CSA EOSH Checklist-GRR GS- Foundation Replacement.pdf

Central Service Area Environmental, Occupational Safety and Health (EOSH) Project Review Checklist

Rev. 05/06/2011 Page 1 of 4

PROJECT Runway 26L Glide Slope Shelter Foundation Replacement

JON DATE 1/27/2022

JCN 1701026 Transmittal

Revised? REGION

Great Lakes DISTRICT Chicago

SSC Toledo SSC

FACILITY

LOCATION

Grand Rapids, MI FACILITY

TYPE

GS FACILITY

ID

GRR

ENGINEER

TITLE

Herb Roman Project Engineer

EHS

TITLE

Stephen Diblik EOSH Professional

SUPERVISOR

TITLE

Chris Keil Manager, OPS Infrastructure Support Center, Chicago

CODE AJW-2C15C CODE AJW-2C16E CODE AJW-2C15C

SIGNATURE

Issue Yes No

Action Items and Notes

If YES, always coordinate with EOSH Specialist

AIR EMISSIONS

CLEAN AIR ACT

(CAA)

Replace and/or install new emission sources such as boilers, incinerators, storage tanks, engine generators, painting booths, space heaters, equipment using CFCs or Halon, etc.

NOTE:

1. Review federal and state requirements for new or modified sources.

ASBESTOS Will activity potentially impact presumed or known asbestos containing materials (ACM)?

NOTE: Asbestos containing materials are not anticipated to be disturbed by the project. If during the project, any suspect ACM are identified/ impacted, the contractor should stop work and an EOSH Professional should be contacted.

1. Check Index of Asbestos and Lead Paint Surveys to see if the facility has been surveyed for asbestos. Index available from the FOPOC and ANS-500.

FEDERAL

INSECTICIDE

FUNGICIDE AND

RODENTICIDE

ACT (FIFRA)

Does the project require the application of pesticides and/or herbicides?

1. Review FAA Order 1050.17, FIFRA implementing regulations, 40 CFR Parts 152, 162, and 171 and State regulations.

CHLOROFLUORO

-CARBONS (CFC)

Is CFC containing equipment being replaced, installed or disposed? (I.e. refrigeration systems, Halon systems, HVAC systems, etc.)

1. Review project plans and specifications

COMPRESSED

GAS

Are compressed gasses utilized?

NOTE: All welding, cutting and brazing activities must follow the SOP

PROCEDURES FOR WELDING,

CUTTING AND BRAZING.

1. Review Project plans, specifications and work procedures. Will welding or cutting take place?

ENVIRONMENTAL

DUE DILIGENCE

AUDIT (EDDA)

Acquire, lease and/or dispose of land property?

1. Review Project plans and specifications

Rev. 05/06/2011 Page 2 of 4

NATIONAL

ENVIRONMENTAL

POLICY ACT

(NEPA)

Does the project potentially impact the environment with respect to noise, water quality, air quality, wetlands, flora and fauna, wildlife, historic and archeological sites, endangered species & other protected areas?

NOTE: The project qualifies for a Categorical Exclusion, per FAA Order 1050.1F, Paragraph 5.6.3(b).

1. Review Project plans and specifications.

ENERGY Install new lighting, HVAC, or environmental controls?

FLUORESCENT

LAMPS

Dispose, install or recycle fluorescent lamps?

FUEL STORAGE

TANKS

Install, remove and/or replace an underground or aboveground storage tank or piping? If the project is new construction, is an existing UST and/or piping near the project site being impacted?

1. Check Storage Tank Inventory available from the Regional FST Manager or the FOPOC or ANI Representative.

2. Review Project plans and specifications.

WASTE

MANAGEMENT

What types of waste will be generated as a result of the project?

Y N

Hazardous Wastes Construction / Demolition Debris Packaging wastes and/ or recyclable materials or items.

NOTE: Ensure disposal and/or recycling of all construction materials and debris in accordance with Federal, State, Local, and FAA regulations.

1. Determine if the waste generated is classified as a hazardous waste by determining if it is a listed hazardous waste or if it is characteristically hazardous.

2. Review FAA Order 1050.17 (Chapter 12), 40 CFR 260- 266, 273, 279, and state hazardous waste regulations.

3. Review AC No. 150/5320-15A (Management of Airport Industrial Waste)

LEAD-ACID

BATTERIES

Disturb, store, dispose or recycle lead acid batteries?

1.

LEAD BASED

PAINT

Disturb, store, dispose of lead paint?

1. Check Index of Lead Paint Surveys to see if sampling has been conducted.

2. If no paint sampling results available, then all impacted materials must be assumed lead containing or contaminated until sampled & tested.

LOCKOUT/

TAGOUT & HIGH

VOLTAGE

(Construction)

Are pressurized or electrical systems being impacted as part of the project construction?

NOTE: Work activities involving hazardous energy sources (i.e.

electrical) follow the LOCK OUT/TAG OUT procedures in the SOP

PROCEDURES FOR WORKING ON

HAZARDOUS ENERGY SOURCES.

If yes:

1. Only utilize fully trained personal to perform electrical work and lockout/tagout procedures.

LOCKOUT/

TAGOUT

PROCEDURE

(Post Construction)

Will a new LOTO plan need to be developed for new equipment being installed?

NOTE:

1. Review Project plans and specifications.

If yes:

1. prepare a LOTO procedure in accordance with FAA orders and policies

2. Coordinate the LOTO procedure with the local SSC or facility contact.

Rev. 05/06/2011 Page 3 of 4

ENERGIZED

ELECTRICAL

SYSTEMS

(construction)

Will the construction involve work on energized electrical systems greater than 50 volts?

NOTE:

1. Review Project plans and specifications.

If yes:

1. Initiate two-person rule with first aid and CPR trained personnel.

2. Fill out and submit an energized electrical work permit prior to initiating the work.

3. Use proper PPE for arc flash hazards

ARC FLASH

HAZARD

(Post construction)

Based on the following conditions, an Arc Flash analysis IS NOT required:

N Y

The circuit is rated 240 volts or more;

The circuit is supplied by more than one transformer, and;

The transformer supplying the circuit is rated greater than 125 kVA.

If yes:

1. Perform a short circuit / arc flash hazard calculation.

2. label and mark off arc flash hazards

PCBs Relocate or dispose of PCBs and/or PCB containing equipment? (Fluorescent fixture ballast's, electric transformers and equipment)

1. Check the PCB Inventory available from each FOPOC.

2. Determine if the PCB component was manufactured before 1984.

MERCURY Are Mercury Switches present that will be impacted by the work?

1. Check for Mercury switches

RADIOACTIVE

SOURCES,

RADON, ETC.

Relocate or dispose Radioactive tubes, or other hazardous waste? Is there evidence or potential for elevated radon levels in construction site?

1. Determine if radon will or is an influence at the site.

SAFETY -

General

Safety issues? I.e. Clear aisle space, electrical equipment clearances, toe boards, hand rails, stair clearances, safety cages, fire protection, fire life safety, ladders, Hazard Communication (HAZCOM), first aid, accident prevention, construction safety, etc.

NOTE:Follow all OSHA regulations, NEC and FAA orders during all work activities.

1. Review FAA Orders 1050.17 & 3900.19A, and 29 CFR 1910 & 1926.

SAFETY –

Fall Protection

Will work be conducted on elevated surfaces?

SAFETY -

Confined Space

Will work be conducted in a confined space?

Will work be conducted in a Permit required Confined space?

Personal Protective Equipment (PPE)

Will any of the following be required?

Safety Glasses, Safety Shoes, Reflective Vest, Hard hat, Gloves, Disposable clothing, Respiratory Protection, Hearing Protection, other

2. Review MSDS Sheets for any chemicals or materials.

Rev. 05/06/2011 Page 4 of 4

SAFETY -

Excavations and Trenches

Will any excavations or trenches be required for the project?

NOTE:All excavations, trenches, and boring activities shall adhere to the OSHA regulations within 29 CFR 1926, Subpart P. Employees should be aware of the hazards of open trenches, operation of vehicles and machinery near excavations, and familiar with trench protective systems.

Runway Safety

Will the work take place in an aircraft operational area?

NOTE:

1. Review FAA Orders 1050.17 & 3900.19A, and 29 CFR 1910 & 1926. and AC 150/5210-20 (Ground Vehicle Operations on Airports), AC No. 150/5370-2E (Operational Safety on Airports During Construction) and AC No. 150/5380-5B (debris Hazards at Civil Airports)

TRAINING Are personal required to have training to be qualified to work?

NOTE: Utilize OSHA certified Construction Safety, electrical safety, and LOTO trained personnel.

WATER

CLEAN WATER

ACT (CWA) &

SAFE DRINKING

WATER ACT

(SDWA)

Does the project involve the clearing, grading, and excavation of over 5 acres; (I acre is proposed rule and is not final) impact navigable waters; utilize equipment which can discharge to storm water or wastewater systems (cooling tower discharges or boiler blow downs)? State and local regulatory authorities may impose more stringent SWDP requirements.

1. Review pollution prevention under EO 12856, EO 12873: Federal Acquisition, Recycling, and Waste Prevention.

2. Clean Water Act implementing regulations, 40 CFR Parts 110, 112, 122, 136, 400-460, and 33 CFR Part 154, FAA Order 1050.15A

WATER

Potable water testing

Does the project involve the installation of new or modification of potable water supply plumbing or fixtures? (i.e. wells, pipes, sinks, drinking fountains, etc)

AGL REGION EHS CONTACTS

EOSH COORDINATOR Stephen Diblik 847-294-7709

CHICAGO DISTRICT PHONE CELL

SECM/EPS Giuseppe Attanasio 630-906-8455 708-374-1454 NISC Autumn Janiszewski 630 906-8447 708-653-7226

REGION EHS CONTACTS