NSO SITE HEALTH AND SAFETY CHECKLIST DOCUMENT …

NSO SITE HEALTH AND SAFETY CHECKLIST

SITE HEALTH AND SAFETY PLAN FORM DOCUMENT

SITE NAMENCC Boxcar _ SITE INSD90ERT-1

PREPARED BY Patrick Molloy DATE 12-11-89 .

FIRM Navajo Superfund Department Emergency Response Team

LOCATION Shiprock, NM

DOCUMENT #JL_

REVISION t

REGION VI

( ) AMENDMENT TO EXISTING HSP ( ) DATE EXISTING APPROVED HSP

DESCRIPTION OF ACTIVITIES:

( ) Preliminary Assessment

(x) Initial Investigation "Walk Through'

( ) Initial Investigation "Sampling"

(x) USEPA Designated Task

(x) Site Access

( ) Clean-Up

(x) Oversight

SITE TYPE: Check as many as applicable

( ) Active ( ) Landfill ( ) Unknown

(x) Inactive (x) Uncontrolled (x) Other Specify Converted Railroad boxcars (3)

( ) Other Specify (x) Secure

(X) Inventory (x) Unsecure

( ) Industrial

( ) Recovery

(x) Enclosed space ( ) Well Field

«?TTE DESCRIPTION AND FEATURES: Summarize below • . , Three (3) converted boxcars, one empty and open, one containing various pestcides, insecticides and herbicides and one closed boxcar with unknown contents in a rural residential area with residences within 30 yds. ofysite. 1 approximate 60 percent inventory of contents of one boxcar: leaking containers: discernible odors, seven instances of incompatible species (EPA DOC #600/2-80-076 pgs. 2-22, 2-23 compatibility chart used).

» 3- ' © © ©

-F- Z o o

SURROUNDING POPULATION: (x) Residential ( ) Industrial (x) Rural ( ) Urban Other: § § of 3-,°)

66902288 • j - aio sauooau aNrus

o o —» </> o —1 TO

SITE HEALTH AND SAFETY PLAN FORM DOCUMENT |:

THIS PAGE RESERVED FOR SITE MAP j Map to (I) Delineate work areas where protective levels are to be enforced

( 2 )

/!

X- Unknown E- Partial (60%) Inventory and Photographs

- Site Secured Area (Level "B+" PPE)

Decon Area Depends On Weather Condition (Level "C" PPE)

of XQ

hicc %oycAk

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3 0 2 0 1

5 0 1 7

6 0 28

T 0 05

3 0 02

9 0 48

')£> o 4 f < 0 2 n 0 1

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\ 6 0 1 ) 70 1

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2 0

2-1/2 gallon plastic container surfoil spray adjuvant; empty containers of Banvel Herbicide; <^o) 2-1/2 gallon Banvel Herbicide^^ll^/i^-CfiaulisJ-S^ £ 5-gallon empty containers of lialfa-tox (insecticide; and t cases of 4—gallon Aim Spreader activator. ^

2-1/2 gallon AAtrex empty containers which were not triple rinse; 2-1/2 gallon AAtrex full containers; sacks of 50 pound counter, a systemic 2 insecticide Nematicide which is restricted; 5MR58-treated cumcumber seed with_Thiram 60% and Dieldrin 15%; 5-gallon weedicide concentrate; 2-gallon containers with no label; I sack, 5 pound Franklin Livestock Insecticide powder; 5-gallon full container with no label; 5-gallon half empty container with no label and leaking badly; 5-gallon container of Treflan; 1-quart container of Treflan; 1-gallon containers of surfactant^WK; 1-gallon weedkiller,-. ——— |j 1-gallon Korlan 2, a pour-on insecticide;

Pod Office Box 308 * Window Rock, Navajo Nation (Arizona) 86S15 • (602) 871-4941

TABLE 2-3

Hazards Dus to Chemical Incompatibilities

Reaction Codes (RC)

H

F

GT

GF

Reaction Consequeces

Generates heat by. chemical reaction.

Produces fire from extremely exothermic reactions, ignition of reaction mixtures or of the reaction products.

Generates innocuous gases such as N2, CO2, etc. but can cause pressurization and rupture of closed containers.

Generates toxic gases such as HCN, H2S, etc.

Generates flammable gases such as H^, c2^2» etc.

Produces explosion due to extremely vigorous reactions or reactions producing enough heat to detonate unstable reactants or reaction products.

Produces violent polymerization resulting^ in the generation of extreme heat and sometimes toxic and flammable gases.

Solubilizes toxic substances including metals.

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2-20

SITE HEALTH AND SAFETY PLAN FORM DOCUMENT #:

SITE HISTORY: Summarize below

Site abandoned in early 1980's: No information on cognizant persons available.

KNOWN OR SUSPECTED WASTES DISPOSED: Summarize below Reported in EPA TSCA Inv. EPA genetic Toxicology Pro Community Right To know EPA Extremely Hazard Subst Deadly Human Poisons Shock Dangerous Material RCRA Waste Number NCI Carcinogensis Evid. (Clear)

- 5 Known Human Carcinogen - 1

7 Chem. 11 Chem.

Chem. Chem. Chem. Chem. Chem.

Chem. Chem.

Species Species Species Species Species Species Species

Species Species

Banvel Herbicide Dupont Surfactant Wk Alfa-Tox Korlan 2 Aim Spreader Activator Aatrex Nematicide Thiram Herbicides Generic Herbicides X - Unknown (leaking) Franklin Livestock Insecticide Treflan

*No Information Found: Unknown Compound

HAZARD EVALUATION: (x) Heat Stress attach guide

See 7-1 thru 7-5. , , . (x) Cold Stress attach Guidelines

See 7-1 thru 7-5 (x) Explosion/Flammable

(x) Oxygen Deficient

(x) Radiological

(x) Biological

( ) Noise

(x) Inorganic Chemicals Fluorides

(x) Organic Chemicals

(x) Other specify CarcinogensTV)

PRINCIPAL DISPOSAL METHODS AND PRACTICES: Summarize below Not Applicable At This Time

->S o

Page $ of 3- "*)

PART 7

STRESS

I. INTRODUCTION

Both physiological and psychological stress effect response norcnnnpl Working in adverse weather conditions, wearing chemical protective clothing, close proximity to hazardous materials and for some emergency responders working in life-threatening situations, all contribute to physical strain and possibly. mental anxiety. Under certain conditions stress significantly contributes to worker accidents and illnesses. To reduce the potential for abnormal physical stress or mental anxiety:

Workers must be periodically examined by a physician to determine if they are physically and psychologically fit to perform their jobs.

Continual practice and training must be provided in using personnel protective equipment (especially self-contained breathing apparatus and chemical resistant protective clothing).

An effective safety program must be _established and a dedicated effort made to protect the worker. These actions will help assure personnel that their health and safety will be protected now and in the future.

II. WEATHER

Adverse weather conditions are important considerations in Dlanning and conducting site operations. .Hot or c°ld weather can cause physical discomfort, loss of efficiency, and ml injury. Of particular importance is heat stress resulting from protective clothing decreasing natural ventilation of the body. Heat stress can occur even when temperatures are considered moderate. One or more of the following recommendations will help reduce heat stress:

provide plenty of liquids. To replace body fluids (water and electrolytes) lost due to sweating, drink plenty of water, commercial drink mixes along with more heavily salted foods (unless on a low salt diet). To prevent dehydration, response personnel should be encouraged to drink generous amounts of water even if not thirsty. Heat-related problems can happen before the sensation of thirst occurs.

o p\ o*> ^ - Provide cooling devices to aid natural body

ventilation. These devices, however, add weight, o T>

P 7-1

• # their use should be balanced against worker fatigue. Long cotton underwear or similar type garments act as a wick to help absorb moisture and protect the skin from direct contact with heat-absorbing chemical protective clothing. It should be the minimum undergarment worn.

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

In extremely hot weather, conduct non-emergency response operations in the early morning or evening.

Ensure that adequate shelter is available to protect personnel against heat, cold, rain, snow, and that shaded rested area is provided on sunny days. On hot days, air conditioned rest areas should be provided.

In hot weather, rotate workers wearing protective clothing or performing extremely arduous tasks.

Response personnel should be encouraged to maintain their physical fitness. Physically fit personnel are less prone stress-related problems.

Liquids which act as diuretics (such as alcohol and coffee) should be avoided or their intake minimized prior to anticipated operations. These can contribute to dehydration and subsequent heat-related problems.

III. HEAT STRESS MONITORING

For monitoring the body's recuperative ability to handle excess heat, one or more of the following techniques should be used as a screening technique. Monitoring of personnel wearing protective clothing should commence when the ambient temperature is 70 degrees Fahrenheit or above. Frequency of monitoring should increase as the ambient temperature increases or if slow recovery rates are indicated. When temperatures exceed 80 degrees Fahrenheit workers must be monitored for heat stress after every work period.

Heart rate (HR) 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 per minute. If the HR is higher, the next work period should be shortened by 10 minutes (or 33%), while the length of the rest period stays the same. If the pulse rate is 100 beats per minute at the beginning of the next rest period, the following work cycle should be shortened by 33%.

Body temperature should be measured orally with a clinical thermometer as early as possible in the

7-2

resting period. Oral temperature (OT) at the beginning of the rest period should not exceed 99 degrees Fahrenheit. If it does, the next work period should be shortened by 10 minutes (or 33%), while the length of the rest period stays the same. However, if the OT exceeds 99.7 degrees Fahrenheit at the beginning of the next period, the following work cycle should be further shortened by 33%. OT should be measured again at the end of the rest period to make sure that it has dropped below 99 degrees Fahrenheit.

Body water loss (BWL) due to sweating should be measured by weighing the worker in the morning and in the evening.• The clothing worn should be similar at both weighings; preferably the worker should be nude. The scale should be accurate to plus or minus 1/4 lb. BWL should not exceed 1.5% of the total body weight. If it does, workers should be instructed to increase their daily intake of fluids by the weight lost, ideally, body fluids should be maintained at a constant level during the work day. This requires replacement of salt lost in sweat as well.

Good hygienic standards must be maintained by frequent change of clothing and daily showering. Clothing should be permitted to dry during rest periods. Persons who notice skin problems should immediately consult medical personnel.

EFFECTS OF 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 ranging from mild (such as fatigue, irritability, anxiety, and decreased concentration, dexterity, or movement) to fatal. Standard reference books should be consulted for specific first aid treatment. Medical help must be obtained for the more serious conditions.

Heat-related problems are:

Heat rash: caused by continuous exposure to heat and humid air and aggravated by chafing clothes. Decreases ability to tolerate heat as well as being a nuisance.

Heat cramps: caused by profuse perspiration with inadequate fluid intake and chemical replacement (especially salts). Signs: muscle spasm and pain in the extremities and abdomen.

Heat exhaustion: caused by increased stress on various organs to meet increased demands to cool the body.

• • Signs: shallow breathing; pale, cool, moist skin; profuse sweating; dizziness and lassitude.

Heat stroke: the most severe form of heat stress. Can be fatal. Medical help must be obtained immediately. Body must be cooled immediately to prevent severe injury and/or death. Signs: red, hot, dry skin; no perspiration; nausea; dizziness and confusion; strong, rapid pulse; coma.

EFFECTS OF COLD EXPOSURE

Persons working outdoors in temperatures at or below freezing may be frostbitten. Extreme cold for a short time may cause severe injury to exposed body surfaces, or result in profound generalized cooling, causing death. Areas of the body which have high surface area-to-volume ratio such as fingers, toes, and ears, are the most susceptible.

Two factors influence the development of a cold injury: ambient temperature and the velocity of the wind. Wind chill is used to describe the chilling effect of moving air in combination with low temperature. For instance, 10 degrees Fahrenheit with a wind of 15_miles^per hour (mph) is equivalent in chilling effect to still air at -18 degrees Fahrenheit.

As a general rule, the greatest incremental increase in wind chill occurs when a wind of 5 mph increases to 10 mph. Additionally, water conducts heat 240 times faster than air. Thus, the body cools suddenly when chemical-protective equipment is removed if the clothing underneath is perspiration soaked.

Local injury resulting from cold is included in the generic term frostbite. There are several degrees of damage. Frostbite of the extremities can be categorized into:

Frost nip or incipient frostbite: Characterized by suddenly blanching or whitening of skin.

Superficial frostbite: skin has a waxy or white appearance and is firm to the touch, but tissue beneath is resilient.

Deep Frostbite: tissues are cold, pale, and solid; extremely serious injury.

Systemic hypothermia is caused by exposure to freezing or rapidly dropping temperature. It can be fatal. Its symptoms are usually exhibited in five stages: 1) shivering, 2) apathy, listlessness, sleepiness, and (sometimes) rapid

7-4

coolinq of the body to less than 95 degrees Fahrenheit, 3) unconsciousness, glassy stare, slow pulse, and slow respiratory rate, 4) freezing of the extremities, and finally, 5) death.

Standard reference books should be consulted for specific first aids treatments. Medical help must be obtained for the more serious conditions.

VI. SUMMARY

Physiological and. psychological stress can effect response personnel. These stresses occur in a number of ways. Persons responsible for health and safety programs must be aware that response personnel may be working under conditions that are conducive in causing stressful situations and make every effort to minimize the problems.

7-5


RESULTS/ANALYSES: Summarize and list those with Health and Safety Concerns Navajo Tribal Pesticide Regulatory Program Preliminary Recon of Site Resulted In: 1) Partial inventory of contents of "E" Boxcar 2) Leaking Containers 3) Discernible Odors Navajo Superfund Office Hazards Assessment Resulted In: 1) Identification of Two (2) Deadly Human Poisons, One (1) Shock Dangerous Chemical Species and One (1) Known Human

Carcinogen: Other Hazardous Material

ENVIRONMENTAL INFLUENCES: Summarize below

1) Residences within 30 yds. of boxcars. Estimate population 50 pers. 2) Contamination of soil underneath "E" boxcar highly probable. 3) Potential for exothermic chemical reactions leading to fire hazard and production of toxic or lethal gases.

OVERALL HAZARD EVALUATION:(x)High ()Medium ()Low ()Unknown (Where multiple tasks are being performed, complete Hazard Evaluation for each. Attach additional sheets as necessary).

JUSTIFICATION:

Task 1: Task 2: Task 3:

Inventory of "E" Boxcar Swipe Sample of Leakage(s) Occuring inl"E" Boxcar Recon Other Two Boxcars - Hazard for Boxcar »x" Unknown; Hazard for Middle Boxcar - Medium To Low

)0 Page / of j

SITE HEALTH AND SAFETY PLAN FORM DOCUMENT t:

HIGHEST OBSERVED WARNING

CONCENTRATION PEL/TLV IDLH CONCENTRATION (specify units ppm or mg/m3 ppm or mg/m3 ppm or mg/m3 SYMPTOMS/EFFECTS

Contaminant and media) (specify) (specify) (specify) OR ACUTE EXPOSURE

Banvel NA/U (3,6-Dichloro

™ -0-Anisic Acid)

1.2, (103)mg.m"J ; (103 mg.kg"3) (103

(unr-mam LD^j

L.2(103) mg.m"3* mg.kg"1)

*400 mg.

kg"1

Poison, class B; breathing difficulty/

cyanosis: orl-vat LB™ = 1040 mg.kg"1

use safety factor of 4. (V.P. @ 100°C -3.75 (10*3) mmHg)

Alfatox NA/U (Pyrimdyl Phophorothioate)

-3 .1 mg.m3 .1 mg.m (ACGIHTLV: TW A )

-3

Aimax NA/U (Dithiobiubea)

30 mg.kg"1 30 mg.kg"1 (unr-wmn; TDj»)

(36 ppm)

.05 mg.m ,-3 Diazinon: NA/U (V.P. G 20° = 1. 4 (10-4) mmHg

18 ppm Simazine: NA/U (V.P. NA)

*Note; p (Dry Air: 20°C: 740 mmHg) = 1.2 kg.m"3 used to convert mg.kg"1 into mg.m"3 (or ppm)

NA = Not Available NE = None Establised U = Unknown S = Soil SW = Surface Water GW = Groundwater A = Air T = Tailings Page of





Weedicide NA/U 10 ppm (orl-dog LD*®)

10 ppm 2 ppm NA/U: Chorophenoxy Compound

, or ,

Weedicide Diquat Paraquat Treflan

Surfactant Nk

Korlan

NA/U

NA/U

NA/U

-3 500 mg-m^ 250 mg.m (OSHA PEL - skn)

6 mg/3D - IMOD (PEL) (IDLH-NA)

15 mg.m"' 15 mg.m"' (OSHA PEL:TWA)

f' 125 mg.m"'

3 mg.cm •3

7 mg.m' -3

Anoxia

Blisterning Agent (6 mg/3D - IMOD: Compound has LDJQ less than 400 mg.kg*1)

NA/U. (v.p. 3 (10"s) imfflg 0 24°c)

5%<a£ IF' cF A.9



CONCENTRATION PEL/TLV IDLH CONCENTRATION CYMPTOMS/EFFECTS (SPECIFY UNITS PPM OR MG/M3 PPM OR MG M3 PPM OR MG/M3 SYMPTOMS/EFFECTS

and media) (specify) (specify) (specify) OR ACUTE EXPOSURE Contaminant

10 »J.»' lOmg.m-' 5 m,.m! (V.P. 6 (10"')

(ACGIHNuis. Dust TLV) """HU ® 20 C)

ma/II 10~3 nnm 10~3 ppm 10~* ppm Narcosis: DBCP. Human Carcinogen. Nematocide NA/U (OSHA PEL:TWA) (.lPPb) Percent in saturated air .13% at

M 25^C (Dibromochloropropane)

Thiram NA/U 5 mg.m"3 5 mg.m"3 2 mg.m3 U (OSHA PEL)

Dieldrin HA/U 250 mg.m'1 250 mg.m"1 "5 mg.m1 ConvulsiMj)cr« depression (V.P.

PA£B I Of-'dk





Diazide

^lematocide

Thiram

X

X

X

X

X

X

X

X

X

Weedicide (chlorophenoxy compound) All

Compounds All

Compunds

„ _ nice UDOIZ- i P*- ^

NA = Not Available NE = None Establised U = Unknown

PA^e i 7 c f

SITE HEALTH AND SAFETY PLAN FORM DOCUMENT t:




Cyanide (Product of | Reaction)

c^A biOFO^> C cchCT

Op fAPATbtlOhJl) 7S $0(61 -foF-

(

r

NA = Not Available NE = None Establised U = Unknown S = Soil SW = Surface Water GW = Groundwater A = Air T = Tailings

19

Page of PJj


FIELD INVESTIGATION ACTIVITIES COVERED UNDER THIS PLAN

Attached additional sheets as necessary TASK DESCRIPTION/SPECIFIC TECHNIQUE-STANDARD OPERATING PROCEDURES/SITE LOCATION TYPE

LEVEL OF PR0T1

Primary

SCTION

Contingency SCHEDULE

1 Inventory, interior air contam level (OVA) (^Intrusive^

Non-Intrusive

A (§) C D

^Modified}

0 B C D

Modified

Two (2) 5 min. periods, 4 hr separation (.5 STEL)

Swipe samples of leakage (intrusive^)

Non-Intrusive

A (J> C D

(^Modified)

(jp BCD

Modified

Both tasks not to exceed above sched.

3 Recon other two boxcars Intrusive

(^Non-Intrusive)

A (jp C D

('Modified}

A. B C D

Modified

After tasks 1 & 2: SSO supervised

4 *** NSO not equipped for level "A": "A" contingency = "get out" ***

Intrusive

Non-Intrusive

A B C D

Modified

A B C D

Modified

5 Intrusive

Non-Intrusive

A B C D

Modified

A B C D

Modified

• Intrusive

Non-Intrusive

A B C D

Modified

A B C D

Modified

7 Intrusive

Non-Intrusive

A B C D

Modified

A B C D

Modified

8 Intrusive

Non-Intrusive

A B C D

Modified

A B C D

Modified

ACTIVITIES/TASKS OF GREATEST CONCERN: Summarize below Tasks 1 S 3 high hazard (presence of cyanide aerosol uncertain) <9

Page £ of 9-9

SITE HEALTH AND SAFETY PLAN FORM DOCUMENT f:

PROTECTIVE EQUIPMENT: Specify by task Indicate type and/or material as necessary Task 1 & 2 & 3

BLOCK Respiratory:() Not needed A ()SCBA, Airline:

()APR: ()Cartridge:_ ()Escape Mask:. ()Other:

Prot. Clothing () Not ()Encapsulating Suit:. OSplash Suit: ()Apron: ()Tyvek Coverall OSaranex Coverall

needed BLOCK Respiratory:() Not needed B $ SCBA, Airline:

()APR: 1 ()Cartridge:.

Head and Eye:() Not needed ()Sa£ety Glasses: ()Face Shield: ()Goggles: ()Hard Hat:

()Coverall: ()Other: ._ Gloves:(j Not

0 Other: .Ho.o.d. ...Over.. ..SJCBA Boots:() Not needed Boots:

needed ()Undergloves: ()Gloves: ; ()Overgloves:

Mask:Tape to Mask:Tape Other: Specify below Hood

To Coverall Overboots:

()Escape Mask:. ()Other:

Prot. ClothingO Not needed ()Encapsulating Suit: OSplash Suit: ()Apron: ()Tyvek Coverall

Head and Eye:() Not needed (^Safety Glasses: ()Face Shield:_ ()Goggles: OHard Hat:.... ()Other: Boots:() Not needed Boots: Y e l l o w B o o t s

OSaranex Coverall {QCoveral 1:. Saranex .23 ()Other: Gloves:() Not needed K)Underg 1 oves: Tape, tq Tyve k)Gloves:9. mil Nit rile ()Overgloves:

Other: Specify below Tape Zipper of Tyvek and

Overboots:Saxanek-23_ILader Coverall, Tape Saranek

BLOCK Respiratory:() Not needed ()SCBA, Airline: ()APR: ()Cartridge:

Prot. ClothingO Not needed OEncapsulating Suit: OSplash Suit: ()Apron:.

BLOCK Respiratory:() Not needed 2 ()SCBA, Airline: -

()APR: ()Cartridge:_

Prot. Clothing ()Not needed OEncapsulating Suit: OSplash Suit: ()Apron:

OEscape Mask: ()Other:.

()Tyvek Coverall.

()Safety Glasses: ()Face Shield: ()Goggles:

OSaranex Coverall ()Other:

()Escape Mask:. () Other:

()Hard Hat:. GLOVES:()Not needed ()Undergloves: ()Gloves:

Head and Eye:() Not needed OSafety Glasses: ()Face Shield: ()Goggles:.__

()Tyvek Coverall ()Saranex Coverall ()Coverall: ()Other:.

()Other:. Boots: ONot needed Boots:

()Overgloves:_ Other: Specify below

()Hart Hat: ()Other:_

Gloves:() Not needed ()Undergloves: ()Gloves: ()Overgloves:

Overboots:

Boots:() Not needed Boots:

Other: Specify below

Overboots:

56 Page j( of


Monitoring Equipment: Specify by task indicate type, as necessary Attach additional sheets, as necessary.

INSTRUMENT TASKS ACTION GUIDELINES COMMENTS

Combustible ^)^2) 8-10% LEL No explosion hazard Gas Indicator 5 -6 -7 -8 10-25% LEL Potential explosion hazard, notify SHSC

> 25% LEL Explosion hazard, interrupt task/evacuate 21.0% 0 Oxygen normal

| < 21.0% 0 Oxygen deficient, notify SHSC < 18.5% 0 Interrupt task/evacuate

Radiation /J>> "4 3 = Background: Notify SSO Survey Meter 5 -6 -7 -8 > 2mP/hr: Interrupt task/evaluate

Note Annual exposure not so exceed 100 mrem/ yr. or 50 uranium average

Photoionization Q Q -A Detector 5 -6 -7 -8 Specify. H-NU probably not an effective instrument ( ) 11.8 for this response activity. Use anyway, (x) 10.2 ev ( ) 03.8 ev ( ) ev

Type H-NU

Flame Ionization ̂ )^2)^)-A OK to "Borrow" EPA/ERB instrument? L Detector 5 -6 -7 -8 Specify. " Type OVA

NSO instrument on order - not available

Detector Tubes ~4 Hydrogen cyanide; chloride,amines Monitor 5-6-7 -8 Specify. Unsaturated hydrocarbons,mercaptans TypeHazcat Type

MSA #/S: 92115, 82802, 45206, 466612, 93262

Respirable 1-2-3-4 Dust Monitor 5 -6 -7 -8 Specify. - NONE -Type Type

Other £P^£P~4 Specify Explosimeter, % 0 Meter Specify 5 - 6 -7-8 2

£-1 Page $ of

SITE HEALTH AND SAFETY PLAN FORM

DECONTAMINATION PROCEDURES DOCUMENT #:

ATTACH SITE MAP INDICATING EXCLUSION, DECONTAMINATION, AND SUPPORT ZONES

Personnel Decontamination Summarize below and/or attach diagram; discuss use of work zones.

Modified wet decon (see attached diagram)

•

Sampling Equipment Decontamination Summarize below and/or attach diagram; discuss use of work zones.

Instrumentation: Wipe with decon solution, wipe dry with clean wipe: dispose of wipes: in double bag.

Heavy Equipment Decontamination Summarize below and/or attach diagram; discuss use of work zones.

()Not needed ()Not needed (x)Not needed

Contamination and Disposal Method

^Site generated waste will be double bagged and placed within boxcar for future disposal.

Containment and Disposal Method Containment and Disposal Method Contamination and Disposal Method

^Site generated waste will be double bagged and placed within boxcar for future disposal.

See clause on left

Pagejf of 9-9

PERSONNB.

SCRIBE MONITOR &PDO

\ SITE ACCESS

0k

DETER-

GENT&

WATER

INSTRUMENT, EQUIPMENT

DECON. (LEAVE INSTRU

MENTS HERE)

SITE EMERGENCY PERSON

r^RINSE #1

RINSE #2

/UNTAPE BOOTS, OUTER GLOVES OFF

iREMOVE SCBA STILL CONNECTED, PLACE ON

TABLE, REMOVE TAPE FROM ZIPPER AND HOOD,

REMOVE HOOD. |

REMOVE TAPE FROM BOOTS, REMOVE MIDDLE

GLOVES, REMOVE SARANEX.

UNTAPE TYVEX FROM BOOTS, UNTAPE TYVEX ZIP

PER, REMOVE TYVEX OVER GLOVES, SCISSOR

—.SLEEVES OFF.

SSO/SCO 7"Y^REMOVE SCBA FACE MASK(SCBA TURN-

/ jOFF), REMOVE INNER GLOVES.

I

SECURED AREA ACCESS

PERSONNEL PROTECTION EQUIPMENT: PERSONNEL MONITOR AND SCRIBE:

SARANEX .GLOVES, BOOTS, TWINAIR

SITE EMERGENCY PERSON: FULL LEVEL B+

NAVAJO SUPERFUND OFFICE

NCC BOXCAR

MODIFIED WET DECON

DEC'89 P. MOLLOY


SITE PERSONNEL AND RESPONSIBILITIES (include subcontractors) (indicate if all personnel listed will be on-site)

HEALTH NAME FIRM/REGION CLEARANCE RESPONSIBILITIES . TASK

Eugene Esplain NSO June '89 On-Site Manager/Coordinator 1-2-3-4-5-6-7-8

Patrick Molloy NSO June '89 SSO 1-2-3-4-5-6-7-8

Utanley Edison NSO June '89 ES

Patrick Antonio NSO June '89 PDO

Michael Begaye NSO June •89 SCO

Mary Blackmountain NSO June '89 Scribe

Patrick Antonio NSO June '89 Personnel Monitor (1st Entry)

Patrick Molloy NSO June '89 Personnel Monitor (2nd Entry)

Site Entry Team (1st Entry) Site Entry Team (2nd Entry)

^ Site Entry Team Alternate (1st Entry) wj Site Entry Team Alternate (2nd Entry)

S. Edison and P. Antonio will accomplish Task 3 (Recon of other two boxcars) after 2nd entry if practicable

Personnel listed on this page have been trained in accordance with the requirements of 29CFR Part 1910, and have met the requirements of the medical monitoring and respiratory protection programs. The medical monitoring program entails, at a minimum, an initial, annual and exit medical examinations and the provision for additional examinations based on exposure and at the request of the employee. The respiratory protection program requires FIT testing and training in the proper selection, use and maintenance of respirator.

Page Jtrf of 2$


EMERGENCY CONTACTS

USEPA Environmental Response Team 201-321-6660

US Coast Guard Environmental Response Team 800-424-8802

Association of American Railroads Response Team 202-293-4048

CHEMTREC 800-424-8300

CONTINGENCY PLANS Summarize below

(1) Call PHS Emergency Ambulance first: Call Farmington Ambulance if no response: Call Tribal Police

(2) If Splash Event - Gross Decon: Transport Immediately;;

(3) Fire - Evacuate area within 3 miles radius: *** Toxic/Lethal gases produced ***

SITE HEALTH AND SAFETY PLAN APPROVALS

SHSC Signature HSM Signature

Date Date

EMERGENCY CONTACTS NAME PHONE

24-Hour Emergency Line MED TOX HOTLINE (214) 655-6725

Project/Site Manager Linda Ross (602) 871-3153

On-Site Coordinator/Manager Franklin Curtis (602) 871-3153

USEPA OSCTC Carlton (214) 742-6601

State Environmental Agency EID

State Spill Contractor EID

Fire Department BIA (505) 368-4333

Police Department Navajo Nation (505) 368-4333

State Police (New Mexico) (505) 325-7547

Health Department See PHS

Poison Control Center (800) 432-6866

MEDICAL EMERGENCY Phone:

Hospital Name: Public Health (505) 386-4971

Hospital Address: North Highway 666

Name of Contact at Hospital Emergency Room

Name of 24-Hour Ambulance:

Phone: (505) 386-4971 (505) 386-4971

Route to Hospital: proceed S to Highway 504, proceed E to

Route 666, proceed N to NM State Route 550. .PHS Hospital turn NNE at stoplight N of San Juan bridge, proceed 3 mil Distance of hospital 5 miles hospital on left Attach map with route to hospital Page of j

.3-6"-

SITE HEALTH AHD SAFETY PLAN FORM DOCUMENT f:

DESCRIBE PROCEDURES FOR SITE CONTROL ACCESS

(1) See attached site map denoting site access point

(2) No badge - No entry

(3) Navajo Nation Police Dept./Navajo Nation Fire Dept. regulate site access

Page of 3-9

DOCUMENT |:

THIS PAGE RESERVED FOR SITE MAP Map to (1) Delineate work areas where protective levels are to be enforced

( 2 )

I £Nf / ̂ - Decon

upport Area K E_J [Qp^aJ L_X_

Site Control Access

CU • = Residences Also Site Control Access

Old NCC Shiprock Campus

X- Unknown E- Partial (60%) Inventory and Photographs

- Site Secured Area (Level "B+" PPE) Decon Area Depends On Heather Condition (Level "C" PPE)

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NCC BOXCAR EMERGENCY

ROUTE - PHS HOSPITAL

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NSO SITE HEALTH AND SAFETY CHECKLIST DOCUMENT …

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