Attachment D APP AHA draft.pdf
PDF 13 MB Posted
- Attached to
- Site Safety and Health Officer
- Solicitation number
- B26003481
- Issued by
- Kauai County, Hawaii
About this file
This is an Accident Prevention Plan (APP) document prepared by Agribusiness Development Corporation (ADC), a State of Hawaii agency, for operation and maintenance activities at the Pacific Missile Range Facility (PMRF) in Kekaha, Kauai, Hawaii under U.S. Navy Contract No. N62478-26-T-2424. The APP outlines comprehensive safety and health procedures for maintenance and repair activities including vegetation control, pump station operations, power pole and transmission line maintenance, canal dredging and clearing, and flood gate maintenance. The plan establishes the Site Safety and Health Officer (SSHO) as the primary authority for day-to-day safety implementation and requires monthly safety inspections and training during operation and maintenance work, with daily inspections during canal dredging operations. All project personnel and subcontractors must sign employee acknowledgment forms confirming they have read and understood the safety provisions. The work is ongoing year-round at the facility located on Highway 50 in Kekaha, Hawaii, with restricted access requiring military passes and scheduled approvals from PMRF Public Works.
The APP identifies specific hazards and control measures applicable to the project, including electrical hazards, heavy equipment operation, excavation and trenching, fall protection, crane operations, chain saw and chipper operations, drowning hazards near canals and water features, and biological hazards. The plan designates Wendy Gady as the ADC Program Manager responsible for overall implementation and enforcement, with Archie Yu serving as the SSHO. Key personnel include the O&M Contractor's Competent Person (Brian Tuzon) and the Kauai Property Manager (Sam Lee). Emergency procedures, medical support protocols, and incident reporting requirements are detailed, with emergency contacts including facility medical response at (808) 335-4333 and local emergency services at 911. The SSHO must hold minimum qualifications of 10 years progressive safety experience with at least 5 years on similar projects and completion of 30-hour OSHA construction safety certification within the previous 5 years. The plan requires Level D personal protective equipment for general site activities and establishes a zero-tolerance accident policy with progressive disciplinary measures for non-compliance.
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Text version
Accident Prevention Plan/ Activity Hazard Analysis
Kawaiele and Nohili Pump Stations
Pacific Missile Range Facility Kauai, Hawaii
Agribusiness Development Corp.
State of Hawaii 235 South Beretania Street, Room 205 Honolulu, HI 96813 owanlm Typewritten Text
ATTACHMENT D
ATTACHMENT 1
EMPLOYEES�NOFF FORM
The ADC project employees and subcontractors listed below have been provided with a copy of this APP, have read and understood it, and agree to abide by its provisions.
Project Name: Contract Number: N62478-26-T-2424
EMPLOYEE NAME
(Please print) EMPLOYEE SIGNATURE COMPANY DATE
ATTACHMENT 4
Emergency Contacts
Medical Emergency- 911
Facility Medical Response#: (808) 335--4333
Local Ambulance#: 911
Fire/Spill Emergency - 911
Facility Fire Response#: (808) 335--4333
Local Fire Dept#: 911
Security & Police - 911
Facility Security#:
Local Police #:
Utilities Emergency
All Base Utilities:
Name: Leland Tottori
(808) 335--4523
Deputy Public Works Officer
Phone: (808) 335-4213
ADC Program Manager
Name: Wendy Gady
Phone: (808) 586-0186
Local Occupational Physician (Resource)a
Name: Michael Kusaka, MD
Straub
839 S. Beretania St.
Honolulu, Oahu, HI 96813 1;--
Phone: (808) 522-4320
ADC Health and Safety and Human Resources
Contact
Name: Wendy Gady
Phone: (808) 586-0186
Site Safety and Health Officer (SSHO)
Name: Archie Yu
Cell: (808) 383-5511
O&M Competent Person
Name: Brian Tuzon
Cell: (808) 639-1772
Office: (808) 332-8652
ADC Kauai Property Manager
Name: Alison Neustein
Phone: (808) 336-1905
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Accident Prevention Plan Kawaiele and Nohili Pump Stations
Pacific Missile Range Facility Kauai, Hawai’i Contract No. N62478-26-T-2424
Page iii
Table of Contents
1.0 Signature Sheet .................................................................................................................1-1
1.1 Original Plan ........................................................................................................................1-1
1.2 Revisions .............................................................................................................................1-2
2.0 Background Information...................................................................................................2-1
3.0 Statement of Safety and Health Policy............................................................................3-1
4.0 Responsibilities and Lines of Authority..........................................................................4-1
4.1 Identification and Responsibilities .......................................................................................4-1
5.0 Subcontractors ..................................................................................................................5-1
6.0 Employee Medical Surveillance and Training ................................................................6-1
7.0 Safety and Health Inspections .........................................................................................7-1
8.0 Safety and Health Expectations, Incentive Programs and Compliance ......................8-1
9.0 Accident Reporting ...........................................................................................................9-1
10.0 Medical Support...............................................................................................................10-1
11.0 Personal Protective Equipment (PPE)...........................................................................11-1
11.1 Evaluation of PPE..............................................................................................................11-2
11.2 Decontamination................................................................................................................11-2
12.0 Plans, Programs and Procedures Required .................................................................12-1
12.1 Site-Control Plan ...............................................................................................................12-1
12.1.1 Site-Control Procedures................................................................................................12-1
12.1.2 Pre-Emergency Planning ..............................................................................................12-1
12.1.3 Emergency Equipment and Supplies........................................................................12-2
12.1.4 Incident Response ........................................................................................................12-2
12.1.5 Emergency Medical Treatment .....................................................................................12-3
12.1.6 Evacuation.....................................................................................................................12-3
12.1.7 Firefighting Response Plan ...........................................................................................12-4
12.2 Description of Tasks ..........................................................................................................12-4
12.3 Task Hazard Analysis........................................................................................................12-5
12.4 Hazard Identification and Control Measures .....................................................................12-7
12.4.1 Project-Specific Hazards...............................................................................................12-7
12.4.1.1 Noise.....................................................................................................................12-7
12.4.1.2 Suspended Loads.................................................................................................12-7
Pacific Missile Range Facility Kauai, Hawai’i Contract No. N62478-13-D-2408
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12.4.1.3 Falling Debris/Objects ..........................................................................................12-8
12.4.1.4 Electrical Hazards.................................................................................................12-8
12.4.1.5 Buried Utilities.......................................................................................................12-9
12.4.1.6 Slip, Trip, and Fall Hazards ..................................................................................12-9
12.4.1.7 Back Injury..........................................................................................................12-10
12.4.1.8 Cranes and Hoisting...........................................................................................12-11
12.4.1.9 Chain Saw / Chipper Operation..........................................................................12-12
12.4.1.10 Tree Trimming and Pruning................................................................................12-12
12.4.1.11 Trenches / Excavation........................................................................................12-13
12.4.1.12 Elevated Work Areas / Falls ...............................................................................12-13
12.4.1.13 Heavy Equipment ...............................................................................................12-14
12.4.1.14 Hand and Power Tools .......................................................................................12-14
12.4.1.15 Vehicle Traffic.....................................................................................................12-15
12.4.1.16 Welding and Cutting ...........................................................................................12-15
12.4.1.17 Drowning Hazards ..............................................................................................12-16
12.4.1.18 Chemical Hazards ..............................................................................................12-17
12.5 General Hazards .............................................................................................................12-18
12.5.1 Stairways and Ladders...............................................................................................12-18
12.5.2 Working at Night.........................................................................................................12-19
12.5.3 Heat Stress.................................................................................................................12-19
12.5.4 Biological Hazards ......................................................................................................12-21
12.5.4.1 Spiders ...............................................................................................................12-21
12.5.4.2 Bees and Other Stinging Insects........................................................................12-21
12.6 General Control Measures ..............................................................................................12-21
12.6.1 General Practices and Housekeeping .......................................................................12-21
12.6.2 Fire Prevention...........................................................................................................12-22
12.6.3 Radiological Hazards and Controls............................................................................12-22
12.6.4 Hazard Communication..............................................................................................12-22
12.6.5 Compressed Gas Cylinders .......................................................................................12-23
12.6.6 Confined Space Entry ................................................................................................12-23
Pacific Missile Range Facility Kauai, Hawai’i Contract No. N62478-13-D-2408
Page v
TABLES
Table 11-1: PPE Specifications
Table 11-2: Reasons for Upgrading or Downgrading Level of Protection
Table 12-1: Emergency Equipment and Supply Locations
Table 12-2: Evacuation Signals
Table 12-3: Task Hazard Analysis
Table 12-4: Symptoms and Treatment of Heat Stress
FIGURES
Figure 2-1: Locations of Canals, Pump Stations, Flap Gates & Dry Ditch Gates
Figure 2-2: Kawaiele and Nohili Pump Stations
ATTACHMENTS
Attachment 1: Employee Signoff Form – Field Safety Instructions
Attachment 2: Tailgate Safety Meeting Form
Attachment 3: Contractor Significant Incident Report
Attachment 4: Emergency Contacts
Attachment 5: Activity Hazard Analysis Forms
Attachment 6: Applicable MSDS
Attachment 7: Project-Specific Chemical Product Hazard Communication Form and Chemical- Specific Training Form
Pacific Missile Range Facility Kauai, Hawai’i Contract No. N62478-13-D-2408
Page vi
ACRONYMS AND ABBREVIATIONS
ADC Agribusiness Development Corporation, Department of Agriculture AHA Activity Hazard Analysis form ANSI American National Standards Institute APP Accident Prevention Plan CFR Code of Federal Regulations CPR Cardiopulmonary resuscitation CSIR Contractor Significant Incident Report dB(A) Decibel A weighted DOT Department of Transportation FM Factory Mutual GFCI Ground fault circuit interrupter HAZCOM Hazard communication, 29 CFR 1910.1200 HAZWOPER Hazardous Waste Operations and Emergency Response, 29 CFR
1910.120 HR Heart rate kV Kilovolt msl Mean sea level MSDS Material Safety Data Sheet MSHA Mine Safety and Health Administration, US Dept of Labor Navy United States Navy NIOSH National Institute for Occupational Safety and Health, Centers for
Disease Control & Prevention O&M operation and maintenance OSHA Occupational Safety and Health Administration, US Dept. of Labor PAR Performance Assessment Representative PFD personal floatation device PMRF Pacific Missile Range Facility QA/QC quality assurance/quality control SOP Standard Operating Procedure SSHO Site Safety and Health Officer UIAGM International Federation of Mountain Guides UL Underwriters Laboratories
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Pacific Missile Range Facility Kauai, Hawai’i Contract No. N62478-26-T-2424
Page 1-1
1.0 Signature Sheet
This site-specific APP has been written for use by ADC only. ADC claims no responsibility for its use by others unless that use has been specified and defined in project or contract documents. The plan is written for the specific site conditions, purposes, dates, and personnel specified and must be amended if those conditions change.
1.1 Original Plan
Prepared By: Date:
Phone:
Wendy L. Gady, Program Manager, ADC
Approved By: Date:
Phone:
Wendy L. Gady, Executive Director, ADC
Phone:
Site Safety and Health Officer
Pacific Missile Range Facility Kauai, Hawai’i Contract No. N62478-26-T-2424
Page 1-2
1.2 Revisions
Revisions Made By: Date:
Revisions to Plan:
Revisions Approved By: Date:
Pacific Missile Range Facility Kauai, Hawai’i Contract No. N62478-26-T-2424
Page 2-1
2.0 Background Information
This Accident Prevention Plan (APP) will be maintained at the site during field activities and will be reviewed by field personnel as necessary. The APP will be amended or revised as project activities or conditions change, or when supplemental information becomes available.
This APP adopts procedures in the Project Maintenance Plan. The Site Safety and Health Officer (SSHO) is to be familiar with these standard operating procedures (SOPs) and the contents of this plan. All project team members and subcontractors must sign the Employee Signoff Form in Attachment 1 of this APP.
Project Information and Description
CONTRACTOR: ADC
PROJECT NO: Contract No. N62478-26-T-2424 CLIENT: Pacific Missile Range Facility (PMRF) PROJECT/SITE NAME: Operation and Maintenance of Drainage Canals and Pumps at PMRF, Kauai, Hawai’i.
SITE ADDRESS: Highway 50, Kekaha, Hawai’i 96752.
ADC PROGRAM MANAGER: Wendy Gady
ADC OFFICE: 235 South Beretania Street, Room 235, Honolulu, Hawai’i 96813
DATE ACCIDENT PREVENTION PLAN PREPARED: December 4, 2013 DATE(S) OF SITE WORK: Year-round operation and maintenance.
SITE ACCESS: Restricted access (Military pass and ID required). Scheduled visits are approved by PMRF Public Works Office.
SITE TOPOGRAPHY: Generally flat with gentle grade to the Pacific Ocean.
PREVAILING WEATHER: Temperature averages a high and low of 80 to 70 degrees Fahrenheit. Precipitation ranges from 2 inches to 6 inches all year around. The subject area is located on the leeward, drier side of island. However, storms can deposit rain quickly causing flooding.
SITE DESCRIPTION AND HISTORY. Flooding has long been a problem in the Mana Plain located on the west side of the island of Kauai (Figure 2-1). An extensive network of interconnected drainage channels, ditches, and storage reservoirs, along with the cultivated fields themselves, serve to collect, store, and convey both irrigation and excess drainage water. In addition to lowering the groundwater level during dry weather, the pumping stations, drainage channels, and cultivated fields also played an important role in mitigation of flooding in the Mana Plain region. The PMRF (a/k/a Barking Sands) is a major United States Navy (Navy) testing and training range located along the western shoreline of the Mana Plain. The facility is bounded along the eastern boundary by the vast expanse of agricultural land.
Modern Hawai’i agriculture was traditionally large plantations of sugar cane or pineapple.
Over 100 years ago, plantations on the west side of Kauai dewatered the wetlands of the Mana Plain to create additional farm land. They employed a series of ditches and pumps to
Pacific Missile Range Facility Kauai, Hawai’i Contract No. N62478-26-T-2424
Page 2-2 accomplish this. Until recently, this system was operated by the AMFAC plantation managers. With the demise of sugar (and AMFAC), the land reverted to the State of Hawai’i, Department of Land and Natural Resources (DLNR) and finally to ADC.
ADC is a State of Hawai’i agency, charged with helping farmers utilize former plantation lands. ADC, along with a co-op of farmers on the former plantation land, have continued to operate the system of pumps and ditches. It should be noted that the PMRF is located seaward of the former plantation land, and also benefits from the dewatering the pumps and ditches provide. After 11 September 2001 terrorist attacks, PMRF sought to increase a buffer area for its facility. As a result, the Navy entered into negotiations to take over the lease of a portion of land mountain-ward of the base. This land area includes the lower ditch system and pumping stations (Figure 2-2). The Navy has contracted ADC operate the system, with health and safety and quality assurance/quality control (QA/QC) requirements.
CONTRACTOR ACCIDENT EXPERIENCE: ADC will maintain an OSHA 300 Log and review safety onsite. Prior to the Navy contract, no accidents were reported to ADC at the PMRF Pump Stations sites.
DESCRIPTION OF SPECIFIC TASKS TO BE PERFORMED: The following is a general summary of project-specific tasks to be performed in support of this work effort:
• Vegetation control;
• Maintenance and repair of pumps and pumping stations;
• Maintenance and repair of power poles, transmission lines, and pole transformers;
and,
• Maintenance of flap gates and a flood gate.
Pacific Missile Range Facility Kauai, Hawai’i Contract No. N62478-26-T-2424
Page 2-3
Figure 2-1: Locations of Canals, Pump Stations, Flap Gates & Flood Gate
Pacific Missile Range Facility Kauai, Hawai’i Contract No. N62478-26-T-2424
Page 2-4
Figure 2-2: Kawaiele and Nohili Pump Stations
Pacific Missile Range Facility Kauai, Hawai’i Contract No. N62478-26-T-2424
Page 3-1
3.0 Statement of Safety and Health Policy
Agribusiness Development Corporation (ADC) is committed to providing a safe and healthy workplace and to eliminating conditions and incidents that could result in personal injury or ill health. ADC requires all activities to conform to relevant state and federal occupational health regulations and established management practices. ADC’s health and safety program includes training, maintenance of training records; and providing of all personnel with guidance on and training in the identification, assessment, and control of hazards in the workplace.
Pacific Missile Range Facility Kauai, Hawai’i Contract No. N62478-26-T-2424
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4.0 Responsibilities and Lines of Authority
4.1 Identification and Responsibilities
The Program Manager is responsible for ensuring that ADC and subcontractor personnel are aware of appropriate health and safety procedures, and thus ensuring that projects are performed with the utmost regard for health and safety of all personnel involved. The appropriate project personnel will have received the required health and safety training. All project personnel have a responsibility for accident prevention by following the established safety procedures necessary to perform assigned work without injury. Violations, which endanger lives, health, or welfare, will not be tolerated.
The Program Manager is responsible for the following: (Comment: Sam Lee is the Kauai Property Manager, a designated ADC representative.)
• Making decisions necessary for implementing and enforcing policies contained in this plan.
• Ensuring that all project personnel are aware of and comply with the provisions of the plan,
• Halting the project for non-compliance with the plan,
• Auditing for compliance with the policies and procedures detailed in this plan,
• Ensuring the training and re-training of personnel as necessary, and
• Ensuring that subcontractor personnel comply with this plan.
The day-to-day health and safety authority is delegated to the Site Safety and Health Officer (SSHO) or their designate. The SSHO’s responsibilities include:
• Equipment inspections
• Monitoring weather conditions,
• Conduct of safety meetings and inspections,
• Proper notification of ADC and PMRF personnel,
• Response and investigation of accidents and injuries, and
• Authority to stop fieldwork if necessary.
SSHO will conduct monthly inspections of work and work sites for operation and maintenance work, and weekly inspections of work and work sites during canal dredging work.
Pacific Missile Range Facility Kauai, Hawai’i Contract No. N62478-26-T-2424
Page 4-2
The project personnel for the lines of responsibility are provided below:
Employee Name
Office Phone Responsibility
Wendy Gady Honolulu 808-586-0186 Program Manager Sam Lee Kauai (808) 742-6898 / cell (808) 635-
Kauai Property Manager
Dan Lord Kauai (w) 808-332-8652
(c) 808-639-0742
(h) 808-332-5985
O&M Contractor
Brian Tuzon Kauai (c) 808-639-1772
(w) 808-332-8652
O&M Contractor’s Competent Person
Archie Yu Honolulu 808-383-5511 SSHO
The client contacts for PMRF relating to this project are presented below:
• Performance Assessment Representative (PAR) Contact Name: Thomas Esclito Phone: (808) 474-3383 Ranold Fujioka Phone: (808) 471-1588
• PMRF Public Works Department Contact Name(s): Leland Tottori, Deputy Public Works Officer Phone: (808) 335-4213 Rod Martin Phone: (808) 471-6352 / cell: (808)639-4763
Cell phones will be used for emergency communications at the site. The SSHO is responsible for contacting the Program Manager in the event a health and safety issue arises. In general, the Program Manager will contact the client. The Kauai Property Manager should also be contacted as appropriate. The Program Manager is responsible for implementing the overall site strategy. The Kauai Property Manager provides project management as needed and directed by the ADC and is an alternate point of contact for the PMRF personnel. The Kauai Property Manager observes fieldwork as it is performed and reports activities to the ADC. Comment: Sam is not responsible for resolving technical issues—his background is land agent for the State.
Pacific Missile Range Facility Kauai, Hawai’i Contract No. N62478-26-T-2424
Page 5-1
5.0 Subcontractors
Protection of the health and safety of subcontractor personnel (TBD) is provided by ensuring that individuals employed by the subcontractor are aware of potential risks and hazards associated with their assigned activities. Subcontractor personnel must also be properly trained, and comply with the appropriate requirements of this Site-Specific APP. Copies of this Site-Specific APP will be made available to subcontractor personnel.
Subcontractors may develop additional APPs and Activity Hazard Analysis forms (AHAs) for use on-site, as long as they receive approval from ADC and the Navy prior to implementation.
All subcontractor personnel involved in work activities on and adjacent to the site or operation must:
• Understand that the work is to be performed on a known operation and that protective clothing and respiratory protective devices may be required.
• Have been trained on the applicable sections of EM 385-1-1
• Agree to work under the direction of the ADC SSHO.
• Ensure that all safety equipment used by subcontractor personnel is NIOSH or Mine
Safety and Health Administration (MSHA) approved, as appropriate, and is in working condition, as specified by the manufacturer.
• Ensure that all subcontractor respiratory and personnel protection programs that apply to the site or operation are in compliance with EM 385-1-1.
Subcontractors will be coordinated by ADC and will be inspected by ADC personnel or designate (e.g., contractually by the Program Manager, and onsite by the Kauai Property Manager and SSHO) to ensure compliance with Health and Safety procedures and this plan.
Pacific Missile Range Facility Kauai, Hawai’i Contract No. N62478-26-T-2424
Page 6-1
6.0 Employee Medical Surveillance and Training
This project does not involve tasks regulated by OSHA under 29 CFR 1910.120, HAZWOPER.
An SSHO (performing safety and occupational health management surveillance, inspections, and safety enforcement) shall be at the work site during operation and maintenance, at least once a month. During major repairs that are considered hazardous, requiring two or more persons onsite 8-hours per day, the SSHO will be onsite daily. During canal dredging work, the SSHO will be onsite weekly.
The SSHO shall meet the following requirements: A minimum of 10 years safety work of a progressive nature with at least 5 years of experience on similar projects. 30-hour OSHA construction safety class or equivalent within the last 5 years. An average of 24 hours of formal safety training each year for the past 5 years with training for competent person status for at least the following four areas of competency: excavation; scaffolding; fall protection;
hazardous energy; confined space; health hazard recognition; evaluation and control of chemical, physical, and biological agents; and personal protective equipment and clothing to include selection, use, and maintenance.
Field personnel shall be fully knowledgeable of all safety and environmental requirements associated with the work they perform. Personnel shall speak, read, and comprehend English to the extent that they can read warning signs and understand printed regulations, detailed written orders, operating procedures, and training and instruction materials.
When a medical facility or physician is not accessible within 5 minutes of an injury to a group of 2 or more employees for the treatment of injuries, at least two employees on each shift shall be qualified to administer first aid and CPR. Individuals who are required to work alone in remote areas shall be trained in first aid and provided an effective means of communication to call for assistance in the event of an emergency.
The SSHO or their designate will conduct onsite tailgate meetings at least once a month during operation and maintenance work and daily during dredging of canals, to ensure that all personnel working onsite have appropriate training, have reviewed this plan, and understand the safety precautions to be taken while completing the work tasks of the day.
This information will be recorded on the daily tailgate form, presented in Attachment 2.0.
Pacific Missile Range Facility Kauai, Hawai’i Contract No. N62478-26-T-2424
Page 7-1
7.0 Safety and Health Inspections
Internal health and safety inspection procedures will be instituted to ensure the highest possible quality of performance of its employees. The health and safety inspections are designed to evaluate site health and safety compliance and identify areas requiring improvements; inspections and follow-up/corrective actions will be documented in a logbook.
Day-to-day type safety inspections will be conducted by the SSHO or a designate at least once a month during operation and maintenance work and daily during canal dredging work.
Further compliance-type inspections will be conducted by the Kauai Property Manager and/or Program Manager. In the event that non-compliance items are encountered by the SSHO, they will be corrected immediately and recorded on the daily tailgate log (so that they are also corrected/performed correctly the next day) and log book, and the Program Manager will be notified. In the event that a non-compliance item is significant (e.g., not having the correct equipment), the project will be shutdown until the correction is made. A follow-up inspection will be made prior to work commencing. The results of all inspections will be forwarded to the Program Manager for review and action, if necessary.
Pacific Missile Range Facility Kauai, Hawai’i Contract No. N62478-26-T-2424
Page 8-1
8.0 Safety and Health Expectations, Incentive Programs and Compliance ADC is administratively attached to the Hawaii State Department of Agriculture (HDOA) and follows HDOA’s Safety Policy and Program, which states that:
“The Department of Agriculture has the fundamental obligation to safeguard the health, safety and welfare of its employees; to conserve property and human resources; and to promote an attitude of safety consciousness throughout the Department.
Therefore, within the framework of the State’s Safety Program, the policy of the Department of Agriculture is:
1. To develop in the entire working force a wholesome regard for safety in operations and for sanitary working conditions;
2. To encourage and promote safety consciousness among employees, supervisors, and administrators;
3. To provide training, counseling, and other activities that promote safety, develop safe working habits, and assure maximum competence;
4. To create and maintain safe working conditions;
5. To comply with all safety standards and requirements of Hawaii
Occupational Safety and Health, and bargaining unit contracts.”
ADCs safety program goal is to have zero accidents, injuries and near-misses, and for each person working on an ADC project to use safe procedures all of the time. Previously, at the Nohili and Kawaiele pump stations, one minor incident involving an excavator boom hitting a power line was recorded. Personnel working on the ADC project should continue to strive to maintain this record. Non-compliance with safety provisions will be handled in the following manner:
Initial, non-significant violations will be given a warning with correct procedure information provided. This will be recorded in the field book. Second violations (non-significant) will be handled similarly, with the addition of re-training and a memo to the Program Manager. Third safety violations including significant incidents will include removal from the project with retraining and a memo to the Program Manager. Only with successfully demonstrated re-training, should a person be allowed back on the job site.
The primary responsibility for ensuring that safety and health procedures and policies are adhered to on ADC projects is assigned to the Program Manager. The Program Manager is responsible for ensuring that the Kauai Property Manager and SSHO are implementing the appropriate safety and health procedures for the project. The SSHO is responsible for ensuring that personnel working on the project are utilizing the appropriate safety and health project procedures. Also, personnel working on the project must ensure that they adhere to proper safety procedures for the project, and work with managers to maintain or improve safety onsite.
Pacific Missile Range Facility Kauai, Hawai’i Contract No. N62478-26-T-2424
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9.0 Accident Reporting
In terms of accident reporting, the SSHO and/or their designate will complete the following:
• Upon any project incident (fire, spill, injury, near miss, death, etc.), immediately notify the ADC Program Manager.
• A Contractor Significant Incident Report (CSIR) needs to be completed for all OSHA recordable accidents; property damage is in excess of $2,000, weight handling equipment (WHE) accidents, or near miss/high visibility mishaps. A copy of the CSIR and associated instructions is provided in Attachment 3.
• For ADC work-related injuries, or illnesses, contact the ADC Program Manager.
• For ADC subcontractor incidents, contact the ADC Program Manager.
• Notify and submit reports to PMRF as required in contract.
The CSIR is due to the Program Manager within 48 hours of occurrence.
Pacific Missile Range Facility Kauai, Hawai’i Contract No. N62478-26-T-2424
Page -10-1
10.0 Medical Support
Medical support is listed here, but can also be found in Section 12.1 Site Control Plan, under emergency response procedures. The procedures listed below may also be applied to non-emergency incidents. Injuries and illnesses must be reported to Program Manager. If there is doubt about whether medical treatment is necessary or if the injured person is reluctant to accept medical treatment, contact the ADC Program Manager. Follow these procedures as appropriate:
• Notify appropriate emergency response authorities.
• The SSHO will assume charge during a medical emergency until the ambulance arrives or until the injured person is admitted to the emergency room. If the SSHO is not on site, then the site Worker’s supervisor should assume charge until the ambulance arrives. The SSHO should be contacted in such cases.
• Prevent further injury.
• Trained personnel are encouraged, but not required, to render first aid and CPR.
• Get medical attention immediately.
• Perform decontamination where feasible; lifesaving and first aid or medical treatment take priority.
• Make certain that the injured person is accompanied to the emergency room.
• When contacting the medical consultant, state that the situation is an ADC matter, and give your name and telephone number, the name of the injured person, the extent of the injury or exposure, and the name and location of the medical facility where the injured person was taken.
• Report incident as outlined in Section 9.
Pacific Missile Range Facility Kauai, Hawai’i Contract No. N62478-26-T-2424
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11.0 Personal Protective Equipment (PPE)
Personal protective equipment selection for this project is based on information regarding potential hazards and chemicals of concern as described in Section 12 of this APP. The following tables list PPE that will be utilized during field activities and reasons for upgrading or downgrading level of protection, respectively.
Table 11-1. PPE Specifications a
Task Level Items Required Headb Floatationc
General site entry, and Operations and Maintenance
D Work clothes; steel-toe, safety shoes; work glove.
Hard hat Safety glasses Ear Protection
Type III or IV USCG-approved vests will be worn on structures or equipment near or over water, when working alone or at night, and when a drowning hazard exists.
a Modifications are as indicated.
b Hard hat and safety glasses should be worn around heavy equipment and when there is a potential hazard for head and eye injury. Ear protection is worn when conversations can’t be held at distances of 3 feet or less without shouting.
c Except where guardrails, personal fall protection system or safety nets are provided for employees.
Table 11-2. Reasons for Upgrading or Downgrading Level of Protection
Upgradea Downgrade
Request from individual performing tasks.
Change in work tasks that will increase contact or potential contact with hazardous materials.
Known or suspected presence of dermal hazards.
New information indicating that situation is less hazardous than originally thought.
Change in site conditions or implementation of control measure that decreases risk of exposure and/or reduces the hazard.
Change in work task that will reduce contact with hazardous materials.
a Performing a task that requires an upgrade to a higher level of protection is permitted only when the PPE requirements have been approved by the Program Manager, and an SSHO qualified at that level is present.
Limitations of PPE. ADC and contractor personnel will adhere to manufacturers’ recommendations regarding the use and limitations of the selected PPE, and the SSHO will be consulted if additional guidance is necessary to supplement the PPE program.
All PPE described in this APP will be worn when appropriate to the task at hand. It is anticipated for surveillance and O & M activities that the PPE will remain in the Level D (see PPE specifications above).
Pacific Missile Range Facility Kauai, Hawai’i Contract No. N62478-26-T-2424
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11.1 Evaluation of PPE
It will be the SSHO’s responsibility to monitor the site workers and site conditions by direct observations to assess the appropriateness and effectiveness of the PPE in use, based on manufacturers’ specifications, and anticipated site conditions (historical analytical data and other background information). Site workers will be instructed to notify the SSHO if any site conditions change. The SSHO will assess any changes in condition and determine if the current PPE is adequate. If the SSHO determines that the current PPE is not adequate, field activities will be halted until such a time when upgraded PPE can be employed. PPE protection can only maintain its specific manufacturer’s rating when in “good” operating condition. Cut, torn, overly soiled, broken, or defective PPE will be discarded and new PPE will be donned.
11.2 Decontamination
This project does not involve tasks that require decontamination for personnel and/or equipment. Workers are encouraged to wash after work and dispose of trash appropriately to maintain safe and healthy working conditions.
Pacific Missile Range Facility Kauai, Hawai’i Contract No. N62478-26-T-2424
Page 12-1
12.0 Plans, Programs and Procedures Required
12.1 Site-Control Plan
The elements of the site control plan are presented below. These include Site-control procedures, pre-emergency planning, emergency equipment and supplies, incident response, emergency medical treatment, evacuation and a fire-fighting response plan.
Emergency contacts are presented in Attachment 4.
12.1.1 Site-Control Procedures
The following procedures shall be followed when fieldwork is performed:
• The SSHO will conduct a site safety briefing (see below) before starting field activities, once a month or as tasks and site conditions change.
• Topics for briefing on-site safety: general discussion of the APP and the AHA applicable to the day’s tasks, including site-specific hazards; locations of work zones, PPE requirements, equipment, special procedures, and emergencies.
• The SSHO will record attendance at safety briefings in a logbook and document the topics discussed.
• Post the OSHA job-site poster in a central and conspicuous location.
• Establish onsite communication consisting of the following:
-- line-of-sight and hand signals;
-- air horn; or -- two-way radio or cellular telephone if available
• Establish offsite communication.
• Establish and maintain the “buddy system”, where appropriate.
• The SSHO is to conduct periodic inspections of safety practices to determine the effectiveness of this plan. Deficiencies are to be noted, reported to the Kauai Manager and/or Program Manager, and corrected.
12.1.2 Pre-Emergency Planning
• The SSHO performs the applicable pre-emergency planning tasks before starting field activities and coordinates emergency response with ADC onsite personnel, the facility, and local emergency-service providers as appropriate.
• Review the facility emergency and contingency plans where applicable.
• Determine what onsite communication equipment is available (e.g., two-way radio, air horn). ADC will use cell phones for emergency communications at the site.
• Determine what offsite communication equipment is needed (e.g., nearest telephone, cell phone).
• Confirm and post emergency telephone numbers, evacuation routes, assembly areas, and route to hospital; communicate the information to onsite personnel.
Pacific Missile Range Facility Kauai, Hawai’i Contract No. N62478-26-T-2424
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• Review changed site conditions, onsite operations, and personnel availability in relation to emergency response procedures.
• Where appropriate and acceptable to the client, inform emergency room and ambulance and emergency response teams of anticipated types of site emergencies.
• If appropriate, designate one vehicle as the emergency vehicle; place hospital directions and map inside; keep keys in vehicle during field activities.
• Inventory and check site emergency equipment, and supplies.
• Communicate emergency procedures for personnel injury, exposures, fires, explosions, and releases.
• Rehearse the emergency response plan procedures before site activities begin, including driving route to hospital.
• Brief new workers on the emergency response plan.
• The SSHO will evaluate emergency response actions and initiate appropriate follow-up actions.
12.1.3 Emergency Equipment and Supplies
Table 12-1 Emergency Equipment and Supply Locations
Emergency Equipment and Supplies Location
20 lb (or two 10 lb) fire extinguisher (A, B, and C classes)
Support Area/Heavy Equipment
First aid kit Support Area/Field Vehicle
Eye Wash (from contractors if necessary) Support Area/Field Vehicle
Potable water (from contractors if necessary) Support Area/Field Vehicle
Bloodborne pathogen kit (from contractors if necessary) Support Area/Field Vehicle
Additional equipment…
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