
Let’s talk about stopping work, tell me about the stop work triggers for this task. (Leads to stop work signal, stop work authority.)
Distribution list Project Manager Site Safety Supervisor
Program Manager HSSE Coordinator
1/1
AECOM-SHELL U.S. FIELD HSSE ASSESSMENT FORM Site Name:
Project Manager:
Site Address:
On-Site Supervisor:
Subcontractor(s):
Assessor(s):
Activities observed:
ADMINISTRATIVE COMPLIANT? (Y or N*) or N/A
Site Control Is work stopped when a visitor arrives? Do all visitors receive site orientation? -
Is the HASP reviewed?
-
THAs reviewed?
-
Permit(s) reviewed (if applicable)?
-
Incident notification procedures discussed?
-
Nearest emergency care facility discussed?
-
Nearest occupational care facility discussed?
-
Did the visitor sign in?
Site security and control measures evident in the field? Site work zones clearly defined on-site? Are the following identified? -
Muster point and Cell phone use area?
-
Smoking area? COMPLIANT? (Y or N*) or N/A
Pre-Work Planning Does AECOM have Task Hazard Analyses (THA) for all tasks performed? Does subcontractor(s) have THAs for all tasks performed? Daily site health and safety briefings (tailgate) held and documented? Was tailgate meeting effective and interactive (all personnel engaged and speaking)? If subcontractor(s) is being used, has a SMS 046-1 been completed within the last year? Training Documentation for AECOM Personnel
COMPLIANT? (Y or N*) or N/A
Documentation of specialized training for personnel who may be exposed to unique hazards to ensure their safety when performing such operations (e.g., nuclear density gauge, confined space entry)? Documentation of appropriate training to perform job function and responsibility as indicated by an appropriate license or certification (e.g., backhoe, forklift, crane, etc.)? Current LSR/Safety Passport cards present? If a permit has been issued, have personnel received Shell’s Safety System of Work training? *Each non-compliant item must be noted on the Assessment Findings.
Page 1 of 7 Version: 04Feb2014
AECOM-SHELL U.S. FIELD HSSE ASSESSMENT FORM On-Site Training Documentation for AECOM subcontractors
COMPLIANT? (Y or N*) or N/A
Documentation of initial health and safety training (40-hr)? Documentation of eight hour annual health and safety refresher training? Documentation of API training? Documentation of training received on the site specific HASP? Documentation of specialized training for personnel who may be exposed to unique hazards to ensure their safety when performing such operations? Documentation of appropriate training to perform job function and responsibility as indicated by an appropriate license or certification (e.g. backhoe, forklift, crane, etc.)? All personnel have a current Safety Passport? COMPLIANT? (Y or N*) or N/A
Health & Safety Plan (HASP) Activities conform to description in HASP? Has the HASP been reviewed and signed by a Regional HSE Manager within the last year? Route to the nearest emergency medial treatment facility available to personnel? Route to nearest occupational clinic available to personnel? Emergency phone numbers available? EXPOSURE MONITORING
COMPLIANT? (Y or N*) or N/A
Health and safety instrumentation available and in use per HASP? Air monitoring instrumentation maintenance and calibration logs available and current? Is air monitoring (in breathing zone) documented? Air monitoring performed every time a different operation is initiated? Air monitoring performed any time that new contaminants are encountered that differ from those initially encountered? Air monitoring performed any time new work begins on a different portion of the site? Air monitoring log available and current? Does monitoring log reflect excursions above action levels? Has personal sampling been performed? (SMS 043) PERSONAL PROTECTIVE EQUIPMENT Do all AECOM personnel and subcontractors have the minimum PPE donned, regardless of task? - Steel toed safety boots? - Hard hat? - Safety glasses? - Hi-visibility vest or shirt? - Gloves? *Each non-compliant item must be noted on the Assessment Findings.
Page 2 of 7 Version: 04Feb2014
COMPLIANT? (Y or N*) or N/A
AECOM-SHELL U.S. FIELD HSSE ASSESSMENT FORM If unique physical hazards are present on-site (e.g., power washing, deep or rapidly moving water) is appropriate PPE being worn to address such hazards? Have employees been instructed in proper use of special PPE? (SMS 029) Appropriate on-site personnel been fit-tested successfully for respirators? (SMS 042) Is there sufficient PPE available for the personnel involved in the performance of site operations? Is the PPE in place adequate for the chemical and physical hazards on-site? If ambient noise levels may be greater than or equal to 85 dBA are ear muffs or ear plugs worn by personnel on-site as required by 29 CFR 1910.95? (SMS 026) Is insect repellent available if necessary? CONFINED SPACES
COMPLIANT? (Y or N*) or N/A
Does the site require confined space entry? (If yes, continue with this section) Does the HASP contain a section on procedures for confined space entry? (SMS 010) Is entry permit present and complete? Are spaces properly designated (Permit or Non-Permit Required spaces)? Do personnel have documented confined space training? Are rescue personnel trained and properly equipped? COMPLIANT? (Y or N*) or N/A
DRILLING Have private and public utility clearances been obtained? (SMS 034) Have overhead utility clearances been considered? (SMS 034) Are rigs inspected daily? (SMS 056) Are traffic control procedures used? Does driller maintain a reasonable distance for USTs and product lines? Are borings located, cleared (e.g., hand augered, air knife) before drilling is conducted? Drill rig emergency rig shutoff within reach of the operator? (SMS 056) Drill rig emergency shutoff has been tested before work activities begin? Is a fire extinguisher near the drill rig? J-hooks are prohibited from use? Combination manual rod separation and hydraulic power applied is prohibited? If auger weight exceeds 50 lbs each, is the buddy system used to lift the augers? (SMS 069) Walking and work areas clear of debris and equipment? Are soil cuttings property contained? EXCAVATION Have public and private utility clearances been obtained? *Each non-compliant item must be noted on the Assessment Findings.
Page 3 of 7 Version: 04Feb2014
COMPLIANT? (Y or N*) or N/A
AECOM-SHELL U.S. FIELD HSSE ASSESSMENT FORM Has an Excavation/Trenching Permit been completed? Has the on-site Excavation Competent Person been identified and is present? (SMS 013) Are daily trench inspections (SMS 013-2) being conducted (or more frequently, as conditions warrant) by the Excavation Competent Person? Are trenches and excavations protected by sloping, shoring or trench boxes? Is the trench or excavation protected from traffic or equipment (stop logs or other barriers)? Is the excavated material stockpiles and personnel at least 2 feet from the edge? Are signs, barrier tape, or fall protection adequate for workers at the excavation/trench opening? Is traffic control signage and barriers adequate around the trench or excavation? If excavation/trench is entered, is a ladder in the trench or excavation located within 25 feet of workers? If excavation/trench is being entered and is greater than 4’ deep, has a Permit Confined Space Permit been completed? 2
2
Is the air monitored prior to entry (O , CO, H S, LEL, VOC), as appropriate? HEAVY EQUIPMENT
COMPLIANT? (Y or N*) or N/A
Are operators properly trained and licensed (must be documented)? Is the operator performing a daily/shift inspection on the equipment (must be documented) before equipment is used? Is hearing protection being worn? Is dust control required and properly performed? Are appropriate equipment speeds being maintained? Are horns and back-up alarms functioning? Are three points of contact being used when accessing/exiting equipment? If equipment is parked or unattended, have all implements been lowered to the ground? Is a fire extinguisher (inspected monthly) located on each piece of equipment? Are ground personnel working with the equipment operator properly located and provided with adequate communication means? DRIVING SAFETY
COMPLIANT? (Y or N*) or N/A
Are vehicles parked to minimize risk of collision with other vehicles/equipment? Are vehicles ignitions are turned off when drivers are out of vehicle? If pickup trucks are used, are tailgates closed at all times when the vehicle is operated? MISCELLANEOUS SAFETY PROCEDURES Is food and drink prohibited in the work area?
*Each non-compliant item must be noted on the Assessment Findings.
Page 4 of 7 Version: 04Feb2014
COMPLIANT? (Y or N*) or N/A
AECOM-SHELL U.S. FIELD HSSE ASSESSMENT FORM If ‘hot work’ (SMS 020) such as welding or cutting is occurring on-site, the following questions apply: •
Appropriate combustible gas indicator air monitoring conducted?
•
Hot Work Permit completed?
•
Fire Watch assigned? Has that person received annual fire extinguisher training?
•
Fire extinguishers present (and inspected monthly)?
•
Personnel wearing appropriate protective goggles and fire retardant clothing?
Fixed open blade knives prohibited from use onsite? (SMS 064) Do all employees understand Management of Change (MOC) (SMS 098) and do they know when/how to implement it? First aid kit available onsite and adequately stocked? Eye washes/kits are available? Have incident/near miss reports been properly completed in a timely fashion? Does written inventory of chemicals match those that are present and was it reviewed/updated within the last year? (SMS 002) Are MSDSs available for every chemical listed/used? (SMS 002) Are lone workers are in compliance with SMS 084? Are tool guards in place and being used? Are Ground Fault Circuit Interrupter (GFCIs) used for portable, temporary cords? COMPLIANT? (Y or N*) or N/A
OVERALL Does everyone on the job understand they have the authority to stop work if an unsafe act or unsafe condition is observed? Are safety observations being conducted? Twilight Tailgate Tool Box Talks being conducted at the end of the day? Any unsafe deviations from HASP? If yes, have they been properly documented and investigated?
*Each non-compliant item must be noted on the Assessment Findings.
Page 5 of 7 Version: 04Feb2014
AECOM-SHELL U.S. FIELD HSSE ASSESSMENT FORM Notes & Positive Observations:
Distribution List Copies provided to: Project Manager Site Safety Supervisor Regional HSE Manager Shell HSE Program Manager Other
Name:
Cece Weldon
*Each non-compliant item must be noted on the Assessment Findings.
Page 6 of 7 Version: 04Feb2014
Date sent to:
AECOM-SHELL U.S. FIELD HSSE ASSESSMENT FORM ASSESSMENT FINDINGS & CORRECTIVE ACTIONS
Finding (To be completed by Assessor)
Corrective Action (To be completed by Project Manager)
Corrective Action Completed By & Due Date (To be completed by Project Manager)
(use additional pages if necessary) *Each non-compliant item must be noted on the Assessment Findings.
Page 7 of 7 Version: 04Feb2014
Corrective Action Due Date (To be completed by Project Manager)
Date:
AECOM Quality Control Field Audit Form Site Location:
_______________________
Weather:
________________
_______________________
Temperature: ________________
Site Name:
_______________________
Wind:
________________
Project Manager:
________________________
Humidity:
________________
Activity(s) Observed: _____________________________________________________ Auditor:
No. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10.
________________________
Personnel On-Site Name
Affiliation
Phone #:
________________
Level of Personnel Protection Required in Work Plan/HASP: A B C D Level of Personnel Protection Actually Donned: A B C D Field Survey Equipment Instrument Model Calibration Check PID Interface probe YSI (GWQ instrument) Turbidity
Observations:
Health and Safety
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Personnel reviews health and safety plan and applicable SMSs Personnel conducts daily H&S briefing and records attendance in logbook, HASP, or meeting record form Personnel uses recent lessons learned or safety observations during safety briefing Personnel has appropriate and updated task hazard analyses (THAs) Addresses potential onsite hazards and mitigations for those hazards Describes emergency response plan and hospital/occupational clinic route Describes site-appropriate PPE Designates areas for eating/drinking/smoking Locates emergency equipment such as fire extinguisher, first-aid kits, and other safety equipment Do personnel communicate with site owner/operator the scope and duration of activity? Is an exclusion zone set up, and do personnel wear appropriate PPE within the exclusion zone? Is appropriate traffic control used and maintained throughout the activity? Is equipment inspected by a competent person, and inspection checklists completed (if necessary)? Are emergency shut-offs, machine guards, and safety features checked prior to using any piece of equipment? Is a muster point established in case of emergency?
YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES
NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO
Auditor’s Comments
Page 1 of 2
N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
Date:
Groundwater Gauging/Sampling
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28
29 30 31 32 33 34 35 36 37 38 39 40
Are accurate and updated field notes/logs maintained for all site activities? Has an area been designated for equipment/personnel decontamination? Does the decon area have adequate supplies and level of quarantine? Are adequate supplies and equipment on-site to provide the level of quality demanded by the project? Are Quality Control documents/procedures maintained and/or referenced in field notes/logbook? Are wells inspected prior to opening? Are well caps and seals in place to prevent surface water infiltration? Are vaults and manways free of surface water prior to opening well? Is there a sufficient supply of clean and dedicated tubing/bailers to complete the activity? Is there a sufficient amount of other supplies available to complete the activity? Are procedures in place to manage derived waste? Do personnel seek permission to use dumpsters for disposal of untracked waste? Are wells gauged/sampled in order of the level of contamination (if known)? Does the technician confirm wells are labeled as indicated on the provided site map? Does the technician collect a headspace reading shortly after initial well cap removal? Does the technician gauge the well to a marked position or north side of the casing? Does the technician use a gauging technique that allows for data replication within +/- 0.01 feet? Does the technician use proper body positioning and PPE during bailing and sampling activities? Are proper protocol followed when liquid phase hydrocarbons (LPH) are observed in wells? Does the technician use an acceptable method to dispose of purged groundwater (drum, system, or carbon)? Is turbidity in the well kept to a minimum (if applicable)? Does the technician prevent surface contaminants from impacting groundwater? Does the technician limit surface spills of purged water? Does the technician use an acceptable method to collect water quality measurements? Are samples collected at the appropriate time (volume of purge, stability of parameters, or no-purge)? Are samples labeled clearly and protected to prevent smearing? Are all requisite bottles filled as directed by the method (zero headspace VOAs) without overfilling? Is a current Chain of Custody (COC) maintained throughout the sampling process with the following information? -sample identification -time/date of collection -sampler’s initials -analysis requested -preservatives added Is a waterproof container/cooler used to store samples prior to shipment? Are samples packed in a way to limit breakage and/or cross-contamination? Are samples placed on ice as they are collected (if necessary)? Is an adequate amount of ice provided for shipment based on sample number, type, and temperature? Are samples packed in a way to ensure they arrive at the laboratory at an acceptable temperature? Is the COC included with the sample shipment and placed in a waterproof container (plastic bag)? Is the samples shipment sent with signed/dated custody seals in place? Is the sample shipment sealed with tape and/or straps to prevent unauthorized access to contents? Is a record of samples shipped for analysis kept in the field log or a copy of the COC kept for reference? Are consumable supplies disposed of in an acceptable manner? Is the well sealed and protected after sampling is complete? Is the work area clean when sampling is complete?
YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES
NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO
Auditor’s Comments
Auditor Signature:
_________________________________
Date:
_____________________
Acceptance Signature:
_________________________________
Date:
_____________________ Page 2 of 2
N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
Date:
AECOM Quality Control Field Audit Form Site Location:
_______________________
Weather:
________________
_______________________
Temperature: ________________
Site Name:
_______________________
Wind:
________________
Project Manager:
________________________
Humidity:
________________
Activity(s) Observed: _____________________________________________________ Auditor:
No. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10.
________________________
Personnel On-Site Name
Affiliation
Phone #:
________________
Level of Personnel Protection Required in Work Plan/HASP: A B C D Level of Personnel Protection Actually Donned: A B C D Field Survey Equipment Instrument Model Calibration Check PID Interface probe YSI (GWQ instrument) Turbidity
Observations:
Health and Safety
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Personnel reviews health and safety plan and applicable SMSs Personnel conducts daily H&S briefing and records attendance in logbook, HASP, or meeting record form Personnel uses recent lessons learned or safety observations during safety briefing Personnel has appropriate and updated task hazard analyses (THAs) Addresses potential onsite hazards and mitigations for those hazards Describes emergency response plan and hospital/occupational clinic route Describes site-appropriate PPE Designates areas for eating/drinking/smoking Locates emergency equipment such as fire extinguisher, first-aid kits, and other safety equipment Do personnel communicate with site owner/operator the scope and duration of activity? Is an exclusion zone set up, and do personnel wear appropriate PPE within the exclusion zone? Is appropriate traffic control used and maintained throughout the activity? Is equipment inspected by a competent person, and inspection checklists completed (if necessary)? Are emergency shut-offs, machine guards, and safety features checked prior to using any piece of equipment? Is a muster point established in case of emergency?
YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES
NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO
Auditor’s Comments
Page 1 of 2
N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
Date:
Subcontractor Oversight
1 2 3 4 5 6 7 8 9 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 29 30
Are appropriate permits, permissions, and access agreements in place to conduct the activity? Is the subcontractor(s) authorized to conduct the activity (46-1/PICS/facility-specific training)? Are URS personnel qualified to conduct or oversee the activity conducted? Do the subcontractor(s) and/or URS Personnel have the appropriate equipment/personnel to conduct the activity? Are there adequate URS personnel to supervise all subcontracted activities? Do subcontractors follow the provided Scope of Work and regulatory guidelines? Do subcontractors actively participate in safety discussions? Are subcontracted personnel aware of “Stop Work Authority?” Is all equipment clean prior to mobilizing to the site? Is equipment kept clean and regularly decontaminated to avoid cross-contamination? Are all tools and equipment regularly inspected? Is a designated decontamination area established? Is an acceptable decontamination solution available? Are decontamination procedures followed between sampling locations? Are augers and other tooling steam-cleaned between locations? Are all work areas kept clean and free of potential contaminants of concern? Is any equipment on-site leaking or discharging potential contaminants of concern? Is equipment thoroughly cleaned at the end of the activity? Is there a sufficient amount of supplies available to complete the activity Are procedures in place to manage derived waste? Do personnel seek permission to use dumpsters for disposal of untracked waste? Do subcontractors work in a safe manner and in accordance with AECOM and client safety guidelines? Are subcontractors supervised at all times when performing work? Do URS personnel perform “Take 5s” or other safety discussions throughout the day? Do subcontractors have their own QA/QC procedures? Are subcontractor-derived data validated in any way? Do subcontractors restore the work area to a condition as good or better than when activity started? Do subcontractors improvise, alter established procedures, or “wing it” without discussing changes? Do subcontractors work as a team with AECOM personnel and other to safely and efficiently complete the work? Do URS personnel perform any activities assigned to a subcontractor?
YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES
NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO
Auditor’s Comments
Auditor Signature:
_________________________________
Date:
_____________________
Acceptance Signature:
_________________________________
Date:
_____________________ Page 2 of 2
N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
Date:
AECOM Quality Control Field Audit Form Site Location:
_______________________
Weather:
________________
_______________________
Temperature: ________________
Site Name:
_______________________
Wind:
________________
Project Manager:
________________________
Humidity:
________________
Activity(s) Observed: _____________________________________________________ Auditor:
No. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10.
________________________
Personnel On-Site Name
Affiliation
Phone #:
________________
Level of Personnel Protection Required in Work Plan/HASP: A B C D Level of Personnel Protection Actually Donned: A B C D Field Survey Equipment Instrument Model Calibration Check PID Interface probe YSI (GWQ instrument) Turbidity
Observations:
Health and Safety
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Personnel reviews health and safety plan and applicable SMSs Personnel conducts daily H&S briefing and records attendance in logbook, HASP, or meeting record form Personnel uses recent lessons learned or safety observations during safety briefing Personnel has appropriate and updated task hazard analyses (THAs) Addresses potential onsite hazards and mitigations for those hazards Describes emergency response plan and hospital/occupational clinic route Describes site-appropriate PPE Designates areas for eating/drinking/smoking Locates emergency equipment such as fire extinguisher, first-aid kits, and other safety equipment Do personnel communicate with site owner/operator the scope and duration of activity? Is an exclusion zone set up, and do personnel wear appropriate PPE within the exclusion zone? Is appropriate traffic control used and maintained throughout the activity? Is equipment inspected by a competent person, and inspection checklists completed (if necessary)? Are emergency shut-offs, machine guards, and safety features checked prior to using any piece of equipment? Is a muster point established in case of emergency?
YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES
NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO
Auditor’s Comments
Page 1 of 2
N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
Date:
System O&M/Sampling
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
Does the system have an up-to-date O&M Manual on-site or with the technician? Are sample locations labeled or identified correctly? Are samples collected from the correct locations? Are sample media appropriate for the analysis method? Are samples properly collected and preserved? Are samples collected accurately (discrete/grab/composite)? Does the technician prepare samples in a clean work area? Are samples labeled clearly and protected to prevent smearing? Are all requisite bottles filled as directed by the method (zero headspace VOAs) without overfilling? Are samples immediately placed on ice after collection? Does the technician use techniques to eliminate cross-contamination, volatilization, and homogenization (if applicable)? Does the technician change gloves that come in contact with sample material or any potential contaminant of concern? Are airbags shipped for overnight delivery? Are flow/vacuum/pressure readings collected at the appropriate time and in the correct manner with clean and calibrated equipment? Are system controls and gauges checked for proper operation? Are data and/or samples collected in a logical and time efficient manner? Are all data clearly recorded on data sheets or in a field logbook? Does the technician attempt to replicate data collected or compare current data to historical data? Does the technician know what to do if “out of range” data are collected? Are all sample ports, valves, and caps returned to their original pre-sampling position? Does the technician know what level of field QA/QC is required on the project? Are all alarms and emergency equipment checked and in good working order? Do all float switches and pressure relief valves operate as designed? Does the technician perform leak checks on all fittings, valves, and couplings? Are system problems repaired or noted for future repair? Is the system compound secured prior to departure? Is any equipment on-site leaking or discharging potential contaminants of concern? Is the system operational upon departure? Are lockout/tagout procedures followed when conducting system maintenance? Are consumable supplies disposed of in an acceptable manner?
YES YES YES YES YES YES YES YES YES YES
NO NO NO NO NO NO NO NO NO NO
N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
YES
NO
N/A
YES
NO
N/A
YES
NO
N/A
YES
NO
N/A
YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES
NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO
N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
Auditor’s Comments
Auditor Signature:
_________________________________
Date:
_____________________
Acceptance Signature:
_________________________________
Date:
_____________________ Page 2 of 2
Shell Non-Retail US HSSE Event Communication Flowchart
Injury, Incident, High Potential Near Miss, Near Miss or PI
AECOM Shell US Incident, Near Miss, and PI Report & enter Near Miss/Potential Incident into AECOM Database 1
2 AECOM
Shell US Incident, Near Miss, and PI Report – OR - EPRS Incident Reporting Form & first page of URS SMS 049-1 . Add SMS 057-1 as necessary
Medical Emergency or Injury Medical Emergency Call 911
AECOM Field Staff or Site Manager
Injury, Incident, or High Potential Near Miss
Injury Occupational Health Clinic -or- First Aid
Immediately Call AECOM Work Care 888.449.7787
1st
AECOM-Shell Safety Contact Cece Weldon Cell 248.752.3405 Injury = First Aid or Above Incident = LSR Violation, EPRS Incident, Spill (any amount), Vehicle Accident (including no vehicle damage), Property Damage, 3rd Party Complaint. High Potential Near Miss = EPRS Near Miss, LSR Near Miss, or potential for serious injury
Call
2nd Call
Injury
Near Miss or Potential Incident
Notify AECOM PM within 24-hrs
Immediately Call AECOM Project Manager (direct voice contact required)
Field Staff or Site Manager submits Incident Report Form1 to AECOM PM within 2-business days of event
AECOM Project Manager
AECOM Project Manager reviews/approves Report Field Staff or Site Manager enters Report into AECOM database within 5-business days of event
Incident or High Potential NM
Immediately Call (direct voice contact required) David Randall Cell 919.434.8138 John Glass Cell 213.392.9954 Cece Weldon Cell 248.752.3405 Randall, Glass or Weldon will determine who will Immediately Notify Shell PM and Jay Beers
AECOM PM Submits Incident Report Form(s)2 to David Randall, John Glass, and Cece Weldon within 24-hours of an Injury, Incident or High Potential NM
Randall, Glass, and Weldon review/approve Root Cause Analysis & Corrective Actions for Injury or Serious Incident
AECOM PM responsible for: 1.) Sending Randall, Glass, and/or Weldon approved Incident Report to Shell (Michael Langewisch) within 5-business days of event for FIM entry 2.) Uploading Word version of Incident Report Form into SharePoint with Monthly Man Hour data Version March 2014
AECOM / Shell – Soil and Groundwater – U.S. Incident/Near Miss/Potential Incident Investigation Report (Upload all FIM Event Incident Reports to SharePoint and enter on Monthly Man Hours spreadsheet) AECOM or Teaming Partner Project Manager Name: SHORT DESCRIPTION OF EVENT (MAX 60 CHARACTERS):
Teaming Partner/Subcontractor Involved in Event, if applicable:
Date & Time of Event:
Date & Time Reported to Shell PM:
Shell SGW PM Name: FIM Event: (Send report to David Randall, John Glass and Cece Weldon within 24hours of event)
Specific Location:
(eTIM Location, SAP# or NPS ID # )
Total Recordable Case Incident Life Saving Rule Violation Motor Vehicle Incident ($0 threshold) Loss of Primary Containment (any volume) EPRS Incident (Spills to the Environment. Environmental Non-Compliance, Fines, Penalties, Compensation, or Complaints)– also complete EPRS REPORTING FORM
Non-FIM Event: (Send report to David Randall, John Incident with Consequences (excluding FIM Events, above) Third Party Incident Glass and Cece Weldon and within 5-days of event, and enter into URS Near Miss Positive Intervention /Observation Unsafe Act Unsafe Condition Safety Database Non-FIM Event “Incident with Incident – People Illness Incident – People Injury Consequences” Sub Type: (check 1) DESCRIPTION OF EVENT– BEGIN WITH SITE ADDRESS (MAX 1,900 CHARACTERS):
IMMEDIATE CORRECTIVE ACTIONS TAKEN (MAX 1,900 CHARACTERS):
FIM Incident ID (provided by Shell):
March 2014
Page 1 of 3
AECOM / Shell – Soil and Groundwater – U.S. Incident/Near Miss/Potential Incident Investigation Report INJURY/ILLNESS INFORMATION Describe the specific injury or illness (e.g., cut, strain, fracture, etc.): Body part(s) affected (e.g., back, left wrist, right eye, etc.): Name, address, phone of treatment provider (e.g., physician or clinic): Type of treatment received (e.g., first aid, stitches, prescription received): If hospitalized, name, address, phone of hospital: Date of injury or onset of illness: Did Employee lose at least one full shift’s work due to incident? Has Employee returned to work?
N/A - No work time missed Restricted work
Time Employee began work: Yes No 1st date absent:
No, still off work as of:
AM
Yes, date returned:
Regular work
MOTOR VEHICLE ACCIDENT (MVA) DESCRIPTION Accident Location (street, cross street, city, state): Company Vehicle? Hazardous Material Released? Yes (fill out Spill/Leak section below) No Recordable? # of Vehicles Involved: # of Vehicles Towed: # of Injuries: # of Fatalities: Other Party Name: Company: Phone #: Insurance Company: Policy #: SPILL/LEAK ASSOCIATED WITH MVA Material Spilled: Quantity: Cost of Incident: Agency Notifications: Name of Owner: Description of Damage: Witness Name: Witness Name:
THIRD PARTY INCIDENTS Address:
Phone:
Address: Address:
Phone: Phone:
ROOT CAUSE AND CONTRIBUTING FACTORS: CONCLUSION
1 2 3 4 5 Root Cause(s) Analysis (RCA):
RCA #
March 2014
No No
5 - Short-cutting standard procedures is positively reinforced or tolerated 6 - Inadequate communication of expectations regarding procedures or work standard 7 - Person thinks there is no personal benefit to always doing the job to standard 8 – Uncontrollable
Solution(s): How to Prevent Incident / Near Miss From Reoccurring
1 2 3 4 5 Investigation Team Members Name:
Yes Yes
(Describe in Detail Why Incident/Near Miss Occurred)
1 - Lack of skill or knowledge 2 - Lack of or inadequate operational procedures or work standards 3 - Inadequate tools or equipment 4 - Correct way takes more time and/or requires more effort
#
PM
Title & Employer Name:
Person Responsible
Date Assigned
Due Date
Closure Date
Date:
Page 2 of 3
AECOM / Shell – Soil and Groundwater – U.S. Incident/Near Miss/Potential Incident Investigation Report PHOTOGRAPHS (If Applicable)
March 2014
Page 3 of 3
Attachment E Material Safety Data Sheets/Safety Data Sheets (Also included in CD)
3. HAZARD IDENTIFICATION (continued)
MATERIAL SAFETY DATA SHEET Prepared to U.S. OSHA, CMA, ANSI and Canadian WHMIS Standards
1. PRODUCT IDENTIFICATION
CHEMICAL NAME; CLASS:
NON-FLAMMABLE GAS MIXTURE
Containing One or More of the Following Components in a Nitrogen Balance Gas:
Oxygen, 0.001523.5%;Methane, 0.0005-2.5%;Carbon Monoxide, 0.0005-1.0%; Hydrogen Sulfide, 0.001-0.025% SYNONYMS: Not Applicable CHEMICAL FAMILY NAME: Not Applicable FORMULA: Not Applicable Document Number: 50018 Note: The Material Safety Data Sheet is for this gas mixture supplied in cylinders with 33 cubic feet (935 liters) or less gas capacity (DOT - 39 cylinders). This MSDS has been developed for various gas mixtures with the composition of components within the ranges listed in Section 2 (Composition and Information on Ingredients). Refer to the product label for information on the actual composition of the product.
PRODUCT USE: U.S. SUPPLIER/MANUFACTURER'S NAME: ADDRESS:
Calibration of Monitoring and Research Equipment CALGAZ 821 Chesapeake Drive Cambridge, MD 21613 1-410-228-6400 (8 a.m. to 5 p.m. U.S. EST) 1-713-868-0440 1-800-231-1366
BUSINESS PHONE: General MSDS Information: Fax on Demand: EMERGENCY PHONE: Chemtrec: United States/Canada/Puerto Rico: Chemtrec International:
1-800-424-9300 [24-hours] 1-703-527-3887 [24-hours]
2. COMPOSITION and INFORMATION ON INGREDIENTS CHEMICAL NAME
CAS #
mole %
EXPOSURE LIMITS IN AIR ACGIH TLV STEL ppm ppm
Oxygen Methane Hydrogen Sulfide
OSHA PEL ppm
STEL ppm
NIOSH IDLH ppm
OTHER ppm
7782-44-7
0.0015 23.5%
There are no specific exposure limits for Oxygen. Oxygen levels should be maintained above 19.5%.
74-82-8
0.0005 2.5%
There are no specific exposure limits for Methane. Methane is a simple asphyxiant (SA). Oxygen levels should be maintained above 19.5%.
7783-06-4
0.001-
10
0.025 %
(NIC = 5)
Carbon Monoxide
630-08-0
0.0005 1.0%
Nitrogen
7727-37-9
Balance
25
15
NE
10 (Vacated 1989 PEL)
50 35 (Vacated 1989 PEL)
20 (ceiling); 50 (ceiling, 10 min. peak once per 8hour shift 15 (vacated 1989 PEL)
100
200 [ceiling] (Vacated 1989 PEL)
1200
NIOSH REL: STEL = 10 (ceiling) 10 minutes DFG-MAKs: TWA = 10 PEAK = 2xMAK, 10 min., momentary value
NIOSH RELS: TWA = 35 STEL = 200 (ceiling) DFG MAKs: TWA = 30 PEAK = 2xMAK, 15 min., average value DFG MAK Pregnancy Risk Classification: B There are no specific exposure limits for Nitrogen. Nitrogen is a simple asphyxiant (SA). Oxygen levels should be maintained above 19.5%.
NE = Not Established. NIC = Notice of Intended Change See Section 16 for Definitions of Terms Used. NOTE (1): ALL WHMIS required information is included in appropriate sections based on the ANSI Z400.1-1998 format. This gas mixture has been classified in accordance with the hazard criteria of the CPR and the MSDS contains all the information required by the CPR.
3. HAZARD IDENTIFICATION EMERGENCY OVERVIEW: This gas mixture is a colorless gas which has a rotten-egg odor (due to the presence of Hydrogen Sulfide). The odor cannot be relied on as an adequate warning of the presence of this gas mixture, because olfactory fatigue occurs after over-exposure to Hydrogen Sulfide. Hydrogen Sulfide and Carbon Monoxide (another component of this gas mixture) are toxic to humans in relatively low concentrations. Over-exposure to this gas mixture can cause skin or eye irritation, nausea, dizziness, headaches, collapse, unconsciousness, coma, and death. Additionally, releases of this gas mixture may produce oxygen-deficient atmospheres (especially in small confined spaces or other poorly-ventilated environments); individuals in such atmospheres may be asphyxiated.
SYMPTOMS OF OVER-EXPOSURE BY ROUTE OF EXPOSURE: The most significant route of HAZARDOUS MATERIAL IDENTIFICATION SYSTEM over-exposure for this gas mixture is by inhalation. INHALATION: Due to the small size of an individual cylinder of this gas mixture, no unusual (BLUE) 3 HEALTH HAZARD health effects from over-exposure to the product are anticipated under routine circumstances of use. A potential health hazard associated with this gas mixture is the potential of inhalation of Hydrogen Sulfide, a component of this gas mixture. Such over-exposures may occur if this gas mixture is used in a confined space or other poorly-ventilated area. Over-exposures to Hydrogen 0 FLAMMABILITY HAZARD (RED) Sulfide can cause dizziness, headache, and nausea. Over-exposure to this gas could result in respiratory arrest, coma, or unconsciousness, due to the presence of Hydrogen Sulfide. Continuous inhalation of low concentrations of Hydrogen Sulfide may cause olfactory fatigue, so (YELLOW ) PHYSICAL HAZARD 0 that the odor is no longer an effective warning of the presence of this gas. A summary of exposure concentrations and observed effects are as follows: CONCENTRATION OF PROTECTIVE EQUIPMENT HYDROGEN SULFIDE OBSERVED EFFECT EYES HANDS BODY RESPIRATORY 0.3-30 ppm Odor is unpleasant. 50 ppm Eye irritation. Dryness and irritation of nose, throat. See Section 8 Slightly higher than 50 ppm Irritation of the respiratory system. 100-150 ppm Temporary loss of smell. For Routine Industrial Use and Handling Applications 200-250 ppm Headache, vomiting nausea. Prolonged exposure may lead to lung damage. Exposures of 4-8 hours can be fatal. 300-500 Swifter onset of symptoms. Death occurs in 1-4 hours. 500 ppm Headache, excitement, staggering, and stomach ache after brief exposure. Death occurs within 0.5 - 1 hour of exposure. > 600 ppm Rapid onset of unconsciousness, coma, death. > 1000 ppm Immediate respiratory arrest. NOTE: This gas mixture contains a maximum of 250 ppm Hydrogen Sulfide. The higher concentration values here are presented to delineate the complete health effects which have been observed for humans after exposure to Hydrogen Sulfide.
NON-FLAMMABLE GAS MIXTURE MSDS - 50018
EFFECTIVE DATE: FEBRUARY 16, 2011 PAGE 1 OF 6
Inhalation over-exposures to atmospheres containing more than the Threshold Limit Value of Carbon Monoxide (25 ppm), another component of this gas mixture, can result in serious health consequences. Carbon Monoxide is classified as a chemical asphyxiant, producing a toxic action by combining with the hemoglobin of the blood and replacing the available oxygen. Through this replacement, the body is deprived of the required oxygen, and asphyxiation occurs. Since the affinity of Carbon Monoxide for hemoglobin is about 200-300 times that of oxygen, only a small amount of Carbon Monoxide will cause a toxic reaction to occur. Carbon Monoxide exposures in excess of 50 ppm will produce symptoms of poisoning if breathed for a sufficiently long time. If this gas mixture is released in a small, poorly ventilated area (i.e. an enclosed or confined space), symptoms which may develop include the following: CONCENTRATION OF CARBON MONOXIDE OBSERVED EFFECT All exposure levels: Over-exposure to Carbon Monoxide can be indicated by the lips and fingernails turning bright red. 200 ppm: Slight symptoms (i.e. headache) after several hours of exposure. 400 ppm: Headache and discomfort experienced within 2-3 hours of exposure. 1,000 -2000 ppm: Within 30 minutes, slight palpitations of the heart occurs. Within 1.5 hours, there is a tendency to stagger. 200-2500 ppm: Within 2 hours, there is mental confusion, headaches, and nausea. Unconsciousness within 30 minutes. >2500 ppm: Potential for collapse and death before warning symptoms. Additionally, if mixtures of this gas mixture contain less than 19.5% Oxygen and are released in a small, poorly ventilated area (i.e. an enclosed or confined space), an oxygen-deficient environment may occur. Individuals breathing such an atmosphere may experience symptoms which include headaches, ringing in ears, dizziness, drowsiness, unconsciousness, nausea, vomiting, and depression of all the senses. Under some circumstances of over-exposure, death may occur. The following effects associated with various levels of oxygen are as follows: CONCENTRATION OF OXYGEN OBSERVED EFFECT 12-16% Oxygen: Breathing and pulse rate increased, muscular coordination slightly disturbed. 10-14% Oxygen: Emotional upset, abnormal fatigue, disturbed respiration. 6-10% Oxygen: Nausea, vomiting, collapse, or loss of consciousness. Below 6%: Convulsive movements, possible respiratory collapse, and death. SKIN and EYE CONTACT: Hydrogen Sulfide, a component of this gas mixture, may be irritating to the skin. Inflammation and irritation of the eyes can occur at very low airborne concentration of Hydrogen Sulfide (less than 10 ppm). Exposure over several hours may result in “gas eyes” or “sore eyes” with symptoms of scratchiness, irritation, tearing and burning. Above 50 ppm of Hydrogen Sulfide, there is an intense tearing, blurring of vision, and pain when looking at light. Over-exposed individuals may see rings around bright lights. Most symptoms disappear when exposure ceases. However, in serious cases, the eye can be permanently damaged. HEALTH EFFECTS OR RISKS FROM EXPOSURE: An Explanation in Lay Terms. Over-exposure to this gas mixture may cause the following health effects: ACUTE: Due to the small size of the individual cylinder of this gas mixture, no unusual health effects from exposure to the product are anticipated under routine circumstances of use. However the Hydrogen Sulfide and Carbon Monoxide components of this gas mixture are toxic to humans. Over-exposure to this gas mixture can cause nausea, dizziness, headaches, collapse, unconsciousness, coma, and death. Due to the presence of Hydrogen Sulfide, over-exposures to this gas mixture can also irritate the skin and eyes; severe eye contamination can result in blindness. CHRONIC: Severe over-exposures to the Hydrogen Sulfide component of this gas mixture, which do not result in death, may cause long-term symptoms such as memory loss, paralysis of facial muscles, or nerve tissue damage. In serious cases of over-exposure, the eyes can be permanently damaged. Skin disorders and respiratory conditions may be aggravated by repeated over-exposures to this gas product. Refer to Section 11 (Toxicology Information) for additional information on the components of this gas mixture. Chronic exposure to oxygen-deficient atmospheres (below 18% oxygen in air) may affect the heart and nervous system. TARGET ORGANS: ACUTE: Respiratory system, blood system, central nervous system effects, cardiovascular system, skin, eyes. CHRONIC: Neurological system, reproductive system, eyes.
4. FIRST-AID MEASURES RESCUERS SHOULD NOT ATTEMPT TO RETRIEVE VICTIMS OF EXPOSURE TO THIS GAS MIXTURE WITHOUT ADEQUATE PERSONAL PROTECTIVE EQUIPMENT. At a minimum, Self-Contained Breathing Apparatus must be worn. Victim(s) who experience any adverse effect after over-exposure to this gas mixture must be taken for medical attention. Rescuers should be taken for medical attention if necessary. Take a copy of the label and the MSDS to physician or other health professional with victim(s). No unusual health effects are anticipated after exposure to this gas mixture, due to the small cylinder size. If any adverse symptom develops after over-exposure to this gas mixture, remove victim(s) to fresh air as quickly as possible. Only trained personnel should administer supplemental oxygen and/or cardio-pulmonary resuscitation if necessary. SKIN EXPOSURE: If irritation of the skin develops after exposure to this gas mixture, immediately begin decontamination with running water. Minimum flushing is for 15 minutes. Remove exposed or contaminated clothing, taking care not to contaminate eyes. Victim must seek immediate medical attention. EYE EXPOSURE: If irritation of the eye develops after exposure to this gas mixture, open victim's eyes while under gentle running water. Use sufficient force to open eyelids. Have victim "roll" eyes. Minimum flushing is for 15 minutes. Seek medical assistance immediately, preferably an ophthalmologist. MEDICAL CONDITIONS AGGRAVATED BY EXPOSURE: Pre-existing respiratory conditions may be aggravated by over-exposure to this gas mixture. Carbon Monoxide, a component of this gas mixture, can aggravate some diseases of the cardiovascular system, such as coronary artery disease and angina pectoris. Because of the presence of Hydrogen Sulfide, eye disorders or skin problems may be aggravated by over-exposure to this gas mixture. RECOMMENDATIONS TO PHYSICIANS: Treat symptoms and eliminate over-exposure. Hyperbaric oxygen is the most efficient antidote to Carbon Monoxide poisoning, the optimum range being 2-2.5 atm. A special mask, or, preferably, a compression chamber to utilize oxygen at these pressures is required. Avoid administering stimulant drugs. Be observant for initial signs of pulmonary edema in the event of severe inhalation over-exposures.
5. FIRE-FIGHTING MEASURES FLASH POINT: Not applicable. AUTOIGNITION TEMPERATURE: Not applicable. FLAMMABLE LIMITS (in air by volume, %): Lower (LEL): Not applicable. Upper (UEL): Not applicable.
NFPA RATING FLAMMABILITY
0
FIRE EXTINGUISHING MATERIALS: Non-flammable gas mixture. Use extinguishing 0 3 HEALTH REACTIVITY media appropriate for surrounding fire. UNUSUAL FIRE AND EXPLOSION HAZARDS: This gas mixture contains toxic gases, Hydrogen Sulfide and Carbon Monoxide, and presents an health hazard to firefighters. This gas mixture is not flammable; however, containers, when involved in fire, may rupture or burst in the heat of the fire. OTHER Explosion Sensitivity to Mechanical Impact: Not Sensitive. Explosion Sensitivity to Static Discharge: Not Sensitive. SPECIAL FIRE-FIGHTING PROCEDURES: Structural firefighters must wear Self-Contained Breathing Apparatus and full protective equipment.
6. ACCIDENTAL RELEASE MEASURES LEAK RESPONSE: Due to the small size and content of the cylinder, an accidental release of this gas mixture presents significantly less risk of over-exposure to Hydrogen Sulfide and Carbon Monoxide, the toxic components of this gas mixture, and other safety hazards related to the remaining components of this gas mixture, than a similar release from a larger cylinder. However, as with any chemical release, extreme caution must be used during emergency response procedures. In the event of a release in which the atmosphere is unknown, and in which other chemicals are potentially involved, evacuate immediate area. Such releases should be responded to by trained personnel using pre-planned procedures. Proper protective equipment should be used. In case of a leak, clear the affected area, protect people, and respond with trained personnel. For emergency disposal,
NON-FLAMMABLE GAS MIXTURE MSDS - 50018
EFFECTIVE DATE: FEBRUARY 16, 2011 PAGE 2 OF 6
6. ACCIDENTAL RELEASE MEASURES (continued) secure the cylinder and slowly discharge the gas to the atmosphere in a well-ventilated area or outdoors. Allow the gas mixture to dissipate. If necessary, monitor the surrounding area (and the original area of the release) for Hydrogen Sulfide, Carbon Monoxide, and Oxygen. Hydrogen Sulfide and Carbon Monoxide level must be below exposure level listed in Section 2 (Composition and Information on Ingredients) and Oxygen levels must be above 19.5% before non-emergency personnel are allowed to re-enter area. If leaking incidentally from the cylinder, contact your supplier.
7. HANDLING and USE WORK PRACTICES AND HYGIENE PRACTICES: Be aware of any signs of dizziness or fatigue, especially if work is done in a poorly ventilated area; exposures to fatal concentrations of this gas mixture could occur without any significant warning symptoms, due to olfactory fatigue or oxygen deficiency. Do not attempt to repair, adjust, or in any other way modify cylinders containing a gas mixture with Hydrogen Sulfide or Carbon Monoxide. If there is a malfunction or another type of operational problem, contact nearest distributor immediately. Eye wash stations/safety showers should be near areas where this gas mixture is used or stored. All work operations should be monitored in such a way that emergency personnel can be immediately contacted in the event of a release. All work practices should minimize releases of Hydrogen Sulfide and Carbon Monoxide-containing gas mixtures. STORAGE AND HANDLING PRACTICES: Cylinders should be firmly secured to prevent falling or being knocked-over. Cylinders must be protected from the environment, and preferably kept at room temperature (approximately 21qC (70qF). Cylinders should be stored in dry, wellventilated areas, away from sources of heat, ignition, and direct sunlight. Protect cylinders against physical damage. Full and empty cylinders should be segregated. Use a first-in, first-out inventory system to prevent full containers from being stored for long periods of time. These cylinders are not refillable. WARNING! Do not refill DOT 39 cylinders. To do so may cause personal injury or property damage. SPECIAL PRECAUTIONS FOR HANDLING GAS CYLINDERS: WARNING! Compressed gases can present significant safety hazards. During cylinder use, use equipment designed for these specific cylinders. Ensure all lines and equipment are rated for proper service pressure. PROTECTIVE PRACTICES DURING MAINTENANCE OF CONTAMINATED EQUIPMENT: Follow practices indicated in Section 6 (Accidental Release Measures). Make certain that application equipment is locked and tagged-out safely. Always use product in areas where adequate ventilation is provided.
8. EXPOSURE CONTROLS - PERSONAL PROTECTION VENTILATION AND ENGINEERING CONTROLS: No special ventilation systems or engineering controls are needed under normal circumstances of use. As with all chemicals, use this gas mixture in well-ventilated areas. If this gas mixture is used in a poorly-ventilated area, install automatic monitoring equipment to detect the levels of Oxygen, Hydrogen Sulfide, and Carbon Monoxide. RESPIRATORY PROTECTION: No special respiratory protection is required under normal circumstances of use. Use supplied air respiratory protection if the levels of components exceeds exposure limits presented in Section 2 (Composition and Information of Ingredients) and Oxygen levels are below 19.5%, or unknown, during emergency response to a release of this gas mixture. If respiratory protection is needed, use only protection authorized in the U.S. Federal OSHA Standard (29 CFR 1910.134), applicable U.S. State regulations, or the Canadian CSA Standard Z94.4-93 and applicable standards of Canadian Provinces. Oxygen levels below 19.16.33% are considered IDLH by OSHA. In such atmospheres, use of a full-facepiece pressure/demand SCBA or a full facepiece, supplied air respirator with auxiliary self-contained air supply is required under OSHA’s Respiratory Protection Standard (1910.134-1998). The following NIOSH respiratory protection recommendations for Hydrogen Sulfide and Carbon Monoxide are provided for further information. NIOSH/OSHA RECOMMENDATIONS FOR HYDROGEN SULFIDE CONCENTRATIONS IN AIR: Up to 100 ppm: Powered air-purifying respirator with cartridge(s) to protect against hydrogen sulfide; gas mask with canister to protect against hydrogen sulfide; or SAR; or full-facepiece SCBA. Emergency or Planned Entry into Unknown Concentration or IDLH Conditions: Positive pressure, full-facepiece SCBA; or positive pressure, fullfacepiece SAR with an auxiliary positive pressure SCBA. Escape: Gas mask with canister to protect against hydrogen sulfide; or escape-type SCBA NOTE: The IDLH concentration for Hydrogen Sulfide is 100 ppm. NIOSH/OSHA RECOMMENDATIONS FOR CARBON MONOXIDE CONCENTRATIONS IN AIR: Up to 350 ppm Supplied Air Respirator (SAR) Up to 875 ppm Supplied Air Respirator (SAR) operated in a continuous flow mode. Up to 1200 ppm Gas mask with canister to protect against carbon monoxide; or full-facepiece SCBA; or full-facepiece Supplied Air Respirator (SAR). Emergency or Planned Entry into Unknown Concentration or IDLH Conditions: Positive pressure, full-facepiece SCBA; or positive pressure, fullfacepiece Supplied Air Respirator (SAR) with an auxiliary positive pressure SCBA. Escape: Gas mask with canister to protect against carbon monoxide; or escape-type SCBA. NOTE: End of Service Life Indicator (ESLI) required for gas masks. NOTE: The IDLH concentration for Carbon Monoxide is 1200 ppm. EYE PROTECTION: Safety glasses. If necessary, refer to U.S. OSHA 29 CFR 1910.133 or appropriate Canadian Standards. HAND PROTECTION: Wear leather gloves when handling cylinders. Chemically resistant gloves should be worn when using this gas mixture. If necessary, refer to U.S. OSHA 29 CFR 1910.138 or appropriate Standards of Canada. BODY PROTECTION: No special protection is needed under normal circumstances of use. If a hazard of injury to the feet exists due to falling objects, rolling objects, where objects may pierce the soles of the feet or where employee’s feet may be exposed to electrical hazards, use foot protection, as described in U.S. OSHA 29 CFR 1910.136.
9. PHYSICAL and CHEMICAL PROPERTIES The following information is for Nitrogen, the main component of this gas mixture. 3 3 GAS DENSITY @ 32°F (0qC) and 1 atm: .072 lbs/ ft (1.153 kg/m ) FREEZING/MELTING POINT @ 10 psig: -345.8°F (-210°C) BOILING POINT: -320.4°F (-195.8°C) SPECIFIC GRAVITY (air = 1) @ 70°F (21.1°C): 0.906 pH: Not applicable. SOLUBILITY IN WATER vol/vol @ 32°F (0qC) and 1 atm: 0.023 MOLECULAR WEIGHT: 28.01 EVAPORATION RATE (nBuAc = 1): Not applicable. EXPANSION RATIO: Not applicable. 3 VAPOR PRESSURE @ 70°F (21.1°C) (psig): Not applicable. SPECIFIC VOLUME (ft /lb): 13.8 COEFFICIENT WATER/OIL DISTRIBUTION: Not applicable. The following information is for this gas mixture. ODOR THRESHOLD: 0.13 ppm (Hydrogen Sulfide) APPEARANCE AND COLOR: This gas mixture is a colorless gas which has an rotten egg-like odor, due to the presence of Hydrogen Sulfide. HOW TO DETECT THIS SUBSTANCE (warning properties): Continuous inhalation of low concentrations of this gas mixture may cause olfactory fatigue, due to the presence of Hydrogen Sulfide, so the odor is not a good warning property of a release of this gas mixture. In terms of leak detection, fittings and joints can be painted with a soap solution to detect leaks, which will be indicated by a bubble formation. Wet lead acetate paper can be used for leak detection. The paper turns black in the presence of Hydrogen Sulfide. Cadmium chloride solutions can also be used. Cadmium solutions will turn yellow upon contact with Hydrogen Sulfide.
10. STABILITY and REACTIVITY STABILITY: Normally stable in gaseous state. DECOMPOSITION PRODUCTS: The thermal decomposition products of Methane include carbon oxides. The decomposition products of Hydrogen Sulfide include water and sulfur oxides. The other components of this gas mixture do not decompose, per se, but can react with other compounds in the heat of a fire. MATERIALS WITH WHICH SUBSTANCE IS INCOMPATIBLE: Titanium will burn in Nitrogen (the main component of this gas mixture). Lithium reacts slowly with Nitrogen at ambient temperatures. Components of this gas mixture (Hydrogen Sulfide, Methane) are also incompatible with strong oxidizers (i.e. chlorine, bromine pentafluoride, oxygen, oxygen difluoride, and nitrogen trifluoride). Carbon Monoxide is mildly corrosive to nickel and iron (especially at high temperatures and pressures). Hydrogen Sulfide is corrosive to most metals, because it reacts with these substances to form metal sulfides. HAZARDOUS POLYMERIZATION: Will not occur. CONDITIONS TO AVOID: Contact with incompatible materials. Cylinders exposed to high temperatures or direct flame can rupture or burst.
NON-FLAMMABLE GAS MIXTURE MSDS - 50018
EFFECTIVE DATE: FEBRUARY 16, 2011 PAGE 3 OF 6
11. TOXICOLOGICAL INFORMATION TOXICITY DATA: The following toxicology data are available for the components of this gas mixture: NITROGEN: There are no specific toxicology data for Nitrogen. Nitrogen is a simple asphyxiant, which acts to displace oxygen in the environment. METHANE: There are no specific toxicology data for Methane. Methane is a simple asphyxiant, which acts to displace oxygen in the environment. CARBON MONOXIDE: LC50 (Inhalation-Rat) 1807 ppm/4 hours LC50 (Inhalation-Mouse) 2444 ppm/4 hours LC50 (Inhalation-Guinea Pig) 5718 ppm/4 hours LC50 (Inhalation-wild bird species) 1334 ppm LCLo (Inhalation-Human) 4 mg/m3/12 hours: Behavioral: coma; Vascular: BP lowering not characterized in autonomic section; Blood: methemoglobinemia-carboxyhemoglobin LCLo (Inhalation-Man) 4000 ppm/30 minutes LCLo (Inhalation-Human) 5000 ppm/5 minutes LCLo (Inhalation-Dog) 4000 ppm/46 minutes LCLo (Inhalation-Rabbit) 4000 ppm LCLo (Inhalation-Mammal-species unspecified) 5000 ppm/5 minutes TCLo (Inhalation-Human) 600 mg/m3/10 minutes: Behavioral: headache TCLo (Inhalation-Man) 650 ppm/45 minutes: Blood: methemoglobinemia-carboxyhemoglobin; Behavioral: changes in psychophysiological tests TCLo (Inhalation-Rat) 1800 ppm/1 hour/14 daysintermittent: Cardiac: other changes TCLo (Inhalation-Rat) 30 mg/m3/8 hours/10 weeksintermittent: Brain and Coverings: other degenerative changes; Behavioral: muscle contraction or spasticity TCLo (Inhalation-Rat) 96 ppm/24 hours/90 dayscontinuous: Blood: pigmented or nucleated red blood cells, other changes TCLo (Inhalation-Rat) 250 ppm/5 hours/20 daysintermittent: Blood :pigmented or nucleated red blood cells, changes in other cell count (unspecified), changes in erythrocyte (RBC) count TDLo (Subcutaneous-Rat) 5983 mg/kg/18 weeksintermittent: Blood: changes in serum composition (e.g. TP, bilirubin, cholesterol) TCLo (Inhalation-Monkey) 200 ppm/24 hours/90 days-continuous: Blood: pigmented or nucleated red blood cells, other changes TCLo (Inhalation-Rabbit) 200 mg/m3/3 hours/13 weeks-intermittent: Brain and Coverings: other degenerative changes; Cardiac: other changes; Blood: hemorrhage TCLo (Inhalation-Guinea Pig) 200 mg/m3/5 hours/30 weeks-continuous: Cardiac: arrhythmias (including changes in conduction), EKG changes not diagnostic of specified effects, pulse rate increase, without fall in BP
CARBON MONOXIDE (continued): TCLo (Inhalation-Mouse) 50 ppm/30 daysintermittent: Lungs, Thorax, or Respiration: structural or functional change in trachea or bronchi TCLo (Inhalation-Guinea Pig) 200 mg/m3/5 hours/4 weeks-intermittent: Endocrine: hyperglycemia TCLo (Inhalation-Guinea Pig) 200 ppm/24 hours/90 days-continuous: Blood: pigmented or nucleated red blood cells, other changes TCLo (Inhalation-Rat) 75 ppm/24 hours: female 0-20 day(s) after conception: Reproductive: Maternal Effects: other effects; Effects on Newborn: behavioral TCLo (Inhalation-Rat) 150 ppm/24 hours: female 122 day(s) after conception: Reproductive: Specific Developmental Abnormalities: cardiovascular (circulatory) system TCLo (Inhalation-Rat) 150 ppm/24 hours: female 122 day(s) after conception: Reproductive: Effects on Newborn: growth statistics (e.g.%, reduced weight gain), behavioral TCLo (Inhalation-Rat) 1 mg/m3/24 hours: female 72 day(s) pre-mating: Reproductive: Maternal Effects: menstrual cycle changes or disorders, parturition; Fertility: female fertility index (e.g. # females pregnant per # sperm positive females; # females pregnant per # females mated) TCLo (Inhalation-Rat) 150 ppm/24 hours: female 020 day(s) after conception: Reproductive: Effects on Newborn: behavioral TCLo (Inhalation-Rat) 75 ppm/24 hours: female 0-20 day(s) after conception: Reproductive: Specific Developmental Abnormalities: immune and reticuloendothelial system TCLo (Inhalation-Mouse) 65 ppm/24 hours: female 7-18 day(s) after conception: Reproductive: Effects on Newborn: behavioral TCLo (Inhalation-Mouse) 250 ppm/7 hours: female 6-15 day(s) after conception: Reproductive: Fertility: post-implantation mortality (e.g. dead and/or resorbed implants per total number of implants); Specific Developmental Abnormalities: musculoskeletal system TCLo (Inhalation-Mouse) 125 ppm/24 hours: female 7-18 day(s) after conception: Reproductive: Effects on Embryo or Fetus: fetotoxicity (except death, e.g., stunted fetus) TCLo (Inhalation-Mouse) 8 pph/1 hour: female 8 day(s) after conception: Reproductive: Fertility: litter size (e.g. # fetuses per litter; measured before birth); Effects on Embryo or Fetus: fetotoxicity (except death, e.g., stunted fetus), fetal death
CARBON MONOXIDE (continued): TCLo (Inhalation-Rabbit) 50 ppm/24 hours/8 weekscontinuous: Blood: changes in platelet count TCLo (Inhalation-Mouse) 8 pph/1 hour: female 8 day(s) after conception: Reproductive: Specific Developmental Abnormalities: Central Nervous System TCLo (Inhalation-Rabbit) 180 ppm/24 hours: female 1-30 day(s) after conception: Reproductive: Effects on Newborn: stillbirth, viability index (e.g., # alive at day 4 per # born alive) Micronucleus Test (Inhalation-Mouse)1500 ppm/10 minutes Sister Chromatid Exchange (Inhalation-Mouse) 2500 ppm/10 minutes HYDROGEN SULFIDE: LC50 (Inhalation-Rat) 444 ppm: Lungs, Thorax, or Respiration: other changes; Gastrointestinal: hypermotility, diarrhea; Kidney, Ureter, Bladder: urine volume increased LC50 (Inhalation-Mouse) 634 ppm/1 hour LCLo (Inhalation-Human) 600 ppm/30 minutes LCLo (Inhalation-Man) 5700 Pg/kg: Behavioral: coma; Lungs, Thorax, or Respiration: chronic pulmonary edema LCLo (Inhalation-Human) 800 ppm/5 minutes LCLo (Inhalation-Mammal-species unspecified) 800 ppm/5 minutes TCLo (Inhalation-Rat) 30 ppm/6 hours/10 weeksintermittent: Sense Organs and Special Senses (Olfaction): olfactory nerve change, effect, not otherwise specified TCLo (Inhalation-Rat) 1200 mg/m3/2 hours/5 daysintermittent: Brain and Coverings: other degenerative changes; Biochemical: Enzyme inhibition, induction, or change in blood or tissue levels: true cholinesterase TCLo (Inhalation-Rat) 100 ppm/8 hours/5 weeksintermittent: Brain and Coverings: other degenerative changes; Lungs, Thorax, or Respiration: other changes; Biochemical: Enzyme inhibition, induction, or change in blood or tissue levels: cytochrome oxidases (including oxidative phosphorylation) TCLo (Inhalation-Rat) 80 ppm/6 hours/90 daysintermittent: Brain and Coverings: changes in brain weight; Nutritional and Gross Metabolic: weight loss or decreased weight gain TCLo (Inhalation-Rat) 20 ppm: female 6-22 day(s) after conception lactating female 21 day(s) postbirth: Reproductive: Effects on Newborn: physical TCLo (Inhalation-Mouse) 80 ppm/6 hours/90 daysintermittent: Nutritional and Gross Metabolic: weight loss or decreased weight gain; Related to Chronic Data: death TCLo (Inhalation-Rabbit) 40 mg/m3/5 hours/30 weeks-intermittent: Sense Organs and Special Senses (Eye): conjunctive irritation
SUSPECTED CANCER AGENT: The components of this gas mixture are not found on the following lists: FEDERAL OSHA Z LIST, NTP, CAL/OSHA, and IARC; therefore, they are not considered to be, nor suspected to be, cancer-causing agents by these agencies. IRRITANCY OF PRODUCT: This gas mixture is irritating to the eyes, and may be irritating to the skin. SENSITIZATION OF PRODUCT: The components of this gas mixture are not known to be skin or respiratory sensitizers. REPRODUCTIVE TOXICITY INFORMATION: Listed below is information concerning the effects of this gas mixture on the human reproductive system. Mutagenicity: The components of this gas mixture are not reported to cause mutagenic effects in humans. REPRODUCTIVE TOXICITY INFORMATION (continued): Embryotoxicity: This gas mixture contains components that may cause embryotoxic effects in humans; however, due to the small total amount of the components, embryotoxic effects are not expected to occur. Teratogenicity: This gas mixture is not expected to cause teratogenic effects in humans due to the small cylinder size and small total amount of all components. The Carbon Monoxide component of this gas mixture which exists up to 1%, can cause teratogenic effects in humans. Severe exposure to Carbon Monoxide during pregnancy has caused adverse effects and the death of the fetus. In general, maternal symptoms are an indicator of the potential risk to the fetus since Carbon Monoxide is toxic to the mother before it is toxic to the fetus. Reproductive Toxicity: The components of this gas mixture are not reported to cause adverse reproductive effects in humans. A mutagen is a chemical which causes permanent changes to genetic material (DNA) such that the changes will propagate through generation lines. An embryotoxin is a chemical which causes damage to a developing embryo (i.e. within the first eight weeks of pregnancy in humans), but the damage does not propagate across generational lines. A teratogen is a chemical which causes damage to a developing fetus, but the damage does not propagate across generational lines. A reproductive toxin is any substance which interferes in any way with the reproductive process. BIOLOGICAL EXPOSURE INDICES (BEIs): Biological Exposure Indices (BEIs) have been determined for components of this gas mixture, as follows: SAMPLING TIME
CHEMICAL DETERMINANT CARBON MONOXIDE • Carboxyhemoglobin in blood • Carbon monoxide in end-exhaled air
BEI
• End of shift • End of shift
• 3.5% of hemoglobin • 20 ppm
12. ECOLOGICAL INFORMATION ENVIRONMENTAL STABILITY: The gas will be dissipated rapidly in well-ventilated areas. The following environmental data are applicable to the components of this gas mixture. CARBON MONOXIDE: Atmospheric Fate: A photochemical model was used to quantify the sensitivity of the tropospheric oxidants ozone (O3) and OH to changes in methane (CH4), Carbon Monoxide (CO), and NO emissions and to perturbations in climate and stratospheric chemistry. In most cases, increased CH4 and CO emissions will suppress OH (negative coefficients) in increased O3 (positive coefficients) except in areas where NO and O3 influenced by pollution are sufficient to increased OH. In most regions, NO, CO, and CH4 emission increased will suppress OH and increased O3, but these trends may be opposed by stratospheric O3 depletion and climate change. HYDROGEN SULFIDE: Water Solubility = 1 g/242 mL at 20qC. Plant toxicity: Continuous fumigation of plants with 300 or 3000 ppb Hydrogen Sulfide caused leaf lesions, defoliation, and reduced growth with severity of injury correlated to dose. At higher (3.25 and 5.03 ppm) Hydrogen Sulfide, significant reductions in leaf CO2 and water vapor exchanges occurred, and stomatal openings were depressed. When Hydrogen Sulfide gas was applied to 29 species of green plants for 5 hours, young, rapidly elongating tissues were more sensitive to injury than older tissues. Symptoms included scorching of young shoots and
NON-FLAMMABLE GAS MIXTURE MSDS - 50018
EFFECTIVE DATE: FEBRUARY 16, 2011 PAGE 4 OF 6
12. ECOLOGICAL INFORMATION(continued)
15. REGULATORY INFORMATION(continued)
leaves, basal and marginal scorching of older leaves. Mature leaves were unaffected. Seeds exposed to Hydrogen Sulfide gas showed delay in germination. Persistence: Converts to elemental sulfur upon standing in water. Major Species Threatened: Aquatic and animal life plants may be injured if exposed to 5 ppm in air over 24 hours. Biodegradation: Microorganisms in soil and water are involved in oxidation-reduction reactions that oxidize hydrogen sulfide to elemental sulfur. Members of the genera Beggiatoa, Thioploca, and Thiotrix function in transition zones between aerobic and anaerobic conditions where both molecular oxygen and hydrogen sulfide are found. Also, some photosynthetic bacteria oxidize hydrogen sulfide to elemental sulfur. Members of the families Chlorobiaceae and Chromatiaceae (purple sulfur bacteria) are obligate aerobes and are phototropic, and are found in waters with high H2S concentrations. The interactions of these organisms form part of the global sulfur cycle. Bioconcentration: Does not have bioaccumulation or food chain contamination potential. NITROGEN: Water Solubility = 2.4 volumes Nitrogen/100 volumes water at 0qC; 1.6 volumes Nitrogen/100 volumes water at 20qC. EFFECT OF MATERIAL ON PLANTS or ANIMALS: No evidence is currently available on this gas mixture’s effects on plant and animal life. Hydrogen Sulfide and Carbon Monoxide, components of this gas mixture, can be deadly to exposed animal life, producing symptoms similar to those experienced by humans. This gas mixture may also be harmful to plant life. EFFECT OF CHEMICAL ON AQUATIC LIFE: No evidence is currently available on this gas mixture’s effects on aquatic life. The presence of more than a trace of the Carbon Monoxide component of this gas mixture is a hazard to fish. The following aquatic toxicity data are available for the Hydrogen Sulfide component of this gas mixture: HYDROGEN SULFIDE (continued): HYDROGEN SULFIDE: HYDROGEN SULFIDE (continued): Lethal (goldfish) 96 hours = 10 mg/L LC50 (Asellus arthropods) 96 hours = 0.111 LC50,F (bluegill, 35-day-old fry) 96 hours = Toxic (carp) 24 hours = 3.3 mg/L mg/L 0.0131 mg/L Toxic (goldfish) 24 hours = 4.3 mg/L LC50 (Crangon arthropods) 96 hours = 1.07 LC50,F (bluegill, juveniles) 96 hours = 0.0478 Toxic (sunfish) 1 hour = 4.9 to 5.3 mg/L mg/L mg/L Toxic (goldfish) 200 hours = 5 mg/L LC50 (Gammarus arthropods) 96 hours = LC50,F (bluegill, adults) 96 hours = 0.0448 Toxic (minnows) 24 hours = 5-6 mg/L 0.84 mg/L mg/L Toxic (carp) 24 hours = 6-25 mg/L LC50 (Ephemera) 96 hours = 0.316 mg/L LC50,F (fathead minnows) 96 hours = Toxic (trout) 15 minutes = 10 mg/L LC50 (Inhalation-Flies) > 960 minutes = 380 0.0071-0.55 mg/L 3 Toxic (goldfish) 24 hours = 25 mg/L LC50,F (bluegill) 96 hours = 0.0090-0.0140 mg/m Toxic (tench) 3 hours = 100 mg/L mg/L LC50 (Inhalation-Flies) 7 minutes = 1,500 3 MATC,F (fathead minnows) 0.0037 mg/L LC50,F (brook trout) 96 hours = 0.0216mg/m MATC,F (bluegill) 0.0004 mg/L 0.0308 mg/L LC50,F (bluegill, eggs) 72 hours = 0.0190 MATC,F (brook trout) 0.055 mg/L Toxic (goldfish) = 100 mg/L mg/L
13. DISPOSAL CONSIDERATIONS PREPARING WASTES FOR DISPOSAL PREPARING WASTES FOR DISPOSAL: Waste disposal must be in accordance with appropriate Federal, State, and local regulations. Cylinders with undesired residual product may be safely vented outdoors with the proper regulator. For further information, refer to Section 16 (Other Information).
14. TRANSPORTATION INFORMATION THIS GAS MIXTURE IS HAZARDOUS AS DEFINED BY 49 CFR 172.101 BY THE U.S. DEPARTMENT OF TRANSPORTATION. PROPER SHIPPING NAME: Compressed gases, n.o.s. (*Oxygen, Nitrogen)*or the gas component with the next highest concentration next to Nitrogen. HAZARD CLASS NUMBER and DESCRIPTION: 2.2 (Non-Flammable Gas) UN 1956 UN IDENTIFICATION NUMBER: Not Applicable PACKING GROUP: DOT LABEL(S) REQUIRED: Non-Flammable Gas NORTH AMERICAN EMERGENCY RESPONSE GUIDEBOOK NUMBER (2000): 126 U.S. DEPARTMENT OF TRANSPORTATION INFORMATION (continued): MARINE POLLUTANT: The components of this gas mixture are not classified by the DOT as Marine Pollutants (as defined by 49 CFR 172.101, Appendix B). SPECIAL SHIPPING INFORMATION: Cylinders should be transported in a secure position, in a well-ventilated vehicle. The transportation of compressed gas cylinders in automobiles or in closed-body vehicles can present serious safety hazards. If transporting these cylinders in vehicles, ensure these cylinders are not exposed to extremely high temperatures (as may occur in an enclosed vehicle on a hot day). Additionally, the vehicle should be well-ventilated during transportation. Note: DOT 39 Cylinders ship in a strong outer carton (outer package). Pertinent shipping information goes on the outside of the outer package. DOT 39 Cylinders do not have transportation information on the cylinder itself. TRANSPORT CANADA TRANSPORTATION OF DANGEROUS GOODS REGULATIONS: This gas mixture is considered as Dangerous Goods, per regulations of Transport Canada. PROPER SHIPPING NAME: Compressed gases, n.o.s. (*Oxygen, Nitrogen)*or the gas component with the next highest concentration next to Nitrogen. HAZARD CLASS NUMBER and DESCRIPTION: 2.2 (Non-Flammable Gas) UN 1956 UN IDENTIFICATION NUMBER: PACKING GROUP: Not Applicable HAZARD LABEL: Class 2.2 (Non-Flammable Gas) None SPECIAL PROVISIONS: EXPLOSIVE LIMIT AND LIMITED QUANTITY INDEX: 0.12 3000 ERAP INDEX: Forbidden PASSENGER CARRYING SHIP INDEX: PASSENGER CARRYING ROAD VEHICLE OR PASSENGER CARRYING RAILWAY VEHICLE INDEX: Forbidden NORTH AMERICAN EMERGENCY RESPONSE GUIDEBOOK NUMBER (2000): 126 NOTE: Shipment of compressed gas cylinders via Public Passenger Road Vehicle is a violation of Canadian law (Transport Canada Transportation of Dangerous Goods Act, 1992).
Carbon Monoxide and Methane are listed under this regulation in Table 3, as Regulated Substances (Flammable), in quantities of 10,000 lbs (4,553 kg) or greater, and so this mixture will not be affected by the regulation. U.S. STATE REGULATORY INFORMATION: The components of this gas mixture are covered under the following specific State regulations: Alaska - Designated Toxic and Hazardous Substances: Carbon Monoxide, Hydrogen Sulfide, Methane. California - Permissible Exposure Limits for Chemical Contaminants: Carbon Monoxide, Nitrogen, Hydrogen Sulfide, Methane. Florida - Substance List: Oxygen, Carbon Monoxide, Hydrogen Sulfide Illinois - Toxic Substance List: Carbon Monoxide, Methane, Hydrogen Sulfide. Kansas - Section 302/313 List: No. Massachusetts - Substance List: Oxygen, Carbon Monoxide, Hydrogen Sulfide, Methane.
Michigan - Critical Materials Register: No. Minnesota - List of Hazardous Substances: Carbon Monoxide, Hydrogen Sulfide, Methane. Missouri Employer Information/Toxic Substance List t: Hydrogen Sulfide, Methane. New Jersey - Right to Know Hazardous Substance List: Oxygen, Carbon Monoxide, Nitrogen, Methane. North Dakota - List of Hazardous Chemicals, Reportable Quantities: Hydrogen Sulfide.
Pennsylvania - Hazardous Substance List: Oxygen, Carbon Monoxide, Nitrogen, Hydrogen Sulfide, Methane. Rhode Island - Hazardous Substance List: Oxygen, Carbon Monoxide, Nitrogen, Hydrogen Sulfide, Methane. Texas - Hazardous Substance List: Hydrogen Sulfide. West Virginia - Hazardous Substance List: Hydrogen Sulfide. Wisconsin - Toxic and Hazardous Substances: Hydrogen Sulfide
CALIFORNIA SAFE DRINKING WATER AND TOXIC ENFORCEMENT ACT (PROPOSITION 65): The Carbon Monoxide component of this gas mixture is on the California Proposition 65 lists. WARNING! This gas mixture contains a compound known to the State of California to cause birth defects or other reproductive harm. ADDITIONAL CANADIAN REGULATIONS: CANADIAN DSL/NDSL INVENTORY STATUS: The components of this gas mixture are listed on the DSL Inventory. CANADIAN ENVIRONMENTAL PROTECTION ACT (CEPA) PRIORITIES SUBSTANCES LISTS: The components of this gas mixture are not on the CEPA Priorities Substances Lists. CANADIAN WHMIS CLASSIFICATION: This gas mixture is categorized as a Controlled Product, Hazard Classes A and D2A, as per the Controlled Product Regulations.
16. OTHER INFORMATION INFORMATION ABOUT DOT-39 NRC (Non-Refillable Cylinder) PRODUCTS DOT 39 cylinders ship as hazardous materials when full. Once the cylinders are relieved of pressure (empty) they are not considered hazardous material or waste. Residual gas in this type of cylinder is not an issue because toxic gas mixtures are prohibited. Calibration gas mixtures typically packaged in these cylinders are Nonflammable n.o.s., UN 1956. A small percentage of calibration gases packaged in DOT 39 cylinders are flammable or oxidizing gas mixtures. For disposal of used DOT-39 cylinders, it is acceptable to place them in a landfill if local laws permit. Their disposal is no different than that employed with other DOT containers such as spray paint cans, household aerosols, or disposable cylinders of propane (for camping, torch etc.). When feasible, we recommended recycling for scrap metal content. CALGAZ will do this for any customer that wishes to return cylinders to us prepaid. All that is required is a phone call to make arrangements so we may anticipate arrival. Scrapping cylinders involves some preparation before the metal dealer may accept them. We perform this operation as a service to valued customers who want to participate. MIXTURES: When two or more gases or liquefied gases are mixed, their hazardous properties may combine to create additional, unexpected hazards. Obtain and evaluate the safety information for each component before you produce the mixture. Consult an Industrial Hygienist or other trained person when you make your safety evaluation of the end product. Remember, gases and liquids have properties which can cause serious injury or death. Further information about the handling of compressed gases can be found in the following pamphlets published by: Compressed Gas Association Inc. (CGA), 1725 Jefferson Davis Highway, Suite 1004, Arlington, VA 22202-4102. Telephone: (703) 412-0900. P-1
“Safe Handling of Compressed Gases in Containers”
AV-1
“Safe Handling and Storage of Compressed Gases” “Handbook of Compressed Gases”
This Material Safety Data Sheet is offered pursuant to OSHA’s Hazard Communication Standard, 29 CFR, 1910.1200. Other government regulations must be reviewed for applicability to this gas mixture. To the best of CALGAZ knowledge, the information contained herein is reliable and accurate as of this date; however, accuracy, suitability or completeness are not guaranteed and no warranties of any type, either express or implied, are provided. The information contained herein relates only to this specific product. If this gas mixture is combined with other materials, all component properties must be considered. Data may be changed from time to time. Be sure to consult the latest edition.
15. REGULATORY INFORMATION ADDITIONAL U.S. REGULATIONS: U.S. SARA REPORTING REQUIREMENTS: This gas mixture is subject to the reporting requirements of Sections 302, 304, and 313 of Title III of the Superfund Amendments and Reauthorization Act, as follows: CHEMICAL NAME Hydrogen Sulfide
SARA 302 (40 CFR 355, Appendix A)
SARA 304 (40 CFR Table 302.4)
SARA 313 (40 CFR 372.65)
YES
YES
YES
U.S. SARA THRESHOLD PLANNING QUANTITY: Hydrogen Sulfide = 500 lb (227 kg) U.S. TSCA INVENTORY STATUS: The components of this gas mixture are listed on the TSCA Inventory. U.S. CERCLA REPORTABLE QUANTITY (RQ): Hydrogen Sulfide = 100 lb (45 kg) OTHER U.S. FEDERAL REGULATIONS: • Hydrogen Sulfide and Carbon Monoxide are subject to the reporting requirements of CFR 29 1910.1000. • Hydrogen Sulfide and Methane are subject to the reporting requirements of Section 112(r) of the Clean Air Act. The Threshold Quantity for each of these gases is 10,000 pounds and so this mixture will not be affected by the regulation. Depending on specific operations involving the use of this gas mixture, the regulations of the Process Safety Management of Highly • Hazardous Chemicals may be applicable (29 CFR 1910.119). Hydrogen Sulfide is listed in Appendix A of this regulation. The Threshold Quantity for Hydrogen Sulfide under this regulation is 1500 lbs (and so one cylinder of this gas mixture will not be affected by this regulation). • This gas mixture does not contain any Class I or Class II ozone depleting chemicals (40 CFR part 82). • Nitrogen and Oxygen are not listed Regulated Substances, per 40 CFR, Part 68, of the Risk Management for Chemical Releases. Hydrogen Sulfide is listed under this regulation in Table 1 as a Regulated Substance (Toxic Substance), in quantities of 10,000 lbs (4,553 kg) or greater.
NON-FLAMMABLE GAS MIXTURE MSDS - 50018
EFFECTIVE DATE: FEBRUARY 16, 2011 PAGE 5 OF 6
NON-FLAMMABLE GAS MIXTURE MSDS - 50018
EFFECTIVE DATE: FEBRUARY 16, 2011 PAGE 6 OF 6
1.
MATERIAL SAFETY DATA SHEET
MATERIAL SAFETY DATA SHEET
Commercial ABC Dry Chemical (Fire Extinguishing Agent)
Commercial ABC Dry Chemical (Fire Extinguishing Agent)
IDENTIFICATION OF THE SUBSTANCE/PREPARATIONS AND OF THE COMPANY UNDERTAKING Product Name Other Trade Names Product Description Manufacturer/Supplier Address
Phone Number Chemtrec Number (for emergencies only) Revision Date: MSDS Date:
Commercial ABC Dry Chemical (Fire Extinguishing Agent) Multi-Purpose, Ammonium Phosphate, Monoammonium Phosphate Fire Extinguishing Agent Kidde – Residential and Commercial 1016 Corporate Park Drive Mebane, NC 27302 USA (919) 563-5911 (919) 304-8200 (800) 424-9300 (703) 527-3887 (International) February 28, 2011 January 15, 2007
3.
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MATERIAL SAFETY DATA SHEET
MATERIAL SAFETY DATA SHEET ALCONOX®
Prepared to U.S. OSHA, CMA, ANSI, Canadian WHMIS, Australian WorkSafe, Japanese Industrial Standard JIS Z 7250:2000, and European Union REACH Regulations
ALCONOX® Risk Phrases: R20: Harmful by inhalation R36/37/38: Irritating to eyes, respiratory system and skin
Safety Phrases: S8: Keep container dry S22: Do not breath dust S24/25: Avoid contact with skin and eyes
SECTION 1 - PRODUCT AND COMPANY IDENTIFICATION PRODUCT NAME: CHEMICAL FAMILY NAME: PRODUCT USE: U.N. NUMBER: U.N. DANGEROUS GOODS CLASS: SUPPLIER/MANUFACTURER'S NAME: ADDRESS: EMERGENCY PHONE: BUSINESS PHONE: DATE OF PREPARATION: DATE OF LAST REVISION:
ALCONOX® Detergent.
Critical-cleaning detergent for laboratory, healthcare and industrial applications Not Applicable Non-Regulated Material Alconox, Inc. 30 Glenn St., Suite 309, White Plains, NY 10603. USA 800-255-3924 TOLL-FREE in USA/Canada 813-248-0585 International calls 914-948-4040 May 2011 February 2008
SECTION 2 - HAZARDS IDENTIFICATION
respiratory system and skin. It is a non-flammable solid. The Environmental effects of this product have not been investigated. CANADA (WHMIS) SYMBOLS
CHRONIC: This product contains an ingredient which may be corrosive. TARGET ORGANS:
EUROPEAN and (GHS) Hazard Symbols
ACUTE:
Eye, respiratory System, Skin
CHRONIC:
CAS #
EINECS #
ICSC #
WT %
HAZARD CLASSIFICATION; RISK PHRASES
Sodium Bicarbonate
144-55-8
205-633-8
1044
33 - 43%
HAZARD CLASSIFICATION: None RISK PHRASES: None
Sodium (C10 – C16) Alkylbenzene Sulfonate
68081-81-2
268-356-1
Not Listed
10 – 20%
HAZARD CLASSIFICATION: None RISK PHRASES: None
Sodium Tripolyphosphate
7758-29-4
231-838-7
1469
5 - 15%
HAZARD CLASSIFICATION: None RISK PHRASES: None
Tetrasodium Pyrophosphate
7722-88-5
231-767-1
1140
5 - 15%
HAZARD CLASSIFICATION: None RISK PHRASES: None
Non-Regulated Sodium Carbonate
497-19-8
207-638-8
1135
1 - 10%
HAZARD CLASSIFICATION: [Xi] Irritant RISK PHRASES: R36
Sodium Alcohol Sulfate
151-21-3
205-788-1
0502
1 – 5%
HAZARD CLASSIFICATION: None RISK PHRASES: None
Signal Word: Warning! EU LABELING AND CLASSIFICATION: Classification of the substance or mixture according to Regulation (EC) No1272/2008 Annex 1 EC# 205-633-8 This substance is not classified in the Annex I of Directive 67/548/EEC EC# 268-356-1 This substance is not classified in the Annex I of Directive 67/548/EEC EC# 231-838-7 This substance is not classified in the Annex I of Directive 67/548/EEC EC# 231-767-1 This substance is not classified in the Annex I of Directive 67/548/EEC EC# 207-638-8 Index# 011-005-00-2 EC# 205-788-1 This substance is not classified in the Annex I of Directive 67/548/EEC
None Known
SECTION 3 - COMPOSITION and INFORMATION ON INGREDIENTS HAZARDOUS INGREDIENTS:
EMERGENCY OVERVIEW: This product is a white granular powder with little or no odor. Exposure can be irritating to eyes,
US DOT SYMBOLS
HEALTH HAZARDS OR RISKS FROM EXPOSURE: ACUTE: Exposure to this product may cause irritation of the eyes, respiratory system and skin. Ingestion may cause gastrointestinal irritation including pain, vomiting or diarrhea.
Balance of other ingredients are non-hazardous or less than 1% in concentration (or 0.1% for carcinogens, reproductive toxins, or respiratory sensitizers). NOTE:
ALL WHMIS required information is included in appropriate sections based on the ANSI Z400.1-2004 format. This product has been classified in accordance with the hazard criteria of the CPR and the MSDS contains all the information required by the CPR, EU Directives and the Japanese Industrial Standard JIS Z 7250: 2000.
SECTION 4 - FIRST-AID MEASURES Contaminated individuals of chemical exposure must be taken for medical attention if any adverse effect occurs. Rescuers should be taken for medical attention, if necessary. Take copy of label and MSDS to health professional with contaminated individual.
GHS Hazard Classification(s): Eye Irritant Category 2A
EYE CONTACT: If product enters the eyes, open eyes while under gentle running water for at least 15 minutes. Seek
medical attention if irritation persists. Precautionary Statement(s): P260: Do not breath dust/fume/gas/mist/vapors/spray P264: Wash hands thoroughly after handling P271: Use only in well ventilated area. P280: Wear protective gloves/protective clothing/eye protection/face protection/
Hazard Statement(s): H319: Causes serious eye irritation
Hazard Symbol(s): [Xi] Irritant
SKIN CONTACT: Wash skin thoroughly after handling. Seek medical attention if irritation develops and persists. Remove
contaminated clothing. Launder before re-use. INHALATION: If breathing becomes difficult, remove victim to fresh air. If necessary, use artificial respiration to support
vital functions. Seek medical attention if breathing dificulty continues. INGESTION: If product is swallowed, call physician or poison control center for most current information. If professional
advice is not available, do not induce vomiting. Never induce vomiting or give diluents (milk or water) to someone who is unconscious, having convulsions, or who cannot swallow. Seek medical advice. Take a copy of the label and/or MSDS with the victim to the health professional. MEDICAL CONDITIONS AGGRAVATED BY EXPOSURE: Pre-existing skin, or eye problems may be aggravated by prolonged contact. RECOMMENDATIONS TO PHYSICIANS: Treat symptoms and reduce over-exposure.
May 2011
Page 1 of 7
Rev 1
May 2011
Page 2 of 7
Rev 1
MATERIAL SAFETY DATA SHEET
MATERIAL SAFETY DATA SHEET ALCONOX®
ALCONOX®
SECTION 5 - FIRE-FIGHTING MEASURES FLASH POINT: AUTOIGNITION TEMPERATURE: FLAMMABLE LIMITS (in air by volume, %): FIRE EXTINGUISHING MATERIALS: UNUSUAL FIRE AND EXPLOSION HAZARDS: Explosion Sensitivity to Mechanical Impact: Explosion Sensitivity to Static Discharge: SPECIAL FIRE-FIGHTING PROCEDURES:
Not Flammable Not Applicable Lower (LEL):
SECTION 8 - EXPOSURE CONTROLS - PERSONAL PROTECTION NA
Upper (UEL):
EXPOSURE LIMITS/GUIDELINES:
NA
As appropriate for surrounding fire. Carbon dioxide, foam, dry chemical, halon, or water spray. This product is non-flammable and has no known explosion hazards. Not Sensitive. Not Sensitive
Incipient fire responders should wear eye protection. Structural firefighters must wear Self-Contained Breathing Apparatus and full protective equipment. Isolate materials not yet involved in the fire and protect personnel. Move containers from fire area if this can be done without risk; otherwise, cool with carefully applied water spray. If possible, prevent runoff water from entering storm drains, bodies of water, or other environmentally sensitive areas.
NFPA RATING SYSTEM
HMIS RATING SYSTEM HAZARDOUS MATERIAL IDENTIFICATION SYSTEM
Flammability
0 Health
1
-
0
Reactivity
HEALTH HAZARD (BLUE)
1
FLAMMABILITY HAZARD (RED)
0
PHYSICAL HAZARD (YELLOW)
0
PROTECTIVE EQUIPMENT EYES
RESPIRATORY
HANDS
Other See Sect 8
BODY
See Sect 8
For Routine Industrial Use and Handling Applications
Hazard Scale: 0 = Minimal 1 = Slight 2 = Moderate 3 = Serious 4 = Severe * = Chronic hazard
SECTION 7 - HANDLING and STORAGE WORK PRACTICES AND HYGIENE PRACTICES: As with all chemicals, avoid getting this product ON YOU or IN YOU. Wash thoroughly after handling this product. Do not eat, drink, smoke, or apply cosmetics while handling this product. Avoid breathing dusts generated by this product. Use in a well-ventilated location. Remove contaminated clothing immediately. STORAGE AND HANDLING PRACTICES: Containers of this product must be properly labeled. Store containers in a cool, dry location. Keep container tightly closed when not in use. Store away from strong acids or oxidizers.
Page 3 of 7
CAS#
ACGIH TWA
OSHA TWA
SWA
Sodium Bicarbonate
144-55-8
10 mg/m³ Total Dust
15 mg/m³ Total Dust
10 mg/m³ Total Dust
Sodium (C10 – C16) Alkylbenzene Sulfonate
68081-81-2
10 mg/m³ Total Dust
15 mg/m³ Total Dust
10 mg/m³ Total Dust
Sodium Tripolyphosphate
7758-29-4
10 mg/m³ Total Dust
15 mg/m³ Total Dust
10 mg/m³ Total Dust
Tetrasodium Pyrophosphate
7722-88-5
5 mg/m³
5 mg/m³
5 mg/m³
Sodium Carbonate
497-19-8
10 mg/m³ Total Dust
15 mg/m³ Total Dust
10 mg/m³ Total Dust
Sodium Alcohol Sulfate
151-21-3
10 mg/m³ Total Dust
15 mg/m³ Total Dust
10 mg/m³ Total Dust
Currently, International exposure limits are not established for the components of this product. Please check with competent authority in each country for the most recent limits in place. VENTILATION AND ENGINEERING CONTROLS: Use with adequate ventilation to ensure exposure levels are maintained below the limits provided below. Use local exhaust ventilation to control airborne dust. Ensure eyewash/safety shower stations are available near areas where this product is used. The following information on appropriate Personal Protective Equipment is provided to assist employers in complying with OSHA regulations found in 29 CFR Subpart I (beginning at 1910.132) or equivalent standard of Canada, or standards of EU member states (including EN 149 for respiratory PPE, and EN 166 for face/eye protection), and those of Japan. Please reference applicable regulations and standards for relevant details. RESPIRATORY PROTECTION: Based on test data, exposure limits should not be exceeded under normal use conditions when using Alconox Detergent. Maintain airborne contaminant concentrations below guidelines listed above, if applicable. If necessary, use only respiratory protection authorized in the U.S. Federal OSHA Respiratory Protection Standard (29 CFR 1910.134), equivalent U.S. State standards, Canadian CSA Standard Z94.4-93, the European Standard EN149, or EU member states. EYE PROTECTION: Safety glasses. If necessary, refer to U.S. OSHA 29 CFR 1910.133 or appropriate Canadian Standards. HAND PROTECTION: Use chemical resistant gloves to prevent skin contact.. If necessary, refer to U.S. OSHA 29 CFR 1910.138 or appropriate Standards of Canada. BODY PROTECTION: Use body protection appropriate to prevent contact (e.g. lab coat, overalls). If necessary, refer to appropriate Standards of Canada, or appropriate Standards of the EU, Australian Standards, or relevant Japanese Standards.
SECTION 9 - PHYSICAL and CHEMICAL PROPERTIES
SECTION 6 - ACCIDENTAL RELEASE MEASURES SPILL AND LEAK RESPONSE: Personnel should be trained for spill response operations. SPILLS: Contain spill if safe to do so. Prevent entry into drains, sewers, and other waterways. Sweep, shovel or vacuum spilled material and place in an appropriate container for re-use or disposal. Avoid dust generation if possible. Dispose of in accordance with applicable Federal, State, and local procedures (see Section 13, Disposal Considerations).
May 2011
Chemical Name
Rev 1
Solid White granular powder with little or no odor. Not Available Not Applicable Not Applicable. Not Available Not Applicable. Not Applicable. Not Applicable. 9.5 (1% aqueous solution) 0.85 – 1.1 >10% w/w Not Available None Detergent
PHYSICAL STATE: APPEARANCE & ODOR: ODOR THRESHOLD (PPM): VAPOR PRESSURE (mmHg): VAPOR DENSITY (AIR=1): BY WEIGHT: EVAPORATION RATE (nBuAc = 1): BOILING POINT (C°): FREEZING POINT (C°): pH: SPECIFIC GRAVITY 20°C: (WATER =1) SOLUBILITY IN WATER (%) COEFFICIENT OF WATER/OIL DIST.: VOC: CHEMICAL FAMILY:
May 2011
Page 4 of 7
Rev 1
MATERIAL SAFETY DATA SHEET
MATERIAL SAFETY DATA SHEET ALCONOX®
SECTION 10 - STABILITY and REACTIVITY STABILITY: Product is stable DECOMPOSITION PRODUCTS: When heated to decomposition this product produces Oxides of carbon (COx) MATERIALS WITH WHICH SUBSTANCE IS INCOMPATIBLE: Strong acids and strong oxidizing agents. HAZARDOUS POLYMERIZATION: Will not occur. CONDITIONS TO AVOID: Contact with incompatible materials and dust generation.
SECTION 11 - TOXICOLOGICAL INFORMATION TOXICITY DATA: Toxicity data is available for mixture: CAS# 497-19-8 LD50 Oral (Rat) 4090 mg/kg CAS# 497-19-8 LD50 Oral (Mouse) 6600 mg/kg CAS# 497-19-8 LC50 Inhalation 2300 mg/m³ 2H (Rat) CAS# 497-19-8 LC50 Inhalation 1200 mg/m³ 2H (Mouse) CAS# 7758-29-4 LD50 Oral (Rat) 3120 mg/kg CAS# 7758-29-4 LD50 Oral 3100 mg/kg (Mouse) CAS# 7722-88-5 LD50 Oral (Rat) 4000 mg/kg SUSPECTED CANCER AGENT: None of the ingredients are found on the following lists: FEDERAL OSHA Z LIST, NTP, CAL/OSHA, IARC and therefore is not considered to be, nor suspected to be a cancer-causing agent by these agencies. IRRITANCY OF PRODUCT: Contact with this product can be irritating to exposed skin, eyes and respiratory system. SENSITIZATION OF PRODUCT: This product is not considered a sensitizer. REPRODUCTIVE TOXICITY INFORMATION: No information concerning the effects of this product and its components on
the human reproductive system.
SECTION 12 - ECOLOGICAL INFORMATION ALL WORK PRACTICES MUST BE AIMED AT ELIMINATING ENVIRONMENTAL CONTAMINATION. ENVIRONMENTAL STABILITY: No Data available at this time. EFFECT OF MATERIAL ON PLANTS or ANIMALS: No evidence is currently available on this product’s effects on plants or animals.
ALCONOX® This product is not classified by the United Nations Economic Commission for Europe to be dangerous goods.
SECTION 15 - REGULATORY INFORMATION UNITED STATES REGULATIONS SARA REPORTING REQUIREMENTS: This product is not subject to the reporting requirements of Sections 302, 304 and 313 of Title III of the Superfund Amendments and Reauthorization Act., as follows: None TSCA: All components in this product are listed on the US Toxic Substances Control Act (TSCA) inventory of chemicals. SARA 311/312: Acute Health: Yes Chronic Health: No Fire: No Reactivity: No U.S. SARA THRESHOLD PLANNING QUANTITY: There are no specific Threshold Planning Quantities for this product. The default Federal MSDS submission and inventory requirement filing threshold of 10,000 lb (4,540 kg) may apply, per 40 CFR 370.20. U.S. CERCLA REPORTABLE QUANTITY (RQ): None CALIFORNIA SAFE DRINKING WATER AND TOXIC ENFORCEMENT ACT (PROPOSITION 65): None of the ingredients are on the California Proposition 65 lists. CANADIAN REGULATIONS: CANADIAN DSL/NDSL INVENTORY STATUS: All of the components of this product are on the DSL Inventory CANADIAN ENVIRONMENTAL PROTECTION ACT (CEPA) PRIORITIES SUBSTANCES LISTS: No component of this product is on the CEPA First Priorities Substance Lists. CANADIAN WHMIS CLASSIFICATION and SYMBOLS: This product is categorized as a Controlled Product, Hazard Class D2B as per the Controlled Product Regulations
EUROPEAN ECONOMIC COMMUNITY INFORMATION: EU LABELING AND CLASSIFICATION: Classification of the mixture according to Regulation (EC) No1272/2008. See section 2 for details. AUSTRALIAN INFORMATION FOR PRODUCT: AUSTRALIAN INVENTORY OF CHEMICAL SUBSTANCES (AICS) STATUS: All components of this product are listed on the AICS. STANDARD FOR THE UNIFORM SCHEDULING OF DRUGS AND POISONS: Not applicable.
EFFECT OF CHEMICAL ON AQUATIC LIFE: No evidence is currently available on this product’s effects on aquatic life.
SECTION 13 - DISPOSAL CONSIDERATIONS PREPARING WASTES FOR DISPOSAL: Waste disposal must be in accordance with appropriate Federal, State, and local regulations, those of Canada, Australia, EU Member States and Japan.
SECTION 14 - TRANSPORTATION INFORMATION US DOT; IATA; IMO; ADR: THIS PRODUCT IS NOT HAZARDOUS AS DEFINED BY 49 CFR 172.101 BY THE U.S. DEPARTMENT OF TRANSPORTATION. PROPER SHIPPING NAME: Non-Regulated Material HAZARD CLASS NUMBER and DESCRIPTION: Not Applicable UN IDENTIFICATION NUMBER: Not Applicable PACKING GROUP: Not Applicable. DOT LABEL(S) REQUIRED: Not Applicable
NORTH AMERICAN EMERGENCY RESPONSE GUIDEBOOK NUMBER (2004): Not Applicable MARINE POLLUTANT: None of the ingredients are classified by the DOT as a Marine Pollutant (as defined by 49 CFR 172.101, Appendix B) U.S. DEPARTMENT OF TRANSPORTATION (DOT) SHIPPING REGULATIONS: This product is not classified as dangerous goods, per U.S. DOT regulations, under 49 CFR 172.101. TRANSPORT CANADA, TRANSPORTATION OF DANGEROUS GOODS REGULATIONS: This product is not classified as Dangerous Goods, per regulations of Transport Canada. INTERNATIONAL AIR TRANSPORT ASSOCIATION (IATA): This product is not classified as Dangerous Goods, by rules of IATA: INTERNATIONAL MARITIME ORGANIZATION (IMO) DESIGNATION: This product is not classified as Dangerous Goods by the International Maritime Organization. EUROPEAN AGREEMENT CONCERNING THE INTERNATIONAL CARRIAGE OF DANGEROUS GOODS BY ROAD (ADR): May 2011 Page 5 of 7 Rev 1
JAPANESE INFORMATION FOR PRODUCT: JAPANESE MINISTER OF INTERNATIONAL TRADE AND INDUSTRY (MITI) STATUS: The components of this product are not listed as Class I Specified Chemical Substances, Class II Specified Chemical Substances, or Designated Chemical Substances by the Japanese MITI. INTERNATIONAL CHEMICAL INVENTORIES: Listing of the components on individual country Chemical Inventories is as follows: Asia-Pac: Australian Inventory of Chemical Substances (AICS): Korean Existing Chemicals List (ECL): Japanese Existing National Inventory of Chemical Substances (ENCS): Philippines Inventory if Chemicals and Chemical Substances (PICCS): Swiss Giftliste List of Toxic Substances: U.S. TSCA:
Listed Listed Listed Listed Listed Listed Listed
SECTION 16 - OTHER INFORMATION
PREPARED BY: Paul Eigbrett
May 2011
Global Safety Management, 10006 Cross Creek Blvd. Suite 440, Tampa, FL 33647
Page 6 of 7
Rev 1
MATERIAL SAFETY DATA SHEET ALCONOX® Disclaimer: To the best of Alconox, Inc. knowledge, the information contained herein is reliable and accurate as of this date; however, accuracy, suitability or completeness is not guaranteed and no warranties of any type either express or implied are provided. The information contained herein relates only to this specific product.
ANNEX: IDENTIFIED USES OF ALCONOX® AND DIRECTIONS FOR USE Used to clean: Healthcare instruments, laboratory ware, vacuum equipment, tissue culture ware, personal protective equipment, sampling apparatus, catheters, tubing, pipes, radioactive contaminated articles, optical parts, electronic components, pharmaceutical apparatus, cosmetics manufacturing equipment, metal castings, forgings and stampings, industrial parts, tanks and reactors. Authorized by USDA for use in federally inspected meat and poultry plants. Passes inhibitory residue test for water analysis. FDA certified. Used to remove: Soil, grit, grime, buffing compound, slime, grease, oils, blood, tissue, salts, deposits, particulates, solvents, chemicals, radioisotopes, radioactive contaminations, silicon oils, mold release agents. Surfaces cleaned: Corrosion inhibited formulation recommended for glass, metal, stainless steel, porcelain, ceramic, plastic, rubber and fiberglass. Can be used on soft metals such as copper, aluminum, zinc and magnesium if rinsed promptly. Corrosion testing may be advisable. Cleaning method: Soak, brush, sponge, cloth, ultrasonic, flow through clean-inplace. Will foam—not for spray or machine use. Directions: Make a fresh 1% solution (2 1/2 Tbsp. per gal., 1 1/4 oz. per gal. or 10 grams per liter) in cold, warm, or hot water. If available use warm water. Use cold water for blood stains. For difficult soils, raise water temperature and use more detergent. Clean by soak, circulate, wipe, or ultrasonic method. Not for spray machines, will foam. For nonabrasive scouring, make paste. Use 2% solution to soak frozen stopcocks. To remove silver tarnish, soak in 1% solution in aluminum container. RINSE THOROUGHLY—preferably with running water. For critical cleaning, do final or all rinsing in distilled, deionized, or purified water. For food contact surfaces, rinse with potable water. Used on a wide range of glass, ceramic, plastic, and metal surfaces. Corrosion testing may be advisable.
May 2011
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Rev 1
0 2
0
He a lt h
2
Fire
0
Re a c t iv it y
0
P e rs o n a l P ro t e c t io n
E
Material Safety Data Sheet
Serious Skin Contact: Not available. Inhalation: If inhaled, remove to fresh air. If not breathing, give artificial respiration. If breathing is difficult, give oxygen. Get medical attention. Serious Inhalation: Not available. Ingestion: Do NOT induce vomiting unless directed to do so by medical personnel. Never give anything by mouth to an unconscious person. If large quantities of this material are swallowed, call a physician immediately. Loosen tight clothing such as a collar, tie, belt or waistband.
Bentonite MSDS
Serious Ingestion: Not available.
Section 1: Chemical Product and Company Identification Product Name: Bentonite
Skin Contact: Wash with soap and water. Cover the irritated skin with an emollient. Get medical attention if irritation develops.
Contact Information:
Section 5: Fire and Explosion Data
Sciencelab.com, Inc. 14025 Smith Rd. Houston, Texas 77396
Catalog Codes: SLB1441, SLB2935, SLB4435 CAS#: 1302-78-9 RTECS: CT9450000 TSCA: TSCA 8(b) inventory: Bentonite CI#: Not applicable.
Flammability of the Product: Non-flammable.
US Sales: 1-800-901-7247 International Sales: 1-281-441-4400
Auto-Ignition Temperature: Not applicable.
Order Online: ScienceLab.com
Flammable Limits: Not applicable.
Synonym: Montmorillonite;
CHEMTREC (24HR Emergency Telephone), call: 1-800-424-9300
Chemical Name: Not available.
International CHEMTREC, call: 1-703-527-3887
Chemical Formula: (Al,Fe1.67Mg.33)Si10(OH)2Na(+)Ca(++)/2.33
For non-emergency assistance, call: 1-281-441-4400
Flash Points: Not applicable. Products of Combustion: Not available. Fire Hazards in Presence of Various Substances: Not applicable. Explosion Hazards in Presence of Various Substances: Risks of explosion of the product in presence of mechanical impact: Not available. Risks of explosion of the product in presence of static discharge: Not available. Fire Fighting Media and Instructions: Not applicable.
Section 2: Composition and Information on Ingredients
Special Remarks on Fire Hazards: Not available. Special Remarks on Explosion Hazards: Not available.
Composition: Name
CAS #
% by Weight
Bentonite
1302-78-9
100
Section 6: Accidental Release Measures Small Spill: Use appropriate tools to put the spilled solid in a convenient waste disposal container. Finish cleaning by spreading water on the contaminated surface and dispose of according to local and regional authority requirements.
Toxicological Data on Ingredients: Bentonite LD50: Not available. LC50: Not available.
Large Spill: Use a shovel to put the material into a convenient waste disposal container. Finish cleaning by spreading water on the contaminated surface and allow to evacuate through the sanitary system. Be careful that the product is not present at a concentration level above TLV. Check TLV on the MSDS and with local authorities.
Section 3: Hazards Identification Potential Acute Health Effects: Hazardous in case of eye contact (irritant), of inhalation. Slightly hazardous in case of skin contact (irritant), of ingestion. Potential Chronic Health Effects: Hazardous in case of inhalation. CARCINOGENIC EFFECTS: Not available. MUTAGENIC EFFECTS: Not available. TERATOGENIC EFFECTS: Not available. DEVELOPMENTAL TOXICITY: Not available. The substance is toxic to lungs. Repeated or prolonged exposure to the substance can produce target organs damage.
Section 7: Handling and Storage Precautions: Do not breathe dust. Avoid contact with eyes. Wear suitable protective clothing. In case of insufficient ventilation, wear suitable respiratory equipment. If you feel unwell, seek medical attention and show the label when possible.
Section 4: First Aid Measures
Storage: Keep container tightly closed. Keep container in a cool, well-ventilated area.
Eye Contact: Check for and remove any contact lenses. In case of contact, immediately flush eyes with plenty of water for at least 15 minutes. Cold water may be used. WARM water MUST be used. Get medical attention.
Section 8: Exposure Controls/Personal Protection p. 1
p. 2
Corrosivity: Not available.
Engineering Controls: Use process enclosures, local exhaust ventilation, or other engineering controls to keep airborne levels below recommended exposure limits. If user operations generate dust, fume or mist, use ventilation to keep exposure to airborne contaminants below the exposure limit.
Special Remarks on Reactivity: Not available. Special Remarks on Corrosivity: Not available. Polymerization: Will not occur.
Personal Protection: Splash goggles. Lab coat. Dust respirator. Be sure to use an approved/certified respirator or equivalent. Gloves. Personal Protection in Case of a Large Spill: Splash goggles. Full suit. Dust respirator. Boots. Gloves. A self contained breathing apparatus should be used to avoid inhalation of the product. Suggested protective clothing might not be sufficient; consult a specialist BEFORE handling this product.
Section 11: Toxicological Information Routes of Entry: Eye contact. Inhalation. Toxicity to Animals: LD50: Not available. LC50: Not available.
Exposure Limits: TWA: 10 from ACGIH (TLV) [United States] Consult local authorities for acceptable exposure limits.
Chronic Effects on Humans: Causes damage to the following organs: lungs. Other Toxic Effects on Humans: Hazardous in case of inhalation. Slightly hazardous in case of skin contact (irritant), of ingestion.
Section 9: Physical and Chemical Properties
Special Remarks on Toxicity to Animals: Not available.
Physical state and appearance: Solid.
Special Remarks on Chronic Effects on Humans: Not available.
Odor: Odorless.
Special Remarks on other Toxic Effects on Humans: Not available.
Taste: Not available. Molecular Weight: Not available.
Section 12: Ecological Information
Color: Beige. (Light.) pH (1% soln/water): Not available.
Ecotoxicity: Not available.
Boiling Point: Not available.
BOD5 and COD: Not available.
Melting Point: Decomposes. Critical Temperature: Not available.
Products of Biodegradation: Possibly hazardous short term degradation products are not likely. However, long term degradation products may arise.
Specific Gravity: 2.5 (Water = 1)
Toxicity of the Products of Biodegradation: The products of degradation are as toxic as the original product. Special Remarks on the Products of Biodegradation: Not available.
Vapor Pressure: Not applicable. Vapor Density: Not available.
Section 13: Disposal Considerations
Volatility: Not available. Odor Threshold: Not available.
Waste Disposal:
Water/Oil Dist. Coeff.: Not available. Ionicity (in Water): Not available.
Section 14: Transport Information
Dispersion Properties: Not available.
DOT Classification: Not a DOT controlled material (United States).
Solubility: Very slightly soluble in cold water, hot water. Insoluble in methanol, diethyl ether, n-octanol, acetone.
Identification: Not applicable. Special Provisions for Transport: Not applicable.
Section 10: Stability and Reactivity Data Section 15: Other Regulatory Information
Stability: The product is stable. Instability Temperature: Not available.
Federal and State Regulations: TSCA 8(b) inventory: Bentonite
Conditions of Instability: Not available.
Other Regulations: OSHA: Hazardous by definition of Hazard Communication Standard (29 CFR 1910.1200).
Incompatibility with various substances: Not available.
Other Classifications: p. 3
p. 4
WHMIS (Canada): CLASS D-2A: Material causing other toxic effects (VERY TOXIC). DSCL (EEC): R36- Irritating to eyes. HMIS (U.S.A.): Health Hazard: 2 Fire Hazard: 0 Reactivity: 0 Personal Protection: E National Fire Protection Association (U.S.A.): Health: 2 Flammability: 0 Reactivity: 0 Specific hazard: Protective Equipment: Gloves. Lab coat. Dust respirator. Be sure to use an approved/certified respirator or equivalent. Wear appropriate respirator when ventilation is inadequate. Splash goggles.
Section 16: Other Information References: Not available. Other Special Considerations: Not available. Created: 10/10/2005 08:14 PM Last Updated: 11/01/2010 12:00 PM The information above is believed to be accurate and represents the best information currently available to us. However, we make no warranty of merchantability or any other warranty, express or implied, with respect to such information, and we assume no liability resulting from its use. Users should make their own investigations to determine the suitability of the information for their particular purposes. In no event shall ScienceLab.com be liable for any claims, losses, or damages of any third party or for lost profits or any special, indirect, incidental, consequential or exemplary damages, howsoever arising, even if ScienceLab.com has been advised of the possibility of such damages.
p. 5
Section 1 - IDENTIFICATION Supplier/Manufacturer
Emergency Contact Information
CEMEX, Inc. CEMEX California Cement LLC Victorville Cement Plant 16888 North "E" Street Victorville, California 92394-2999
(619) 381-7600
Chemical name and synonyms
Product name
Portland Cement (CAS #65997-15-1)
"CEMEX Type I/II" "CEMEX Type III" “CEMEX Type II/V” "CEMEX Type V" "CEMEX Block" "CEMEX Class G"
MATERIAL SAFETY DATA SHEET (MSDS) FOR PORTLAND CEMENT (Complies with OSHA and MSHA Hazard Communication Standards, 29 CFR 1910.1200and 30 CFR Part 47)
Chemical family
Formula
Calcium salts.
3CaO.SiO2 2CaO.SiO2 3CaO.Al2O2 4CaO..Al2O3Fe2O3 CaSO2.2H2O
Other salts:
(CAS #12168-85-3) (CAS #10034-77-2) (CAS #12042-78-3) (CAS #12068-35-8) (CAS #13397-24-5)
Small amounts of MgO, and trace amounts of K2SO4 and Na2SO4 may also be present.
Section 2 - COMPONENTS Hazardous Ingredients Portland cement clinker (CAS# 65997-15- 1) - approximately - 93.5-96.0 % by weight ACGIH TLV-TWA (2000) = 10 mg total dust/m3 OSHA PEL (8-hour TWA) = 50 million particles/ft3 Gypsum (CAS# 7778-18-9) - approximately - 4.0-6.5 % by weight ACGIH TLV-TWA (2000) = 10 mg total dust/m3 OSHA PEL (8-hour TWA) = 15 mg total dust/m3 OSHA PEL (8-hour TWA) = 5 mg respirable dust/m3 Respirable quartz (CAS# 14808-60-7) – greater than 0.1% by weight ACGIH TLV-TWA (2000) = 0.05 mg respirable quartz dust/m3 OSHA PEL (8-hour TWA) = (10 mg respirable dust/m3)/(percent silica + 2)
CEMEX, INC. CEMEX CALIFORNIA CEMENT LLC VICTORVILLE CEMENT PLANT 16888 NORTH "E" STREET VICTORVILLE, CALIFORNIA 92394-2999
Trace Ingredients Trace amounts of naturally occurring chemicals might be detected during chemical analysis. Trace constituents may include up to 0.75% insoluble residue, some of which may be free crystalline silica, calcium oxide (Also known as lime or quick lime), magnesium oxide, potassium sulfate, sodium sulfate, chromium compounds, and nickel compounds.
Section 3 - HAZARD IDENTIFICATION Emergency Overview Portland cement is a light gray powder that poses little immediate hazard. A single short-term exposure to the dry powder is not likely to cause serious harm. However, exposure of sufficient duration to wet portland cement can cause serious, potentially irreversible tissue (skin or eye) destruction in the form of chemical (caustic) burns. The same type of tissue destruction can occur if wet or moist areas of the body are exposed for sufficient duration to dry portland cement.
Eyes Immediately flush eyes thoroughly with water. Continue flushing eye for at least 15 minutes, including under lids, to remove all particles. Call physician immediately. Skin Wash skin with cool water and pH-neutral soap or a mild detergent. Seek medical treatment in all cases of prolonged exposure to wet cement, cement mixtures, liquids from fresh cement products, or prolonged wet skin exposure to dry cement.
Potential Health Effects
Inhalation of Airborne Dust Remove to fresh air. Seek medical help if coughing and other symptoms do not subside.
Relevant Routes of Exposure: Eye contact, skin contact, inhalation, and ingestion.
Ingestion Do not induce vomiting. If conscious, have the victim drink plenty of water and call a physician immediately.
Effects Resulting from Eye Contact: Exposure to airborne dust may cause immediate or delayed irritation or inflammation. Eye contact by large amounts of dry powder or splashes of wet portland cement may cause effects ranging from moderate eye irritation to chemical burns or blindness. Such exposures require immediate first aid (see Section 4) and medical attention to prevent significant damage to the eye.
Section 5 - FIRE AND EXPLOSION DATA
Effects Resulting from Skin Contact: Discomfort or pain cannot be relied upon to alert a person to hazardous skin exposure. Consequently, the only effective means of avoiding skin injury or illness involves minimizing skin contact, particularly with wet cement. Exposed persons may not feel discomfort until hours after the exposure has ended and significant injury has occurred. Dry portland cement contacting wet skin or exposure to moist or wet portland cement may cause more severe skin effects including thickening, cracking or fissuring of the skin. Prolonged exposure can cause severe skin damage in the form of (alkali) chemical burns. Some individuals may exhibit an allergic response upon exposure to portland cement, possibly due to trace elements of chromium. The response may appear in a variety of forms ranging from a mild rash to severe skin ulcers. Persons already sensitized may react to their first contact with the product. Other persons may first experience this effect after years of contact with portland cement products. Effects Resulting from Inhalation: Portland cement may contain trace amounts of free crystalline silica. Prolonged exposure to respirable free silica can aggravate other lung conditions and cause silicosis, a disabling and potentially fatal lung disease. Exposure to portland cement may cause irritation to the moist mucous membranes of the nose, throat, and upper respiratory system. It may also leave unpleasant deposits in the nose. Effects Resulting from Ingestion: Although small quantities of dust are not known to be harmful, ill effects are possible if larger quantities are consumed. Portland cement should not be eaten. Carcinogenic potential: Portland cement is not listed as a carcinogen by NTP, OSHA, or IARC. It may however, contain trace amounts of substances listed as carcinogens by these organizations. Crystalline silica, a potential trace level contaminate in Portland cement, is now classified by IARC as known human carcinogen (Group I). NTP has characterized respirable silica as "reasonably anticipated to be [a] carcinogen". Medical conditions which may be aggravated be, inhalation or dermal exposure: Pre-existing upper respiratory and lung diseases. Unusual (hyper) sensitivity to hexavalent chromium (chromium+6) salts.
Section 4 - FIRST AID
Flash point .....................................None Lower Explosive Limit.......................None Upper Explosive Limit......................None Auto ignition temperature.........Not Combustible Extinguishing media........................Not Combustible Special fire fighting Procedures.........None Hazardous combustion products.....None Unusual fire and explosion hazards...None Section 6 - ACCIDENTAL RELEASE MEASURES Collect dry material using a scoop. Avoid actions that cause dust to become airborne. Avoid inhalation of dust and contact with skin. Wear appropriate personal protective equipment as described in Section 8. Scrape up wet material and place in an appropriate container. Allow the material to "dry" before disposal. Do not attempt to wash portland cement down drains. Dispose of waste material according to local, state and federal regulations. Section 7 - HANDLING AND STORAGE Keep portland cement dry until used. Normal temperatures and pressures do not affect the material. Promptly remove dusty clothing or clothing which is wet with cement fluids and launder before reuse. Wash thoroughly after exposure to dust or wet cement mixtures or fluids. Section 8 - EXPOSURE CONTROLS/PERSONAL PROTECTION Skin Protection Prevention is essential to avoiding potentially severe skin injury. Avoid contact with unhardened portland cement. If contact occurs, promptly wash affected area with soap and water. Where prolonged exposure to unhardened portland cement products might occur, wear impervious clothing and gloves to eliminate skin contact. Wear sturdy boots that are impervious to water to eliminate foot and ankle exposure. Do not rely on barrier creams: barrier creams should not be used in place of gloves. Periodically wash areas contacted by dry portland cement or by wet cement or concrete fluids with a pH neutral soap. Wash again at the end of work. If irritation occurs, immediately wash the affected area and seek treatment. If clothing becomes saturated with wet concrete, it should be removed and replaced with clean dry clothing.
Respiratory Protection Avoid actions that cause dust to become airborne. Use local or general exhaust ventilation to control exposures below applicable exposure limits. Use NIOSH/MSHA approved (under 30 CFR 11) or NIOSH approved (under 42 CFR 84) respirators in poorly ventilated areas, if an applicable exposure limit is exceeded, or when dust causes discomfort or irritation. (Advisory: Respirators and filters purchased after June 10, 1998 must be certified under 42 CFR 84.)
Section 14 - TRANSPORTATION DATA Hazardous materials description/proper shipping name Portland is cement is not hazardous under U.S. Department of Transportation (DOT) regulations. Hazard class Not applicable
Ventilation Use local exhaust or general dilution ventilation to control exposure within applicable limits.
Identification number Not applicable.
Eye Protection Where potentially subject to splashes or puffs of cement, wear safety glasses with side shields or goggles. In extremely dusty environments and unpredictable environments wear unvented or indirectly vented goggles to avoid eye irritation or injury. Contact lenses should not be worn when working with portland cement or fresh cement products.
Required label text Not applicable. Hazardous substances/reportable quantities (RQ) Not applicable.
Section 9 - PHYSICAL AND CHEMICAL, PROPERTIES Section 15 - OTHER REGULATORY INFORMATION Appearance.............Gray Powder Physical state...........Solid (powder) Solubility in water...Slightly soluble (0.1 to 1.0%) Vapor density..........Not applicable Melting point...........Not applicable Evaporation rate......Not applicable
Odor.............................No distinct odor pH (in water).................12 to 13 Vapor pressure.............Not applicable Boiling point...................Not applicable (i.e., > 1000 C) Specific gravity (H20 = 1.0).......3.15
Status under USDOL-OSHA Hazard Communication Rule, 29 CFR 1910.1200 Portland cement is considered a "hazardous chemical" under this regulation, and should be part of any hazard communication program. Status under CERCLA/SUPERFUND 40 CFR 117 and 302 Not listed.
Section 10 - STABILITY AND REACTIVITY Stability Stable. Conditions to avoid Unintentional contact with water. Incompatibility Wet Portland cement is alkaline. As such it is incompatible with acids, ammonium salts and phosphorous. Hazardous decomposition Will not spontaneously occur. Adding water produces (caustic) calcium hydroxide Hazardous Polymerization Will not occur.
Hazard Category under SARA(Title III), Sections 311 and 312 Portland cement qualifies as a "hazardous substance" with delayed health effects. Status under SARA (Title III), Section 313 Not subject to reporting requirements under Section 313. Status under TSCA (as of May 1997) Some substances in portland cement are on the TSCA inventory list. Status under the Federal Hazardous Substances Act Portland cement is a "hazardous substance" subject to statutes promulgated under the subject act. Status under California Proposition 65 This product contains up to 0.05 percent of chemicals (trace elements) known to the State of California to cause cancer, birth defects or other reproductive harm. California law requires the manufacturer to give the above warning in the absence of definitive testing to prove that the defined risks do not exist.
Section 11 - TOXICOLOGICAL INFORMATION Section 16 - OTHER INFORMATION For a description of available, more detailed toxicological information contact the supplier or manufacturer. Prepared by Section 12 - ECOLOGICAL INFORMATION Ecotoxicity No recognized unusual toxicity to plants or animals Relevant physical and chemical properties (See Sections 9 and 10.) Section 13 - DISPOSAL
Kevin Keegan Director - Health and Safety CEMEX, Inc. Houston, Texas Approval date or Revision date Approved: August, 1997 Revised: March, 2001
Dispose of waste material according to local, state and federal regulations. (Since portland cement is stable, uncontaminated material may be saved for future use. Dispose of bags in an approved landfill or incinerator.
Other important information
Portland cement should only be used by knowledgeable persons. A key to using the product safely requires the user to recognize that portland cement chemically reacts with water, and that some of the intermediate products of this reaction (that is those present while a portland cement product is "setting") pose a more severe hazard than does dry portland cement itself. While the information provided in this material safety data sheet is believed to provide a useful summary of the hazards of portland cement as it is commonly used, the sheet cannot anticipate and provide the all of the information that might be needed in every situation. Inexperienced product users should obtain proper training before using this product. SELLER MAKES NO WARRANTY, EXPRESSED OR IMPLIED, CONCERNING THE PRODUCT OR THE MERCHANTABILITY OR FITNESS THEREOF FOR ANY PURPOSE OR CONCERNING THE ACCURACY OF ANY INFORMATION PROVIDED BY CEMEX, Inc. except that the product shall conform to contracted specifications. The information provided herein was believed by CEMEX, Inc. to be accurate at the time of preparation or prepared from sources believed to be reliable, but it is the responsibility of the user to investigate and understand other pertinent sources of information to comply with all laws and procedures applicable to the safe handling and use of product and to determine the suitability of the product for its intended use. Buyer's exclusive remedy shall be for damages and no claim of any kind, whether as to product delivered or for non-delivery of product, and whether based on contract, breach of warranty, negligence, or otherwise shall be greater in amount than the purchase price of the quantity of product in respect of which damages are claimed. In no event shall Seller be liable for incidental or consequential damages, whether Buyer's claim is based on contract, breach of warranty, negligence or otherwise. In particular, the data furnished in this sheet do not address hazards that may be posed by other materials mixed with portland cement to produce portland cement products. Users should review other relevant material safety data sheets before working with this portland cement or working on portland cement products, for example, portland cement concrete.
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High Sulfur Diesel - Yabucoa
Shell Chemicals
MSDS# 7086 Version 1 Effective Date 03/29/2007 According to OSHA Hazard Communication Standard, 29 CFR 1910.1200
Material Safety Data Sheet
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Shell Chemicals
Material Safety Data Sheet
Signs and Symptoms 1. MATERIAL AND COMPANY IDENTIFICATION Material Name Uses Product Code Company
MSDS Request Customer Service
High Sulfur Diesel- Yabucoa Diesel Fuel. 9847A Shell Chemical LP PO Box 2463 HOUSTON TX 77252-2463 USA 1-800-240-6737 1-866-897-4355
Aggravated Medical Condition
Emergency Telephone Number Chemtrec Domestic 1-800-424-9300 (24 hr) Chemtrec 1-703-527-3887 International (24 hr)
Inhalation
2. COMPOSITION/INFORMATION ON INGREDIENTS CAS No. 68814-87-9
Concentration 100.00%
Eye Contact Ingestion
Contains Sulphur, CAS # 7704-34-9. 3. HAZARDS IDENTIFICATION
Appearance and Odour Health Hazards Safety Hazards
Environmental Hazards
Health Hazards Inhalation Skin Contact Eye Contact Ingestion Other Information
Advice to Physician Emergency Overview Amber or as dyed. Liquid. Strong hydrocarbon. Harmful: may cause lung damage if swallowed. Vapours may cause drowsiness and dizziness. Causes severe skin irritation. Combustible liquid and vapour. Vapours are heavier than air. Vapours may travel across the ground and reach remote ignition sources causing a flashback fire danger. May form flammable/explosive vapour-air mixture. Electrostatic charges may be generated during pumping. Electrostatic discharge may cause fire. Toxic to aquatic organisms, may cause long-term adverse effects in the aquatic environment.
Slightly irritating to respiratory system. Vapours may cause drowsiness and dizziness. Causes severe skin irritation. Moderately irritating to eyes. Harmful: may cause lung damage if swallowed.
Diesel exhaust from engines has been associated with cancer. Skin irritation signs and symptoms may indude a burning sensation, redness, swelling, and/or blisters. Breathing of high vapour concentrations may cause central nervous system (CNS) depression resulting in dizziness, light-headedness, headache, nausea and loss of coordination. Continued inhalation may result in unconsciousness and death. If material enters lungs, signs and symptoms may include coughing, choking, wheezing, difficulty in breathing, chest congestion, shortness of breath, and/or fever. The onset of respiratory symptoms may be delayed for several hours after exposure. Pre-existing medical conditions of the following organ(s) or organ system(s) may be aggravated by exposure to this material: Skin.
Remove to fresh air. If rapid recovery does not occur, transport to nearest medical facility for additional treatment. Remove contaminated dothing. Immediately flush skin with large amounts of water for at least 15 minutes, and follow by washing with soap and water if available. If redness, swelling, pain and/or blisters occur, transport to the nearest medical facility for additional treatment. Flush eye with copious quantities of water. If persistent irritation occurs, obtain medical attention. If swallowed, do not induce vomiting: transport to nearest medical facility for additional treatment. If vomiting occurs spontaneously, keep head below hips to prevent aspiration. Potential for chemical pneumonitis. Consider: gastric lavage with protected airway, administration of activated charcoal. Call a doctor or poison control center for guidance.
5. FIRE FIGHTING MEASURES Clear fire area of all non-emergency personnel. Flash point Specific Hazards
Extinguishing Media Unsuitable Extinguishing Media Protective Equipment for Firefighters Additional Advice
52 •c /126 •F (Pensky-Martens Closed Cup) Carbon monoxide may be evolved if incomplete combustion occurs. Will float and can be reignited on surface water. The vapour is heavier than air, spreads along the ground and distant ignition is possible. Foam, water spray or fog. Dry chemical powder, carbon dioxide, sand or earth may be used for small fires only. Do not use water in a jet Wear full protective clothing and self-contained breathing apparatus. Keep adjacent containers cool by spraying with water.
219
1/9 Print Date 05/02/2007
MSDS#7086 Version 1. Effective Date 03/29/2007 According to OSHA Hazard Communication Standard, 29 CFR 1910.1200
4. FIRST AID MEASURES
Skin Contact
Chemical Name Distillates (Petroleum), FullRange Straight-Run Middle
High Sulfur Diesel - Yabucoa
MSDS_US
Print Date 05/02/2007
MSDS_US
®
High Sulfur Diesel - Yabucoa
Shell Chemicals
MSDS#7086 Version 1. Effective Date 03129/2007 According to OSHA Hazard Communication Standard, 29 CFR 1910.1200
Material Safety Data Sheet
8
High Sulfur Diesel - Yabucoa
Shell Chemicals
during pumping. Electrostatic discharge may cause fire. Ensure electrical continuity by bonding and grounding (earthing) all equipment. Restrict line velocity during pumping in order to avoid generation of electrostatic discharge(65 oc (149 oF)). Where hand contact with the product may occur the use of gloves approved to relevant standards (e.g. Europe: EN374, US: F739, AS/NZS:2161) made from the following materials may provide suitable chemical protection: Longer term protection - Viton. Incidental contact/Splash protection - Nitrile rubber. Suitability and durability of a glove is dependent on usage, e.g. frequency and duration of contact, chemical resistance of glove material, glove thickness, dexterity. Always seek advice from glove suppliers. Contaminated gloves should be replaced. Personal hygiene is a key element of effective hand care. Gloves must only be worn on clean hands. After using gloves, hands should be washed and dried thoroughly. Application of a non-perfumed moisturizer is recommended. Chemical splash goggles (chemical monogoggles). Where risk of splashing or in spillage clean up, use chemical resistant one-piece overall with integral hood and chemical resistant gloves. Otherwise use chemical resistant apron and gauntlets. Monitoring of the concentration of substances in the breathing zone of workers or in the general workplace may be required to confirm compliance with an OEL and adequacy of exposure controls. For some substances biological monitoring may also be appropriate. Examples of sources of recommended air monitoring methods are given below or contact supplier. Further national methods may be available. National Institute of Occupational Safety and Health (NIOSH), USA: Manual of analytical Methods http://www.cdc.gov/niosh/nmam/nmammenu.html Occupational Safety and Health Administration (OSHA), USA: Sampling and Analytical Methods http://www.oshaslc.gov/dts/sltc/methods/toc. html
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Material Safety Data Sheet
9. PHYSICAL AND CHEMICAL PROPERTIES Appearance Odour Boiling point Flash point Specific gravity Water solubility Vapour density (air-1) Stability Viscosity
Amber or as dyed. Liquid. Strong hydrocarbon 232.2 oc t4so.o ·F 52 •c /126 oF (Pensky-Martens Closed Cup) 0.8762 0.05 g/1 Negligible. >1 Stable. 32.0-45 sus
10. STABILITY AND REACTIVITY Stability Conditions to A void Materials to A void Hazardous Decomposition Products
Stable under normal conditions of use. Heat, flames, and sparks. Strong oxidising agents. Thermal decomposition is highly dependent on conditions. A complex mixture of airborne solids, liquids and gases, including carbon monoxide, carbon dioxide and other organic compounds will be evolved when this material undergoes combustion or thermal or oxidative degradation.
11. TOXICOLOGICAL INFORMATION Basis for Assessment Acute Oral Toxicity
Acute Dermal Toxicity Acute Inhalation Toxicity
Skin Irritation Eye Irritation Respiratory Irritation Sensitisation Mutagenicity Carcinogenicity
Maieiiai··· m··mm·· · · · · · · · · · · :·:
Information given is based on product testing. Low toxicity: LD50 >2000 mg/kg , Rat Aspiration into the lungs when swallowed or vomited may cause chemical pneumonitis which can be fatal. Low toxicity: LD50 >2000 mg/kg , Rabbit High concentrations may cause central nervous system depression resulting in headaches, dizziness and nausea; continued inhalation may result in unconsciousness and/or death. Causes severe skin irritation. Moderately irritating to eyes (but insufficient to classify}. Inhalation of vapours or mists may cause irritation to the respiratory system. Not a skin sensitiser. Not considered a mutagenic hazard. Limited evidence of carcinogenic effect. (Diesel Fuel) Repeated skin contact may result in irritation and skin cancer. Causes cancer in laboratory animals. (Diesel Engine Exhaust) ·cardno9enici!il51asslficaiio.:.:n~····
__________
'pi~!)el(:ngineExhaust ~~.- .NTf>:J\n·ti~ipa!edcarcinggel). · IARC 2A: Probable carcinogen. · Diesei.Engine Exhaust pi~s.e1Fl!~I.Marif1~ ..• .1f\.RC2B: Pe>ssi~lecarcinog~f1:............. .. . . ....... 'Petroleum Products, Diesel ' · ACGIH Group.A3·:· Confirmed animal carcinogen with unknown Oil · relevance to humans. P~ir.OI~~rjl products. Diesel 1;\B¢ ~: :¢1as~ifl~ti966C>ff!C>~~i~f~ lfC>ITl ~urf"~nt cj 1 drum), transfer by mechanical means such as vacuum truck to a salvage tank for recovery or safe
Handling
Storage
Avoid breathing of or contact with material. Only use in well ventilated areas. Wash thoroughly after handling. For guidance on selection of personal protective equipment see Chapter 8 of this Material Safety Data Sheet. Use the information in this data sheet as input to a risk assessment of local circumstances to help determine appropriate controls for safe handling, storage and disposal of this material. Avoid inhaling vapour and/or mists. Avoid contact with skin, eyes, and clothing. Extinguish any naked flames. Do Not smoke. Remove ignition sources. Avoid sparks. Electrostatic charges may be generated during pumping. Electrostatic discharge may cause fire. Ensure electrical continuity by bonding and grounding (earthing) all equipment. Restrict line velocity during pumping in order to avoid generation of electrostatic discharge(
