HomeMy WebLinkAboutBUSINESS PLAN 10/16/1998The SeurCe- Greup' Inci
HEALTH AND SAFETY PLAN
SUNLAND OIL REFINERY DECOMMISSIONING
2152 COFFEE ROAD
BAKERSFIELD, CALIFORNIA
Prepared for:
WORLD OIL CORP.
9302 SOUTH GARFIELD AVENUE
SOUTH GATE, CALIFORNIA 90280
Submitted by:
Tbe Source Group, Inc.
187 E. Wilbur Road, Suite 16
Thousand Oaks, California 91360
October 16, 1998
TSG Project No. 02-WOM-010
I HEALTH AND SAFETY PLAN SUNLAND OIL REFINERY
Page ii October 16, 1998
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HEALTH AND SAFETY PLAN
I REVIEW AND APPROVAL
I CLIENT: World Oil Corp. SITE NAME: Sunland Refinery
START DATE: November 2, 1998 END DATE: April 30, 1999
I PLAN EXPIRATION DATE: April 30, 1999
Mark Labrenz, C.HG. Signature Date:
'Plan Completed By
Mark Labrenz, C..G. Signature: -'~..-/~ ~ Date:
Project Manager U~~~
James M. Evensen, R.G. Signat Date:/,~¢~
Managing Principal
Steve Ellioff Signature: ~_~~ Date: //~R
Site Health and Safety Coordinator '
Mark Gigas, C.I.H. Signature: Date:
Site Health and Safety Supervisor
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I This site-specific Health and Safety Plan (HASP) has been developed by The Source
Group, Inc. (TSG) to establish the health and safety procedures required to help
i minimize potential risk to personnel who will perform facility decommissioning activities
at the Sunland Oil Refinery, located at 2152 Coffee Road in Bakersfield, California.
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I The Source Group, Inc.
I HEALTH AND SAFETY PLAN SUNLAND OIL REFINERY
Page iii October 16, 1998
I This HASP has been written in compliance with the requirements of the Occupational
Safety and Health Administration's (OSHA) Hazardous Waste Operations and
I Emergency Response Standard (29 CFR 1910.120), Title 8 California Code of
Regulations (CCR) 5192, and TSG's standard safety practices. All activities covered by
this HASP must be conducted in compliance with this HASP and with all applicable
I and local health and Personnel covered this HASP
federal,
state,
safety
regulations.
by
who cannot or will not comply with its requirements will be excluded from site activities.
Personnel covered by this HASP must review it and then sign and return a copy of the
I acknowledgement form (Attachment 9) to the TSG Project Manager they
HASP
before
conduct any on-site activities.
I This Health and Safety Plan has been written for the use of TSG and its affiliates. The
plan may also be used as a guidance document by properly trained and experienced
TSG subcontractors. However, TSG does not guarantee the health or safety of any
I person entering this site.
i Due to the potential hazardous nature of this site and the activity occurring thereon, it is
not possible to discover, evaluate, and provide protection for all possible hazards that
may be encountered. Strict adherence to the health and safety guidelines set forth
iherein will reduce, but not eliminate, the potential for injury at this site. The health and
safety guidelines in this Plan were prepared specifically for the Sunland Refinery site
located at 2152 Coffee Road, Bakersfield, and should not be used on any other site
iwithout prior research by trained health and safety specialists.
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'1 HEALTH AND SAFETY PLAN SUNLAND OIL REFINERY
Page iv October 16, 1998
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I TARL£ OF CONTI=NT$
1.0 PROJECT TELEPHONE NUMBERS ........................................................................ 1
I 2.0 PERSONNEL AND RESPONSIBILITES 2
2.1 TSG KEY PERSONNEL .............................................................................................. 2
2.1.1 TSG Project Manager ...................................................................................... 2
I 2.1.2 On-Site Health and Coordinator 3
Safety
2.1.3 Health and Safety Supervisor .......................................................................... 3
2.2 FIELD PERSONNEL .................................................................................................... 4
I 2.2.1 Minimum Requirements for Site Personnel ..................................................... 4
2.3 SITE VISITOR ........................................................................................................... 4
3.0 SITE DESCRIPTION ................................................................................................. 6
i 4.0 SCOPE OF WORK .................................................................................................... 7
5.0 HAZARD ASSESSMENT .......................................................................................... 8
5.1 CHEMICAL HAZARDS ................................................................................................. 8
I 5.2 PHYSICAL HAZARDS ................................................................................................ 11
5.2.1 Heavy Machinery Operation .......................................................................... 11
i 5.2.2 Excavation and Trenching ............................................................................. 13
5.2.3 Flammable Atmosphere Hazards .................................................................. 13
5.2.4 Oxygen Hazards ................... i ........................................................................ 14
i 5.2.5 Electrical Safety ............................................................................................. 14
5.2.6 Heat Stress .................................................................................................... 15
5.2.7 Confined Space Entry .................................................................................... 16
I 5.3 TASK HAZARD ANALYSIS ......................................................................................... 16
6.0 EXPOSURE MONITORING .................................................................................... 17
6.1 ORGANIC VAPORS .................................................................................................. 19
I 6.2 COMBUSTIBLE ATMOSPHERE ................................................................................... 19
6.3 HYDROGEN SULFIDE ............................................................................................... 20
6.4 TETRA-ETHYL LEAD ................................................................................................ 20
I 6.5 ACTION LEVEL TABLE FOR CHEMICAL MONITORING ................................................... 21
7.0 PERSONAL PROTECTIVE EQUIPMENT ...............................................................22
7.1 PROTECTIVE CLOTHING AND EQUIPMENT ................................................................. 22
I 7.2 RESPIRATORY PROTECTION ................................................................. · ................... 23
8.0 DECONTAMINATION ............................................................................................. 24
8.1 PERSONNEL DECONTAMINATION .............................................................................. 24
I 8.2 SAMPLING EQUIPMENT ............................................................................................ 24
8.3 VEHICLES AND HEAVY EQUIPMENT DECONTAMINATION .............................................. 24
8.4 SANITATION ........................................................................................................... 25
I 9.0 GENERAL SAFE WORK PRACTICES ................................................................... 26
10.0 EMERGENCY RESPONSE PROCEDURES ....................................................... 27
10.1 EMERGENCY COMMUNICATION SYSTEM .................................................................. 27
I 10.2 ESCAPE ROUTES AND PROCEDURES ....................................................................... 28
10.3 RESCUE AND MEDICAL DUTY ASSIGNMENTS ........................................................... 28
10.4 EMERGENCY REPORTING PROCEDURES .................................................................. 28
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I The Source Group, Inc.
I HEALTH AND SAFETY PLAN SUNLAND OIL REFINERY
Page v October 16, 1998
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I ATTACHMENTS
I ATTACHMENT 1 ................................................................. HOSPITAL LOCATION MAP
i ATTACHMENT 2 .............................................................................................. SITE MAP
ATTACHMENT 3 ............................................ SUBCONTRACTOR TRAINING RECORD
I ATTACHMENT 4 .................................................................. UTILITY CLEARANCE LOG
i ATTACHMENT 5 .................................................................. UTILITY CLEARANCE MAP
ATTACHMENT 6 ........... AIR MONITORING EQUIPMENT CALIBRATION/CHECK LOG
I ATTACHMENT 7 ........................................................................ AIR MONITORING LOG
i ATTACHMENT 8 ................................... DALLY HEALTH AND SAFETY BRIEFING LOG
ATTACHMENT 9 ............ HEALTH AND SAFETY PLAN ACKNOWLEDGEMENT FORM
I ATTACHMENT 10 ...................................................... TSG INJURY/ILLNESS REPORT
I ATTACHMENT 11 ................................................................... SITE INCIDENT REPORT
ATTACHMENT 12 .................................................. MATERIAL SAFETY DATA SHEETS
I ATTACHMENT 13 ...................................................... EXCAVATION INSPECTION LOG
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i The Sellrce Group, Inc.
I HEALTH AND SAFETY PLAN SUNLAND OIL REFINERY
Page 1 / October 16, 1998
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I1.0 PROJECT TELEPHONE NUMBERS
iEMERGENCY TELEPHONE NUMBERS
EMERGENGY SERVICE TELEPHONE NO.
I San Joaquin Community Hospital (805) 395-3000
Hall Ambulance Service (805) 327-4111
I Bakersfield Police Department (805) 327-7111
Bakersfield City Fire Department (805) 326-3911
I Bakersfield City Haz-Mat (805) 326-3979
*include numbers other than "911".
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PROJECT PERSONNEL TELEPHONE NUMBERS:
I PROJECT RESPONSIBILITY NAME TELEPHONE NO.
I On-Site Health and Safety Coordinator Steve Elliott (805) 373-5320
Project Manager Mark Labrenz ~-"6DZ~ (805) 373-9083
I Managing Principal Jim Evensen ,x 2.O¢o (805) 373-9063
Field Task Manager Steve Elliott (805) 373-5320
I Client Contact John Hundley (562) 928-0100
Health and Safety Supervisor Mark Gigas (805) 647-3836
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REGULATORY TELEPHONE NUMBERS:
I AGENCY NAME TELEPHONE NO.
I City of Bakersfield - Fire Mr. Ralph Huey (805) 326-3979
Department Haz-Mat
Central Valley Regional Water Mr. David Troop (209) 488-4397
I Quality Control Board
San Joaquin Valley Air Mr. Sherman Yount (805) 862-5200
i Pollution Control District
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i The Source Greup, Inc.
I HEALTH AND SAFETY PLAN SUNLAND OIL REFINERY
Page 2 October 16, 1998
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I 2.0 PERSONNEL AND RESPONSIBILITES
i 2.1 TSG KEY PERSONNEL
The implementation of health and safety protective measures at the site will be an
i integrated effort among the TSG Project Manager, Field Task Manager, and the
appointed On-site health and safety coordinator. The specific individuals who will fill
these roles for this project are identified below.
I
PROJECT RESPONSIBILITY NAME
I On-Site Health and Safety Coordinator (HSC) Steve Elliott
Project Manager (PM) Mark Labrenz
I Managing Principal Jim Evensen
Field Task Manager (FTM) Steve Elliott
I Health and Safety Supervisor (HSS) Mark Gigas
I 2.1.1 TSG Project Manager
I The PM is, by definition, the individual who has primary responsibility for ensuring
health and safety compliance on this project. The PM, therefore, is ultimately
responsible for implementing the requirements of this HASP. Some of the specific
I responsibilities of the PM include:
· Ensuring that on-site personnel have read and understand this HASP and have
I completed the HASP Acknowledgement Form (Attachment 9).
· Ensuring that all on-site personnel (TSG and subcontractor) have attended a
I work them of the contents of the
briefing,
prior
to
performing
on-site,
apprising
HASP and potential site-specific hazards.
I · Assuring that sufficient personal protective equipment (PPE), as required by this
HASP, is available on-site.
-I · Assuring that all subcontractor personnel submit the required documentation of
employee training and participation in a medical monitoring program as
i mandated by CAL-OSHA.
· Maintaining regular communication with the HSC.
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i The Source Group, Inc.
HEALTH AND SAFETY PLAN SUNLAND OIL REFINERY
Page 3 October 16, 1998
2.1.2 On-Site Health and Safety Coordinator
Steve Elliott is appointed as the On-Site Health and Safety Coordinator. The HSC is
responsible for enforcing the requirements of this HASP once on-site work begins and
has the authority to immediately correct all situations where noncompliance with this
HASP is noted, including the immediate stoppage or work in cases where an immediate
danger is perceived. Some of the HSC's specific responsibilities include:
· Distributing the PPE needed for this project.
· Calibrating air monitoring instrumentation and performing air monitoring.
· Setting up and maintaining the personnel decontamination facility.
· Notifying the Project Manager of all noncompliance situations.
· Supervising and monitoring the safety performance of all personnel to ensure
that required safety and health procedures are followed, and correcting any
deficiencies.
· Conducting accident/incident investigations and preparing accident reports.
· Initiating and supervising emergency response procedures.
2.1.3 Health and Safety Supervisor
The Health and Safety Supervisor is the individual responsible for the interpretation and
modification of the HASP. Modifications to this HASP which may result in less stringent
precautions cannot be undertaken by the PM or the on-site HSC without the approval of
the HSS. Specific duties of the HSS include:
· Advising the PM and HSC on matters relating to health and safety on this project;
· Performing field audits to monitor the effectiveness of this HASP and to assure
compliance with it.
· Maintaining contact with the PM to regularly evaluate site conditions and new
information which might require modifications to the HASP.
· Assisting in conducting initial safety meeting and, when necessary, to re-apprise
personnel of the contents of the HASP and the site safety requirements.
Source Grouu, Inc.
I HEALTH AND SAFETY PLAN SUNLAND OIL REFINERY
Page 4 October 16, 1998
I 2.2 FIELD PERSONNEL
I All consultants and subcontractor personnel working on the Site are responsible for
following the health and safety procedures specified in this HASP and for performing
their work in a safe and responsible manner. Some of the specific responsibilities of
I site personnel are follows:
as
· Reviewing this HASP in its entirety prior to the start of on-site work, and bringing
I forth any questions or concerns regarding its contents Manager
to
the
Field
Task
(FTM) and/or On-Site Health and Safety Coordinator (HSC).
I · Immediately reporting all accidents and incidents to the Field Task Manager
and/or Health and Safety Coordinator.
I · Complying with the requests of the Field Task Manager and/or Health and Safety
Coordinator regarding site safety and health practices.
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2.2.1 Minimum Requirements for Site Personnel
I The minimum health and safety requirements for all field people working with or in the
vicinity of hazardous materials includes the following:
I · 40 hr. OSHA 29CFR1910.120 Hazardous Waste Operations and Emergency
Response Operations Training (HAZWOPER)
I · 8 hr. Annual HAZWOPER Refresher Training (current)
· 8 hr. Supervisor HAZWOPER Training for Site Health and Safety Officer
· Annual Respirator Fit Testing
I · Annual Medical Clearance and respirator clearance by a physician.
2.3 SITE VISITOR
Occasionally, visitors may arrive at the Sunland Refinery site during field activities. In
general, can by providing a viewing area a
most
visitors
be
accommodated
in
safe
location away from the active work zones and presenting a briefing conducted by the
Field Task Manager and/or Health and Safety Coordinator.
In some instances, visitors may require access to restricted zones of the site. If a visitor
desires access to the subject site, the Field Task Manager or Health and Safety
Coordinator will make arrangements for entry. The required level of PPE within the
exclusion area will be strictly adhered to. Visitors must be escorted at all times. Visitors
who cannot show proof of the required documentation of employee training and
participation in a medical monitoring program as mandated by CAL-OSHA will not be
allowed access to the exclusion areas. If respiratory protection is required, the visitor
The Source Group, Inc.
HEALTH AND SAFETY PLAN SUNLAND OIL REFINERY
Page 5 October 16, 1998
must furnish their own, and the respirator type must match the specifications detailed in
this HASP.
If a workable, safe arrangement cannot be agreed upon, or if the activities of the visitor
jeopardize on-site activities, the FTM and the HSC should immediately contact the
Project Manager, who may decide to stop work activities immediately.
The Seurce Group, Inc.
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HEALTH AND SAFETY PLAN SUNLAND OIL REFINERY
Page 6 October 16, 1998
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' I 3,0 SITE DESCRIPTION
i The Sunland Oil Refinery, owned by World Oil Corp. (World), is located at 2152 Coffee
Road in Bakersfield, California. The refinery ceased operations in August 1995, and
under World's direction is scheduled for decommissioning and demolition (collectively
i described herein as decommissioning) in 1998.
The Sunland site as a whole occupies approximately 200 acres of land. The property
i has historically been divided into three main areas, the North Tank Farm (approximately
21 acres), the South Tank Farm and Refinery (approximately 20 acres), and the West
Tank Farm (approximately 4.7 acres). The decommissioning activities covered by this
I plan are specific to the central refinery area that encompasses an area of approximately
1.5 acres. The refinery consists of four main areas, the A-Unit, the B-Unit, the
Platformer, and the Unifiner.
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HEALTH AND SAFETY PLAN SUNLAND OIL REFINERY
Page 7 October 16, 1998
4.0 SCOPE OF WORK
The decommissioning activities planned during this phase of work include the following
major tasks:
1. Asbestos Abatement.
2. Tetra Ethyl Lead Tank Cleaning and Disposal.
3. Reactor Cleaning - Catalyst Removal.
4. Process Unit Draining and Cleaning (i.e. piping, towers, and exchangers).
5. Demolition Activities,
6. Waste Management, Sampling, and Temporary Storage.
This HASP is intended to address those health and safety concerns that are reasonably
foreseeable within the scope of work summarized above. If the scope of work to be
performed changes, or if hazards not addressed in the HASP are encountered or
anticipated, this HASP must be updated or revised to address any such hazard.
The Seurce Group, Inc.
HEALTH AND SAFETY PLAN SUNLAND OIL REFINERY
Page 8 October 16, 1998
5.0 HAZARD ASSESSMENT
The primary focus of this HASP involves protecting site workers from potentially
hazardous materials, explosive and/or reactive materials, and physical hazards
associated with demolition and decommissioning. This hazard assessment provides a
summary of potential hazards associated with decommissioning.
5.1 CHEMICAL HAZARDS
Potential Chemical Hazards include the following substances:
Substance Location of Materials of Concern
Residual Petroleum Fluids Process Units and Piping
Tetra Ethyl Lead Lead House
Asbestos Containing Materials Process Unit Insulation / Building materials
Metals Process Units
Hydrogen Sulfide Process Units
Hydroxide Compounds Gas Scrubbing System
Table 5-1 and Table 5-2 presented below outline the exposure routes, acute health
effects and exposure limits for the substances listed above.
The Seurce Group, Inc.
'... ~ ": . . ~ Z ~
· :~: .. .... ~ ~ ~ ~
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· . ~:
~ ::..: :.:::. :: ~: :~: :::.:..~
z 0 0 0 0 0
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0 0 0 0 0
Z Z Z Z Z
HEALTH AND SAFETY PLAN SUNLAND OIL REFINERY
Page 11 October 16, 1998
5.2 PHYSICAL HAZARDS
Physical hazards which may be encountered during decommissioning include heavy
machinery, elevated work surfaces, explosive or oxygen deficient atmospheres,
electrical hazards and temperature. Table 5-2 presented below outlines the physical
hazards that are anticipated.
5.2.1 Heavy Machinery Operation
Physical hazards associated with the operation of heavy equipment, such as
excavators, shears, front-end loaders, bulldozers, and cranes will be present onsite.
Heavy machinery required for demolition activities involves potential injury hazards from
moving parts and from falling heavy objects, as well as from noise. Personnel will take
the following precautions to minimize the possibility of physical injury:
· Site workers shall not remain near working heavy equipment longer than
necessary. Only staff necessary to operate the machinery shall remain in its
proximity.
· Exposure to generated dust during any activity should be avoided and/or
minimized. Water should be used to the greatest extent feasible to minimize dust
generation.
· Hearing protection will be worn when noise levels are above 85 decibels, and in
the absence of noise measurements, protection will be worn while operating or
within a 10 foot vicinity of heavy equipment, and when understanding speech is
difficult at 5 feet.
· No person will climb process equipment (towers, piping lines, etc) without the
use of American National Standards Institute (ANSl)-approved fall protection
(approved belts, lanyards and a fall protection slide rail) or portable ladder which
meets OSHA standards.
· All site personnel will wear ANSI-approved hardhats, safety glasses or goggles,
and steel-toed/steel-shank boots.
· Site workers shall be cognizant of equipment movement around them at all
times.
· All heavy equipment must be equipped with reverse gear alarms.
· Reflective traffic vests are optional but will be made available.
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HEALTH AND SAFETY PLAN SUNLAND OIL REFINERY
Page 12 October 16, 1998
Table 5-3: Potential Physical Hazards
YES NO
Overhead/underc, lround hazards
Overhead (describe)
Heavv Eauioment. Demo Y
Activites ' '
Underground (describe) y
Unidentifed Utilties
Equipment
hazards
Geoprobe N
Drillin~ N
Excavation Y
Machinery Y
Heat exposure Y
Cold exposure Seasonal
Oxy~len deficiency Y
Confined space Y
Noise Y
Ionizin~ radiation N
Non-ionizing radiation N
Fire/Explosion Y
Electrical Y
Biolo~lical N
Holes/ditches Y
Steep ~lrades N
Slippery surfaces Y
Uneven terrain N
Unstable surfaces N
Elevated work surfaces
Y
I HEALTH AND SAFETY PLAN SUNLAND OIL REFINERY
Page 13 October 16, 1998
5.2.2 Excavation and Trenching
I Excavation and activities will be conducted the site during the
trenching
throughout
decommissioning activities. The hazard to onsite personnel during these activities is
injury from tripping or falling into the excavation and/or trench. Barricades and flagging
I will be used to restrict to the excavation in order to the of
tape
access
protect
safety
onsite personnel. All excavation and trenching activities will be performed in
accordance with 29 CFR 1926.650 Subpart P and CCR Title 8 Subchapter 4, Article 6.
UNDER NO CIRCUMSTANCES ARE PERSONNEL TO ENTER AN EXCAVATION
GREATER THAN 4 FEET IN DEPTH UNLESS THE WALLS OF THE EXCAVATION
I HAVE BEEN ADEQUATELY SHORED OR SLOPED BACK (45 DEGREES FOR
AVERAGE SOIL).
5.2.3 Flammable Atmosphere Hazards
I For a fire or explosion to occur, fuel, oxygen, a source of ignition, and mixing must be
present. The specific mixture of fuel and oxygen that will ignite or explode varies with
i the specific combustible gas. In all cases, this critical point is defined as the range
between the lower explosive limit (LEL) and the upper explosive limit (UEL).
i Lower explosive limit levels will be continuously monitored during operations involving
all known combustible materials. A portable combustible gas LEL meter will be utilized
with an audible alarm set to alert at 10% of the LEL. This 10% LEL level will allow
I workers adequate time to discontinue work, retreat and reevaluate the work hazard.
Additional ventilation and/or purging with inert gas may be required. TSG policy is that
nc.work is allowed whenever LEL levels are above 10%.
I Pyrophoric Materials
i Pyrophoric materials, specifically reduced sulfide compounds (iron sulfide precipitate),
are known to be present in process units of the refinery. Pyrophoric materials are
extremely dangerous due to their propensity to ignite spontaneously. Purging with inert
I gas will be required prior to opening or disassembling vessels or piping within the
central refinery area. In addition, pyrophoric materials will be kept wet during removal
and storage prior to transportation and disposal.
I Hot Work in Hazardous Location
I Potential ignition sources include electrical sparks, open flame. Work activities that
necessitate the use of a flame, generate a spark or otherwise create an elevated
temperature, which could ignite combustible or flammable materials or atmospheres,
I are considered hot work. Some of the activities which could potentially create an
ignition source include welding, metal cutting, grinding, or pneumatic chipping. Prior to
hot work being performed, the location will be assessed for hazards by the
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I HEALTH AND SAFETY PLAN SUNLAND OIL REFINERY
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I subcontractor. TSG's Field Task Manager will be notified of all hot work activities.
Areas where heat or spark may ignite the atmosphere or surrounding materials are
Iconsidered a hazardous location, and a hot work permit will be required prior to
performing the operation. Refer to 29 CFR 1910 -Subpart Q; 29 CFR 1926-Subpart J;
and National Fire Protection Association (NFPA) 51 B.
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5.2.4 Oxygen Hazards
I
Normal air contains 20.9% oxygen by volume. Deviation from this level, either higher or
lower, is a major concern for this decommissioning project. It is anticipated that most
I oxygen hazards will potentially be encountered within confined spaces such as in the
reactor unit. Confined space entry will be covered under a contractors task specific
health and safety plan. No TSG employees will enter confined space during
I decommissioning activities.
i Oxygen deficiency is defined by 02 levels below 19.5% by volume. Oxygen deficiency
can be caused by combustion (cutting torches), decomposition of organic matter,
oxidation of metals from rusting, inerting with nitrogen gas.
I Oxygen enrichment when 02 levels exceed 23.5% creates an extreme fire hazard.
Flammable materials such as clothing and hair will burn very rapidly in an oxygen-
i enriched atmosphere. High oxygen levels could occur from leaking or unattended
oxygen lines or cylinders.
I 5.2.5 Electrical Safety
I All electrical work will be performed in accordance with the National Fire Protection
Association, National Electrical Safety Code, and OSHA Standards.
I · A determination will be made before operations start if there is any energized
equipment or electrical circuit that might endanger site workers. All refinery
equipment will be de-energized prior to demolition activities. De-energized
I equipment will be tagged and locked out prior to decommissioning. The FTM will
ensure that the LockoutJTagout program rules are adhered to at all times.
I ° Extension cords will be the three-wire type for grounded tools, and will be
protected from damage. All extension cords will be protected by ground fault
circuit interrupters. Only approved electrical cords will be utilized. Only
I receptacle and attachment plugs of the approved concealed-contact type are
allowed.
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HEALTH AND SAFETY PLAN SUNLAND OIL REFINERY
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5.2.6 Heat Stress
Heat stress is the combination of both environmental and physical work factors that
contribute to the total heat load imposed on the body. The HSC will observe field
personnel for signs indicative of heat illness. Personnel experiencing heat strain
will be to immediately take action to reduce their stress.
symptoms
required
The following measures will be used to help reduce the effects of heat stress or to
prevent heat stress from occurring.
the
· Acclimation to the heat through short work periods, followed by longer periods of
work can reduce heat stress.
Identify a shaded, cool rest area.
· Rotate personnel and alternate their job junctions as needed.
Ensure that personnel consume enough water to replace the amount of moisture
lost through perspiration. Most workers exposed to hot conditions drink less fluid
than they need. Workers should consume at least 50 ounces of fluid in small
amounts at regular intervals during an 8-hour workday. This amount may be
much larger depending upon the individual.
· Allow for frequent rest periods in the shade when temperatures exceed 80
degrees F. If necessary, a specific work/rest schedule will be established by the
HSC.
· Schedule the most strenuous activities during cooler periods, such as during the
early morning hours or early evening hours.
I First Aid
Persons exhibiting symptoms of heat exhaustion (i.e., pale/clammy skin, dizziness,
I cramps) will be removed from the work given cool fluids to drink, and
nausea,
area,
observed during the recovery period. Persons exhibiting symptoms of heat stroke (i.e.
hot/dry skin, mental confusion, or unconsciousness) will be immediately cooled down
I and taken to the nearest of the could indicate a
hospital.
Any
following
symptoms
serious heat stress problem: dizziness, rapid heart rate, nausea, cramps, breathing
i problems, weakness, or diarrhea.
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I 5.2.7 Confined Space Entry
I the of the activities, to confined be
During
course
decommissioning
access
spaces
may
required. No one will be allowed to enter a permit-required confined space unless they
have the required training in accordance with 29 CFR 1910.146. Subcontractors
I requiring space entry responsible completing a space entry
confined
will
be
for
confined
permit which will be reviewed by TSG's On-site Health and Safety Coordinator.
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5.3 TASK HAZARD ANALYSIS
'1 The safety and health hazards likely to be encountered during the major
decommissioning tasks are briefly outlined below.
I
HAZARD IDENTIFIED / ANTICIPATED
I RATING HAZARDS
TASK
I 1. Asbestos Abatement Moderate Asbestos fiber exposure, elevated work
surfaces, wet surfaces, electrical hazards,
and heat stress.
I 2. Tetra Ethyl Lead Tank High Machinery, chemical exposure, physical
Cleaning and Disposal hazards.
i 3. Reactor Cleaning- High Chemical exposure, ignitable and/or
Catalyst Removal reactive substances, explosive
atmospheres, confined spaces.
I 4. Process Unit Draining High Chemical exposure, ignitable and/or
and Cleaning reactive substances, explosive
atmospheres.
I 5. Demolition Activities Moderate chemical
Machinery,
exposure,
physical
hazards, heat stress, electrical hazards,
confined spaces, and hot work.
I 6. Waste Management, Moderate Chemical exposure
Sampling and Storage
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I HEALTH AND SAFETY PLAN SUNLAND OIL REFINERY
Page 17 October 16, 1998
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I 6.0 EXPOSURE MONITORING
i Exposure monitoring will be conducted at the site to assess both on-site worker
exposure as well as perimeter monitoring for potential off-site exposure. Constituent to
be monitored will include volatile organic compounds, toxic gases, explosive
atmospheres and oxygen content. The types of monitoring to be employed include the
I following:
Type Minimum Recommended Frequency
Background Once per day for VOC's in the work area and perimeter using
direct-reading instruments, prior to any intrusive activities or
equipment start-up.
Perimeter Once per day for VOC's using direct-reading instruments during
intrusive activities (down wind location)
Personnel Two times per hour for VOC's in the breathing zone of workers
with the highest anticipated exposure during intrusive activities.
Explosive atmosphere and oxygen levels will be monitored
continuously during appropriate occasions.
Area At least twice per day for VOC's in each work zone and at the
onset of any new intrusive activities, or at new locations
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HEALTH AND SAFETY PLAN SUNLAND OIL REFINERY
Page 18 October 16, 1998
The following action levels and corresponding measures will be implemented during the
decommissioning Monitoring protocols are subsequent
actMt[es.
discussed
in
the
sections.
Equipment Action Level * Action to Be Taken
PID / FID < 20 units for 15Maintain Level D
minutes in
breathing zone
PID / FID > 20 units for 15Upgrade to Level C (Half-face
minutes in BZ respirator with OV/AG/HEPA
cartridges)
PID / FID 50 units in BZ Upgrade to Level C (Full-face
respirator with OV/AG/HEPA
cartridges)
PID / FID > 100 units in Evacuate, assess and call PM.
Hydrogen Sulfide >5 ppm in BZ20 Evacuate, call PM. (Will require use
Monitor or Colorimetric ppm Ceiling of air-supplied respirators).
Tube (hydrogen sulfide)
Colorimet. ric Tube 1 ppm for 15 Upgrade to Level C (Half face
(benzene) minutes in BZ OV/AG/HEPA)
· Units are read as ppm on the PID/FID but are not equivalent to specific compounds present due to variable
response factors relative to instrument calibration gas (i.e. iso-butylene or methane).
m
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I HEALTH AND SAFETY PLAN SUNLAND OIL REFINERY
Page 19 October 16, 1998
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6.1 OROANIC YAPOR$
I The HSG shaft perform air monitoring in the work areas using direct reading
instrumentation to determine if hazardous exposures to airborne organic vapors may
I exist. A photoionization detector or flame ionization detector
will
be
used
to
conduct
this
monitoring. The breathing zone will be monitored at least two times per hour.
I An air monitoring action level, based on the PID/FID readings, will be used to
specify when respiratory protection measures shall be implemented for site
i personnel. That action level is:
20 response units above background in the breathing zone, sustained over a
period of 15 minutes.
When readings of 1 unit and above are sustained for 15 minutes, the HSC shall also
i conduct air measurements using direct reading colorimetric indicator tubes to determine
if benzene is present and if concentrations exceed the CAL-OSHA PEL of 1 ppm. If
indicator tube readings indicate that benzene may be present above the action level of
i0.5 ppm, work shall be stopped and the additional control measures needed to enable
work to continue will be determined by the HSC. The HSC shall notify the PM of the
findings and the control measures developed.
I Work shall also be stopped when the sustained PID/FID readings reach 20 units in the
breathing zone and respiratory protection will be donned. Additional protocol for
Iscreening levels is as follows:
Indicated levels above 50 units will require upgrade to full-face respirators.
I Cease work activities and evacuate area for levels over 100 units above
background.
i
6.2 COMBUSTIBLE ATMOSPHERE
A combustible gas indicator (CGI) will be used to evaluate atmospheres for potentially
flammable or combustible gases or vapors. Calibration will be with hexane. The CGI
I will be calibrated to set off an audible alarm when vapor concentrations reach 10
percent of the lower combustible limit. In the event that vapors concentrations reach
the prescribed 10% limit, work shall be stopped and additional control measures
I will be implemented to enable work to continue. The On-site Health and Safety
Coordinator will inform the Project Manger of the situation.
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I HEALTH AND SAFETY PLAN SUNLAND OIL REFINERY
Page 20 October 16, 1998
I 6.3 HYDROGEN SULFIDE
I Hydrogen sulfide is a flammable, colorless with a characteristic rotten-egg odor at
gas
Iow concentrations. At high concentrations, hydrogen sulfide gas causes a deadening
of the olfactory nerve, rendering it odorless. Hydrogen sulfide is a chemical asphixiant.
I Exposure gas may cause lungs, eyes, dizziness,
to
this
irritation
to
the
headaches,
and
other adverse neurological effects.
I Hydrogen gas typically accumulates at high
sulfide
concentrations
within
confined
spaces such as vessels, sumps, pipes, and in other enclosed process equipment or
unventilated space. Hydrogen sulfide will be monitored using a continuous hydrogen
I sulfide monitor. In the event that hydrogen sulfide concentrations reach the
prescribed limit (>10 ppm), work shall be stopped and additional control
i measures will be implemented to enable work to continue.
i 6.4 TETRA-ETHYL LEAD
Tetra-ethyl lead is a potent central nervous system disrupter. Tetra-ethyl lead is a
known contaminant at the refinery, especially within the "Lead House" where the
I material was stored and dispensed.
i There is no current direct reading instrument technology available for field monitoring.
Tetra-ethyl lead levels will be measured using personal sampling pumps with
subsequent laboratory analysis.
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I HEALTH AND SAFETY PLAN SUNLAND OIL REFINERY
Page 22 October 16, 1998
I
I 7.0 PERSONAL PROTECTIVE EQUIPMENT
I 7.1 PROTECTIVE CLOTHING AND EQUIPMENT
i It is anticipated that the majority of decommissioning activities will take place in Level D
protection. However, Level C and Level B protection will be utilized as necessary,
based on anticipated exposure potential as well as task specific monitoring. Protective
I equipment to be utilized at each protective level is described below.
I Level D:
· Safety glasses, hard hat, disposable ear plugs, long-sleeved shirt and pants,
I steel-toe boots. For contact with moist soil or liquid:
· Gloves: Inner: latex Outer: Nitrile or standard leather gloves if no direct contact
I. with soil.
· Chemical resistant boots or boot covers: Nitrile/PVC boot covers, if contactinq
soil.
· Dirt & Dust protection: Coveralls (Tyvek optional).
I
· Other: Hard hat and safety goggles.
Level C:
I · Air-purifying Respirator (Half- or Full-Face)
i · Cartridges: Organic Vapors / Acid gas / HEPA
· Gloves: Inner: Latex Outer: Nitrile / Solvex / Gauntlet.
I · Chemical resistant boots or boot covers: PVC boot covers.
I · Dust & Dirt/Chemical resistant suit: Tyvek (PE coated optional).
· Other: Hard Hats and Safety goggles.
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I HEALTH AND SAFETY PLAN SUNLAND OIL REFINERY
Page 23 October 16, 1998
I
Level B:
I
· Supplied Air Respirator or Self Contained Breathing Apparatus (SCBA)
I · Gloves: Inner: Latex Outer: Nitrile / Solvex / Gauntlet.
i · Chemical resistant boots or boot covers: PVC boot covers.
· Dust & Dirt/Chemical resistant suit : PE coated Tyvek.
I · Other: Hard Hats and Safety goggles.
I 7.2 RESPIRATORY PROTECTION
I Respiratory protection in the form of half-face air purifying respirators equipped with
organic vapor/gas cartridges and dust filters should be available (on standby basis) at
the Sunland site for each person working within the exclusion zones. Respirators
I should be donned if odors become objectionable at any time or if sustained readings of
20 units or greater are obtained in the breathing zone using the direct-reading air
monitoring instruments in the work area. If used, respirator cartridges are to be
I changed after every 8 hours of use or when breakthrough occurs, whichever is first.
Site personnel may downgrade and discontinue the use of respiratory protection when
I the PID/FID readings are less than 20 units (relative to background) and remain at that
level for at least 30 minutes.
I It should be noted that organic vapor/acid gas cartridges are not effective and not
approved for protection against exposure to hydrogen sulfide. Therefore, the
identification of hydrogen sulfide in the breathing zone at levels in excess of 10 ppm will
Inecessitate the use of air-supplying respirators or other control measures to prevent
exposure. In the action level for hydrogen sulfide is exceeded, on-site workers will be
required to back away from the exposure and contact the HSC and the PM.
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HEALTH AND SAFETY PLAN SUNLAND OIL REFINERY
Page 24 October 16, 1998
,
8.0 DECONTAMINATION
I Proper and adequate decontamination will be required of all personnel and equipment
that come in contact with contaminated materials.
!
8.1 PERSONNEL DECONTAMINATION
I Personnel decontamination will be accomplished by following a systematic procedure of
cleaning and removing PPE. The following rules will apply:
I · Contaminated PPE, such as boots, will be rinsed free of gross contamination,
scrubbed clean in a detergent solution, and rinsed clean (triple rinse).
I · Disposable PPE, such as Tyvek coveralls, gloves, etc., will be disposed in
designated containers upon exiting the exclusion zone.
I · Respirators, if used will be cleaned after each use with respirator wipe pads and
will be stored in plastic bags after cleaning.
I
8.2 SAMPLING EQUIPMENT
I Equipment decontamination procedures will consist of the following:
I · initial, tap water rinse;
· washing in a detergent solution;
· final tap water rinse.
I
i 8.3 VEHICLES AND HEAVY EQUIPMENT DECONTAMINATION
Heavy equipment that has entered contaminated areas must be decontaminated prior to
i leaving the site. Exteriors of vehicles and heavy equipment must be pressure washed.
Employees performing this task must wear Level D PPE as outlined in Section 7.0.
Decontamination water must be contained and disposed in compliance with all State,
i federal, and local regulations. A decontamination pad or other means must be
established to contain decontamination rinse water.
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HEALTH AND SAFETY PLAN SUNLAND OIL REFINERY
Page 25 October 16, 1998
8.4 SANITATION
All site personnel working within the exclusion zone will, after observing the prescribed
decontamination procedures, wash their hands (and other exposed skin areas) with
soap and water prior to eating, drinking, smoking, or leaving the site.
^ portable bathroom will be available within walking distance from the exclusion zone.
The Source Group, Inc.
HEALTH AND SAFETY PLAN SUNLAND OIL REFINERY
Page 26 October 16, 1998
9.0 GENERAL SAFE WORK PRACTICES
The following measures are designed to augment the specific health and safety
guidelines provided in this plan.
The "buddy system" will be used at all times by all field personnel. No one is to
perform on-site activities alone.
· Avoidance of chemical contact is of the utmost importance. Whenever possible,
avoid contact with affected (or potentially affected) surfaces or materials.
· Eating, drinking, chewing gum or tobacco, smoking, or any practice that
increases the probability of hand-to-mouth transfer of materials is prohibited in
the work area.
· Beards of other facial hair that interfere with respirator fit are prohibited for those
individuals who may be required to use respiratory protection.
· The use of alcohol or drugs is prohibited during the conduct of field operations.
° if any electric-powered equipment is used on-site, it should be explosion-proof,
and should be fed electrically through a ground-fault interrupter approved for
outdoor use.
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I HEALTH AND SAFETY PLAN SUNLAND OIL REFINERY
Page 27 October 16, 1998
I
I 10.0 EMERGENCY RESPONSE PROCEDURES
i The basic elements of an emergency evacuation plan include employee training, alarm
systems, escape routes, escape procedures, critical operations or equipment, rescue
and medical duty assignments, designation of responsible parties, emergency reporting
procedures, and methods to account for all employees after evacuation. Each of these
I elements is described below.
I 10.1 EMERGENCY COMMUNICATION SYSTEM
I An emergency communication system must be in effect during work activities at the
Sunland site. The most simple and effective emergency communication system in
many situations will be direct verbal communications. Verbal communications must be
I supplemented any time voices cannot be clearly perceived above ambient noise levels,
and any time a clear line-of-sight cannot be easily maintained between personnel
because of distance, terrain, or other obstructions. When verbal communications must
I be supplemented, the following emergency signals (using hand-held portable airhorns
or vehicle horns) will be used.
I · One Horn Blast: General Warning. One horn blast is used to signal relatively
minor events on-site. For example, a minor chemical spill where there is no
immediate danger to life or health, yet personnel working on-site should be
I aware of the situation so that unnecessary problems can be avoided. In one
horn blast is sounded, personnel must stop all activity and equipment on-site and
await further instructions from the Site Supervisor and/or HSC.
I · Two Horn Blasts: Medical Emergency. Two horn blasts are used to signal a
medical emergency where immediate first aid or emergency medical care is
I required. If two horn blasts are sounded, all first aid and/or CPR-trained
personnel should respond as appropriate. All other activities and equipment
should stop and personnel should await further instructions from the Site
I Supervisor and/or HSC.
· Three Horn Blasts Followed by One Continuous Blast: Immediate Danger
I and Three horn blasts followed by another or
to
Life
Health,
extended
continuous horn blast signals a situation that could present an immediate danger
to the life or health (IDLH) of all personnel on-site. Examples of possible IDLH
I situations includes fires, explosions, hazardous chemical spills or releases. If
three horn blasts followed by a continuous blast are sounded, all activity and
i equipment must stop. All personnel must evacuate the site to an appropriately
designated site located either outside the contamination reduction zone or off-
site. All personnel must be accounted for by the HSC and other response
i actions determined by the Field Manager or HSC must be observed.
i The Source Group, Inc.
I HEALTH AND SAFETY PLAN SUNLAND OIL REFINERY
Page 28 October 16, 1998
I
10.2 ESCAPE ROUTES AND PROCEDURES
IShould and emergency occur on-site, personnel will assemble at the Coffee Road
entrance to the facility. A map of the site in included as Attachment 3. This map
I depicts the meeting location in the event of an evacuation.
I 10.3 RESCUE AND MEDICAL DUTY ASSIGNMENTS
The telephone numbers of the designated emergency services are provided on the
I emergency reference sheet located in the front of this HASP. Directions to the local
hospital should be posted in all on-site vehicles that may be used for emergency
i transport. The emergency contact information will also be posted within the project field
office.
i In the event of an injury or illness that requires more than first aid treatment, the HSC
will accompany the injured person to the hospital and will remain with the person until
release or admittance is determined. The escort will relay all appropriate medical
i information to the PM.
i 10.4 EMERGENCY REPORTING PROCEDURES
Any accident/incident resulting in an OSHA recordable injury or illness, treatment at a
Ihospital or physician's office, property damage, or a near-miss accident, requires that an
accident/incident report be completed and submitted to the HSC. A copy of the TSG
Injury / Illness Report form is found as Attachment 10. A copy of the TSG Site Incident
IReport is found as Attachment 11.
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ATTACHMENT 1
I HOSPITAL LOCATION MAP (attach or draw):
I
iSan Joaquin Community Hospital is located at 2615 Eye Street.
See Map Attached - Next Page.
I
To Hospital:
I Exit site at West Gate and drive south on Old Coffee Road. Turn right onto Coffee Road. Drive North
on Coffee Road to Rosedale Highway. Turn right onto Rosedale Highway. Drive east on Rosedale
Highway, under the 99 Freeway. Rosedale Highway turns into 24th Street. Continue east. Turn left at
Eye Street. Drive North two blocks. San Joaquin Community Hospital is located at 2615 Eye Street.
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ATTACHMENT 2
THE SOURCE GROUP, INC.
SITE MAP
. · ,~ .... ; .... ,~. "o o , .. I'- \
........................ < ......... :::: ......... ~Z . o " · ·
. · ' :~: ~Gi~ %'. · ,.
· '. ' ~:::;:=::~:~. / UUBUB~ · ~- ~'-, C4LL0 ,,~.~ ,' . ' ~ ~ ,,
............ 29_~~ ~ ;;~6 ~,, 28 ,, . . . -
. . ·
...... i .... i ...... ,. _ , ., ~ :~ .. ,1~_: . ~ ,~ ..... ~_.. z ...... I I ~ ...... ~ ~//~% . _ .~.~
" ~/ " · ~~' I~ ,~/ -'~ ~i. ~.F "T..
.... ' 29 I~1~1 ~u 2~ L :/.L.. :o~e~
, ...... ¢. "' I~1 I ~1 · ~L ~/ ~~:::: ,~_ ,
- '. ...... ~ ~ I .... I .... 4t ~ I[[~/ ~ ~ I~;;;~; · / ~1 IV~LI
· - t I* ~ ~ ~e~ ~===_====~====
.......... . ..'~ l:~z
(..... ..~;;..-' ~ ~~ ~~~ ~.~/~ ~
~.~..: ~.,... ~ ', / ,., ~.~ . ~ , ., .,.,
I /
~'~'~ ' I ~ ~ .'~ ~ ~'~' :*' '.
f [ fl.' ~ ~ ~ .... ~ ..........
SOURCE: USGS 7.5 MINUTE TOPOGRAPHIC MAPS, OILDALE OUAD~NG~, 1954
~ . GOSFORB QUADRANGLE, 1954
~ PHOTOREVISEB 1968 AND 1973
BU~ON~LL~ ~
~ 0 2000 ~000
/ APPROXIMATE SCALE IN FEET
FIGURE:
Source: SITE LOCATION MAP
SECOR 1
SUNLAND REFINERY
2152 COFFEE ROAD
BAKERSFIELD, CALIFORNIA
'-Itl
I~ I~
ATTACHMENT 3
THE SOURCE GROUP, INC.
SUBCONTRACTOR TRAINING AND MEDICAL CLEARANCE RECORD
Subcontractor:
Address:
Employees Assigned to Project:
I certify the above employees assigned to this project have received training, medical clearance, and
respirator fit-testing according to the Health and Safety Plan and the Occupational Safety and Health
Administration Standard on Hazardous Waste Operations and Emergency Response (29 CFR
1910.120). If any of these employees are injured, I will submit an injury report to the TSG Health and
Safety Director within 24 hours.
Name Signature
Title* Date
*Subcontractor Supervisor or Manager only.
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i ATTACHMENT 4
THE SOURCE GROUP, INC.
I UTILITY CLEARANCE LOG
Date:
"One-call" confirmation number and date contacted:
"One-call" expiration date:
Subcontractor locating firm and invoice number:
Facility contact person & telephone number:
Facility drawings reviewed:
Verbal/written sign-off of clearance by facility contact:
Pressurized lines/shut-off valves identified:*
Underground utilities/lines identified:*
Underground utilities/lines marked on-site by:
Overhead utilities/lines identified:*
Overhead utilities/marked on-site by:
*Mark on copy of facility drawing or include in site sketch (Attachment 5).
Clearance contact:
Name (TSG employee only) Signature Date
Clearance Reviewed by:
Name (TSG Project Manager) Signature Date
ATTACHMENT 5
THE SOURCE GROUP, INC.
UTILITY CLEARANCE MAP
ATTACHMENT 8
THE SOURCE GROUP, INC.
DAILY HEALTH AND SAFETY BRIEFING LOG
Date:
Start Time:
Subjects Discussed:
Print Name Signature
Meeting Conducted By:
Name (Site Health and Safety Officer) Signature
I A'n'ACHMENT 9
I THE SOURCE GROUP, INC.
HEALTH AND SAFETY PLAN ACKNOWLEDGEMENT AND AGREEMENT FORM
I
(All TSG and subcontractor personnel must sign.)
I
I acknowledge I have reviewed a copy of the Health and Safety Plan for this project, understand it, and
iagree to comply with all of its provisions. I also understand I could be prohibited by the Site Health and
Safety Officer or other TSG personnel from working on this project for not complying with any aspect of
this Health and Safety Plan:
I
Name Signature Company Date
I
Name Signature Company Date
I
Name Signature Company Date
I
Name Signature Company Date
I
Name Signature Company Date
I Name Signature Company Date
I Name Signature Company Date
I Name Signature Company Date
I Name Signature Company Date
I Name Signature Company Date
I Name Signature Company Date
ATTACHMENT 10
TSG INJURY/ILLNESS REPORT
(Use additional space as necessary)
DATE OF INCIDENT CASE NO. TIME OF DAY
EMPLOYEE NAME DATE OF BIRTH
HOME ADDRESS PHONE NO.
SEX: MALE FEMALE AGE JOB TITLE
SOCIAL SECURITY NO. OFFICE LOCATION DATE OF HIRE
WHERE DID INCIDENT OCCUR? (INCLUDE ADDRESS).
I ON EMPLOYER'S PREMISES? YES NO PROJECT NAME/NO.
WHAT WAS EMPLOYEE DOING WHEN INCIDENT OCCURRED? (BE SPECIFIC),
I
HOW DID THE INCIDENT OCCUR? (DESCRIBE FULLY),
I
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WHAT STEPS COULD BE TAKEN TO PREVENT SUCH AN INCIDENT?
I
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OBJECT OR SUBSTANCE THAT DIRECTLY CAUSED INCIDENT?
!
DESCRIBE THE INJURY OR ILLNESS.
I PART OF BODY AFFECTED
NAME AND ADDRESS OF PHYSICIAN
I IF HOSPITALIZED, NAME AND ADDRESS OF HOSPITAL
LOSS OF ONE OR MORE DAYS OF WORK? YES/NO IF YES-DATE LAST WORKED
I
HAS EMPLOYEE RETURNED TO WORK? YES/NO IF YES-DATE RETURNED
COMPLETED BY (PRINT)
I (Site Health & Safety Officer)
SIGNATURE EMPLOYEE SIGNATURE
I DATE DATE
This report must be completed by the employee's supervisor or Site Health and Safety Officer immediately upon learning of
i the incident.
ATTACHMENT 11
THE SOURCE GROUP, INC.
SITE INCIDENT REPORT
(Attach additional documentation as necessary)
Date of Incident: Time of Incident:
Location of Incident:
Project Name: Project Number:
Type of Incident* (check those that apply):
"Near Miss" Vehicle Accident
Underground Property Damage Fire
Above-ground Property Damage Evacuation
Chemical Exposure Regulatory Inspection
Other (describe).
*Submit copy of Health & Safety Plan and Attachments for field-related incidents.
Description of Incident:
Cause of Incident:
Action Taken:
I Future Corrective Action:
Estimated Amount of Damage:
Investigator Name: Signature:
Date:
ATTACHMENT 12
THE SOURCE GROUP, INC.
MATERIAL SAFETY DATA SHEETS
ATTACHMENT 14
THE SOURCE GROUP, INC.
CONFINED SPACE ENTRY PERMIT
(POST OUTSIDE SPACE)
TO BE COMPLETED BY PROJECT MANAGER Page 1 of 2
DATE: PROJECT NAME: World 28 PROJECT #: 02-WOM-00?
LOCATION Of WORK:
HAZARDS IN THIS CONFINED SPACE:
DESCRIPTION OF WORK:
HAZARDS CREATED BY WORK TO BE DONE:
STAND-BY: ENTRY LEADER:
EMPLOYEES ASSIGNED:
ENTRY DATE: ENTRY TIME: EXIT TIME:
OUTSIDE CONTRACTORS WORKING IN AREA:
(CIRCLE ONE)
1. Have all employees who will enter this space or act as standby received the following approvals
and training:
Yes No a. Medical clearance within the past year.
Yes No b. Training in confined space entry.
Yes No c. Job emergency procedures have been reviewed with all employees involved.
Yes No d. Completed rescue drill for this type confined space.
2. Equipment identified by checks (~/) in boxes will be available at entrance for emergencies.
Equipment identified by (X) in boxes will be used by personnel in space.
[] [] 1.30-min SCBA [] [] 17. LEL-02 monitor-alarm
[] [] 2. 15-min SCBA [] [] 18. Colorimetric tubes
[] [] 3. Other Respirator [] [] 19. Toxic gas air monitor
[] [] 4.2-way Radios [] [] 20. Hard hats
[] [] 5. Tether - Life lines [] [] 21. Safety shoes
[] [] 6. Harness - Safety belt [] [] 22. Safety glasses
[] [] 7. Wristlets [] [] 23. Full face shields
[] [] 8. Fall device for tether [] [] 24. Protective arm covers
[] [] 9. Rolling body board [] [] 25. Full chemical protective suit
[] [] 10. Ladder [] [] 26. Chemical protective gloves
[] [] 11. Ladder extensions [] [] 27. Chemical protective boots
[] [] 12. Barricades for all openings [] [] 28. Emergency light/Flashlight
[] [] 13. Tripod or other lifting device [] [] 29. Fire extinguisher
[] [] 14, Opening device for covers [] [] 30. Pre-entry H&S Briefing
[] [] 15. Device to lock [] [] 31.
covers
open
Stand-by
employee(s)
[] [] 16. Fresh air blower and hose
ATTACHMENT 14
CONFINED SPACE ENTRY PERMIT
(POST OUTSIDE SPACE)
Date: Project Name:.
3. All lines that could discharge contaminants into the space have been/will be blanked off or line
disconnected and pumping means locked out and tagged.
Yes No N/A
4.Space has been/will be cleaned of any toxic residue or atmosphere by
Yes No N/A
5.Moving machinery has been/will be locked out and immobilized.
Yes No N/A
6.Entry and exit to the space is provided by.
Yes No N/A
7.Will work to be done in the space introduce contaminants to the space?
Yes No N/A
8. What is capacity of blowers to be used in cubic feet per minute?
9.Have all affected departments been notified of service interruption?
Yes No N/A
10. Atmospheric gas tests will be performed by.
Readings:
Oxygen Flammability % Toxic Gas
(Not <20% or >22%) (LEL <10%) (< ppm)
11. Will continuous monitoring device be used? Yes No Type.
12. Calibration date of meters used in items 10 and 11.
a. b. c.
13. Has Corporate Health and Safety been contacted before entry?
Yes No
14. Emergency communication means: 2-Way [] Telephone [] Other []
I have inspected the space to enter, the safety equipment that will be used, and approve employees'
entry into the confined space.
Signed
Project Manager
Signed
Site Health and Officer
Safety