Site-Specific Health and Safety Plan for Remedial Action

Site-Specific Health and Safety

Plan for Remedial Action Plan

Activities

Phillips 66 Company

Santa Maria Refinery

2555 Willow Road

Arroyo Grande, California

Prepared for:

Phillips 66 Company

1380 San Pablo Avenue

Rodeo, California 94572

Submitted by:

Stantec Consulting Corporation3437 Empresa Drive, Suite A

San Luis Obispo, CA 93401

Date: May 31, 2012

Site-Specific Health and Safety Plan for iiRemedial Action Plan Activities

Health and Safety Plan Modification Log

HASP Section Description of Revision Revision Date Approved By

Site-Specific Health and Safety Plan for iiiRemedial Action Plan Activities

Acknowledgement and Agreement Form

“Zero Tolerance for Incidents of ANY Kind.Work Together to Ensure A SAFE and High Quality Project”

This HASP has been developed for the purpose of proactively aiding Stantec employees in identifying,understanding, and mitigating the risks/hazards they are likely to encounter at the site. This HASP mayalso be used as a guidance document by properly trained and experienced Stantec subcontractors andclients; Stantec is readily available to assist subcontractors in identifying and addressing their employees’risks; however, sub-contractors and other contractors at the site must develop their own HASP to addressthe hazards faced by their own employees.

All parties conducting site activities are required to coordinate their activities and practices with theStantec Site Health and Safety Officer (SHSO). Stantec has provided a copy of this HASP to contractorsin the interest of full disclosure of hazards of which we may be aware and to satisfy Stantec'sresponsibilities under the Occupational Safety and Health Administration (OSHA) Hazard Communicationstandard. Similarly, contractors are required to inform Stantec of any hazards of which they are aware orthat the contractor's work on site might possibly pose to Stantec employees including (but not limited to)the Material Safety Data Sheets for chemicals the contractor may bring on site. This HASP should NOTbe understood by contractors to provide information on all of the hazards to which a contractor'semployees may be exposed as a result of their work. Stantec claims no responsibility for use of thisHASP by others for purposes unrelated to this project.

Your signature below confirms the following: you have read and understand the hazards and associatedmitigation measures discussed in this HASP; you have received training and medical surveillanceaccording to this HASP and the OSHA Standard on Hazardous Waste Operations and EmergencyResponse (29 CFR 1910.120), as applicable; you understand that sub-contractors and contractors mustdevelop their own HASP for their employees; and you understand that you could be prohibited by theSHSO or other Stantec personnel from working on this project for not complying with any aspect of thisHASP.

(All Stantec and subcontractor personnel must sign.)

Name Signature Company Date

Site-Specific Health and Safety Plan for ivRemedial Action Plan Activities

Table of Contents

1.0 EMERGENCY RESPONSE ................................................................................................ 1

1.1 PHONE NUMBERS ............................................................................................................ 1

1.2 DIRECTIONS AND MAP TO THE HOSPITAL .................................................................... 3

1.3 DIRECTIONS AND MAP TO OCCUPATIONAL CLINIC...................................................... 4

1.4 EMERGENCY RESPONSE PROCEDURES: EVACUATION ............................................. 5

1.5 EMERGENCY RESPONSE PROCEDURES: INJURY OR ILLNESS.................................. 71.5.1 Injuries or Illnesses Requiring Hospital Service WITHOUT Ambulance Service ... 71.5.2 Injuries or Illnesses Requiring Hospital Service WITH Ambulance Service........... 81.5.3 Death of an Individual or Hospitalization of Three or More Employees ................. 8

1.6 EMERGENCY RESPONSE PROCEDURES: SPILLS OR CUT LINES............................... 9

1.7 INCIDENT REPORTING PROCEDURES ........................................................................... 9

2.0 SCOPE OF WORK ........................................................................................................... 11

3.0 SITE BACKGROUND AND CHEMICAL HAZARDS ........................................................ 12

4.0 OTHER SITE HAZARDS .................................................................................................. 17

4.1 PHYSICAL HAZARDS .......................................................................................................17

4.2 WEATHER AND NATURAL DISASTERS..........................................................................17

4.3 BIOLOGICAL HAZARDS ...................................................................................................18

5.0 SITE CONTROL AND SAFETY PROCEDURES.............................................................. 20

6.0 WASTE MANAGEMENT .................................................................................................. 23

7.0 PROJECT TEAM INFORMATION .................................................................................... 24

7.1 TRAINING..........................................................................................................................24

7.2 ORGANIZATION AND RESPONSIBILITIES......................................................................25

ATTACHMENTS

Attachment 1 Job Hazard AnalysisAttachment 2 Daily Production H& S Briefing Log and Topics

Site-Specific Health and Safety Plan for 1Remedial Action Plan Activities

1.0 Emergency Response

1.1 PHONE NUMBERS

The nearest telephone is: Stantec shall obtain a two-way radio from the Refinery before conducting thework.The number of the nearest telephone is: Kirk Henning’s cell: 805.995.4050

Emergency Response

Name Telephone Verification

Hospital

Arroyo Grande CommunityHospital345 S. Halcyon Rd.Arroyo Grande, CA 93420

(805) 489-4261 SLR/04/12

Occupational Clinic(Zurich Approved)

Community Health Centers(George M. Cury, MD)1057 E. Grand Ave.Arroyo Grande, CA 93420

(805) 481-7220 SLR/04/12

Ambulance San Luis Ambulance911 or(805) 929-6911

SLR/04/12

PoliceArroyo Grande PoliceDepartment

911 or(805) 473-5100

SLR/04/12

Fire Department Arroyo Grande Fire Department911 or(805) 473-5490

SLR/04/12

Phillips 66 SantaMaria Refinery

Phillips 66 SM RefineryEmergency Extension

3222 SLR/04/12

Spill ResponsePhillips 66 EmergencyResponse

(800) 231-0623 SLR/04/12

EnvironmentalResponse

National Response Center (24-hour hotline)

(800) 424-8802 SLR/04/12

EnvironmentalProtection

US Environmental ProtectionAgency (24-hour hotline)

(800) 424-9346 SLR/04/12

Emergency ServicesOffice of Emergency Services(24-hour hotline)

(800) 852-7550 SLR/04/12

Poison ControlU.S. National Poison ControlCenter (24-hour hotline)

(800) 222-1222 SLR/04/12

Agency / Line Locator

National Line LocatorNational 811 Call-Before-You-Dig Hotline (24-hour hotline)

811 SLR/04/12

State Line Locator na Phone Initial/Date

Private Line Locator na Phone Initial/Date

Local Public WorksDepartment

na Phone Initial/Date

Local Gas andElectric Utility

na Phone Initial/Date


Project Team Phone Numbers

Name Telephone Verification

Stantec ProjectManager

Bob Wilson (805) 748-1286 SLR/04/12

Stantec Site Healthand Safety Officer

Kirk Henning (805) 995-4050 SLR/04/12

Stantec Project Staff Kirk Henning (805) 995-4050 SLR/04/12

Stantec BusinessUnit Leader

John Bollier (805) 427-4852 SLR/04/12

Regional HSECoordinator

Daniel Spencer – West

Fred Miller – East

(972) 345-3739 Cell(817) 640-9621 ext. 34 Office

(610) 235-7315 Cell(610) 840-2565 Office

SLR/04/12

US HSE Director Jim Wells(502) 212-5011 Office(502) 609-6126 Cell

SLR/04/12

WorkersCompensationCoordinator

Melissa Helton(513)720-3706 Cell(513)842-8245 Office

SLR/04/12

Occupational HealthServices

All-One Health1-800-350-4511(24 hours/day,7 days/week)

SLR/04/12

Stantec HumanResources Director

Peggy Ramos (949) 923-6061 SLR/04/12

Stantec Office Safetyand EnvironmentCoordinator

Tony Wong (805) 234-6227 SLR/04/12

Phillips 66Project Manager

Chris Swartz (714) 200-3962 SLR/04/12

Phillips 66 SMRefinery HSESuperintendent

Kristen Kopp (805) 343-3241 KAH/05/12

Subcontractor TBD


1.2 DIRECTIONS AND MAP TO THE HOSPITAL

The SHSO will verify and validate the route to the hospital by driving it before work begins.


1.3 DIRECTIONS AND MAP TO OCCUPATIONAL CLINIC


1.4 EMERGENCY RESPONSE PROCEDURES: EVACUATION

In the event of an on-site or off-site emergency requiring site evacuation (e.g., fire, release, explosion,etc), the following procedures will be followed:

Stop Work and notify the SHSO. Evacuate the site and go to the emergency meeting location if safe conditions exist. The generic

evacuation point is shown on next page. If safe conditions prevent evacuation to this location,move upwind, away from the source of the emergency. Maintain a safe distance from the source.

Check in with the SHSO at the emergency meeting location. The SHSO will take attendanceonce all personnel have gathered.

Dial the appropriate emergency response number(s). State the problem clearly and completelyand remain on the line until dismissed by the operator.

Only attempt extinguishing small fires with portable dry chemical equipment on-hand. When indoubt, emergency response personnel shall be notified.

Do not reenter the emergency site without specific approval from emergency response personnel.

Randomly scheduled evacuation drills may be conducted at any time during field activities.



1.5 EMERGENCY RESPONSE PROCEDURES: INJURY OR ILLNESS

If an injury or illness occurs, take the following action:

Stop Work, stabilize the situation, and secure the site. Administer First Aid for the person immediately using a first aid and blood-borne pathogens kit. Determine if emergency response (fire/ambulance) is necessary. If so, call appropriate

emergency response numbers on closest available phone. Provide the location of the injuredperson and other details as requested. Drive the individual to the hospital only if it makes sense.

If emergency decontamination is required:o Immediately remove any contaminated personal protective equipment (PPE) or clothing.o If possible, wash contaminated area with mild soap and water.o Use eyewash station if necessary.o Personnel assisting the contaminated individual will don the proper PPE to avoid

unnecessary exposures. For all injuries or illness, even minor cuts, scratches, and bruises, notify the SHSO

immediately. The SHSO is responsible for initiating incident reporting procedures immediatelyafter the victim(s)/site have been stabilized. The SHSO will assume responsibility during amedical emergency until more qualified emergency response personnel arrive at the site asneeded.

As promptly as possible following an injury or illness, ensure appropriate notification has beenmade to the family of the individual involved.

Please see Section 1.7 for incident reporting procedures.

1.5.1 Injuries or Illnesses Requiring Hospital Service WITHOUT AmbulanceService

Injuries or illnesses requiring hospital service without ambulance services include minor lacerations, minorsprains, etc. The following procedures will be taken immediately:

The SHSO will ensure prompt transportation of the injured person to a physician or hospital. A representative of Stantec will always drive the injured employee to the medical facility and

remain at the facility until the employee is ready to return. If the driver of the vehicle is not familiar with directions to the hospital, a second person shall

accompany the driver and the injured employee and navigate the route to the hospital. If it is necessary for the SHSO to accompany the injured employee, provisions will be made to

have another employee, properly trained and certified in First Aid, to act as the temporary SHSO. If the injured employee is able to return to the job site the same day, he/she will bring with him/her

a statement from the doctor containing such information as:o Dateo Employee's nameo Diagnosiso Date he/she is able to return to work, regular or light dutyo Date he/she is to return to doctor for follow-up appointment, if necessaryo Signature and address of doctor

As promptly as possible following an injury or illness, ensure appropriate notification has beenmade to the family of the individual involved.

Please see Section 1.7 for incident reporting procedures.

If the injured employee is unable to return to the job site the same day, the employee who transportedhim will bring this information back to the job site and report it to Jim Wells, Stantec Practice and RiskManagement (PRM), and their regional Human Resources Specialist.


1.5.2 Injuries or Illnesses Requiring Hospital Service WITH Ambulance Service

Injuries or illnesses requiring hospital service with ambulance services include severe head injuries,amputations, heart attacks, heat stroke, etc. The following procedures will be taken immediately:

Call for ambulance service and notify the SHSO. Administer First Aid until ambulance service arrives. While the injured employee is being transported, the SHSO will contact the medical facility to be

utilized. One designated representative will accompany the injured employee to the medical facility and

remain at the facility until final diagnosis and other relevant information is obtained. As promptly as possible following an injury or illness, ensure appropriate notification has been

made to the family of the individual involved. Please see Section 1.7 for incident reporting procedures.

1.5.3 Death of an Individual or Hospitalization of Three or More Employees

The emergency response procedures above will be followed. If the injured person dies, follow theincident reporting procedures. PRM will notify the Human Resources Department, local officials andcoroner immediately. Human Resources will notify the local OSHA office within 8 hours of the incident orfatality in the event of fatality or hospitalization of three or more employees.


1.6 EMERGENCY RESPONSE PROCEDURES: SPILLS OR CUT LINES

Prevent problems by documenting the location of underground lines (e.g., product, sewer, telephone,fiber optic) before starting site work. If a line or tank is drilled through, or another leak occurs, documentthe event as soon as possible using the Incident Investigation Report.

In the event of a spill/release, follow this plan:

Stop Work, stabilize the situation, and secure the site. Stay upwind of the spill/release. Wear appropriate PPE. Turn off equipment and other sources of ignition. Turn off pumps and shut valves to stop the flow/leak. Plug the leak or collect drippings, when possible. Use sorbent pads to collect product and impede its flow, if possible. Call Fire Department immediately if fire or emergency develops. Notify the SHSO to begin the incident reporting procedures. All spills/releases will be reported to

the Client Project Manager within 24 hours, or sooner. Determine if the client wants Stantec to repair the damage or if the client will use an emergency

repair contractor. Based on agreements, contact emergency spill contractor for containment of free product. The

contacts for this project will be Phillips 66 Fire and Safety Specialist Phone: (805) 343-3249 andKristen Kopp Phone: (805) 343-3241.

Advise the client of spill discharge notification requirements and determine who will complete andsubmit forms. (Do not submit or report to agencies without the client’s consent.) Document eachinteraction with the client and regulators and note, in writing; name, title, authorizations, refusals,decisions, and commitments to any action.

Do not transport or approve transportation of contaminated soils or product until proper manifestshave been completed and approved. Be aware that soils / product may meet criteria forhazardous waste.

Do not sign manifests as generator of wastes unless you have been given appropriate trainingand approval for signing on behalf of the generator; contact Project Manager or WasteCompliance Manager to discuss waste transportation.

The Project Manager will involve the client/generator in the Incident Investigation process. Theclient/generator is under obligation to report to the proper government agencies. If the spill extends intowaterways, the Coast Guard and the National Response Center will be notified immediately by the clientor by Stantec Project Manager with the client’s permission.

INCIDENT REPORTING GUIDELINES(MEDICAL EMERGENCY, FIRST AID, MVC, SPILL, PERMIT

EXCEEDANCES, NOV, & ALL NEAR LOSSES)


1.7 INCIDENT REPORTING PROCEDURES

INSTRUCTION GUIDE FOR INTERNAL INCIDENT REPORTINGFOR THE STANTEC PHILLIPS 66 TEAM

This section outlines the procedures that will be followed in the event of an incident. A flowchart and atable with necessary contact information (phone numbers, fax numbers, and email addresses) for incidentreporting are also provided.

In the event of an incident:

1. Stop work, stabilize the situation, and secure the site.

2. Report all incidents, injuries, spills, non-conformance events, permit exceedances, and potentialincidents (near losses) immediately to the SHSO, who will then notify the Stantec Project Manager. Ifyou are unsure whether or not something should be reported, Stop Work and proceed with notificationanyway.

3. The Stantec Project Manager will make internal notifications* to the following: At least one of the Stantec H&S Team Members (Jim Wells, Fred Miller, or Daniel Spencer); At least one of the Stantec Phillips 66 Incident Review Team Members (Jim Burns, Scott Jordan, or

Russ Weigand);If a team member does not answer, leave a detailed message with a number at which you can bereached.

*Internal notification is a Stantec Phillips 66 team requirement, as well as a Phillips 66 requirement.Internal reporting requirements were established for two primary reasons: (1) provide a pathway foremployees to obtain the assistance of company health and safety experts during an incident or nearloss, and (2) to help Stantec track injuries and near losses that occur to our employees. The datacaptured during the reporting process is then used to identify trends that can be pro-actively addressedto improve overall health and safety within our company. This helps everyone go home safely.

4. The Stantec Project Manager will obtain concurrence from at least one of the Stantec Phillips 66Incident Review Team Members regarding Phillips 66 reporting requirements.

5. A: If the incident is determined to not be reportable to Phillips 66 PM, the SHSO or Stantec ProjectManager will submit an initial copy of the Stantec Incident Investigation/Near Loss Investigation (IINLI)report (RMS-3 Form) to Stantec’s PRM group in Edmonton (via phone and fax), and Jim Wells within 24hours of the event. The final report is due within 5 business days. If the incident is not reportable toPhillips 66, the IINLI will NOT be entered into the Phillips 66 Incident Reporting database (IMPACT).

B: If the incident is determined by the Phillips 66 Incident Review Team to be reportable to Phillips 66PM, the Stantec Project Manager or Director will: Notify the Phillips 66 Project Manager and, if requested, complete a Flash Report and other

associated Phillips 66 documentation. Please note that the Phillips 66 Project Manager isresponsible for emailing the flash report within Phillips 66 PM. This will not be done by Stantecpersonnel unless a specific request has been made by the Phillips 66 Project Manager to do so.

Provide a written report of the incident on a Stantec IINLI (RMS-3) form to Stantec’s PRM group(via fax and phone), and Jim Wells. An initial copy of the report will be submitted within 24 hours,and the final will be completed within 5 business days. It is NOT enough to solely enter the IINLIinto IMPACT.

INCIDENT REPORTING GUIDELINES(MEDICAL EMERGENCY, FIRST AID, MVC, SPILL, PERMIT

EXCEEDANCES, NOV, & ALL NEAR LOSSES)


Stantec H & S Team Notification Phone Numbers:Jim Wells Office (502) 212-5011 Cell (502) 609-6126Fred Miller Office (610) 840-2565 Cell (610) 235-7315Daniel Spencer Office (817) 640-9621 Cell (972) 345-3739Kev Metcalfe Office (780) 917-7023 Cell (780) 231-2185

Stantec Phillips 66 Incident Review Team Phone Numbers:Jim Burns Office (517) 349-9499 Cell (517) 202-7168Scott Jordan Office (517) 349-9499 Cell (517) 202-5617Russ Weigand Office (713) 937-7973 Cell (713) 540-0131

DirectorsLarge Projects Group Dianne Burnia Office (248) 489-5900 Cell (248) 890-8143Project Management Group Tom Madsen Office (801) 261-0900 Cell (801) 448-1351Technical Services Group Jeremy Rasmussen Office (517) 349-9499 Cell (517) 202-7633Technical Services Group Dorota Runyan Office (909) 335-6116 Cell (909) 202-9416International Group Christian Gonzales Office (507) 202-1465 Cell (507)66185480Marketing East OE Lead Kathryn Wellemeyer Office (507) 202-1465 Cell (507)66192616Marketing West OE Lead Laurie Gier Office (916) 861-0400 Cell (916) 281-8057

Stantec’s Practice and Risk Management GroupFax (780) 969-2030 E-mail = [email protected]

Immediately notifyStantec SHSO.

Notify Stantec PM immediately.

Stantec PM makes verbal notificationimmediately to all of the following

people:Phillips 66 Incident Review Team:

-Russ Weigand-Scott Jordan

-Jim BurnsStantec H&S Team:

Jim Wells (US)Fred Miller (East)

Daniel Spencer (West)

Stantec PM or Director obtainsconcurrence from

at least 1 member of the Stantec H&STeam and Phillips 66 Incident ReviewTeam regarding Phillips 66 Reporting

Requirements

Incident Reportable toPhillips 66

Incident NotReportable to Phillips

66

Submit initial copy ofStantec IINLI report to

Edmonton Office within24 hours of event.

Final Report Due within 5business days.

Stantec PM or DirectorNotifies Phillips 66 PM &

and works with Phillips 66PM & Stantec Phillips 66Incident Review Team to

complete associatedinternal and external

paperwork.

If a H&S teammember does notanswer, leave a

detailed messagewith a number atwhich you can be

reached.

If you are unsurewhether or not

something should bereported, Stop Work

and proceed withnotification anyway.

Stop Work, stabilize situation,and secure site.


2.0 Scope of Work

The scope of this project is to:

Excavate or remove impacted soil and collect verification soil samples for chemical analysis.

Therefore, this HASP was prepared for the use of Stantec personnel while performing the following tasks:

1. Driving2. Site Visit3. Remedial Action Plan Activities (Soil Excavation and sampling)

The above-stated tasks will be conducted in a manner consistent with the methods and assumptionsoutlined in the: Remedial Action Plan for Area Adjacent to Coke Processing Area, June 17, 2010. All workplans referenced in this HASP will be available for Stantec personnel on site.


3.0 Site Background and Chemical Hazards

On April 21 and 22, 2009, the DTSC collected twelve surface soil samples (samples SM-01A through SM-

12A) for laboratory analyses from historical, inactive accumulations located along the fringe of the coke

processing area that is bound by an earthen embankment. The soil samples collected by the DTSC were

analyzed for total and soluble metals.

According to DTSC's analytical results, one of the 12 samples (SM-09A) collected within the subject area

indicated a total concentration of vanadium over the respective Total Threshold Limit Concentration

(TTLC) of 2,400 mg/kg. Vanadium was detected in soil sample SM-09A at a concentration of 3,100

mg/kg.

According to DTSC's analytical results, 3 of the 12 samples (SM-01A, SM-08A and SM-09A) indicated a

soluble vanadium metal concentration greater than the respective Soluble Threshold Limit Concentration

(STLC) of 24 milligrams per liter (mg/l). Vanadium was detected in soil samples SM-01A, SM-08A and

SM-09A at concentrations of 30 mg/l, 77 mg/l and 150 mg/l, respectively. Nickel was also detected in

sample SM-09A at a concentration of 46 mg/l, which exceeds the STLC for nickel of 20 mg/l. None of the

12 soil samples contained soluble metal concentrations over the respective Toxicity Characteristic

Leaching Procedure (TCLP) concentrations.

On September 2, 2009, Stantec personnel conducted a preliminary visual inspection of the subject area

to evaluate sample locations for this assessment. Visual observations indicated isolated debris areas of

soil mixed with small chunks of brick and other construction debris that appeared to be consistent with the

soil samples at DTSC sample locations SM-01A and SM-09A.

On November 17 and 18, 2009, Stantec collected 52 surface soil samples (SS-01 through SS-48 and SS-

50 through SS-53) within the debris areas previously identified during the site reconnaissance, and in the

vicinity of the three locations of concern identified by DTSC samples SM-01A, SM-08A and SM-09A. The

samples were analyzed for total metals concentrations. If the total concentration of a metal exceeded the

respective STLC by ten times or more, then the respective soil samples were further prepared and

analyzed for soluble concentrations using the California Waste Extraction Test (WET) Method. After

reviewing the results of the initial analyses, Stantec determined that the constituents of concern were

vanadium and nickel, and all subsequent analysis was limited to those two metals.

Based on the analytical results of the November 2009 sampling, Stantec conducted additional surface soil

sampling from January 28 through February 1, 2010. During this time period, 29 additional surface soil

samples (SS-54 through SS-82) were collected to further define the lateral extent of impacted soils within

the debris areas. The sample locations focused on areas in the northern and southern portions of the

subject area. Six additional surface soil samples were collected on March 16, 2010 to complete the

assessment of the lateral extent of impacted soils.

On January 28 through February 1, 2010, eleven hand auger borings designated as HA-1 through HA-11

were advanced to depths ranging from 5 feet to 10 feet below ground surface (bgs) at the locations

presented on Figure 3 to evaluate the vertical extent of soil impacted with metals above the STLC or


TTLC. Soil samples were collected from the borings at depth intervals ranging between 2 to 3 feet to

termination of the borings. Boring HA-9 was terminated at 5 feet bgs due to caving in the boring.

On March 11, 2010, Stantec attempted to advance boring HA-9 to a greater depth by using a PVC

conductor casing, but was only able to advance 3 additional feet to a total depth of 8 feet bgs. Stantec

determined that further advancement required to complete the vertical definition of metals-impacted soil

necessitated using direct-push drilling equipment such as a Geoprobe®

drilling rig.

On March 16, 2010, Stantec advanced one additional hand auger boring, originally designated as HA-12

and later changed to GP-12. Boring GP-12 was advanced by hand auger to a depth of 10 feet bgs until

caving prevented further advancement. Stantec determined that boring GP-12 also needed to be further

advanced using direct-push equipment.

On March 17, 2010, three direct-push Geoprobe®

borings, identified as GP-12 through GP-14, wereadvanced and sampled at the approximate locations presented on Figure 3 using a track-mounted direct-push Geoprobe

®rig.

Constituents of Potential Concern and Maximum Concentrations

Constituent Sample Date Media Concentration ID

Vanadium (Soluble) 04/22/09 Soil 150 mg/l SM-09A

Nickel (Soluble) 04/22/09 Soil 46 mg/l SM-09A

Vanadium (Total) 04/22/09 Soil 2,600 mg/kg SM-09A

Nickel (Total) 11/18/09 Soil 2,400 mg/kg SS-43



Potential Airborne Concerns and Air Monitoring Action Levels

POTENTIAL AIRBORNE CHEMICALS ONSITE IN THIS PROJECTREVIEW THIS TABLE AND CONTACT SHSO WITH QUESTIONS

CHEMICAL(OR CLASS)

OSHA PELACGIH TLV

OTHERPERTINENT

LIMITS

WARNINGPROPERTIES

ROUTES OFEXPOSURE

ORIRRITATION

ACUTE HEALTHEFFECTS

CHRONICHEALTH

EFFECTS/TARGETORGANS

Nickel Cal/FedOSHAPEL 1 mg/m3

TLV 1.5 mg/m3

NIOSH REL 0.015mg/m3

IDLH 10 mg/m3

Metal, lustrous,silvery, odorlesssolid

Inhalation,ingestion, skinand/or eyecontact

Sensitization,dermatitis

Allergicasthma,pneumonitis.Nasal cavities,lungs and skin.Lung and nasalcancer.

Vanadium (dust) OSHA PEL 0.5mg/m3

CalOSHA PEL0.05 mg/m3

TLV 0.05 mg/m3

NIOSH C 0.05mg/m3

IDLH 35 mg/m3

Yellow-orangepowder or dark-gray, odorlessflakes dispersedin air.

Inhalation,ingestion, skinand/or eyecontact

Irritated eyes, skin, orthroat. Metallic taste,cough

Green tongue,eczema, finerales,wheezing,bronchitis,dypsnea

Abbreviation Explanation

PEL Permissible Exposure LimitREL Recommended Exposure Limit set by NIOSHC Ceiling LimitSTEL Short Term Exposure LimitIDLH Immediately Dangerous to Life or HealthTLV Threshold Limit Value set by the ACGIH (American Conference of

Governmental Industrial Hygienists)AIHA WEEL Workplace Environmental Exposure Limits set by the AIHA

(American Industrial Hygiene Association)SKIN Skin AbsorptionNIOSH National Institute for Occupation Safety and HealthCNS Central Nervous SystemCVS Cardiovascular System


CHEMICAL(OR

CLASS)

MONITORINGEQUIPMENT

TASKMONITORINGFREQUENCY/

LOCATION

LEVEL FORRESPIRATOR USE

LEVEL FORWORK

STOPPAGE

Totalparticulate

MIE DataRam

Soil disruptionduring

excavation.

Continuous. Movethe device aroundthe boundaries of

the exclusion zone.

10 mg/m3 15 mg/m3

The Level for Respirator Use is the concentration at which a respirator will be put on; it does notrequire the job to stop. The respirator is a tool to be used while determining why the exposurehas reached that concentration. Take action to reduce the concentration using engineeringcontrols such as water mist, spray foam, plastic cover, etc.

The Level for Work Stoppage is the concentration at which work on the job will stop. Determinewhy exposures have reached that concentration and how they can be reduced. Site evacuationis not necessary at this level. Implement engineering controls to reduce the concentration, andthen resume work.

Action levels can be modified with particular knowledge of contaminants and site conditions. In the following cases, contact Jim Wells for guidance on the air monitoring requirements.

o When calibrating with a calibration gas other than isobutylene.o When requesting to modify the values above.o On sites impacted with chemicals other than petroleum products


4.0 Other Site Hazards

4.1 PHYSICAL HAZARDS

Physical hazards may include heavy equipment (excavator, box-car loader), train and box-cars, handtools for excavation and sampling activities.

Physical hazards may also include uneven terrain, sharp debris, electrical fencing, holes, noise, etc.

The most likely physical hazards at the site are uneven terrain and sharp debris. To protect yourself,always look before you step and wear proper PPE for the task being performed.

4.2 WEATHER AND NATURAL DISASTERS

Hazards associated with weather and natural disasters may include, but are not limited to, effects ofextreme heat (heat exhaustion, heat stroke), effects of extreme cold (hypothermia, frostbite), high winds,heavy rain, lightening, heavy snow, ice, earthquakes, landslides, flooding, etc.

The most likely hazards at the site are effects of extreme heat (heat exhaustion, heat stroke) andearthquakes.

To protect yourself from heat, perform the heaviest work at the coolest part of the day; drink plenty of coolwater; wear light, loose-fitting, breathable clothing; and take frequent, short breaks in the shade. Certainmedications, having a previous heat-related illness, and wearing PPE such as a respirator or protectivesuit can put you at increased risk.


Earthquakes can last just a few seconds or as long as several minutes. Safety precautions include (asamended from http://safety.lovetoknow.com/Earthquake_Safety_Precautions):

Before an earthquake:o Store heavy items or glassware on low shelves so they do not become dangerous

projectiles. Secure large equipment with straps, bolts, or other stabilizing methods.o Know the emergency meeting location at the site.

During an earthquake:o Immediately seek a safe location such as in a doorway, beneath a table or desk, or along

an interior wall away from windows or hazardous objects.o Cover the back of your head and your eyes to minimize injury from flying debriso Do not take elevators during an earthquake.o If outdoors, stay in open areas away from buildings, power lines, trees, and other

potential hazards.o If driving, stop quickly but safely and stay in the vehicle. Do not stop near power lines,

bridges, overpasses, or other potentially dangerous locations.o Stay calm and brace yourself to keep you balance. Sit if possible.

After an earthquake:o Be prepared for aftershocks, which may be stronger than the initial jolt.o Administer First Aid and summon emergency assistance if necessary.o Wear PPE (boots, gloves) to avoid getting cut by broken glass.o Turn off gas, electricity, and water if damage is suspected or if advised to do so by

authorities.o Be cautious opening cabinets, cupboards, and closets in case items are poised to fall.o Keep phone lines clear for emergency use.o Be patient: it may take hours or days to restore all services depending on the severity of

the quake.

4.3 BIOLOGICAL HAZARDS

Biological hazards may include, but are not limited to, bees/wasps, spiders, snakes, stray dogs, andpoisonous/allergenic plants.

The most likely biological hazards at the site are bees/wasps and spiders, and these may be encounteredduring a number of tasks including: opening well vault covers; opening core or sample boxes; working intall grass, weeds, or brush; cleaning or moving materials; performing site assessment, etc.

To mitigate hazards associated with bees/wasps:

Avoid known locations of bees/wasps. Keep your eyes and ears open for swarms. Look for insects flying in and out of openings such as a crack in the wall, an open pipe end, or a

well vault lid. Be cautious of tall grass as some bees build their hives at ground level. Be cautious of pointed structures, especially in barns, storage sheds, and outbuildings as bees

often build hives in those structures. Avoid wearing citrus or floral aftershaves or perfumes as bees/wasps may be attracted to these

odors. Wear light colored clothing as insects are generally attracted to dark colors. Fill in cracks or crevices and close open ends of pipes when bees/wasps are not around. Leave the area as quickly as possibly if a nest has been disturbed. Do not retrieve nearby

belongings. Do not stand still. Do not try to fight them.

http://safety.lovetoknow.com/Earthquake_Safety_Precautions


If stung by a bee or wasp, wash the area with soap and water, and use Benadryl from the First Aid kit. Ifyou have been stung over 15 times or are having symptoms other than pain and swelling, seekemergency medical assistance immediately. Staff that are allergic will carry an EpiPen

®as prescribed by

a doctor.To mitigate hazards associated with spiders:

Be cautious when opening well boxes, pipes, electrical and equipment panels. Be cautious when moving materials and/or tools inside the remediation compound; i.e. corners of

the compound or any area where it’s dry and dark. Open well boxes, drums, electrical and equipment panels, etc., slowly and be prepared to step

back quickly. Visually inspect the work area before placing your hands into a dark space/enclosed area. Use a flashlight to visually inspect the work area for spiders and spider webs. Wear appropriate gloves. Never place a bare hand into a dark space/enclosed area. Use a brush or equivalent long handled tool to sweep away spider webs and dirt, etc., to clear

your work area. Proceed with caution and continue to visually inspect your work area. Leave the area immediately if a spider has been encountered. Move work materials out of the

way. Do not use insect sprays or pesticides as these may cause contamination of sampling.

If bitten by a spider, wash the bite area with soap and water. Immobilize the bitten arm or leg to limitmovement. Try to elevate the area and keep it still to help prevent the spread of venom. Apply a clothdampened with cold water or lined with ice to the bite to slow down the spread of the spider's venom.Seek medical attention immediately.

Drug Paraphernalia:

If drug paraphernalia (i.e. used needles) is found at the site, field staff should notify their Stantecsupervisor, Kirk Henning. Field staff should not touch or attempt to dispose of these items. Instead, acone or other warning device should be placed near or on top of the items to warn others not to touch.


5.0 Site Control and Safety Procedures

Procedures described in this section are intended to aid Stantec personnel in mitigating siterisks/hazards.

CamerasPrior to using a camera or other electronic recording devices on this site, all on-site personnel and/orvisitors will obtain written approval from the property owner and/or Phillips 66 Project Manager.

Daily Production Health and Safety BriefingsA safety meeting will be conducted twice daily at the site to discuss the health and safety issues for theactivities to be conducted that day. The topics of the meeting will include, at a minimum, general healthand safety procedures, reviewing health and safety policies and reviewing the job hazard analyses for thetasks to be conducted. Additional safety meetings may be conducted if the scope of work changes duringthe day, or if other health and safety issues are identified. The Daily Production Health and SafetyBriefing Log and example meeting topics are included in Attachment 3.

Driving Review the Stantec Safe Driving Procedures provided on-site. Utilize the Journey Hazard Assessment Card to identify potential driving/journey/traffic hazards

before each trip. Copies of the Journey Hazard Assessment Card are located on-site. Utilize the Daily Vehicle Checklist at least once a day for each vehicle driven for Stantec business

to identify potential vehicle issues/hazards. Copies of the Daily Vehicle Inspection Checklist arelocated on-site.

Have each team member who will travel to/from the site review the site-specific JourneyManagement Plan (JMP) before traveling to identify routes of travel and potentialdriving/journey/traffic hazards. JMP(s) will be kept with each traveling employee throughout theentire course of travel.

A Stantec Vehicle Collision Kit will be kept in every vehicle used for Stantec project work. A copyof the Stantec Vehicle Collision Kit is located on site.

Drug and Alcohol TestingFollowing an incident, Stantec will follow the incident reporting procedures. If appropriate, Stantec willinclude drug and alcohol testing, consistent with Stantec’s Policies and Procedures, as well as the client’scontractual requirements for testing.

Exclusion Zone and DecontaminationNo eating, drinking, or smoking within the exclusion zone. These activities will be conducted only indesignated areas of the site. Use of PDAs, cell phones, pagers, or other electrical devices (with theexception of intrinsically safe devices) are prohibited in the exclusion zone. Personnel will properlydecontaminate after leaving an exclusion zone. Decontamination procedures may involve disposing ofTeaks, latex gloves, etc. in a decontamination zone located immediately outside of the exclusion zone. Ata minimum, personnel will wash any exposed skin before leaving a site using soap and water or pre-moistened cleansing towels. Stantec will evaluate the hazards and develop site-specific decontaminationprocedures to address the chemical hazards at each site. These procedures can be found in the job lossanalyses.

HASP InspectionsThe site-specific HASP should be inspected in the field by the SHSO or other Stantec personnel todetermine the effectiveness of the plan. Any deficiencies should be corrected and changes will berecorded on the HASP Modification Log.


Jewelry SafetyJewelry can be dangerous and shall not be worn during field activities. Large earrings, long necklaces,loose-fitting bracelets, rings, watches, etc. can become entangled in machinery and cause removal oflimbs, as well as be conductive of electricity.

Job Hazard AnalysesJob Hazard Analyses (JHAs) will be developed during the pre-planning phase of a project. JHAs will becompleted for all field jobs and focused on the control, removal, or reduction of hazards potentiallyinherent in each job and in the context of the project scope; contractors selected, and anticipated worklocations. The JHAs and project HASP will be used to: enhance crew training, improve the efficiency ofthe job, and provide a foundation for behavior based safety (BBS) observations to on-site workers will beexposed and reviewed during Pre-Field Kickoff Meetings to ensure a thorough hazard analysis wasperformed and documented. JHA is located in Attachment 2.

Material Safety Data SheetsMaterial Safety Data Sheets (MSDSs) will be available for all chemicals that may be found on site(including chemicals that will be brought on site by on-site personnel and/or visitors).

PermitsThe permit to work located in the Phillips 66 Team Field Binder will serve as the general permit to workfor this site. Permits may include, but are not limited to, NPDS permits, City Permits, County permits, etc.should be discussed.

Personal Protective EquipmentPPE is identified in JLAs. PPE listed in each JLA is specific to the task outlined in the JLA and isconsistent with Appendix B of 29 CFR 1910.120. PPE is to be used in accordance with manufacturers’recommendations. Minimum PPE at the site includes steel toe/steel shank boots, leather work gloves, hi-visibility safety vest, long sleeve shirt, pants, safety glasses with side shields, and a hard hat.

Pre-entry BriefingAll on-site workers and visitors will receive a pre-entry briefing prior to accessing work areas of the site.The briefing will include reviewing contents of the HASP and signing the Acknowledgement andAgreement Form. The briefing for visitors may be abbreviated to be fit-for-purpose based on the intent ofthe visit.

Public Questions and PressQuestions about the site posed by neighbors, the press, or other interested parties will be directed to thePhillips 66 Project Manager.

Shutoff Valves/SwitchesThe SHSO will identify the location of shutoff valves and switches for utilities and products on the SitePlan and disseminate this information to all site personnel and visitors as appropriate.

Site Access and LayoutBefore mobilizing to the site for an event, the property owner(s) will be notified. The property is anoperating Refinery surrounded by security fencing and patrolled by security personnel 24/7. There arethree controlled entrances to the Refinery, Gate #1, Gate #2, and Gate #4. All contractors’ ingress andegress at the site through Gate #2. The staging area is located in the paved area to the north of theRefinery lab. The exclusion zone will be set around the areas adjacent to excavation area usingbarricades and other delineators.

Site SecuritySecurity of our staff, subcontractors, equipment, and the public is of paramount importance to Stantec.Employees are trained in hazard recognition and will follow standard policies and procedures to reportand mitigate site security issues/hazards if identified. Note that security consideration is different thantraffic guidance and control, which also impacts security to some extent. Security refers to personal


safety and freedom from theft or violence. The following items will be evaluated when consideringsecurity measures at the site:

Daytime activities at the site (e.g., gas station only, gas station with convenience store, etc.); Recent criminal activity at the site and nearby areas (ask site owner/operator and the police); Work hours (security concerns may be different depending on the time of day); and Lighting at the site (thieves are generally dissuaded from stealing on well-lit sites).

Standard security measures will be implemented on site to minimize the potential for loss at the site.Standard security measures include properly maintained lighting, functioning locks forwindows/doors/equipment storage areas, and maintaining control of tools and equipment when not inuse. Security may be implemented in a variety of ways:

Orange construction fence (minimal security); Chain link fencing; Extra lighting; Specialized locks; and/or Contract security.

Traffic Guidance and ControlIncidents on sites have shown the need for a site-specific Traffic Guidance and Control Plan. The SHSOand project staff will develop a Traffic Guidance and Control Plan and disseminate this information to allsite personnel. This plan will consider the amount of traffic at a site and provide for the safety of allworkers. Equipment and resources to be considered as part of traffic guidance and control include:

Vehicle hazard lights (tail and headlights) Delineators and orange construction fencing Placement of vehicles as barriers between workers and traffic Rotating amber hazard lights that can be placed on top of vehicles Professionally trained flaggers

Other considerations for the Traffic Guidance and Control Plan include:

Requiring personal vehicles (that aren’t being used as barriers) to park as far away from potentialtraffic as possible.

Cordoning off as much space as is necessary to ensure our safety. This will be discussed withproperty owners and tenants, as it may mean closing down additional gasoline pumps, etc.

Identifying traffic flow routes and parking areas for heavy equipment (e.g., vacuum trucks, drillrigs, etc.) and establishing site speed limits.

Reviewing local regulations for: formally developed traffic guidance and control plans signed bylicensed individuals, police details, flagmen, hours of activity, closure of streets, etc.

Work HoursWork on this project will be conducted during the hours of 6:00 AM to 7:00 PM, Monday through Friday.


6.0 Waste Management

A. Waste Generation (Type(s)/Quantities Expected):

Anticipated (YES/NO): YES

Types: Liquid x (decon) Solid x (coke dust/soil) Sludge ____ Other (describe) ________

Quantity (Expected Volume): ______unknown___________

B. Characteristics (Expected):

Corrosive _____ Flammable/Ignitable _____ Radioactive _____ Toxic ___x__

Reactive __x___ Unknown _x__

Other (specify) ________

C. Packaging Requirements for Waste Material (Expected):

DOT-approved Drums __

Train Box-car (railed off-site) __x___

Lined Waste Bins _____

Temporary Stockpile _____

D. Disposal and/or Treatment Methods Proposed (Expected):

All wastes will be labeled, sampled and analyzed for all applicable chemicals of potential concern andphysical properties (e.g., pH, vapor pressure, etc.) to ensure proper waste characterization. Results ofanalysis will determine how and where impacted materials may be disposed of. Kristen Kopp (Phillips 66Santa Maria Refinery HSE Superintendent (805) 343-3241) will be responsible for the categorization andtransportation of all waste generated on this Site. All materials will be disposed of or treated inaccordance with federal, state and local regulations as selected and arranged by Kristen Kopp (Phillips66 Santa Maria Refinery HSE Superintendent (805) 343-3241). The client Kristen Kopp (Phillips 66Santa Maria Refinery HSE Superintendent (805) 343-3241) will be responsible for signing the manifest.


7.0 Project Team Information

7.1 TRAINING

Site personnel will be trained and certified in hazardous waste operations and emergency response asfollows:

40-Hour HAZWOPER Training; Annual 8-Hour Refresher [29 CFR 1910.120(e)(8)]; First Aid/CPR Training; Physical examination consistent with 29 Code of Federal Regulations (CFR) 1910.120 (and 8

California Code of Regulations (CCR) 5192, if applicable); Supervisory 8-hour Training [29 CFR 1910.120(e)(4)] for the Site Manager/SHSO; and Additional training specific to the job being performed (e.g., Fall Protection, Lock Out/Tag Out,

Hot Work, Confined Space, etc.).

Stantec Health and Safety Requirements:In addition to the above-mentioned trainings, Stantec personnel are required to have training in abehavior-based safety program and defensive driving. Fit tests are also required for respirator use.

Client-Specific Safety Procedures:Phillips 66 requires all of its contractors to abide by the policies and procedures set forth in theRemediation Management Contractor Safety Requirements and a copy of the handbook shall bemaintained on site.


7.2 ORGANIZATION AND RESPONSIBILITIES

An organization chart for project personnel is provided below.

A table summarizing responsibilities for project personnel is provided below.

Chris Swartz

Phillips 66 Project Manager

John Bollier

Stantec Business Unit Leader

Bob Wilson

Stantec Project Manager

Peggy Ramos

Stantec HumanResources

Kirk Henning

Stantec SHSO

Dan Zimmerman

Stantec ProjectStaff

(Subcontractor)

Additional StantecStaff

AdditionalSubcontractors

Tony Wong

Stantec OSEC

Kristen Kopp

Phillips 66 SMF HSE

Project Job Title General Project Responsibilities

Stantec ProjectManager

Overall financial and logistics. Contact client and subs to understand allhazards. Discuss with SHSO. Follow-up all incidents upon notice.

Stantec Site Healthand Safety Officer

Conduct work in accordance with JLA and this HASP. Report all incidents andnear misses immediately to Project Manager.

Stantec Project Staff Oversee work

Stantec BusinessUnit Leader

Provide immediate support at notice of all incidents

Stantec Director ofIndustrial Hygiene

Respond with corporate resources to all incidents as appropriate. Assist inHASP review. Assist in incident investigation.

Stantec HumanResources

Assist with incident review, recordkeeping.

Stantec OfficeSafety and

EnvironmentCoordinator

Manage Health and Safety responsibilities for personnel in Office. Assistemployees with setting up training and attending/completing necessary courses.

Phillips 66 ProjectManager

Provide all known analytical data gathered by others and notice of hazards.Provide access to site and available emergency response capabilities.

Attachment 1

Job Hazard Analyses

Job Hazard Analysis

Driving

Date:

Work Site:

Development Team Position/Title Date ReviewedLaurie Gier OE Coordinator 03/18/2012 x

Scott Jordan National OECoordinator

08/21/2009 x

Gary Sparks Project Geologist 12/5/2006 x

Michael Philipp West Region Healthand Safety Manager

10/4/2006 x

Personal Protective Equipment (PPE) & Other Safety EquipmentWear reflective vest for traffic, steel toed and shank shoes, long sleeve shirt, hardhat, safety glasses with sideshields, and Hi-Viz work gloves as necessary.3-lb type ABC Fire Extinguisher, Window Scraper (cold climates), Tire Gauge.Stantec Insurance & Vehicle Collision Kit (first aid kit, BBP kit, flashlight, etc)Camera (if possible)

No. Job Step AdditionalPPE

PotentialHazard(s)

Critical Action(s)

1 PerformHRAC/LPSAproceduresprior tobeginningtask.

Slip/trip/falls,struck by traffic.

● Assess the potential hazards. Analyze howto reduce the risk.

● Review JLA

● Use Stop Work if necessary to mitigate risk,and call supervisor with any questions.

2 Verify JourneyManagementPlan iscomplete andcurrent.

Unexpectedtraffic detours.Slip, Trip, Falls.

● Assure directions are available andunderstood prior to commencing travel.

● Pull the vehicle into a safe location ifadditional directions must be confirmed.

● Increase following distance to allow extratime to stop if you are in unfamiliar territory.

3 Performperimeter walkaround ofvehicle fordamage orunusualconditions.

Flat tire,blowout,impaired vision,collision,slipperysurfaces, injuryor death.

● Complete the Stantec Daily VehicleChecklist prior to travel.

● Assure tires are properly inflated and thereis sufficient tread.

● Assure there are no cuts or bulges in thesidewalls.

● Assure windshield and window glass isclean.

● Check behind vehicle for obstructions.

● Check under vehicle engine for evidence offluid leaks.

● Scrape windows, front and rear windshields.

4 Check andadjust;seat,mirrors,headlamps,

Back or bodystrain. Blindspots.Inability to signalintentions.

● Adjust seat so back is fully supported, upperarms close to body, and pedals within easyreach.

● Lower steering wheel so hands are below


PotentialHazard(s)

Critical Action(s)

turn signals,washer/wipers,heater,defroster,all gauges,gas level, andwarning lights.

Streakingwindshield,impaired vision.

shoulders and shoulders are relaxed.

● Check mirror adjustments each time vehicleis re-started.

● Test operations of front and rear turnsignals.

● Locate and test operation of headlamps,wiper and washer switches.

● Verify air conditioner/heater and windshielddefroster fan operates properly.

5 Fasten seatbelts, lockdoors and turndriver cellphone to muteor quietposition.

Serious injury ordeath incollision.Ejection fromvehicle incollision.Unwantedintrusion.

● Assure all seat belts are in good conditionand fastened.

● Lock all doors to vehicle.

● Do not use cellular phones when refueling ordriving.

6 Pull out ofparking space.

Collision withother vehicles,pedestrians, orstationaryobjects.

● Check mirrors and over shoulder in alldirections prior to pulling out of parking space.

● Signal if parallel parked along a street.If reversing with 2 or more personnel in thevehicle, then at least 1 person must exit thevehicle and act as a spotter. Before using aspotter, both driver and spotter should discussand pre-plan desired route, destination,positioning, obstacles, hand signals (and theirmeaning) before relocating. If alone beforegetting in the car, assess the area looking forapproaching pedestrians/vehicles. When clearget in vehicle, do a 360 scan then put in gear.Give two short blasts on the horn and whilelooking over your shoulder, slowly back out ofthe parking space being prepared to apply thebrakes if needed.

7 DURING TRIPScan - Keepyour eyesmoving.

Collision withother vehicles,pedestrians, orstationaryobjects.

● Move eyes at least every 2 seconds.

● Scan major and minor intersections beforeentry (left-right-left).

● Check mirrors when slowing or stoppingvehicle.

● Scan mirrors frequently, at least one mirrorevery 5-8 seconds.

● Avoid staring while evaluating roadconditions.

● Maintain adequate spacing between yourvehicle and the vehicle in front of you. (Rule ofthumb two second for every 10 miles per hour(minimum of 6 seconds), double the distanceduring poor road conditions).

● Watch for ice on road, slow down beforehitting the ice, and keep your foot off the brake.

8 Elevate - yourline sight.

Collision, injuryor death tooccupants orother parties.

● Maintain 12 second eye lead time (1 1/2blocks in city traffic, 1/4 mile in highway traffic).Assess condition of traffic lights (fresh vs.stale).

● Assess information from distant objects.

● Adjust eye lead distance to speed.


PotentialHazard(s)

Critical Action(s)

9 Count - keepyour distance.


● Maintain safety cushion around vehicle(front, sides, and rear).

● Adjust vehicle space and speed to avoidunsafe intrusion by other drivers.

● Allow a minimum of 1 second for every 10mph you are traveling between you and thevehicle in front of you when driving a vehiclewithout a trailer.

● At signal controlled intersections, stop 10feet behind crosswalks or behind othervehicles.

● When stopped, allow vehicle in front to movefor 3 seconds before accelerating.

● Observe approaching merge areas andchoose lane of least resistance.

● Cede right of way and allow other vehicles tomerge, change lanes, make turns.

10 Out - have away out.


● Avoid being unnecessarily boxed in.

● Avoid sudden acceleration and deceleration.

● Maintain 1 second for every 10 mph (with 3second minimum) following distance whendriving a vehicle without a trailer, adjust speedto traffic conditions, scan immediate andadjacent lanes before merging.

11 Recognize -make sureothers seeyou.


● Seek eye contact with other drivers.

● Before changing lanes, signal well inadvance, check mirrors and over shoulder, andallow adequate space before changing lanes.

● Break early to activate brake lights.

● Stay out of blind spots. Gently sound horn orflash lights if unsure other driver sees you.

● Turn on headlamps in high traffic areas, atdusk, and in inclement weather.

● Increase the distance between your vehicleand the vehicle in front of you at night.

12 Backing up. Collision, injuryor death tooccupants orother parties.

● Make all backing maneuvers slowly andcautiously.

● Check mirrors and over shoulders. Whenparking, look for pull-through parking to avoidbacking.

● If reversing with 2 or more personnel in thevehicle, then at least 1 person must exit thevehicle and act as a spotter. If alone beforegetting in the car, assess the area looking forapproaching pedestrians/vehicles. When clearget in vehicle, do a 360 scan then put in gear.Give two short blasts on the horn and whilelooking over your shoulder, slowly back out ofthe parking space being prepared to apply thebrakes if needed.

13 Parking. Collision, injuryor death tooccupants orother parties.

● Park away from other cars.

● Back into parking spot when possible andsafe.

● Maintain cushion of safety from fixedobjects. Set parking brake.


PotentialHazard(s)

Critical Action(s)

14 POST-TRIP -Reportmaintenanceor mechanicalproblems uponreturningvehicle.

Conditionsworsen leadingto mechanicalfailure resultingin accident,injury or death.

● Report vehicle problems immediately tocompany representative or rental car agency.

SignaturesPrint Name Company Signature

Job Hazard Analysis

Excavation Using a Backhoe

Date:

Work Site:

Development Team Position/Title Date ReviewedScott Jordan National OE

Coordinator9/23/2004

Mike Philipp West Region Healthand Safety Manager

2/5/2007 x

Steve Zayko Associate Engineer 9/23/2004

Personal Protective Equipment (PPE) & Other Safety EquipmentReflective vest for traffic, steel toed and shank shoes, long sleeve shirt, hard hat, safety glasses with sideshields, ear plugs/muffs, and leather gloves for the non-chemical aspects of work, air purifying respirator withcombination organic vapor/P-100 cartridges, nitrile gloves, Tyvek, as necessary.


Potential Hazard(s) Critical Action(s)

1 PerformHRAC/LPSAprocedures prior tobeginning task.

Slip/trip/falls, struck bytraffic.

● Assess the potential hazards.Analyze how to reduce the risk.

● Review JLA

● Use Stop Work if necessary tomitigate risk, and call supervisor withany questions.

2 Locate and set upequipment andpersonneldecontaminationstations.

Back strains, slip/trip/falls.Heat exposure.

● Use proper lifting techniques

● Drink plenty of fluids, one ounceelectrolytic replacement drink for eachounce of water

● Take breaks as necessary

● Ensure break areas are in theshade

3 Obtain rentalequipmentmaintenance recordsprior to commencingwork.

Improper equipmentmaintenance, which cancause equipment failureand possible personalinjury.

● Verify records in possession are forequipment on site

● Verify maintenance is current

● Verify pro-active maintenance andnot reactive maintenance has beenperformed

● Verify each piece of equipment isequipped with a fire extinguisher

4 Set up necessarytraffic guidance andcontrol equipment(as required). SeeAttachment 2 fordetailed plan.

Potentially can be struckby vehicle duringplacement. Vehicleaccident as a result ofimproper traffic controlequipment placement.

● Use buddy system for placing trafficguidance and control equipment

● Create a traffic guidance andcontrol plan to address traffic issues.

● Adhere to approved Traffic



Guidance and Control Plans whenworking in roadways

● It is the responsibility of the SHSOto annotate the Site Plan with theTraffic Guidance and Controlconfiguration if a formally developedTraffic Guidance and Control Plan isnot available

5 Set up exclusionzone(s), stockpilearea and establishwork areas/ heavyequipmentpathways, traffic flowpatterns.

Injury or exposure topublic or other onsitepersonnel. Slip/fallhazards. Onsite vehicularaccident with heavyequipment.

● Set up exclusion zones. (Siteshould be completely fenced off (chainlink)

● It is the responsibility of the SHSOto annotate the site plan with thelocation of the exclusion zones

● Set up clear walking paths betweenworkstations

● Use caution tape and/orconstruction fence and delineators

6 Clear excavationlocations

Traffic hazards, overheadand undergroundinstallations, productreleases, propertydamage, dealerinconvenience.

● Reference Utility Clearance Reviewform.

● Coordinate with Site Manger (ordesignee) to minimize potentialconflicts

● Review proposed locations againstavailable construction drawings andknown utilities, tanks, product lines,etc.

● Mark out the proposed excavationlocations.

● Call underground utility locatingservice for public line locationclearance and get list of utilities beingcontacted. If necessary, coordinateprivate line locator for private property.

● Barricade/cover trenches until job iscomplete

● Conduct air monitoring as outlinedin Section 12 of HASP. Include LowerExplosive Limit (LEL) and oxygenmonitoring. If >10% LEL or O2 <19.5%, discontinue work or ventilatearea with explosion-proof equipment

● Have appropriate respirator withcombination organic vapor/P-100cartridges within 3-5 feet of workinglocation, readily available

● Manually clear location using handauger or other approved means.

● Avoid twisting back during manualclearance post holing; if necessary,decontaminate equipment after use.

Decontamination will be accomplishedby an Alconox wash with tap waterrinse followed by a de-ionized ordistilled water rinse. Collect rinse



water in 5 gallon buckets and transferto 55-gallon drums and stage drums ina position agreed upon by the StantecSHSO and the Property Manager

● holing

7 Set up andinspection of heavyequipment.

Damage caused by heavyequipment whileaccessing set-up location.Slips/trips/falls. Pinchpoints. Struck byequipment.

● Inspect equipment on flat, levelground.

● Use handrails and wear leathergloves

● Adjust all operator controls, mirrors,etc

● Wear seatbelt whenever equipmentis being operated

● Start and warm-up equipment

● Allow for sufficient time for themachine and hydraulics to heat up

● Visually look for hydraulics whileequipment is operating

● Verify clear pathway to excavationand stockpiling locations

● Provide as-needed hand signalsand guidance to driver to place rig

● Visually inspect equipment (fireextinguisher on board, no oil or otherfluid leaks, cabling and associatedequipment in good condition,pressurized hoses secured with whip-checks or adequate substitute, jacksin good condition)

● Maintain eye contact with operator;check all blind spots and use agreedupon hand signals

8 Adjust all operatorcontrols and mirrorsetc. & put onseatbelt

Pinch Points, Strains &falls

● Keep handrails and steps free ofmud and other slippery material.

● Utilize handrails and steps.

● Set controls in a good ergonomicposition.

9 Start up and warmup equipment.

Engine damage,Pressurized Lines(Hydraulics leaks), Slips,Trips and Falls



● Allow for sufficient time for machineand hydraulics to warm up beforeactuating any of the systems.

● Inspect for hydraulic leaks aftersystem is pressurized.

10 Drive the machine tothe area to beexcavated.

Obstacles and groundpersonnel. Overheadutilities. Shallow buriedlines.

● Maintain visual and audiocommunications with other personnel.

● Be aware of your surroundings at alltimes.

● Stay on designated roads orequipment routes.

● Keep the boom tucked in andlocked.

● Know the location of all overheadand underground utilities prior to



relocating the machine.

11 Lower the stabilizersand bucket positionbackhoe so thatexcavation area isparallel to the wheelson stable ground.

Poor Control. Equipmentdamage, OperatorFatigue, Excessive wearand tear on machine




● Keep the boom low and close to theground.

● Know the location of all overheadand underground utilities prior torelocating the machine.

12 Verify work task andlocations to beexcavated. Ensureall utility clearanceprocedures havebeen verifiedcompleted prior tobeginningexcavation.

Heat or cold exposure.Exposure to chemicalhazards. Hitting anunderground or overheadutility. Flammable oroxygen-deficientatmosphere fromaccumulated vapors. Tripand fall. Side wall cave-in.Equipment failure. Noise.Incident resulting fromSSE inexperience.Personal injury due toimproper PPE worn.Injury resulting fromsimultaneous operations.



● Wear appropriate PPE.

● Be aware of other tasks beingperformed on-site.

● Perform individual tasks frombeginning to completion whenpossible.

13 CommenceExcavation

For contact withmoist soil orliquid: nitrilegloves andleather workgloves AsNeeded: BootCovers, Tyvek,Upgrade toLevel C (ifnecessary)

Heat or cold exposure,exposure to chemicalhazards, hitting anunderground or overheadutility, flammable oroxygen-deficientatmosphere fromaccumulated vapors, tripand fall, side wall cave-in,equipment failure, noise.

● Monitor weather conditions and takebreaks as needed for cold or hotweather (Tenet 8).

● Conduct air monitoring as outlinedin Section 12. Include LowerExplosive Limit (LEL) and oxygenmonitoring. If >10% LEL or O2 <19.5%, discontinue work or ventilatearea with explosion-proof equipment.


● Maintain required trench/excavationsetbacks for workers and equipmentand monitor condition of sidewalls andsurrounding ground conditions

● Keep work area clear of tripping orslipping hazards

● Perform periodic visual inspectionsof heavy equipment and keep at least5 feet from trench/excavation edge, orone foot away from the edge for everyfoot of depth if greater than 5 feetdeep

● Perform necessary soilclassification

● Slope/bench walls or shoreexcavation to prevent cave-in



● Keep all spoils > 2 ft fromexcavation edge

● Keep excavation entry controlledand equipped with required laddersand crosswalks

● Suppress odors and vapors byspraying with Simple Green solutionor other approved vapor suppressant

● Perform dust suppression asnecessary utilizing water truck. (Referto Dust Control JLA)

● Collect samples according tosampling plan

● NOTE: Stantec staff is not to enteran excavation.

14 Collect samples inaccordance withsampling plan, asrequired - See SoilSampling JLA

Cave-in of sidewalls ifentering excavation.Injury from heavyequipment. Exposure tosite contaminants.

● Stay out of excavation, (collectsamples from backhoe bucket)

● Use agreed-upon hand signals withheavy equipment operators

● Monitor air around excavation


15 Proper clean up anddisposal of brokensample container.

Exposure to broken glassand acid (from waterpreservation acids)Injury

● Isolate area where broken glass islocated.

● Determine if the sample containerwas preserved (did it have acid in it?)

● Determine what to contain thebroken glass in, and where to disposeof the broken glass before beginningto pick up the glass.

● Collect equipment needed to cleanup and contain the broken glass.

● Minimize picking up broken glasspieces with your gloved hands. Use adust pan if possible/practical.

● If broken glass is located inside acontainer (i.e. box), to the extentpractical, leave glass inside box andput entire box into a garbage bag.Double bag if warranted. Place intodumpster.

● If broken glass is inside a cooler,remove all other sample containersand place in a safe location, then usehand broom and dust pan to sweep upglass in cooler.

● After cleanup is complete, contactyour Project Manager to report thisLoss/Incident.

16 Store excavatedmaterials properly inaccordance with site-specificrequirements

Exposure to public.Traffic hazard orobstruction/inconvenienceto station operation.Improper storage or

● Monitor air around excavation.

● Have appropriate respirator withcombination organic vapor/P-100cartridges within 3-5 feet of working



disposal. location, readily available.

● Have proper storage containmentand labeling available onsite.

● Place materials in isolated locationaway from traffic and other sitefunctions.

● Stockpile excavated materials onsuitable plastic or in appropriatelydesigned container. Cover withplastic and barricade access to wastein accordance with local regulations.

● Suppress odors and vapors byspraying with simple Green solution orother approved vapor suppressant.

● Coordinate proper disposal offsite(where applicable).

17 Backfilltrench/excavation

Struck by heavyequipment. Sidewallcollapse. Future damageor accidents resultingfrom subsidence.

● Use agreed-upon hand signals withheavy equipment operators.

● Compact soils to meetspecifications.

● Maintain eye contact withequipment operators, check blindspots.

● Monitor air aroundtrench/excavation.

● Have appropriate respirator withcombination organic vapor/P-100cartridges within 3-5 feet of workinglocation, readily available.

18 PersonnelDecontamination

Slips/trips/falls.Splashes, chemicalcontamination. Contactwith contaminatedmaterials.

● Leave all equipment at equipmentdrop (shovels, rakes, etc) - Tenet 4

● Step into Contamination ReductionZone.

● Step in boot wash tubs (3).

● Remove all tape (Start with boot/legtape first).

● Remove outer gloves.

● Unzip Tyvek.

● Pull off Tyvek hood (if applicable).

● Sit down and remove boots.

● Roll suit down taking care.

● Step out of suit into next area.

● Remove and clean respirator, (ifapplicable).

● Remove inner gloves.

● Wash hands, face, neck and arms.

● Exit Contamination Reduction Zone.

19 Supervisor/SHSOmust confirm alltrenches/excavationsare closed, filled inand/or capped orproperly securedwith barricades andfencing

Possible injuries anddamage to property dueto stepping into or drivingover the well.

● Visually inspect each and everytrench/excavation.

● If trench/excavation is left openovernight, cover completely withtrench-plate or completely surroundthe trench/excavation with delineatorsand snow fence.



20 Ensure thatcontractor personnelclean site/demobilize

Traffic. Safety hazard lefton site. Lifting hazards.

● Use buddy system as necessary toremove traffic guidance and controlequipment.

● Leave site clean of refuse anddebris.

● Notify personnel of departure.

● Use proper lifting techniques or usemechanical assistance.

21 Package and deliversamples to lab.

Bottle breakage (if any),back strain.

● Handle and pack bottles carefully(bubble wrap bags are helpful).

● Use proper lifting techniques.


Job Hazard Analysis

Excavation Using a Mini-Excavator

Date: 2/11/2010 (Updated)Work Site:

Development Team Position/Title Date ReviewedScott Jordan National OE

Coordinator9/23/2004

Mike Philipp West Region Healthand Safety Manager

2/5/2007 x

Steve Zayko Associate Engineer 9/23/2004

Personal Protective Equipment (PPE) & Other Safety EquipmentReflective vest for traffic, steel toed and shank shoes, long sleeve shirt, hard hat, safety glasses with sideshields, ear plugs/muffs, and leather gloves for the non-chemical aspects of work; air purifying respirator withcombination organic vapor/P-100 cartridges, nitrile gloves, Tyvek, as necessary.



1 PerformHRAC/LPSAprocedures prior tobeginning task.

Slip/trip/falls, struck bytraffic.

● Assess the potential hazards.Analyze how to reduce the risk.

● Review JLA

● Use Stop Work if necessary tomitigate risk, and call supervisor withany questions.

2 Locate and set upequipment andpersonneldecontaminationstations.

Back strains, slip/trip/falls.Heat exposure.

● Use proper lifting techniques

● Drink plenty of fluids, one ounceelectrolytic replacement drink for eachounce of water

● Take breaks as necessary

● Ensure break areas are in the shade

3 Obtain rentalequipmentmaintenance recordsprior to commencingwork.

Improper equipmentmaintenance, which cancause equipment failureand possible personalinjury.

● Verify records in possession are forequipment on site

● Verify maintenance is current

● Verify pro-active maintenance andnot reactive maintenance has beenperformed

● Verify each piece of equipment isequipped with a fire extinguisher

4 Set up necessarytraffic guidance andcontrol equipment(as required). Seeapproved trafficcontrol plan.

Potentially can be struckby vehicle duringplacement. Vehicleaccident as a result ofimproper traffic controlequipment placement.

● Use buddy system for placing trafficguidance and control equipment

● Create a traffic guidance and control

plan to address traffic issues. ●Adhere to approved Traffic Guidanceand Control Plans when working in



roadways

● It is the responsibility of the SHSOto annotate the Site Plan with theTraffic Guidance and Controlconfiguration if a formally developedTraffic Guidance and Control Plan isnot available

5 Set up exclusionzone(s), stockpilearea and establishwork areas/ heavyequipmentpathways, traffic flowpatterns.

Injury or exposure topublic or other onsitepersonnel. Slip/fallhazards. Onsite vehicularaccident with heavyequipment.

● Set up exclusion zones. (Siteshould be completely fenced off)

● It is the responsibility of the SHSOto annotate the site plan with thelocation of the exclusion zones

● Set up clear walking paths betweenworkstations

● Use caution tape and/orconstruction fence and delineators

6 Clear excavationlocations

Traffic hazards, overheadand undergroundinstallations, fluidreleases, propertydamage, public drivers’inconvenience.

● Reference Utility Clearance Reviewform.

● Review proposed locations againstavailable construction drawings andknown utilities, tanks, product lines,etc.

● Mark out the proposed excavationlocations.

● Call underground utility locatingservice for public line locationclearance and get list of utilities beingcontacted. If necessary, coordinateprivate line locator for private property.

● Barricade/cover trenches until job iscomplete

● Conduct air monitoring, as needed.Include Lower Explosive Limit (LEL)and oxygen monitoring. If >10% LELor O2 < 19.5%, discontinue work orventilate area with explosion-proofequipment


● Manually clear location using handauger or other approved means.

● Avoid twisting back during manualclearance post holing; if necessary,decontaminate equipment after use.

Decontamination will be accomplishedby an Alconox wash with tap waterrinse followed by a de-ionized ordistilled water rinse, as needed.Collect rinse water in 5 gallon bucketsand transfer to treatment plant storagetanks or other location agreed upon bythe Stantec SHSO and the ProjectManager



7 Set up andinspection of heavyequipment.

Damage caused by heavyequipment whileaccessing set-up location.Slips/trips/falls. Pinchpoints. Struck byequipment.

● Inspect equipment on flat, levelground.

● Use handrails and wear leathergloves

● Adjust all operator controls, mirrors,etc

● Wear seatbelt whenever equipmentis being operated

● Start and warm-up equipment

● Allow for sufficient time for themachine and hydraulics to heat up

● Visually look for hydraulics whileequipment is operating

● Verify clear pathway to excavationand stockpiling locations

● Provide as-needed hand signalsand guidance to driver to place rig

● Visually inspect equipment (fireextinguisher on board, no oil or otherfluid leaks, cabling and associatedequipment in good condition,pressurized hoses secured with whip-checks or adequate substitute, jacks ingood condition)

● Maintain eye contact with operator;check all blind spots and use agreedupon hand signals

8 Adjust all operatorcontrols and mirrorsetc. and put onseatbelt

Pinch points, strains andfalls



● Set controls in a good ergonomicposition.

9 Start up and warmup equipment.

Engine damage,pressurized lines(hydraulics leaks), slips,trips and falls



● Allow for sufficient time for machineand hydraulics to warm up beforeactuating any of the systems.

● Inspect for hydraulic leaks aftersystem is pressurized.

10 Drive the machine tothe area to beexcavated.

Obstacles and groundpersonnel. Overheadutilities. Shallow buriedlines.




● Keep the boom tucked in andlocked.


11 Lower the stabilizersand positionexcavator so thatexcavation area is

Poor Control. Equipmentdamage, Operatorfatigue, excessive wearand tear on machine


● Be aware of your surroundings at all



parallel to thewheels/tracks onstable ground.

times.


● Keep the boom low and close to theground.


12 Verify work task andlocations to beexcavated. Ensureall utility clearanceprocedures havebeen verifiedcompleted prior tobeginningexcavation.

Heat or cold exposure.Exposure to chemicalhazards. Hitting anunderground or overheadutility. Flammable oroxygen-deficientatmosphere fromaccumulated vapors. Tripand fall. Side wall cave-in.Equipment failure. Noise.Incident resulting fromSSE inexperience.Personal injury due toimproper PPE worn.Injury resulting fromsimultaneous operations.



● Wear appropriate PPE.

● Be aware of other tasks beingperformed on-site.

● Perform individual tasks frombeginning to completion whenpossible.

● Ensure SSE’s mentor is available toguide SSE throughout task, ifapplicable

13 Commenceexcavation

For contact withmoist soil orliquid: nitrilegloves andleather workgloves, bootcovers, Tyvek,as needed.Upgrade toLevel C (ifnecessary)

Heat or cold exposure,exposure to chemicalhazards, hitting anunderground or overheadutility, flammable oroxygen-deficientatmosphere fromaccumulated vapors, tripand fall, side wall cave-in,equipment failure, noise.

● Monitor weather conditions and takebreaks as needed for cold or hotweather (OE Tenet 8).

● Conduct air monitoring as needed.Include Lower Explosive Limit (LEL)and oxygen monitoring. If >10% LELor O2 < 19.5%, discontinue work orventilate area with explosion-proofequipment.


● Maintain required trench/excavationsetbacks for workers and equipmentand monitor condition of sidewalls andsurrounding ground conditions

● Keep work area clear of tripping orslipping hazards

● Perform periodic visual inspectionsof heavy equipment and keep at least5 feet from trench/excavation edge, orone foot away from the edge for everyfoot of depth if greater than 5 feetdeep

● Slope/bench walls or shoreexcavation to prevent cave-in

● Keep all spoils > 2 ft fromexcavation edge

● Keep excavation entry controlledand equipped with required laddersand crosswalks



● NOTE: Stantec staff is not to enteran excavation without propershoring/sidewall sloping.

14 Temporarilystockpile excavatedmaterials properly inaccordance with site-specificrequirements

Exposure to public.Traffic hazard orobstruction/inconvenienceto public drivers.Improper storage ordisposal.

● Monitor air around excavation, asneeded.


● Have proper temporary storagecontainment and labeling availableonsite.

● Place materials in isolated locationaway from traffic and other sitefunctions.

● Stockpile excavated materials onsuitable plastic or in appropriatelydesigned container. Cover with plasticand barricade access to materials inaccordance with local regulations.

● Coordinate proper disposal offsite(where applicable).

15 Backfilltrench/excavation

Struck by heavyequipment. Sidewallcollapse. Future damageor accidents resultingfrom subsidence.

● Use agreed-upon hand signals withheavy equipment operators.

● Compact soils to meetspecifications.

● Maintain eye contact with equipmentoperators, check blind spots.

● Monitor air aroundtrench/excavation, as needed.


16 Supervisor/SHSOmust confirm alltrenches/excavationsare closed, filled inand/or capped orproperly securedwith barricades andfencing

Possible injuries anddamage to property dueto stepping into or drivingover the well.

● Visually inspect each and everytrench/excavation.

● If trench/excavation is left openovernight, cover completely withtrench-plate or completely surroundthe trench/excavation with delineatorsand snow fence.

17 Ensure thatcontractor personnelclean site/demobilize

Traffic. Safety hazard lefton site. Lifting hazards.

● Use buddy system as necessary toremove traffic guidance and controlequipment.

● Leave site clean of refuse anddebris.

● Notify personnel of departure.

● Use proper lifting techniques or usemechanical assistance.


Job Hazard Analysis

Soil Sampling

Date:

Work Site:

Development Team Position/Title Date ReviewedMichael Philipp West Region Health

and Safety Manager12/3/2003 x

David Stolcenberg Asst. Engineer/Intern 12/3/2003

Joshua Bradley Site Health andSafety Officer

6/25/2007 X

Kaitlin McCormick Staff Geologist 4/15/2010 X

Personal Protective Equipment (PPE) & Other Safety EquipmentReflective vest for traffic, steel toed and shank shoes, hard hat, safety glasses with side shields, leather glovesfor the non-chemical aspects of work as necessary; Nitriles, Kevlar Gloves, Cold weather clothing, protectiveneoprene gloves, overboots, full face respirator, ear protection (as necessary)


PotentialHazard(s)

Critical Action(s)

1 PerformHRAC/LPSAproceduresprior tobeginning task.

Slip/trip/falls,struck by traffic.

● Assess the potential hazards. Analyze howto reduce the risk.

● Review JSA

● Use Stop Work if necessary to mitigate risk,and call supervisor with any questions.

2 Set upnecessarytraffic guidanceand controlequipment.SeeAttachment 2for detailedplan.

delineators,caution tape

Struck byvehicle duringplacement.Vehicle accidentas a result ofimproper trafficguidance andcontrolequipmentplacement.

● Use buddy system for placing trafficguidance and control equipment.

● Implement traffic guidance and control plansuch as setting out delineators, snow fenceand caution tape defining safety area.

● Adhere to approved Traffic Guidance andControl Plans when working in roadways. (SeeAttachment 2).

● It is the responsibility of the SHSO toannotate the Site Plan with the TrafficGuidance and Control configuration if aformally developed Traffic Guidance andControl Plan is not available.

3 Set upexclusionzone(s) andworkstations(probing andlogging/samplecollection).

Struck byvehicle duringset up. Slip tripand fall hazards,exposure toPCB soils

● Implement exclusion zone set-up asappropriate for each location (Tenet 2).

● Set up workstations with clear walkingpaths.

● Use caution tape, snow fence anddelineators.

● It is the responsibility of the SHSO toannotate the Site Plan with the exclusion zoneconfiguration.


PotentialHazard(s)

Critical Action(s)

4 Collectsamples inaccordancewith samplingplan.

Cross-contamination.Back strain,inhalation ordermal exposureto chemicalhazards, slipand fall.Improperlabeling orstorage, injuryfrom brokensample bottle(cuts or acidburn), Potentialfor release andexposure tomethanol

● Perform air monitoring in accordance withSection 12

● Have appropriate respirator withcombination organic vapor/P-100 cartridgeswithin 3-5 feet of work area, readily available.

● Decontaminate sampling equipmentbetween each probe or sample.


● Inspect sample containers prior toopening/using them.

● Label samples in accordance with samplingplan.

● Keep samples stored in proper containers,at correct temperature, and away from workarea. Handle bottles carefully.

5 Cleansite/demobilize.

Traffic. Safetyhazard left onsite. Liftinghazards.

● Use buddy system as necessary to removetraffic guidance and control equipment.

● Leave site clean of refuse and debris.


6 Package anddeliversamples to lab.

Bottle breakage,back strain.

● Handle and pack bottle carefully (bubblewrap bags are helpful). Use proper liftingtechniques.


Attachment 2

Daily Production H& S BriefingLog and Topics

DAILY PRODUCTION HEALTH AND SAFETY BRIEFING LOG

Date: Start Time:

Scope of Work:

Issues Discussed:

1. 6.

2. 7.

3. 8.

4. 9.

5. 10.

Attendees

Print Name and Company Signature Second Meeting (Initial)

Meeting Conducted by: Signature:

Name (Site Health and Safety Coordinator): Signature:

DISCUSSION IDEAS FOR THE DAILY PRODUCTION H&S MEETING

Emergency response plan, emergency vehicle (full of fuel) and muster point

Route to medical aid (hospital or other facility)

Work hours, is night work planned?

Hand signals around heavy equipment

Traffic control

Pertinent Legislation and Regulations

Above and below ground utilities (energized or de-energized)

Material Safety Data Sheets (MSDS)

To who, what, why, and when to report an incident

Fire extinguisher and First Aid kit locations

Excavations, trenching sloping and shoring

Personal protective equipment ( PPE ) and training

Safety equipment and training

Emergency telephone and telephone numbers (may not be 911)

Eye wash stations and washroom locations

Energy lock-out/tag-out procedures. Location of “kill Switches” etc.

Weather restrictions

Site security. Site hazards. Is special waste present?

Traffic and people movements

Working around machinery (both static and mobile)

Sources of ignition, static electricity etc.

Stings, bites, large animals and other naturally related injuries

Working above grade

Working at isolated sites

Decontamination procedures (both personnel and equipment)

Falls, trips, sprains and lifting injuries (how to prevent)

Right to refuse unsafe work

Adjacent property issues (residence, business, school, day care center)

Hand & glove safety, pinch points, hand positioning

Documents

Site-Specific Health and Safety Plan for Remedial Action