ANL-209H Job Safety Analysis.pdf

High Risk Job Safety Analysis

ANL-209H (09/15/2023), ”High Risk Job Safety Analysis” Associated document: LMS-PROC-123, “Contractor Safety“ Page 1 of 8

A signed and approved Job Safety Analysis (JSA) must be completed by the contractor, the Project Specialist (PS)/Technical

Representative, and the Argonne Project Manager before work can begin. It is designed to be completed electronically and must be printed and displayed at the work site. A JSA is an important accident prevention tool that identifies hazards so they can be eliminated or minimized before a job is performed and before a hazard can have an impact on workers. The scope of work and all Safety Data

Sheets (SDSs) must be attached before this JSA can be reviewed and signed.

Project/Job Title

Contract Number Building/Area

Contractor

Argonne

(to be completed by Argonne Project Manager)

Contractor TBD Project Manager Kevin Stutenberg

Project Manager Phone No. 630-252-6788

Phone No. Alternative No.

Alternative No. Project Safety Mgr. Ian McGhee

Foreman Phone No. 630-252-2324

Phone No. Alternative No. 630-299-6516

Alternative No. PS/Tech Rep. Kevin Stutenberg

ESH Rep Phone No. 630-252-6788

Phone No. Alternative No. 608-698-2019

Alternative No. Other

Contractor Designated Authorized or Competent Person

Argonne Reviewers

(to be completed by Argonne Project Manager)

Excavation Michael Duoba

Division Qualified Employee Date

Confined Space Ian McGhee

Division ES&H Coordinator Date

Scaffolding

ESHQ SME (as needed) Date

Fall Protection

IS PSM (as needed) Date

NFPA 70E

Silica

Additional Argonne SME Review

Note: This JSA must be reviewed and approved by a minimum of two separate individuals.

If IS is not engaged and the division does not have the qualified employee on staff, the ESHQ SME and

ES&H coordinator signatures are required.

If IS is engaged, the IS PSM and ES&H coordinator signatures are required.

SME (as needed) Date

Project Manager must indicate who is identified to review and approve this JSA as the “ESHQ SME (as needed)” signature.

ESHQ IS Division Qualified Employee

Contractor Project Manager Approved Name Date

Argonne Project Manager Approved Name Date

10/17/2023

Chuck Clarke

10/18/2023

Associated document: LMS-PROC-123, “Contractor Safety“ Page 2 of 8

Scope of Work

Scope of Work (SOW) may be included below or additional pages may be attached to the JSA. The SOW should contain the overall scope of the project.

This ANL-209H is a placeholder to allow for a heavy duty dynamometer to be bid on including a commissioning step.

Prior to notice to proceed with a given vendor, a complete and fully approved ANL-209H will be required.

This specification is for the commissioning of a turnkey Heavy Duty Four Wheel Drive Dynamometer.

1)The contractor shall abide and comply with all building and safety codes to create an intrinsically safe system and work environment.

2)Significant risk factors such as noise, ventilation of toxic gases, heated surfaces, electrical shock, and safety interlocks to prevent accidental errors shall be considered, and control measures to ensure the safety of operations and maintenance personnel shall be implemented wherever feasible.

3)The contractor shall consider the minimization of the generation and release of harmful materials to the environment in all component selection, system design, and operational strategies and installation requirements.

Commissioning will entail testing of the following components:

- Pneumatic

-Electric

-Hydraulic

-Roller function

-Deck weight test

-Control systems and interface panels

-Pendants, displays, wiring

-Cooling

-Calibration

-Pull down system

-E-Stop functilnality test

Work may entail working with hand tools, doing energized electrical testing, working from heights, working in dyno pit area, working with cooling systems (pressure/vacuum) as well as pneumatics and hydraulics, calibration systems, and chemicals. Equipment may require lubricant or other consumer products to be used as chemicals. Epoxy or other surface touch ups may also be required. Operation may require exposure to excessive noises for periods of time.

Project/Job Title Building/Area

Associated document: LMS-PROC-123, “Contractor Safety“ Page 3 of 8

Hazards Analysis — List all basic job tasks/activities, the safety hazards associated with them, and the controls for hazards. The form is pre-filled with common tasks/activities, hazards, and controls for hazards to provide a basic template. Use the existing content if it applies. Remove the content is not relevant to the project. Additional tasks/activities, hazards, and controls for hazards may need to be added. The existing controls for hazards are editable and should reflect the controls for hazards being implemented for the project.

Note: Be sure to list the Hazards rather than the Injuries, Accidents, or other results of a hazard.

For example:

Hazard: Oily walking working surfaces.

Accident: An unintended event that may result in injury, loss, or damage. Slipping on the oil is an accident.

Injury: Result of an accident, such as a sprained wrist suffered from slipping on the oil and falling.

List all PPE to be used for each specific task and hazard. An approved JSA is the documentation that meets the requirement of performing a

Certified Hazard Assessment as required by 29CFR 1910.132(d)2, and/or task hazard analysis as required by 29CFR1926.28(a).

Task/Activity Safety Hazard Controls for Hazards

FOR USE WITH BIDDING ONLY,

NOT TO BE USED BEYOND BID

PROCESS

ALL HAZARDS AND

CONTROLS ARE TBD PRIOR

TO SELECTING A PRODUCT

FROM A VENDOR

ALL HAZARDS AND CONTROLS ARE TBD PRIOR TO SELECTING A

PRODUCT FROM A VENDOR.

Associated document: LMS-PROC-123, “Contractor Safety“ Page 4 of 8

Safety Data Sheets (SDS)

Attach a copy of the SDS for each hazardous material that will be used, for review by Argonne personnel. Attach copies of all required training certification for hazardous materials.

Listing each hazardous material is optional at the discretion of the Project Specialist (PS)/Technical Representative.

Hazardous materials to be used on this site are:

1. TBD 3. 5.

2. 4. 6.

Argonne Contractors Requirements for High Risk Projects

1. All contractor personnel assigned to work under high risk contracts on the Argonne site must attend Argonne

Contractor Safety Orientation (CSO) for service contracts, unless the contract is for demolition. If the contract is for demolition or if the work will be conducted in a construction area, the contractor must attend Safety

Orientation for construction. The contractor must maintain proof of this training on his/her person by carrying the CSO Argonne card, provided by the instructor. The contractor must provide proof of this training to an

Argonne or DOE representative when requested.

2. DOE Job Safety & Health poster (attached) must be maintained on the job site.

3. All changes to the original scope of work or if any of the required listed Hazard Controls cannot be followed must be communicated to workers by the contractors’ line management, only after obtaining review and approval by the Project Manager, PS, or the Technical Representative.

4. The contractor must have a 10-hour OSHA trained employee on site at all times when work is performed. This employee is the Contractor ESH Representative. Proof of this training must be provided and the employees name will be written on the JSA cover page. This ESH representative is responsible for the continued monitoring of the work site and all work activity being conducted.

5. All contractor personnel must attend building/area orientation in relation to their scope of work so they are aware of shelters during severe weather or emergency evacuation meeting points as well as any other special conditions in relation to the specific building/area.

6. When excavating, the digging permit and all attachments must be read and understood by all general and subcontractor employees. Such attachments may include, but, are not limited to excavation plans, utility shutdown plans, hit response and recovery plans, and potholing and hydro-excavating plans. The Dig Permit will be furnished by the Argonne PS/Tech Rep./Person-in-Charge of the excavation work to be performed.

7. Contractors must provide timely notification to the PS/Tech Rep./Person-in-Charge of excavation work to be performed so that adequate notification (48 hours prior) can be made to the Argonne utility restrictors.

8. The contractor must report in daily, by 8 a.m., the number of employees he/she has on-site by calling 630-252-

7200. Additional information required includes the building number or area where the work is being done as well as the contract number. In addition, notification to the Project Specialist/Tech Rep. of arrival and departure is required.

9. Imminent danger violations will result in an immediate 6-month suspension. Other lesser violations will receive

“tickets” and/or other penalties per the contract.

10. All slow-moving vehicles, while driving on Argonne roads, must be placarded, this includes non-licensed construction equipment, off road trucks, and landscaping equipment.

Associated document: LMS-PROC-123, “Contractor Safety“ Page 5 of 8

11. All energized electrical “hot work” requires a reviewed and approved written procedure, along with a completed and approved Energized Electrical Work Permit (ANL-211) that details all steps to be taken, safe guards to be used, and PPE needed to safely conduct this evolution.

12. In case of any injury or illness, no matter how minor, notify the Argonne Tech Rep., PS, or Project Manager of the situation.

13. In the event of an emergency or if immediate medical assistance is needed, contact the Argonne National

Laboratory Fire Department by calling (inside line) 911 or (by cell phone) 630-252-1911. After calling the fire department, notify the Argonne Tech Rep. or PS of the situation.

Emergency Information (must be provided by Argonne Project Specialist or Technical Representative)

Note: the emergency number to call from a cell phone is 630-252-1911.

Emergency Phone Number Argonne Phone – 911…….Cell Phone – 630-252-1911

Location of Assembly Point Grass field across from building 362 (North)

Location of Tornado Shelter 362 Basement - follow signs

Basic Safety Rule Reminders:

1. Hard hats must be worn where there is a potential of falling objects, or bump hazards. All hard hats must comply with ANSI Z89.1, American National Standard for Industrial Head Protection.

2. Safety glasses with side shields are required to be worn at all times. All safety eyewear must comply with

ANSI Z87.1, American National Standard Occupational and Educational Personal Eye and Face Protection

Devices.

3. Above-the-ankle sturdy leather work boots must be worn at all times in the work zones, unless otherwise agreed upon between the PS/Tech Rep. and the contractor.

4. All tools and equipment must be inspected by Argonne before use. Do not use defective tools.

5. Contractor competent persons must be on-site when activities involving their discipline are being conducted.

6. Fall protection (for example, handrails or full body harnesses) must be used when working at heights above 4 ft.

Fall protection is not required when working from portable ladders.

7. Where work creates hazards, these work areas must be clearly marked (for example, barrier tape, snow fencing, traffic cone) and appropriate signage must be posted to alert passersby to hazards. All signage must be in compliance with 29CFR1910.145, Specification for Accident Prevention Signs and Tags.

8. Connect all handheld portable electric tools of 120V (that is, 110-125V) into a ground-fault circuit interrupter

(GFCI)-protected circuit when used in construction, maintenance, outdoors, in wet environments, when working from a metal ladder or scaffold or when the portable electric hand tool has a metal case/housing. The GFCI must be tested daily before use.

9. Do not allow materials or equipment to obstruct stairways, passageways, or access ways.

10. Maintain an orderly work area.

11. All injuries/illnesses and near misses must be reported to the Tech Rep. as soon as possible.

12. Metal ladders may not be used for any electrical work. Electrical work requires the use of non-conductive ladders (dry wood, fiberglass or resin).

Associated document: LMS-PROC-123, “Contractor Safety“ Page 6 of 8

13. DUMPING OF ANY KIND FROM A DUMP TRUCK IS PROHIBITED ON-SITE WITHOUT USE OF

A QUALIFIED AND COMPETENT SPOTTER when working near overhead wires. After dumping their loads, all trucks must lower their beds before driving away. This includes all D&D operations.

14. Any laser use (Class 3a, 3b, or 4) requires Argonne ES&H review.

15. All Argonne employees, visitors, facility users, and contractors and their employees are authorized to temporarily cease, or suspend, their own work to immediately correct a deficiency or unsafe condition that does not pose an immediate danger to themselves, other employees, the public, or the environment. Examples of circumstances under which an employee may suspend work include, but are not limited to: damage to personal protective equipment during the course of work, housekeeping issues, minor facility deficiencies, or minor chemical spills. Employees may also suspend work if something unusual or unanticipated occurs and they need to take time to evaluate the situation and decide what to do (this scenario may result in a decision that no change or correction is required). Employees may restart suspended work without their supervisor’s authorization.

16. All Argonne employees, visitors, facility users, and contractors and their employees are empowered and obligated to stop any activity that they deem to pose an immediate danger to themselves, other employees, visitors, users, contractors and their employees; the public, or the environment. This authority is referred to as

“stop-work authority.” Individuals who exercise stop-work authority are also obligated to immediately report their action to the division director or department head or other line supervisor or the relevant organization.

Workers performing the job must sign below.

My employer has reviewed this JSA and answered my questions about hazards related to this job and what I need to do to work safely. I have also been given an orientation of the work area, including the location of telephones and emergency equipment, and covering how to respond to fire and severe weather.

Name (please print) Badge No. Signature Date

Note: Provide the Argonne Tech Rep. with a copy of this sheet at the start of the job and again each time new workers are added to your crew.