Metcalf Eddy - Welcome to NewMexico.gov

November 15, 1993

Ms. Barbara Driscoll U.S. EPA, Region 6 (6H-PN) 1445 Ross Avenue, Suite 1200 Dallas, Texas 75202-2733

Metcalf & Eddy

Re: TES X Work Assigment R06031- Los Alamos National Laboratory Health and Safety Plan for OU1148, TA-54, MDA L

Dear Ms. Driscoll:

Please find enclosed one copy of the Health and Safety Plan (HSP) for the above referenced area at Los Alamos National Laboratory. The HSP, based on site-specific information provided to the TES X Contractor, presents the measures to be taken to ensure the protection of Metcalf & Eddy personnel or our subcontractor. The HSP addresses all applicable regulatory requirements.

If you have any questions regarding this submittal, please feel free to contact me at your earliest convenience.

Sincerely,

METCALF & EDDY, INC.

Pamela D. Jones Contractor Project Manager

Enclosure

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xc: RPMO File

\R31covl.ltr

5600 Northwest Central Drive, Suite 1 02 Houston. TX 77092 TEL: (713) 690-2585 FAX: (713) 690-4868

11111111111111111111111111111111111 11308

Environmental Protection Agency Technical Enforcement Support

at Hazardous Waste Sites

TES X

Contract No. 68-29-0007 Work Assignment No. R06031

Site Health & Safety Plan

for

Oversight Sampling Program

at

Los Alamos National Laboratory OU 1148, TA-54, MDA L Los Alamos, New Mexico

Phase I RFI Oversight (Revision 00)

U.S.EPA Region 6

Metcalf & Eddy, Inc. Project No. 163031.0001

Work Performed by:

Metcalf & Eddy, Inc. 5600 Northwest Central Drive, Suite 1 02

Houston, Texas 77092

November 1 2, 1993

TABLE OF CONTENTs-,--

Page

Glossary . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ii

A. Introduction and Site Pre-Entry Requirements . . . . . . . . . . . . . . . . . . . . . . . . . 1

B. General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

C. Hazardous Material/Waste Characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

D. Hazard Evaluation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

E. Site Safety Work Plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

F. Emergency Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

G. Plan Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

H. Employee Certification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

I. Health & Safety Log Book . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

J. Health & Safety Field Activity Record . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

LIST OF TABLES

Table 1 -Chemical Contaminants of Concern . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

Table 2- Daily Calibration Record . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

Table 3 - Daily Record of Hazardous Waste Field Activity . . . . . . . . . . . . . . . . . . . . . 23

LIST OF FIGURES

Figure 1 - Map of Site . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

Figure 2 - Directions to Site and Hospital . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

LIST OF APPENDICES

Appendix A - Material Safety Data Sheets

Appendix B - Hazardous Materials Exposure Report

Appendix C - Site Safety Plan Amendments

Appendix D - Cold Stress

Appendix E - Heat Stress

Appendix F - Confined Space Entry Procedures

Appendix G - Emergency Response Equipment Map

ANSI

APR

ACGIH

CFR

CGI

Clean Zone

CSEP

Decon

ERCS

ERT

FlO

HNu

"HOT" Zone -

IDLH

LANL

MREM/Hr

NIOSH

osc OSHA

OVA

PEL

PID

PPE

PPM

REM

RM

SCBA

SOP

SPCC

TLV

TWA

U.S. EPA

GLOSSARY

American National Standards Institute

Air Purifying Respirator

American Conference Of Governmental Industrial Hygienists

Code Of Federal Regulations

Combustible Gas Indicator

Support Zone

Confined Space Entry Permit

Decontamination

Emergency Response Clean-up Services

Emergency Response Team

Flame Ionization Detector

PID Survey Meter

Exclusion Zone {where exposure potential exists)

Immediately Dangerous To Life & Health

Los Alamos National Laboratory

Milli-REM Per Hour

National Institute For Occupational Safety & Health

On-scene Coordinator

Occupational Safety And Health Administration

Organic Vapor Analyzer {FlO Survey Meter)

Permissible Exposure Limit {OSHA Reg., Enforceable by law)

Photoionization Detector

Personal Protective Equipment

Parts Per Million

Roentgen Equivalent in Man (radiation dose unit)

Response Manager

Self-contained Breathing Apparatus

Standard Operating Procedure

Spill Prevention Controls & Countermeasures

Threshold Limit Value {ACGIH Recommendation)

Time Weighted Average

United States Environmental Protection Agency

ii

~. ~ A. INTRODUCTION AND PRE-SITE ENTRY REQUIREMENTS

This document, supplemented by the attached LANL Health and Safety Plan, describes the health and safety guidelines developed for Technical Area 54 (TA-54) at Los Alamos National Laboratory (LANL), to protect M&E personnel on-site, visitors, and the public from physical harm and exposure to hazardous materials or wastes. All provisions of the attached LANL Health and Safety Plan are adopted and binding, as applicable. The procedures and guidelines contained herein were based upon the best available information at the time of the plan's preparation. Specific requirements will be revised when new information is received or conditions change. A written amendment will document all changes made to the plan. Any amendments to this plan will be included in Appendix B. Where appropriate, specific OSHA standards or other guidance will be cited and applied.

Daily Safety Meetings

Daily safety meetings of M&E personnel will be held at the start of each shift to ensure that all personnel understand site conditions and operating procedures, to address worker health and safety concerns, and in general to ensure the maximum opportunity for exchange of information and reminders concerning appropriate considerations. A record of all personnel attending the meeting and a summary of what was covered in the meeting will be kept.

Site Safety Plan Acceptance Acknowledgement

The on-site Health & Safety Officer or designated representative shall be responsible for informing all individuals entering the exclusion zone or decontamination zone of the contents of this plan and ensuring that each person signs the Employee Certification Form in Section H. By signing the Employee Certification Form, individuals are recognizing the hazards present on-site and agreeing to abide by the policies and procedures required to minimize exposure or adverse effects of these hazards.

Training Requirements

All personnel (including visitors) entering the exclusion zone or decontamination zone must have completed training requirements for hazardous waste site work in accordance with OSHA 29 CFR 1910.120, or be qualified by previous training or experience. Documentation of training requirements is the responsibility of each employer.

Medical Monitoring Requirements

All personnel (including visitors) entering the exclusion zone or decontamination zone must meet the requirements of medical monitoring requirements under OSHA 29 CFR 191 0.1 20 (f). Documentation of medical monitoring is the responsibility of each employer. If there are additional medical monitoring requirements for this site, evidence of compliance must also be included.

LANL, TA-54, MDA L HSPT A54.031

November 12, 1 993 Revision 00

Respiratory Protective Equipment

All personnel {including visitors) entering the exclusion zone or decontamination zone using a negative pressure respirator must have received training on its use and successfully passed a quantitative or qualitative respirator fit test in accordance with OSHA 29 CFR 1910.134, ANSI Standard Z88.2 (any revision) or an OSHA-accepted protocol within the last 12 months. Documentation of fit testing protocol is required for the use of negative pressure respirators to comply with certain substance-specific OSHA standards, e.g., for asbestos fibers (OSHA 29 CFR 1926.58) or lead (OSHA 29 CFR 1910.1 025).

All personnel (including visitors) entering the exclusion zone or decontamination zone using a positive-pressure respirator must also have received training in its use, and must be in compliance with OSHA 29 CFR 1910.134 and ANSI Standard 288.2-1969 as adopted by OSHA.

LANL, TA-54, MDA L HSPTA54.031 2

November 1 2, 1 993 Revision 00

B. GENERAL INFORMATION

1. Site Name: Los Alamos National Laboratory, TA-54, MDA L & the Expansion Area of MDA G, Volatile Organic Plumen and Soil/Rock Studies

2. Dates of Visit: November 8, 1993 thru Approximately December 3, 1993

3. Objective{s): Taking split samples from soil sampling that will be carried out by LANL

4. Original Safety Plan: Yes [ x] No [ ] Modification No. [ ]

5. Site Location: Near Los Alamos, New Mexico

6. Directions to Site: See attached map (Figure 1)

7. Map Attached:

8. Site Contact:

9. EPA Contact:

Yes [X] No [ ]

Don Krier (Project Leader, T A-54). Office Phone #: (505) 667-3832 Home Phone#:( __ ) ______ _

Bob Gilkeson (Field Team Manager, TA-54) Office Phone #: (505) 662-3700 Home Phone #: (_)

Barbara Driscoll Office Phone #:(214)655-7441 Home Phone #:( __ ) _____ _

10. Site Type: (active, inactive, landfill, industrial, etc.)

The site is designated as a Material Disposal Area {MDA). TA-54, MDA Lis an inactive disposal facility which includes 34 disposal shafts, 3 surface impoundments, and 1 pit.

11. Site Description and Features: {include principal operations, waste disposal methods, physical surroundings, and unusual features)

TA-54 is located entirely on the mesa top. The area is relatively flat with access roads already cut. Minimal utilities and structures exist in the area in which work will be performed. Work will be within the fenced areas of MDA L and the expanded boundary of MDA G.

12. Site History: {also include complaints from public, previous agency actions, known exposures or injuries, etc.)

The Los Alamos National Laboratory was established during World War II as part of a crash program to develop a nuclear weapon. In subsequent decades, LANL continuously carried out research and development missions related to nuclear weapons and also to a wide variety of nuclear and related applications.

MDA L was the primary chemical waste disposal facility at LANL between 1964 and 1985. Monitoring of the organic vapor plume emanating from the disposal facilities

LANL, T A-54, MDA L HSPT A54.03 1 3


Ir Cfl)> ""tlZ -ir )>' c.n-i ~)>

o&. w~ ..... -

~

s: 0 )>

r

z 0 < Cll

3 C'"

::D~ Cll < ..... §: !V 0 ..... ::J ({) O<D ow

• Vadose zone monitoring well

--· • --·· Approximate canyon axis

W# ffi] Approxlmalallmlls of MDAs G and l

1\\ \\, Undeveloped land conlrollod as part ol MDA G

Location of Material Disposal Area L.

Approximate scale

0 500 1000 1500 2000h

''"'"'''"''''' cART~ 11f A. Kroo &'25193

:!! G) c ::0 m _.

13.

1.

2.

began in 1985. The vapor plume consists of chlorinated organic solvents with small amounts of aromatic organic compounds. Additional vapor plume studies are being done to further characterize the plume. There is no evidence in historiacal records that radiological contamination is present. In addition to investigating the vapor plume, the present drilling program will look for evidence of subsurface migration of other chemicals that were buried at MDA L.

Radioactive items have occasionally been handled at MDA L; however, there is little likelihood that radioactively contaminated soils or materials will be encountered during surface activities or during drilling because there is no record of dispsal of radioactive wastes at the site. There has been above ground radioactive storage.

Surrounding Population: [ ] [X]

Urban Industrial

[XJ [X]

Residential [ ] Other Rural

C. HAZARDOUS MATERIALS/WASTE CHARACTERISTICS

Waste Types: [X] Solid (soil) [ ] Liquid ] Unknown [ ] Gas [ ] Sludge ] Other

Waste Characteristics: ] Corrosive ] Flammable [X] Toxic ] Radioactive [X ] Volatile [ ] Reactive ] Unknown [ ] Other

3. Hazardous Material Summary: (list hazardous materials/waste and estimate amounts)

The following chemical contaminants are known to be present in the subsurface plume from pore gas monitor well samples colllected first through third quarter of 1992:

Contaminant

Ethyl benzene

Toluene

Chlorobenzene

Tetrachloroethylene

Mixed Xylenes

Carbon Tetrachloride

Chloroform

Benzene

1,1, 1-Trichloroethane

Trichloroethylene

Trimethylbenzene


Maximum Detected Level (mg/m 3

)

76

340

43

440

160

200

390

44

4,500

1,100

66

November 1 2, 1993 Revision 00

1.

2.

3.

D. HAZARD EVALUATION

Physical Hazards: [XJ Heat Stress [XJ Cold Stress (See (See Appendix E) Appendix 0)

[X] Noise [XJ Underground Utilities

[X] Overhead Utilities [XJ Heavy Equipment

[ ] Ladders [XJ Sharp Objects

[ ] Pressurized Air lines [ ] Gas Cylinders

[ ] Scaffolds [ ] Explosion/Fire

[ ] Unsecured Openings/ [XJ Biological Walls/Floors

[X] Insects & Snakes [ ] Liquids in Open Containers, Ponds

[X] Slip, Trip, Fall or Lagoons

[X] Radiation

[ ] Other

Exposure Hazards: H = High M Moderate L Low u = Unknown N/A Not Applicable

Inhalation M Skin Contact L Ingestion L Radiological L

Explanation: While there is an element of the unknown in the exposure potentials on site, the fact that oversight activities will not place M&E personnel at the point of intrusive sampling activities and the radiation monitoring to be carried out in this work indicate that the potential for significant increase over background exposure levels is minimal.

See Table 1: Contaminant Exposure Hazard Summary

Overall Hazard: [ ]

[XJ High Low

[ ] [ ]

Medium Unknown

Explanation: Because of limited contact and distance from aerosol-generating activity, likelihood of overexposure appears low.

LANL, T A-54, MDA L HSPT A54.031 6


I

I

'

Contaminant

1,1,1 trichloroethane

trichlorootheno

carbon tetrachloride

chloroform

tetrachloroethane

toluono

LANL, TA-54 HSPTA54.031

~----- ------ ------

Exposure limit (8-hour TWA)

350 ppm

25 ppm

2 ppm

2 ppm

25 ppm

100 ppm

TABLE 1

CHEMICAL CONTAMINANTS OF CONCERN

- --- - -- -- ---· --- ------

Direct reeding IDLH Symptoms of exposure Route(s) of exposure monitoring instrument

1000 ppm Headache, lassitude, poor Inhalation, ingestion, PID equilibrium, Irritated ayes, contact IP"'11.25oV dermatitis, cardiac arrhythmias RR .. 90%, 11.7

1000 ppm Headache, vertigo, visual Inhalation, ingestion, PID distortion, tremors, nausea, contact IP•9.45 oV irritated oyos, dermatitis, RR .. >89%,11.7 cardiac arrhythmias

Carcinogen Nausea, skin irritation, Inhalation, absorption, PID ~rPM livorlkidnoy damage Ingestion, contact IP= 11.28 oV

RR =90%, 11.7 Detector tubas

Carcinogen Dizziness, mental dullness, Inhalation, ingestion, PID IOOO ppm nausea, disorientation, contact IP=10.25 Ev headache, fatigue, irritated RR = 60%, 11 . 7

oyes and skin, anesthesia Detector tubes

Carcinogen Irritated eyes, nose, and throat, Inhalation, ingestion, PID 500fftr\ nausea, flush taco, vertigo, contact IP=9.32 eV

dizziness, incoherent, RR=>86%, 11.7 headache, liver damage .

2000 ppm Fatigue, confusion, euphoria, Inhalation, ebsorption, PID dizziness, headache, dilated ingestion, contact IP=8.82 aV pupils, dermatitis, insomnia RR .. 100%

7

Additionel Concerns

Flammable

Flammable

Fiemmeble


·i I

TABLE 1 (continued)

CHEMICAL CONTAMINANTS OF CONCERN

Exposure Umit Contaminant lDLH Symptoms of exposure Route(s) of exposure (8-hour TWA)

benzene 1 ppm Carcinogen Irritated oyos, nose, and Inhalation, absorption,

'OOOffM respiratory eystom, ingestion, contact glddinose, haadacha, nauaaa, fatigue, anorexia, dermatitis, bono morrow, depression

vinyl chloride 1 ppm Carcinogen Weak fooling, abdominal lnhalotion (_W\.kn6Wll) pain, gastrointestinal

blooding, pallor or cyanosis of extremities

chlorobonieno 75 ppm 2400 ppm Nose, eyo, skin irritation; Inhalation, ingestion, drowsiness; incoherent; contact

athylbanzene 100ppm 2000 ppm Eyo, mucous membrane Inhalation, ingestion, irritation; headache; contact dermatitis; narcosis; coma

xylene 150 ppm 1000 ppm Dizziness, excitement, Inhalation, absorption, drowsiness, etaggering, Ingestion, contact gait, eye, nose, and throat irritation, corneal vacuolization, anorexia, nausea, vomiting, abdominal pain, dermatitis ..

trimothytbonzono 25 NA NA Inhalation, ingestion, contact

Reference for exposure limits:

NlOSH Pocket Guido to Chemical Hazards, U.S. Department of Health and Human Services, Juno 1990.

PID • Photoionization Detector IP • Ionization potential RR .. Relative rasponee of the PID calibrated to banzano

LANL, TA-54 HSPT A54.031 8

Direct rooding monitoring

Instruments

PID 1P=9.24 aV 122%, 11.7 Detector tubes

PID 1Pc9,99 oV RR=NA 11.7 Detector tubas

PID IP•9.07oV RR=-180%+

PID IP•8.76eV RR=116%

PID IP"'8.56oV RR ... 100%+

PIC IP=-NA RR=NA

Additional Concerns

Aammablo

Flammable

Flammable

Flammable

Flammable

November 12, 1993 Revision 00

4. Background Review: [ ] Complete [XJ Partial

Explanation: Background Review has been carried out by LANL

E. SITE SAFETY WORK PLAN

1. General Safety Requirements: The following general safety procedures shall be followed by all persons entering and/or working on the site:

a. All persons involved in this project shall read and sign this Health & Safety Plan prior to entering or working on the site. The master copy (with signature sheet) of this Safety Plan will be held by the designated on-site Safety Officer. A signature sheet is provided in Section H of this plan.

b. No employee or subcontractor may be allowed on-site without the prior knowledge and consent of the site Health & Safety Officer.

c. There will be no activities conducted on-site without sufficient backup personnel to permit operation of a buddy system. At a minimum, two persons must be present at the site. Visual, voice or radio communication will be maintained at all times.

d. All contractor or subcontractor personnel shall bring to the attention of the site Health & Safety Officer or Site Manager any unsafe condition or practice associated with the site activities.

e. There will be no smoking, eating, chewing gum, drinking or application of cosmetics in the restricted area.

f. Hands, face and all other potentially contaminated areas shall be thoroughly cleaned prior to smoking, eating or other activities outside the restricted area.

g. Team members must avoid unnecessary contamination (i.e., walking through known or suspected "hot" locations or contaminated puddles, kneeling or sitting on contaminated ground, leaning against potentially contaminated containers or equipment).

h. Tight-fitting respirator facepieces may not be worn with beards, long sideburns, or other hair protruding into the seal area, or under other conditions that prevent a proper seal.

i. No contact lenses may be worn within the site "hot zones".

j. All boring, excavation, heavy equipment operation, and general construction activities shall be performed in compliance with 29 CFR 1926.

k. All project personnel who are likely to wear air purifying or air supplied respirators must first meet the training and medical requirements of 29 CFR 1910.120 and 29 CFR 1910.134.

LANL, T A-54, MDA L HSPTA54.031 9


I. Aerial obstructions such as power lines and tree branches will be verified prior to erection of drill rig masts or movement of large equipment. A 20 foot horizontal clearance distance from all aerial obstructions must be maintained.

m. Locations of subsurface utilities and buried bulk wastes shall be verified prior to any drilling or excavation activities.

n. All accidents and/or injuries shall be immediately reported to the site safety officer. If necessary, a first report of injury will be initiated by the site safety officer and provided to the Regional Safety Officer for processing.

o. Daily safety meeting will be held at the start of each site operation to discuss current site conditions, field tasks being performed, plan modifications and work concerns.

2. Field Activities Covered Under This Plan:

Activity Location of Technique Activity to be Used

Personal Protection Level Schedule

1. Subsurface soil Mesa Top sampling

Receive split D/C samples

November 1993

3. Site Personnel:

Name Role/Res~onsibility

1. Pamela Jones Contractor Project Mgr. M&E SSO

2. Andrew Ellison Oversight Alternate M&E SSO

3. Becky Baker Oversight Alternate M&E SSO

4. Cindy Wurm Oversight Alternate M&E SSO

Site Personnel Responsibilities

Meets OSHA Requirements

Medical/Training

y/y

y/y

y/y

y/y

First Aid/ CPR/Trained

F.A/CPR

It is the policy of Metcalf & Eddy that all activities will be performed in a manner that is fully protective of employee and public health, and will conform to all applicable health and safety regulations. M&E personnel that have a direct responsibility for health and safety concerns at the site are listed below with their detailed responsibilities

M&E Corporate Health and Safety Officer (H&SO)

The M&E Corporate H&SO is responsible for the coordination and continuing review of the M&E Health and Safety Program.

LANL, TA-54, MDA L HSPT A54.031 10


Regional Coordinator

Reviews field operational requirements and site hazards for preparation of site specific safety plans. Provides health and safety guidance for the project.

Project Manager - (assisted by Site Safety and Health Officer SSO and (where applicable) the Site Manager)

Ensures appropriate personal protective equipment & monitoring equipment available;

Ensures that personnel review the H&S Plan, understand its provisions, are instructed in safe work practices, and are familiar with planned emergency procedures;

Documents instruction in the H&S Plan for all involved in project activities or visiting areas under project control.

Ensures that all field personnel have had a minimum of 40 hours training offsite and 3 days onsite training;

Ensures that personnel are aware of the potential hazards associated with site operations through their active participation in the initial site safety briefing;

Monitors safety performance of all personnel to ensure the required work practices are followed;

Corrects work practices or conditions that may result in personal injury, exposure to hazardous substances, or release of a hazardous material;

Prepares and/or requires others as appropriate to prepare any accident/ incident reports in conformance with M&E policy and any additional contractual requirements that apply. Assures that reports are distributed to the Regional Health & Safety Manager and the Corporate Health & Safety Officer.

Site Manager (May be the same individual as the Project Manager in some cases)

The site manager is responsible for coordinating all aspects of the field activity from onsite to assure a safe and successful conclusion.

Site Safety and Health Officer (SSO) -

The M&E SSO or a designated alternate will be at the site every day that work is being performed by M&E or an M&E subcontractor.

Implements H&S Plan and verifies compliance with safety and health requirements. Reports to the Project Manager any need for action if there are any deviations from the anticipated conditions described in the plan. Authorizes and/or orders the cessation of work, if necessary.

Calibrates monitoring equipment daily and records results in accordance with the H&S Plan.

LANL, TA-54, MDA L HSPT A54.031 11


4.

Ensures that all monitoring equipment is operating correctly according to the manufacturer's instructions.

Confirms that training and medical surveillance requirements are met by all involved in the project.

Conducts and documents site briefings - at a minimum, the SSO conducts a pre-site entry briefing and briefing of all new personnel arriving on site.

Ensures that follow-up action after an incident/accident is taken to prevent recurrence.

Conducts inspections as necessary to determine the effectiveness of the site-specific health and safety plan.

All Project Personnel -

Read the site-specific health and safety plan and acknowledge that they have read and understand the plan as appropriate for their assigned roles in the project.

Take all reasonable precautions to prevent injury to self or any other person.

Perform only tasks they reasonably expect to perform safely.

Report any accidents or unsafe conditions (they cannot themselves correct immediately) to the SSO or Project Manager.

Notify the SSO of any special medical problems such as allergies and ensure that appropriate personnel are aware of such potential problems.

Site Control: Yes No

Map/Sketch Attached* X Site Secured X Perimeter Identified X Zones of Contamination Identified X

* If a map/sketch is not attached, provide an explanation:

To reduce the accidental spread of hazardous substances from the contaminated area to the clean area, the following zones or any combination thereof will be established as indicated:

Exclusion Zone (the contaminated area):

Area within boom length of drill rig.

Contamination Reduction Zone (area where decontamination takes place):

This area will be delineated with a banner guard at each borehole location by the LANL SSO. It will be at a distance with sufficient area between the chemical and physical hazards located in the exclusion zone to protect personnel from exposure.

LANL, T A-54, MDA L HSPT A54.031 12


Staging Areas:

Equipment staging area(s) will be located at a distance with sufficient area between the chemical and physical hazards located in the borehole in the support zone to protect on-site personnel from exposure.

Sample preparation area(s) will be located in a mobile trailer, at a distance with sufficient area beween the chamical and physical hazards located in the exclusion zone to protect on-site personnel from exposure.

Support Zone (the uncontaminated area):

This area begins at the banner guard that distinguishes the contaminant reduction zone from the support zone. Location to be designated by the LANL SSO and will be at a distance with sufficient area between the chamical and physical hazards located in the exclusion zone.

5. Hazardous Analysis and Personal Protection: (if work requires more than one task, specify the level of protection for each).

Task:

A. Oversight of drilling and sampling activities and receiving split samples.

Hazards:

The site-specific acute hazards of this task include the risks of heat or cold stress. Because the field work is scheduled to take place during the month of November, the potential for snow and cold working conditions is significant.

Hazards of a more chronic nature include exposure to site contaminants that include organic vapors of volatile and semivolatile compounds. The site contamination described does not appear capable of presenting a risk of acute exposure so high as to cause signs or symptoms of illness. However, several of the organic compounds are presumed to present some incremental carcinogenic risk, which is managed by limiting the exposure to the lowest level that is reasonably achievable.

Level of Protection: D Upgrade Level: C

Description of PPE of Level D: Cotton coveralls or disposable tyvek, steel-toed boots, safety glasses or goggles, hard hat, double gloves (nitrile gloves oversurgical gloves), hearing protection during drilling if necessary.

Description of PPE of Level C: Full-face, air purifying respirator with GMC-H organic/particulate cartridge, disposable chemical resistant tyvek, steel-toed boots, disposable boot covers, hard hat, double gloves (nitrile gloves over surgical gloves), hearing protection during drilling if necessary.



6. Field Monitoring Equipment & Materials:

Instrument Task

(Will rely on monitoring by LANL)

Action Levels

Monitoring Frequency

7. Daily Calibration Record of Field Monitoring Equipment:

8.

See Table 2:Daily Calibration Record (Note: Will rely on LANL monitoring for this oversight activity.)

Decontamination Procedures: (list stations/ equipment and/or attach diagram)

Personnel Decontamination: (Follow procedures as developed by LANL.)

Equipment Decontamination: (Procedures as established by LANL, as appropriate.)

Decontamination should be verified each time a person or piece of equipment leaves the site by the on-site Health and Safety Officer.

9. Site Entry Procedures:

Make previous arrangements with the Site Contact. Follow established procedures for LANL.

10. Work Limitations:

M&E will follow usual oversight practice of minimizing exposure potential by remaining well back from operations that may generate dust or aerosol exposure. M&E personnel will in general take an upwind position.

11. Site Waste Disposal:

• Disposable PPE (Tyveks, gloves, respirator cartridge): (Follow procedures established for the site by LANL)

• Solid Waste {soda cans, paper, packing materials): (Follow procedures established for the site by LANU

• Environmental Materials {boring cuttings, decontamination water): (Follow procedures established for the site by LANL)

• Decontamination Rinsate (acetone, IPA, nitric acid, water): (Follow procedures established for the site by LANL)



I I

Project#: Work Assignment#:

Daily Calibration Record

Instrument No. -------Calibration Gas Concentration

LANL, TA-54, MDA L HSPTA54.031

Meter Reading

TABLE 2

Adjustments Made; Comments

1 5

Calibration by (Initials)

November 12. 1993 Revision 00

F. EMERGENCY INFORMATIO~

1. Emergency Phone Numbers:

Ambulance

Hospital Emergency Care

Poison Control Center

Fire

Police

Explosives Unit (if applicable)

CHEMTREC

TSCA Hotline

CDC (Center for Disease Control)

National Response Center

Pesticide Information Center

EPA ERT Emergency

RCRA Hotline

Bureau of Explosives

U.S. EPA Region VI

State Environmental Agency


Phone Numbers

911 (cellular phone/662-8224)





1-800-4249300

202-554-1404

404-454-41 00 (24 hrs.) or 404-329-2888

1-800-424-8802

1-800-845-7633

201-321-6660

1-800-424-9346

202-835-9500

214-656-6735


2. Notification andt.., ... "'~rification: Directions to Hospital* (Attach map)

(Note: M&E will rely on the established LANL procedures for this site)

The route to the hospital was verified by Pamela Jones on August 27, 1992.

Present Status and Capability of Emergency Response Teams:

1_ Able to respond to site emergencies.

On-Site Safety Officer

Unable to respond to site emergencies.

3. Emergency Response:

Line of Authority: (Note: M&E will rely on the emergency response planning developed by LANL.) Civil authorities responding to an emergency assume command of operations, and will have pre-arranged methods of determining the line of authority.

A. Injury/Exposure:

In the event of an injury, the victim should be stabilized and provided onsite first aid in the "clean zone". If an injury involves a potential trauma to the spinal cord, the victim shall remain where injured, if safely possible, and be moved by trained emergency medical technicians only. Minor injuries such as small lacerations, cuts and strains shall be initially treated onsite by the first aid qualified member of the field team. Ambulance and hospital support shall be provided for all major injuries such as head wounds, broken bones, and deep lacerations. Should an injury involve a contaminant exposure, and there is no potential spinal cord trauma, perform the following procedures:

• Escort victim to the decontamination station • Remove all contaminated clothing • Wash exposed body areas with a potable water flush ( 10 minutes) • Cover with blanket or (if injury is not serious) dress victim in clean

clothing • Transport victim (with the H&S Plan) to hospital if necessary

8. Chemical/Oil Release - Spill Containment:

In the event a hazardous material release occurs during the site investigation activities, attempt to control, divert, absorb, neutralize, or secure the source, if direct contact or inhalation hazards are not present. If direct contact or inhalation hazards are present, do not attempt any remedial measures. All hazardous material release incidents shalf be reported to the appropriate state EPA office. The following information should be provided during a notification:

• Chemical/oil name or DOT J.D. number • Chemical/oil hazard class • Cause of release • Quantity concentration of release



FIGURE 2

0 O.J 2~ Effl I

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I

Emergency Local Area Contact _Frank ___ Pfe __ rce ____ EM_0 ___ -=-___ 6_6_7-=·-6_2_11 Name OrpntzaMou Paaer ao. Pbone no.

Los Alamos Medk:al Center 3417 West Road Los Alamos. NM 9-911 or (505)662-420 1


I.ANL Occupational Health Group HS-2 (505)667-7251

Emergency Management (EMO) (505) 667-6211

18 November 1 2, 1 993

Revision 00

C. Fire/Expl~;,,c:m:

In the event of a fire, attempt to extinguish it with a Class ABC or other suitable fire extinguisher if safe to do so. If the fire appears to be growing "out of control", perform the following steps as applicable:

• Pull site horn warning alarm • Evacuate field team to the site entrance (relocate this assembly point if

necessary) • Verify all present • Notify Fire Department • Remove vehicles if safely possible • Remove flammable field solvents if safely possible • Await fire fighting forces • Contact the Project Manager and the Regional Safety Coordinator once

the proper authorities are in control of the situation

D. Emergency Evacuation Routes:

(Follow Evacuation Procedures established by LANL for the site.)

E. Emergency Alerting Procedures:

(Follow emergency procedures developed by LANL for the site.)

See the Emergency Response Equipment Map, Appendix G, containing the location of all emergency response equipment. This map will be posted at entrance to all zones.

4. Other Phone Numbers:

Corporate Health and Safety Officer Name: Richard Renzi

Regional Safety Coordinator Name: C. Herb Hickman

Project Manager Name: Pamela Jones

Site Safety and Health Officer Name: Andrew Ellison (alternate)

5. Site Resources:

Water Supply

Phone

Radio

Electricity

Lighting

Rest Rooms

Other


(Work) (617) 246-5200 (Home) (508) 475-0190

(Work) (614) 890-5501 (Home) (614) 299-6148

(Work) (713) 690-2585 (Home) (713) 373-4653

(Work) (214) 754-8725 (Home) (214) 722-3403


NOV 12 '93 09:41 FROM ME COLUMBUS PAGE.005

G. PLAN REVIEW

This site health and safety plan has been written for the exclusive use of Metcalf & Eddy, Inc. employees. M&E claims no responsibility for its use by others. The plan is written for the specified site conditions, dates, and personnel and must be amended if these conditions change.

PLAN PREPARED BY:

REVIEWED BY:

Corporate Health and Safety Officer

LANL TA-54. MDA L HSPTA54.031 20

DATE: _11_-_3_,_/._3 __ _

DATE: \\--.\\-cr~

DATE:-------


** TOTAL PAGE. 005 **

'" H. EMPLOYEE CERTIFICATION

By my signature, I certify that I have read, understand, and will abide by, the health and safety plan for the Los Alamos, TA-54, MDA L site.

Printed Name

LANL, T A-54, MDA L HSPTA54.031

Signature Company

21 November 12, 1 993

Revision 00

,, 11>

HEALTH & SAFETY LOG BOOK

The on-site Health & Safety Officer will keep a log book to record site Health and Safety information and to document subcontract personnel working on-site and other site visitors. At a minimum, the following information will be included in the log book on a daily basis:

• Date and time of observations • Weather conditions • Personnel on-site (w/company title) • Air monitoring equipment in use • Work activity conducted • Level(s) of protection • Air monitoring equipment readings obtained during work activity • Any health & safety-related issues or situations. • Any communications with regulatory agencies • Signature of on-site Health and Safety Officer

J. HEALTH & SAFETY FIELD ACTIVITY RECORD:

A daily record of field activities is to be recorded on Table 3 - Daily Record of Hazardous Waste Field Activity. The on-site Health & Safety officer is responsible for completing and submitting the form to the Regional Health and Safety Coordinator once the field trip is completed.



TABLE 3

DAILY RECORD OF HAZARDOUS WASTE FIELD ACTIVITY

Project #:

Assignment #:

Site Name Period of Activities (Dates) -----------------------

WA #: ______ _ Tasks: __________________________________________________________________ _

Site Health ~ Safety Officer/Alternate: -----------------------------------

Known Contaminants onsite:

Employee Name


Date

Hours Total hours at the site on Site Level 8

23

Level C Level D Activities Employees performed while on-site

-----,tr ~-


APPENDIX A

MATERIAL SAFETY DATA SHEETS

APPENDIX 8

HAZARDOUS MATERIALS EXPOSURE REPORT

HAZARDOUS MATERIALS EXPOSURE REPORT

Dates on Site: -------------to----------------

Name of Employee: ----------------------------

Project No.

Last

Site Name/ Location Activity

First

Duration on the Site

(Days/Hours)

Initial

Chemical or Other Materials

Present

If you believe you had a possible or actual exposure or injury, complete the following:

Date/Time of Exposure Type of Exposure Duration of Exposure

Date/Time of Injury Type of Injury

Date/Time of Notification of Injury Individuals Notified

Employee Signature Date

Regional Safety Coordinator Signature Date

APPENDIX C

SITE SAFETY PLAN AMENDMENTS

SITE SAFETY PLAN AMENDMENT

Amendment# ________________________________________________________ ___

Project # --------------------Date: _______________________ _

Type of Amendment: ___________________________________________________ _

Reason for Amendment: ______________________________________________ ___

Additional Required Changes in Other H&S Procedures:

Required Changes in PPE: ------------------------------------------

Regional Health & Safety Coordinator Date

TES X Health & Safety Manager Date

APPENDIX D

COLD STRESS

COLD STRESS

Extremely cold conditions may occur at the site during the winter and frostbite may present a hazard to personnel. Oversight personnel must be encouraged to monitor each other for signs of frostbite while working under extremely cold conditions.

In addition to frostbite, hypothermia can occur when a person is exposed to severe cold. Signs, symptoms, and preventative measures for cold illnesses are outlined in the table below. The table was compiled using information from the National Institute for Occupational Safety and Health and the American Red Cross.

CLASSIFICATION, CLINICAL FEATURES, TREATMENT AND PREVENTION OF COLD ILLNESS

Category

1 . Hypothermia

2. Frostbite

Clinical Features

Shivering, dizziness, numbness, confusion, weakness, impaired judgment, impaired vision, and drowsiness. Fatal if treatment is delayed.

Skin is slightly flushed. Frostbitten area changes from the flush color to white or grayish yellow and finally grayish blue, as the frostbite develops. {Colors may be darker or less pronounced in people of color.) Pain, numbness, hardness of skin, blisters, and extensive tissue damage if not treated in the early stages.

Treatment

Get victim out of cold environment and into warm clothing. Warm up body slowly.

Get victim into a warm environment. Frostbitten area{s) should be placed in warm {1 00-1 05oC) water. Do not rub area. If part{s) has been thawed and refrozen, rewarm at room temperature.

Prevention

Wear multi-layered cold weather outfits. The outer layer and secondary layer should be of wind resistant fabric.

Wear cold weather clothing listed above. In addition, wear mittens instead of gloves, if possible, since they present less surface area for heat loss. Wear insulated boots that are sealed inside and outside by vapor barriers. A fur-ruff should be worn instead of a face-mask because frostbite may develop unnoticed when a mask is worn.

APPENDIX E

HEAT STRESS MANAGEMENT

HEAT STRESS MANAGEMENT

Regardless of protective clothing, elevated temperatures during summer months at the LANL site necessitate a heat stress monitoring program to be implemented. The program should follow the guidelines established by ACGIH and NIOSH. The site workers must learn to recognize and·treat the various forms of heat strain as summarized below:

1. HEAT STRESS

Heat stress on site is usually a result of protective clothing hampering the natural body cooling. Evaporation of sweat is by far the most important body cooling mechanism for dealing with heat stress.

If the body's physiological processes fail to maintain a normal body temperature because of excessive heat, a number of physical reactions can occur. These range from mild (such as fatigue, irritability, anxiety, and decreased concentration, dexterity, or movement) to fatal (heat stroke). Because heat stress is one of the most common and potentially serious health hazards at hazardous waste sites, regular monitoring and other preventive measures are vital.

The best approach is preventative heat stress management. In general:

Conduct field activities in the early morning or evening. Have workers drink 16 ounces of water before beginning work, such as in the morning or after lunch. Provide disposable, 4 ounce cups, and water that is maintained at 50°- 60°F. Urge workers to drink 12 of these cups water every 20-minutes, for a total of 1-2 gallons per day. Provide a cool place for rest breaks. Discourage the use of alcohol and the intake of coffee. Monitor for signs of heat stress.

Acclimatize workers to site work conditions by slowly increasing workloads, i.e., do not begin site work activities with extremely demanding activities.

Provide cooling devices to aid natural body cooling. These devices, however, add weight and are an encumbrance to movements. An example of a cooling aid is an ice vest or a suit that provides a cooling system using a refrigerant and a compressor/pump.

Install mobile showers and/or hose-down facilities to reduce body temperature and cool protective clothing.

Ensure that adequate shelter is available to protect personnel against heat, as well as cold, rain, snow, etc., which can decrease physical efficiency and increase the probability of both heat and cold stress. If possible, set up the command post in the shade.

In hot weather, rotate shifts of workers wearing impervious clothing. Good hygienic standards must be maintained by frequent changes of clothing and showering. Clothing should be permitted to dry during rest periods. Persons who notice skin problems should immediately consult medical personnel.

2. HEAT STROKE

Heat stroke is an acute and dangerous reaction to heat stress caused by a failure of heat regulating mechanisms of the body. The individual's temperature control system

that causes sweating stops working correctly. Body temperatures rises rapidly above the normal levels. Brain damage and possibly death will result if the person is not cooled quickly.

Symptoms: Red, hot, dry skin, although person may have been sweating earlier; nausea; dizziness; confusion; extremely high body temperature, rapid respiratory and pulse rate; unconsciousness or coma.

Treatment: Cool the victim quickly and obtain medical help immediately! If the condition is not recognized and body temperature not brought down fast, permanent brain damage or death will result. Soak the victim in cool but not cold water, sponge the body with cool water, or pour water on the body to reduce the temperature to a safe level ( 102 ° F). Observe the victim and be ready to provide respiratory support if needed. Do not give coffee, tea or alcoholic beverages.

3. HEAT EXHAUSTION

Heat exhaustion is a state of very definite weakness or exhaustion caused by the loss of fluids from the body. The condition is much less dangerous than heat stroke, but it nonetheless must be treated.

Symptoms: Pale, clammy, moist skin, profuse perspiration and extreme weakness. Body temperature is normal, pulse is weak and rapid, breathing is shallow. The person may have a headache, may vomit, and may be dizzy.

Treatment: Remove the person to a cool, air conditioned place, loosen clothing, place in a head-low position, and provide bed rest. Consult a physician. The normal thirst mechanism is not sensitive enough to ensure body fluids replacement. Have patient drink 1-2 cups water immediately, and every 20-minutes thereafter, until symptoms subside. Total water consumption should be about 1-2 gallons per day.

4. HEAT CRAMPS

Heat cramps are caused by perspiration that is not balanced by adequate fluid intake. Heat cramps are often the first sign of a condition that can lead to heat stroke.

Symptoms: Acute painful spasms of voluntary muscles; e.g., abdomen and extremities.

Treatment: Remove victim to a cool area and loosen clothing. Have patient drink 1-2 cups water immediately, and every 20-minutes thereafter, until symptoms subside. Total water consumption should be 1-2 gallons per day. Consult with physician.

5. HEAT RASH

Heat rash is caused by continuous exposure of a skin area to heat and wet conditions, and aggravated by chafing clothes. The condition decreases ability to tolerate heat.

Symptoms: Mild red rash, especially in areas of the body in contact with protective gear.

Treatment: Decrease amount of time in protective gear, and provide powder to help absorb moisture and decrease chafing.

6. HEAT STRAIN MONITORING AND MANAGEMENT

For strenuous field activities that are part of on-going site work activities in hot weather, the following procedures shall be used to monitor the body's physiological response to heat, and to manage the work cycle, even if workers are not wearing impervious clothing.

Measure Heart Rate (HR). Heart rate should be measured by the radial pulse for 30 seconds as early as possible in the resting period. The HR at the beginning of the rest period should not exceed 110 beats/minute. If the HR is higher, the next work period should be shortened by 33%, while the length of the rest period stays the same. If the pulse rate still exceeds 11 0 beats/minute at the beginning of the next rest period, the following work cycle should be further shortened by 33%. The procedure is continued until the rate is maintained below 110 beats/minute.

Measure Body Temperature. Body temperature should be measured orally with a clinical thermometer as early as possible in the resting period. Oral temperature (OT) at the beginning of the rest: period should not exceed 99.6 I F. If it does, the next work period should be shortened by 33%, while the length of the rest period stays the same. If the OT exceeds 99.6 I Fat the beginning the next period, the following work cycle should be further shortened by 33%. The procedure is continued until the body temperature is maintained below 99.6 I F.

Manage Work Period length on the basis of Adjusted Temperature. The following schedule can be used as a guideline for length of work period between monitoring checks:

Adjusted

Temperature (°F) 75 or less 80 85 90 95 100

Active Work Time (min/hr)

Using Level B/C Protective Gear: 60 40 30 20 10 0

To calculate the adjusted temperature: T (adjusted) = T (air) + (13 x fraction sunshine)

Measure the air temperature with standard thermometer, shielded from direct sun. Estimate fraction of sunshine by judging what percent the sun is out; 100% sunshinenon cloud cover fraction= 1.0; 50% sunshine- 50% cloud cover- fraction= 0.5; full

cloud cover- fraction= 0.0).

! I

APPENDIX F

CONFINED SPACE ENTRY PROCEDURES

I II

CONFINED SPACE ENTRY PROCEDURES

PURPOSE

To establish requirements for safe entry into, continued work in and safe exit from confined spaces.

DEFINITIONS

A. Confined Space: A space or work area not designed or intended for normal human occupancy, having limited means of egress and poor natural ventilation; and/or any structure, including buildings or rooms, which have limited means of egress.

B. Confined Space Entry Permit: A document to be initiated by the supervisor of personnel who are to enter into or work in a confined space. The Confined Space Entry Permit (CSEP) will be completed by the Response Manager or supervisor before personnel will be permitted to enter the confined space. The CSEP shall be valid only for the performance of the work identified and for the location and time specified. The beginning of a new shift with change of personnel will require the issuance of a new CSEP. A copy of the CSEP is attached for reference purposes.

C. Confined Space Observer: An individual assigned to monitor the activities of personnel working within a confined space. The confined space observer monitors and provides external assistance to those inside the confined space. The confined space observer summons rescue personnel in the event of emergency and assists the rescue team.

GENERAL

A. The Response Manager, with the concurrence of the On-Scene Coordinator (OSC), has the responsibility to issue the CSEP, to evaluate and monitor work performed within a confined space for possible hazards, and to determine the safety procedures, PPE, and rescue equipment required.

B. When possible, confined spaces should be identified with a posted sign which reads: "Caution - Confined Space."

C. Only personnel trained and knowledgeable of the requirements of these Confined Space Entry Procedures will be authorized to enter a confined space or be a confined space observer.

D. A Confined Space Entry Permit (CSEP) must be issued prior to the performance of any work within a confined space. The CSEP will become a part of the permanent and official record of the site.

E. Natural ventilation shall be provided for the confined space for prior to initial entry and for the duration of the CSEP. Positive/forced mechanical ventilation may be required. However, care should be taken to not spread contamination outside of the enclosed area.

F. If flammable liquids may be contained within the confined space, explosion-proof equipment will be used. All equipment shall be positively grounded.

G. The contents of any confined space shall, where necessary, be removed prior to entry. All sources of ignition must be removed prior to entry.

H. Hand tools used in confined spaces shall be in good repair, explosion-proof, and spark-proof, and selected according to intended use. Where possible, pneumatic power tools are to be used.

J. Hand-held lights and other illumination utilized in confined spaces shall be equipped with guards to prevent contact with the bulb and must be explosion-proof.

K. Compressed gas cylinders, except cylinders used for self-contained breathing apparatus, shall not be taken into confined spaces. Gas hoses shall be removed from the space and the supply turned off at the cylinder valve when personnel exit from the confined space.

L. A ladder is required in all confined spaces deeper than the employee's shoulders. The ladder shall be secured and not removed until all employees have exited the space.

M. Only self-contained breathing apparatus or NIOSH approved airline respirators equipped with a 5-minute emergency air supply (egress bottle) shall be used in untested confined spaces or in any confined space with conditions determined immediately dangerous to life and health.

N. Where air-moving equipment is used to provide ventilation, chemicals shall be removed from the vicinity to prevent introduction into the confined space.

0. Vehicles shall not be left running near confined space work or near air-moving equipment being used for confined space ventilation.

P. Smoking in confined spaces will be prohibited at all times.

Q. Any deviation from these Confined Space Entry Procedures requires the prior permission of the OSC.

PROCEDURE FOR CONFINED SPACE ENTRY PERMITS (CSEP)

The Response Manager shall:

A. Evaluate the job to be done and identify the potential hazards before a job in a confined space is scheduled.

B. Ensure that all process piping, mechanical and electrical equipment, etc., have been disconnected, purged, blanked-off or locked and tagged as necessary.

C. If possible, ensure removal of any standing fluids that may produce toxic or air displacing gases, vapors, or dust.

D. Initiate a CSEP in concurrence with the OSC.

E. Ensure that any hot work (welding, burning, open flames, or spark producing operation), that is to be performed in the confined space has been approved by the OSC and is indicated on the CSEP.

F. Ensure that the space is ventilated before starting work in the confined space and for the duration of the time that the work is to be performed in the space.

G. Ensure that the personnel who enter the confined space and the confined observer helper are familiar with the contents and requirements of this instruction.

H. Ensure remote atmospheric testing of the confined space prior to employee entry and before validation/revalidation of a CSEP to ensure the following:

1. Oxygen content between 19.5% - 23.0%.

2. No concentration of combustible gas in the space. Sampling will be done throughout the confined space and specifically at the lowest point in the space.

3. The absence of other atmospheric contaminants, if the space has contained toxic, corrosive, or irritant material.

4. If remote testing is not possible, a minimum of Level B PPE is required.

J. Designate whether hot or cold work will be allowed.

K. Ensure that a copy of the CSEP is posted at the work site, a copy is filed with the project supervisor, and a copy is furnished to the On-Scene Coordinator.

Remove the posted CSEP at the completion of the job or the end of the shift, whichever is first. Record date and time on the form and file with the OSC at the command post.

CONFINED SPACE OBSERVER

A. While personnel are inside the confined space, a confined space observer will monitor the activities and provide external assistance to those in the space. The observer will have no other duties which may take his attention away from the work or require him to leave the vicinity of the confined space at any time while personnel are in the space.

B. The confined space observer shall maintain at least voice contact with all personnel in the confined space. Visual contact is preferred, if possible.

C. The observer shall be instructed by his supervisor in the method for contacting rescue personnel in the event of an emergency.

D. If irregularities within the space are detected by the observer, personnel within the space will be ordered to exit.

E. In the event of an emergency, the observer must NEVER enter the confined space prior to contacting and receiving assistance from a helper. Prior to this time, he should attempt to remove personnel with the lifeline and to perform all other rescue functions from outside the space.

F. A helper shall be designated to provide assistance to the confined space observer in case the observer must enter the confined space to retrieve personnel.

'·

CONFINED SPACE ENTRY PERMIT

DATE: ____ TIME ISSUED:------ LOCATION:----------

VALID PERIOD: ______ TASK:----------

Hazards and SOPs Associated with this Task:

Required Air Monitoring:

Yes/No Reading

Oxygen Combustible Gas Organics

----% LEL ---- HNuppm/OVAppm

Other

Name of Person Conducting Air Monitoring:

SAFETY PRECAUTIONS REQUIRED:

Standby Observer Confined Space Cleaned of Hazardous Materials Confined Space Ventilated Continuous Monitoring

----- Spark-Proof Equipment/Tools Other

PROTECTIVE EQUIPMENT:

Rescue Equipment ----- Lifelines/Harness

Electrical Power Disconnected Special Lighting

Other

Level A Level 8 Level C

Additional Equipment ------------Additional Equipment ------------Additional Equipment -------------

ADDITIONAL COMMENTS/REQUIREMENTS:

Names of Persons Involved: Regional H&S Coordinator Signature: Time: Date: ---------------------U.S. EPA OSC Signature: Time: Date: ---------------------

SUMMARIZE CONFINED SPACE ACTIVITIES UPON COMPLETION:

Regional H&S Coordinator Signature: ---------------------Time: Date: U.S. EPA OSC Signature: -------------------------Time: Date:

APPENDIX G

EMERGENCY RESPONSE EQUIPMENT MAP

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