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Screening Guidelines for Work Permit Determination
The purpose of this checklist is to help in determining if a job
requires a work permit due to ESS&H hazards,
system complexities, or work coordination needs. If the job
already has an established work procedure or has
been reviewed and defined as Worker Planned work due to the
training and qualifications of the crafts person
or technician, then the checklist is not needed. Additional
information for facility hazard determination can beobtained in the
Facility Hazard AnalysisSubject Area. Check off the items that
apply to the job:
A. ESS&H or Other Permits Needed
If two or more boxes are checked, the work is considered greater
than a low hazard and a work permit isrequired unless there is an
existing operating procedure that will be followed.
Confined space permit* Fire protection impairment permit
Cutting/welding permit Job-specific Radiological Work Permit (RWP)
Digging/core drilling permit Dept/Division-specific
permit____________ Electrical working on or near permit
Concrete/masonry penetration permit Job Safety Analysis (JSA) is
needed BNL Hazard Categorization Screening Report is
needed
*Also, check off in Section B
B. Safety, Security and Facility ConcernsIf checked, then the
following work is considered greater than a low hazard and a work
permit is required to
safely plan work involving the following safety and security
issues unless the work is covered by a separate
Standard Operating Procedure (SOP) or other work planning
document and workers are properly trained.
Involve your Safety and Health Services Division Rep in the work
planning.
Adding/Removing Walls or Roof - Work affects the integrity of a
structure. Contact your ES&H subject matterexpert.
Asbestos - Work disturbs or involves removing
asbestos-containing material. See the Asbestos Subject Area.
Beryllium - Work may produce airborne Beryllium dust in any
manner. See the BerylliumSubject Area.
Biohazard - Potential for exposure to biohazardous substances.
See the Bloodborne Pathogens Subject Area.
Chemical/Corrosives - Potential for or exposure to chemicals in
excess of OHSA PELs. See the Chemical
SafetySubject Area and contact the subject matter expert.
Confined Space - Work may take place in a confined space. See
the Confined SpacesSubject Area for
classification and precautions.
Critical lift - Work involves a critical lift or exposes
expensive equipment to potential damage. See the Lifting
Safety Subject Area and review training requirements.
Cryogenic - Work involves extremely low temperature materials.
See the Cryogenics Safety Subject Area.
Energized Electrical Work - Contact your ES&H subject matter
expert to determine if this should be checked.
Elevated work - Work with a potential fall of six feet or use of
scaffolding, harnesses, lanyards, orfall protection plan.
Excavation - See theExcavation SafetySubject Area.
Ergonomics - See the Ergonomics, Occupational Subject Area.
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Explosives - Must use work permit if no task specific procedure
for explosives is utilized. See the Explosives
Safety Subject Area.
Fumes/Mist/Dust - Work activity likely to result in an
inhalation or dermal exposure to dust, fumes, or mist.
See thePersonal Protective Equipment and RespiratorsSubject Area
and contact the subject matter expert.
Heat/Cold stress - Work requires exposure to extreme temperature
conditions. See theNaturalHazards in the EnvironmentSubject
Area.
Hydraulic - Work requires the storage, handling, or use of
hydraulic fluid.Transport of Haz/Rad Material - Transportation of
hazardous or radioactive material in excess of
Materials of Trade (MOT) quantities. See theMovement by Vehicle
of Hazardous and Radiological
Materials On-site and Transportation of Hazardous and
Radiological Materials Off-siteSubject
Areas.
Lead - Work involves lead in any form. See the Lead Subject
Area.
Magnetic Fields - Work occurs within a magnetic field or creates
one. See the Static Magnetic Fields
Subject Area.
Material handling - Moving heavy loads by personnel other than
riggers or qualified materialhandlers. See the exhibit Guidelines
for Industrial and Construction Workin the Ergonomics,Occupational
Subject Area and Medical Clearance below, or contact the subject
matter expert.
Nanomaterials - Work involves materials consisting of, or
containing structures of between 1- and100-nanometers (nm). See
theNanoscale Particle ESH Subject Area.
Noise - See theNoise and Hearing ConservationSubject Area and
contact the subject matter expert.Lasers/Non-ionizing radiation -
Work involves the use of non-ionizing radiation sources or devices
other
than welding equipment (i.e., microwaves, RF fields, etc.). See
theNon-ionizing Radiation Safety
Subject Area. Operates a Class 3 or 4 lasers on the job. See the
Laser SafetySubject Area or contact
the subject matter expert.
Operational Safety Envelope - work could impact the operational
safety envelope as defined by the Facility Use
Agreement. See theTable of Facility Use Agreements.
Oxygen deficiency hazard - Work is in a potential Oxygen
Deficiency Hazard (ODH) area or may create
one. See the Oxygen Deficiency Hazards (ODH), System
Classification and Controls Subject Area.
Removing/penetrating walls or doors - Firewalls or fire-
smoke-doors may be impacted by work. Contact
the Authority having Jurisdiction (AHJ) Joe Levesque at
extension 4259.
Pressurized Systems - See the Pressure SafetySubject Area.
Railroad Work - Work involving railroad cars within the boundaries
of BNL and on the trackbed up
to the derailer. Work near railroad cars and tracks, maintenance
in the area of railroad cars and
tracks, accessing railroad cars, or using railroad cars to
transport hazardous and non-hazardous
materials. See Traffic Safety Subject Area.
Rigging - Work Lifts that involve the use of basic lifting,
hoisting and rigging equipment. See the LiftingSafetySubject Area
and review training requirements.
Security Concerns - Work conducted in a designated security area
(PPA area, CAA, Limited Area, VTR) or
where enhanced security systems are deployed (card readers,
CCTV, duress alarms, etc.). Contact LP Security
Operations (x7425) to determine the need for a work
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Suspect/Counterfeit Items - Work may involve a component or
assembly of questionable manufacture and/or
origin (e.g., a gear, screw, cam, transistor, circuit breakers,
integrated circuit, fasteners, bolts, studs, fittings,
valves, flanges, and couplings. See Suspect/Counterfeit
ItemsSubject Area.
Vacuum Systems - Systems greater than 100,000 joules of stored
energy. Contact Safety and Health Services
Division.
Intermittent Energy Release - Potential release of energy that
may create a startle hazard.
C. Environmental/Waste Concerns:If checked, then the following
work is considered greater than a low hazard and a work permit is
required to
properly plan work involving the following environmental issues
unless work is covered by a separate Standard
Operating Procedure (SOP) or other work planning document and
workers are properly trained. Involve your
Environmental Compliance Representative (ECR) in the work
planning.
Work Impacts Environmental Permit - Work impacts an area covered
by an existing environmental permit, suchas an emission unit
covered under BNLs Title V Air Permit, or a chemical storage area
registered with Suffolk
County (Article 12) or registered and/or permitted by New York
State. Registered/permitted areas are labeled
or posted as such.
Atmospheric Discharges - Work creates a new air emission source
or changes an existing one. See theNon-Radioactive Airborne
Emissions orRadioactive Airborne EmissionsSubject Areas.
Note: This would include the removal or installation of hoods,
as well as any other exhaust from
processes vented outside of a building.
Chemical or Rad Material Storage or Use -Work involves bulk
storage of chemicals (drums or tanks) and may
increase storage of chemicals beyond limits of Suffolk County
Article 12. See the Storage and Transfer of
Hazardous and Nonhazardous MaterialsSubject Area.
Cesspools (UIC) - Work involves an Underground Injection Control
(UIC) device such as a cesspool or
component parts. See the Underground Injection Control Subject
Area.
High Water or Power Consumption - Check withECRfor specific
criteria.
Cultural Historic Resources - Work may impact features of
historic resources identified in the BNL
Cultural Resource Management Plan including: BGRR, HFBR,
Building 30, Building 120, Berkner
Hall - Building 488, Chemistry Building 555, Gamma Forest, Camp
Upton foundations and trenches;
historic house sites. Contact M. Davis at extension 2165 with
any questions.
Threatened or Endangered Species/Wetland Areas - Work may impact
habitat of protected species or
wetlands. Permits may be required. Contact T. Green at extension
3091.
The Long Term Response Actions Manager must approve Land Use
Institutional Controls - any work done in or
near a CERCLA clean up area. Contact theLong Term Response
Actions POC.
Liquid Discharges - Any of the chemicals not listed on the sink
releasable list, or any discharge of radioactivity
to the sanitary or storm water system. See the Liquid Effluents
Subject Area. Also see the exhibit BNL State
Pollutant Discharge Elimination System (SPDES) Permit
Chemicalsin theEnvironmental Aspects and Impacts
Subject Area.
PCB Management - Any work that involves PCBs. See the PCB
Management Subject Area.
Spill Potential - Work involves the potential for a hazardous
material or radioactive release to the environment.
See theSpill ResponseSubject Area.
Note: A release can include uncontrolled releases to floor and
sink drains, to soil, and to air.
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Soil Activation/Contamination - Work involves activated or
contaminated soil. Contact yourFacility
Support Representative.
Waste - Work generates regulated waste. See the Hazardous Waste
Management, Industrial Waste
Management, Mixed Waste Management,Radioactive Waste Management,
orRegulated Medical
Waste ManagementSubject Areas. Work that only generates clean
(non-regulated waste), and that
has no other ESH, complexity or coordination concerns does not
require a work permit.
Underground Ducts/Piping - Work that involves pipes or duct work
suspected of containing
chemicals/radioactive materials in any quantity. Contact
yourECR.
Other - Any other environmentally related concerns. Example:
Change/Addition/Removal of a backflow device in a potable water
system. See the DrinkingWaterSubject Area.
Pollution prevention (P2)/ Waste Minimization Opportunity -
Check this box when the job is planned in
such a way as to reduce/eliminate a waste stream (haz/rad waste,
air emissions, liquid discharge,
etc.). See the Pollution Prevention and Waste Minimization
Subject Area.
D. Radiation IssuesIf checked, then the following work is
considered greater than a low hazard and a work permit is required
to
properly plan work involving the following radiation issues
unless work is covered by a Radiation Work Permit
(RWP), separate Standard Operating Procedure (SOP) or other work
planning document and workers areproperly trained.
Rad. Materials may exceed area posted limits. Contact
yourFacility Support Representative.
Radiation/Contamination - Work involves radiation or
contamination not covered by an RWP. Rad Material transfers in or
out of facility - Work involves adding radiological material to
facility invento
Check for impact on facility hazard categorization inventory
limits.
E. Complexity/Uncertainty Issues
If checked, then the following work is considered greater than a
low hazard and a work permit is required toproperly plan work
involving the following complexity issues unless the work is
covered by a separate Standard
Operating Procedure (SOP) or other work planning document and
workers are properly trained.
Shutdown of several systems is required to properly isolate the
work area. There are five or more major tasks/activities involved
in the job. Work requires notification of any regulatory agency.
Work involves a large number of steps that require action or
sequences of steps that may not be
obvious.
Human Factors review should be performed to identify error
likely situations. Work is prone to rapidly changing conditions
(any shift change or resumption of work will require a
review of changes).
Work is infrequently done or it is a first time activity.
Equipment will be used outside of its normal operating range.
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Person not experienced with new or specialized equipment or
tools is working on the job.If work done incorrectly, it could
cause major system downtime or adverse public reaction.
F. Work CoordinationIf checked, then the following work is
considered greater than a low hazard and a work permit is required
for
any work coordination check-offs unless job will be covered
through another work planning procedure or
document.
Work requires close coordination between multiple support and
operational organizations. Work has to be performed at the same
time or in a certain sequence with other specific work requests
or
operational activities.
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