ANL-209H JSA_07-AUG-2024.pdf

High Risk Job Safety Analysis

ANL-209H (08/07/2024), ”High Risk Job Safety Analysis” Associated document: LMS-PROC-123, “Contractor Safety“ Page 1 of 17

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 Project Manager Project Manager Phone No.

Phone No. Alternative No.

Alternative No. Project Safety Mgr.

Foreman Phone No.

Phone No. Alternative No.

Alternative No. PS/Tech Rep.

ESH Rep Phone No.

Phone No. Alternative No.

Alternative No. Other

Contractor Designated Authorized or Competent Person

Argonne Reviewers (to be completed by Argonne Project Manager)

Excavation

Division Qualified Employee Date Confined Space 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

Associated document: LMS-PROC-123, “Contractor Safety“ Page 2 of 17

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.

Project/Job Title Building/Area

Associated document: LMS-PROC-123, “Contractor Safety“ Page 3 of 17

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

Loading and Off-loading material and equipment from flatbed trailers.

Shifting of unsecured loads during transport

Slips, Trips & Falls

Struck-by/Caught-In-Between

Pinch points

Cuts/Lacerations

Loading:

All equipment and materials loaded onto a flatbed shall be inspected by the contractor ESH Representative to confirm all equipment/material is secure prior to being released from the job site for transport.

Off-loading:

Before removing transportation tie down straps, ratchet straps, lashing straps, or even metal tie downs used to fasten or hold down cargo/equipment during transport, confirm the load has no obvious signs of shifting by completing a 360 degree walk-around visual inspection.

If possible, leave tie-down or ratchet straps intact while attaching rigging. Just before lifting the load, disengage all transportation tie-downs. This method should provide a level of stability to the load and reduce the risk of unexpected movement or shifting of the load while the rigger(s) are attaching rigging or material handling equipment is being positioned that will be used for the removal of material or equipment from the deck of the trailer.

Safe access onto and off of the flatbed walking working surface must be provided. Use of a portable ladder, equipment ramps, or built-in truck bed ladders is required. No free

Associated document: LMS-PROC-123, “Contractor Safety“ Page 4 of 17 climbing or jumping off of the flatbed is permissible. If the trailer bed or working level is >= 6 feet, fall protection must be implemented

Wear sturdy work gloves appropriate for the task and material being handled (for example, sturdy leather or cut resistant gloves).

Delivery of materials or equipment Gap between delivery vehicle and the dock

Stepping off the edge of a tail or lift gate

When using a dock, trucks must be backed to the dock to minimize hazardous gaps.

Dock plate or dock levelers must be used to bridge when the gap between the vehicle and the dock creates a hazard for the equipment or materials being transferred.

Makeshift dock plates/bridges are not allowed.

Do not overcrowd the area of the lift gate. Always leave enough room for the employee to safely maneuver themselves and material/equipment being transferred.

Working or standing on the tailgate while loading or unloading equipment or material is prohibited.

Excavations (Any activity where movement, excavation, penetration, or other disturbance of soil or ground surfaces, of more than 6 inches made by hand tools or mechanically operated equipment requires a Dig Permit)

Contacting underground utilities Falls Cave-ins

A Dig Permit is required and must be on hand before any movement of soil or ground surfaces may be made.

Cave-in protection is required for all excavation 5 feet or deeper.

A means of egress is required so that workers are never more than 25 feet from a means of egress in all excavations 4 ft or deeper.

Dumping of material from dump bed/trailer

Contact with overhead lines (raised dump beds/trailers, excavators, cranes) Operating in congested areas (traffic, near other equipment, near buildings)

If contact is made with overhead wires, do not exit the vehicle. Remain in the vehicle until directed to exit by emergency personnel.

Develop a Dump/Excavation plan.

Dumping of any kind from a dump truck is prohibited on-site without the use of a spotter when working near overhead wires.

After dumping their loads, all trucks must lower their beds before driving away.

Operators must maintain visual contact with spotters while the vehicle is backing up, operating near overhead wires, or operating in a congested area.

Operators must stop their equipment immediately upon losing sight of the spotter or when the signals are unclear.

Spotters must be present during all movement of equipment.

Associated document: LMS-PROC-123, “Contractor Safety“ Page 5 of 17

Spotter duties Contact with overhead lines (raised dump beds/trailers, excavators, cranes) Operating in congested areas (traffic, near other equipment, near buildings)

Spotters must always maintain visual contact with the driver while the vehicle is backing up, or moving forward while traversing under an overhead line.

Spotters must not have additional duties while they are acting as spotters.

Spotters must not use personal mobile phones, personal headphones, or other items that could pose a distraction during spotting activities.

Using Portable Ladders (for example, A-frame, straight, or extension)

Falls Before use, check the load rating of the ladder, to make sure the ladder can support the combined weight of the user, the weight of tools, and the weight of any material that will be placed on the ladder. This includes the weight of anything that may be supported by the user.

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

Use of Fixed Ladders Falls Before use, check the status of the fixed ladder by looking at both the yellow and the white ladder inspection tags.

If either the yellow or white tag is missing or illegible, do not use the ladder; contact the Argonne representative.

If it has been more than 12 months since the ladder was last inspected (white tag), do not use the ladder; contact the Argonne representative immediately to arrange for an inspection of the ladder.

If both tags are present and it has been less than 12 months since the ladder has been inspected (white tag), conduct a pre-use inspection following instructions on the back of the white tag. If the ladder is compliant, proceed to use the ladder. If there is a deficiency with the ladder, do not use the ladder; contact the Argonne representative immediately to arrange for an inspection of the ladder.

Maintain three points of contact at all times when climbing a fixed ladder.

Keep hands free of additional material when climbing. Use a rope to lift material and tools.

Do not overextend when working by reaching out to far on the side of a ladder. Keep your belt buckle between the two side rails.

Scaffolds

Falls Damaged/Broken Equipment

All scaffolds must be erected and used in accordance with 29CFR1926 Subpart L, Scaffolds.

Associated document: LMS-PROC-123, “Contractor Safety“ Page 6 of 17

Improper Assembly Improper Use

Scaffolds must be designed by a qualified person. Qualified means one who, by possession of a recognized degree, certificate, or professional standing, or who by extensive knowledge, training, and experience, has successfully demonstrated his/her ability to solve or resolve problems related to the subject matter, the work, or the project.

Scaffolds must be used and inspected in accordance with the manufacturer’s instruction for each specific model and type of scaffold being used.

All wheels equipped with locking devices must be locked prior to climbing, all bolts and nuts must be tight, and all cotter pins must be in place and secured before use.

All contractor-erected scaffolds must be erected under the supervision of a scaffold-competent person.

When working off scaffolds that are 4-ft or more above a walking/working surface, fall protection or OSHA compliant handrails are required. The scaffold- competent person and the qualified person may be the same individual.

Newly erected or modified scaffolds must be inspected by the contractors’ scaffold-competent person and by an Argonne Independent Competent person prior to use.

Daily pre-use inspections must be conducted by the contractors’ competent person and the scaffold tag must be signed by the scaffold-competent person. Inspection tags may be obtained from the Argonne project specialist.

Mobile Elevated Work Platforms (for example, scissor lifts, boom lifts, JLG’s)

Falls Damaged/Broken Equipment Improper Use

All elevated work platforms must be used in accordance with 29CRF1926 Subpart L, Scaffolds.

Elevated work platforms must be used and inspected in accordance with the manufacturer’s instruction for each specific model and type of elevated work platform being used.

All elevated work platforms (for example, scissor lifts, aerial platforms) and boom lifts must be inspected by the Argonne PS prior to acceptance for use at the Laboratory.

Associated document: LMS-PROC-123, “Contractor Safety“ Page 7 of 17

Elevated work platforms and boom lifts must be inspected by a trained and qualified operator prior to each use. Document the inspection on the elevated work platform inspection tag.

If the elevated work platform or boom lift does not pass inspection, remove the inspection tag and replace it with a red “Do Not Use” tag. Elevated work platforms that are taken out of service must be reported to the contractor’s supervisor immediately. Contact the PS/Tech Rep. to obtain a red “Do Not Use” tag.

Fall protection must be used in accordance with the manufacturers’ recommendations on all elevated platforms and boom lifts.

Portable Hand Tools Broken or Unauthorized Tools/Shock Hazard

All tools and equipment must be inspected by Argonne personnel prior to use. This includes tools and equipment brought on-site after the project has started. Any tool or piece of equipment deemed unsatisfactory must be tagged and removed. Any tool or piece of equipment that leaves the Argonne site must be re-inspected upon its return.

Connect all handheld portable electric tools of 120 volt alternating current (that is, 110- 125V AC) into a ground-fault circuit interrupter (GFCI). The GFCI may be portable and installed directly into a standard outlet. Extension cords must be at least 14 gauge.

Drilling, coring, scoring or sanding concrete and/or other silica-based materials

Respirable silica exposure Silica controls shall protect workers to the ACGIH TLV of 25 micro grams per cubic meter. A Silica Control plan outlining tasks and controls shall be attached for review.

OSHA Table 1 can be used as a guide for controls, but more conservative controls may be required to keep exposures below 25 micro grams per cubic meter. Controls will be needed until exposure monitoring results indicate otherwise.

Based on historical sampling, a Silica Control plan and assigned competent person is not required for short drilling/coring operations utilizing HEPA vacuums and/or wet methods at the source of the drilling/coring to eliminate airborne dust emissions. Short drilling/coring jobs are defined as including no greater than 20 holes at no larger dimensions then ½ inch wide by 1½ inch deep and require no longer than 60 minutes of drilling/coring time over the course of a work shift.

Welding, Cutting, Brazing, Soldering, Grinding, Powder Actuated Tools

Fire

Sparks Generation

A Fire Watch as required by the Open Flame Permit.

An Open Flame Operating Permit is required before any open flame work may be done.

Associated document: LMS-PROC-123, “Contractor Safety“ Page 8 of 17

All personnel engaged in welding or cutting job tasks must wear all industry recognized PPE to protect from burns either to the skin or the eyes. All permit authorized areas must be permitted for open flame work by Argonne personnel. All workers assigned to the job will review the open flame operating permit.

A 20-lb. ABC fire extinguisher must be readily accessible and immediately available when any open flame work is performed. Combustibles and flammables must be kept clear of the open flame work area. Fire watches must be trained and competent in the use of fire suppression equipment. Fire extinguishers must be checked monthly. Fire watches must have the means and know to call the Argonne Fire Department in case of an emergency.

Fire watches must remain 30 minutes after completion of open flame work is stopped.

Note: Check with PS/Tech Rep./Point of Contact to determine potential impact to the smoke detection system from open flame work.

Oxygen and acetylene cylinders will be stored and secured in an upright position with caps in place with a minimum of 20 ft of separation or separated by a noncombustible barrier at least 5 ft high having a fire resistance rating of one half-hour except when in an approved cart ready for use. Proper signage regarding “No Smoking or Ignition Sources” must be posted.

Smoking is allowed only in designated smoking areas.

Butane (for example, Bic) lighters are not allowed to be carried by contractor employees engaged in welding or torch cutting/brazing or soldering operations.

All torch set cylinders must have the valves closed and the system depressurized before going to breaks or lunch.

All oxygen/acetylene set-ups must be equipped with flash back arrestors or check valves.

Handling of Chemical/Products Chemical exposure Submit for review by Argonne all SDSs for materials that will be used on-site by the contractor. These SDSs must be submitted with this JSA for review prior to approval.

Review and adhere to SDS before handling chemicals/products. SDS will be at job site attached to JSA. If additional PPE is prescribed in the SDS, the Contractor must acquire and use additional PPE.

Hazardous Energy Sources Stored Energy, Employee Exposure, Electrical Shock, Chemical Exposure

Follow approved Argonne procedure for LO/TO of this system. Argonne will initiate and lock out first; contractor will apply locks over Argonne. The contractor must provide their

Associated document: LMS-PROC-123, “Contractor Safety“ Page 9 of 17 own locks/tags for each contractor employee for each LO/TO point. Argonne must review and approve proof of contractor LO/TO training before contractor may apply/participate in LO/TO. Zero energy state verification of all electrical wiring or components that are being worked on or otherwise exposed must be complete prior to work being performed under LO/TO. Zero energy state verification for electrical wiring and components must be performed by a person trained in NFPA 70E, using the properly rated test equipment, and wearing the proper PPE.

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

Lasers Eye damage Thermal burns

Only Class 1 and Class 2 lasers may be used without a Laser Operating Permit. All Class 3 and Class 4 lasers may be used only by contractors with a Laser Operating Permit issued by the Argonne Laser Safety Officer. Contact the PS or Tech Rep. to obtain a permit.

The operator and other personnel using the laser must take precautions necessary so that other contractor personnel, equipment, and vehicles do not cross the path of the beam, must keep nonessential personnel away from the target area, and keep objects with mirror-like (shiny) surfaces, such as rings and watches, out of the target area.

When possible, the laser operator must ensure that engineered controls, for example, screens, are used to minimize the likelihood that the beam or reflections will escape the target area.

If the laser is not in use, the operator must turn it off.

All persons must avoid looking into the beam or any reflection of the beam off a mirror-like surface.

Working in Confined Spaces Asphyxiation, Engulfment or Entrapment

(fill in if needed)

Ordinary Lifts (The use of cranes, hoists, forklifts, or chain falls to move, place or lift items)

Dropped load

Calculations not computed properly

Equipment not inspected

Coordinate with the IS Project Safety Manager (PSM) any potential lifts.

On-site crane inspections by Argonne

Operation training license/certification

Associated document: LMS-PROC-123, “Contractor Safety“ Page 10 of 17

Striking overhead electric lines Operator medical

Third party inspection for cranes

Approved lift plan if needed

Maintain a 10-ft distance from overhead electrical lines for all equipment and loads.

Cranes and derricks (includes loads) must maintain a safe distance of at least 20 ft. from overhead electrical lines.

Critical Lifts (The use of cranes, hoists, forklifts, or chain falls to move, place or lift items)

1. The load item, if damaged or upset, would result in a release into the environment of radioactive or hazardous material exceeding the established permissible environmental limits.

2. The load item is unique and, if damaged, would be irreplaceable or not repairable and is vital to a system, facility, or project operation.

3. The cost to replace or repair the load item, or the delay in operations of having the load item damaged, would have a negative impact on facility, organizational, or DOE budgets to the extent that it would affect program commitments.

4. A lift not meeting the above criteria shall also be designated

Dropped load

Calculations not computed properly

Equipment not inspected

Disruption of operations or experiments

Environmental releases

Striking overhead electric lines

A critical lift plan on an ANL-598 must be submitted to the Argonne Critical Lift Committee for approval prior to any lift. Distances, weights, electrical obstructions underground utilities will be discussed.

On-site crane inspections by Argonne

Operation training license/certification Operator medical

Third party inspection for cranes

Approved lift plan

Maintain a 10-ft distance from overhead electrical lines for all equipment and loads.

Cranes and derricks (includes loads) must maintain a safe distance of at least 20 ft. from overhead electrical lines.

Associated document: LMS-PROC-123, “Contractor Safety“ Page 11 of 17 critical if mishandling or dropping of the load would cause any of the above noted consequences to nearby installations or facilities.

Use of an attachment on a forklift Metal fatigue Over loading of attachment Failure of attachment

The attachment must have the capacity stamped/marked on it, and either:

• documentation from the manufacturer of the forklift that the attachment is approved for use, or documentation from a licensed engineer that the attachment and the capacity are correct and approved for use with the forklift being used.

Installation, maintenance, service and/or routine operation of a Radiation Generating Device

Potential exposure to ionizing radiation

1. Prior to the start of work, through conversation with the Argonne Tech Rep. or Project Manager:

• Arrange for and participate in a meeting with the Argonne radiation-generating device safety officer (RGDSO) or a designated alternate.

• Determine whether restrictions or radiological surveys are required for the scope of work.

Note: Examples of restrictions include "Pause Work" (cessation of contractor work) until completion of other required radiological surveys.

2. Work in conformance with this JSA and job-specific safety instructions issued by the RGDSO, including, but not limited to:

• Modifying this JSA to incorporate specific precautions and procedures

• Wearing personal radiation dosimeters

• Respecting restrictions on energizing the tool prior to the arrival of an Argonne

RGDSO or a designated alternate

• If scope of work changes, RGDSO must be consulted, before work continues.

Through the Argonne Tech Rep. or Project Manager, notify Argonne RGDSO or designated alternate when the RGD is ready for verification of shielding effectiveness.

Working with respirators Airborne particulates (fill in if needed)

Asbestos (fill in if needed)

Working with refrigerated systems Asphyxiation All workers will be required to utilize a calibrated air monitor. In the event of an alarm from the monitor, all personnel must evacuate the work area and contact Argonne National Laboratory Fire Department by calling 911 from an Argonne site phone or 630-252-1911 from a cell phone and then contact PS.

Associated document: LMS-PROC-123, “Contractor Safety“ Page 12 of 17

All Phases of Work Physical hazards due to suspect/counterfeit items (S/Cis) (for example, fire, electric shock, rapid pressure release)

Any tools, equipment, and parts must be inspected before use verifying there are no suspect/counterfeit items.

Safety Safety violations • Imminent Danger violations will result in an immediate 6-month suspension, regardless of whether the work is complete. Other lesser violations will receive “tickets” and/or other penalties per the contract.

Associated document: LMS-PROC-123, “Contractor Safety“ Page 13 of 17

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. 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 14 of 17

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

Location of Tornado Shelter

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 15 of 17

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.

DPO Manager Identification and Contact Information

If your concern involves…

Submit your DPO to…

By email to… Or by mail to…

For the Office of the Under Secretary for Nuclear Security1

Any facility Stephen Wallace stephen.wallace@nnsa.

doe.gov

(301) 903-1896

Stephen Wallace Senior Technical Advisor, Office of Safety

(NA-ESH-20/GTN)

National Nuclear Security Administration U.S. Department of Energy 1000 Independence Ave SW Washington, DC 20585

For the Office of the Under Secretary for Science

Any Office of Science hazard category 1, 2, or 3 nuclear facility2

Joanne Serra

Joanna.Serra@science.

doe.gov

(301) 903-6136)

Joanna Serra Senior Nuclear Safety Advisor Office of Science (SC-4/GTN) U.S. Department of Energy 1000 Independence Avenue, SW Washington, DC 20585

Any Office of Nuclear Energy facility

Richard Verhaagen richard.verhaagen@scie nce.doe.gov

(202) 573-4016

Richard Verhaagen Deputy Director for the Office of Safety and Security (SC-41) Office of Science U.S. Department of Energy 9800 S. Cass Avenue Argonne, IL 60439

Any Office of Nuclear Energy facility

Robert Boston bostonrd@id.doe.gov

(208) 526-7300

Robert (Bob) Boston, Manager, Idaho Operations Office U.S. Department of Energy Idaho Operations Office 1955 Fremont Ave.

Idaho Falls, ID 83415-1203

For the Assistant Secretary for Environmental Management

Any Office of the Assistant Secretary for Environmental Management nuclear facility

Brenda Hawks brenda.hawks@em.doe.

gov

(865) 805-0391

Brenda L. Hawks Associate Deputy Assistant Secretary for Field Operations Oversight/Chief of Nuclear Safety (EM-3.11) Office of Environmental Management U.S. Department of Energy 1000 Independence Avenue, SW Washington, DC 20585

For any other facilities not covered above or safety/health concerns not associated with a facility

Any other facility not covered above, or safety/health concerns not associated with a facility

Andrew De La Paz andrew.delapz@hq.doe.

gov (301)-903-1226

Andrew De La Paz Senior Technical Advisor, Office of Nuclear Safety, Office of Environment, Health, Safety and Security (EHSS-

30/GTN)

U.S. Department of Energy 1000 Independence Avenue, SW Washington, DC 20585

1 National Nuclear Security Administration.

2 See title 10, Code of Federal Regulations, part 830, Nuclear Safety Management, for the definition of nuclear facility. See DOE-STD-1027 2018, Change Notice 1, Hazard Categorization of DOE Nuclear Facilities, for the definitions of hazard category 1, 2, and 3 nuclear facilities.

For additional information, refer to the DOE Differing Professional Opinions webpage.

mailto:stephen.wallace@nnsa.doe.gov mailto:stephen.wallace@nnsa.doe.gov mailto:joanna.serra@science.doe.gov mailto:joanna.serra@science.doe.gov mailto:richard.verhaagen@science.doe.gov mailto:richard.verhaagen@science.doe.gov mailto:bostonrd@id.doe.gov mailto:brenda.hawks@em.doe.gov mailto:brenda.hawks@em.doe.gov mailto:andrew.delapz@hq.doe.gov mailto:andrew.delapz@hq.doe.gov https://www.energy.gov/ehss/doe-differing-professional-opinions

Basic Safety Rule Reminders: