Site_Specific_Safety_and_Health_Plan.pdf

Dobbins SSHP -rev 07-2011 Page 1 of 13 Project Number:

SITE SPECIFIC SAFETY AND HEALTH PLAN

SECTION 1: GENERAL INFORMATION & DISCLAIMER

CLIENT NAME: AFCEE PROJECT NAME: Dobbins ARB – LTM of Sites FT-02 & 03, DP-05 &

06, OT-04, & OT-07

PROJECT MANAGER: Robert Keskonis

PROJECT LEADER: JC Scott REVISION DATE: 07-30-11

SITE SAFETY OFFICER: JC Scott

PREPARED BY: Robert Keskonis DATE: 10-06-10

NOTE: This Site Specific Safety and Health Plan (SSHP) has been prepared for use by HGL, Inc. employees for work at this site. HGL, Inc. is not responsible for its use by others. The plan is written for the specific site conditions, purposes, tasks, dates and personnel specified and must be amended and reviewed by those named in Section 16 if these conditions change.

Subcontractors shall be solely responsible for the health and safety of their employees and shall comply with all applicable laws and regulations. In accordance with 1910.120(b)(1)(iv) and (v), HGL, Inc. will inform subcontractors of the site emergency response procedures, and any potential fire, explosion, health, safety or other hazards by making this Site Specific Safety and Health Plan and site information obtained by others available during regular business hours. All contractors and subcontractors are responsible for: (1) developing their own Health and Safety Plan including a written Hazard Communication Program and any other written hazard specific programs required by federal, state and local laws and regulations; (2) providing their own personal protective equipment; (3) providing documentation that their employees have been health and safety trained in accordance with applicable federal, state and local laws and regulations; (4) providing evidence of medical surveillance and medical approvals for their employees; and (5) designating their own site safety officer responsible for ensuring that their employees comply with their own Health and Safety plan and taking any other additional measures required by their site activities.

If an upgrade to Level "C" or above is anticipated, this SSHP must be reviewed/approved by Corporate Health and Safety.

SECTION 2: PROJECT INFORMATION

(1) SITE INFORMATION

Site Name: Dobbins ARB LTM Site Project Client Contact: Hal Huddlestun

Address: Marietta, GA. 30069 Phone No.: 678-655-3547

Site Health & Safety Contact: JC Scott

Phone No.: 678-446-8400

(2) SITE CLASSIFICATION: (check all that apply)

Hazardous (RCRA) Other

Construction

Sanitary or C and D Landfill Explain:

First Entry

Hazardous (CERCLA/State Superfund)

UST/LUST

Manufacturing

Previously Characterized

Active

Inactive

Dobbins SSHP -rev 07-2011 Page 2 of 13 Project Number:

(3) ENTRY OBJECTIVES AND DATES OF FIELD VISIT(S):

October 2011

May / June 2012

(4) HGL TASKS:

Well Repair including sanding, priming, and repainting bollards. Installing signs on landfill fencing. Subcontractor oversight.

TASKS PERFORMED BY OTHERS:

Brush clearing, well inspections, DPE system inspection, access road inspection / maintenance.

(5) PROJECT ORGANIZATION AND COORDINATION - The following HGL personnel are designated to carry out the stated project job functions on site.

(Note: One person may carry out more than one job function.)

PROJECT MANAGER Robert Keskonis

SITE SAFETY OFFICER JC Scott

ALTERNATE SITE SAFETY OFFICER

PUBLIC INFORMATION OFFICER

SITE RECORDKEEPER

ON-SITE PERSONNEL WITH CPR/FA

FIELD TEAM LEADER JC Scott

FIELD TEAM MEMBERS

VISITORS: FEDERAL AGENCY REPS

(i.e., EPA, OSHA)

STATE AGENCY REPS

LOCAL AGENCY REPS

SUBCONTRACTORS: SUBCONTRACTOR(S)’ SITE

SAFETY OFFICERS

All personnel arriving or departing the site should log in and out with the Record Keeper.

(6) ONSITE CONTROL

Dobbins SSHP -rev 07-2011 Page 3 of 13 Project Number:

JC Scott has been designated to coordinate access control and security for HGL operations on site. A safe perimeter has been established during field operation. The perimeter will be constructed using caution tape and other physical barriers.

No unauthorized person should be within this area.

The prevailing wind conditions are SW . A wind direction indicator is used to determine daily wind direction. The Command Post is located upwind from the Exclusion Zone or at a sufficient distance to prevent exposure should a release occur.

Control boundaries have been established and Exclusion Zone(s) (the contaminated area) have been identified. (Attach site map)

These boundaries are identified by: N/A

SECTION 3: PHYSICAL HAZARDS INFORMATION

(1) IDENTIFY POTENTIAL PHYSICAL HAZARDS TO WORKERS:

Confined Space Steep/uneven terrain Surface water

Heavy equipment Heat stress Drum handling

Moving parts Extreme cold Noise

Heavy Lifting Ionizing Radiation Non-Ionizing Radiation

Electrical Traffic Falls

Overhead Hazards Biological Hazards

__________ Chemical Burns or Irritation ___________ Lacerations and/or Contusions

Describe other unsafe environments:

(2) SAFETY EQUIPMENT REQUIRED FOR HGL EMPLOYEES

Combustible Gas Meter Eye Wash Snake Bite Kit

Fall Protection Emergency Shower Floatation Device (USCG Type III)

Confined Space Barrier Tape Emergency Air Horn

Equipment Traffic Cones Lights

Ladder Stretcher Lights - emergency

First Aid Kit A-B-C Fire Extinguisher Communications - On Site

EPI Pens Tick Repellant Communications - Off Site

Dobbins SSHP -rev 07-2011 Page 4 of 13 Project Number:

SECTION 4: CHEMICAL HAZARDS INFORMATION

(1) IDENTIFIED CONTAMINANTS

Known or suspected hazardous/toxic materials (attach historical information, physical description, map of contamination and tabulated data, if available)

MEDIA SUBSTANCES

INVOLVED

CHARACTERISTICS ESTIMATED

CONCENTRATIONS

PEL

N/A

Media types: GW (ground water), SW (surface water), WW (wastewater), AIR (air), SL (soil), SD (sediment), WL (waste, liquid), WS (waste, solid), WD (waste, sludge), WG (waste, gas), OT (other).

Characteristics: CA (corrosive, acid), CC (corrosive, caustic), IG (ignitable), RA (radioactive), VO (volatile), TO (toxic), RE (reactive), BIO (infectious), UN (unknown), OT (other, describe)

(2) DESCRIBE POTENTIAL FOR CONTACT WITH EACH MEDIA TYPE FOR EACH OF THE HGL TASKS LISTED IN SECTION 2.4:

HGL TASK #

ROUTE OF EXPOSURE

POTENTIAL FOR CONTACT METHOD OF CONTROL

The Site Safety Officer will brief the HGL field team on symptoms and signs of overexposure to chemical hazards.

SECTION 5: HAZARD COMMUNICATION PROGRAM

If chemicals are introduced to the site by HGL, Inc. (e.g., decontamination liquids, preservatives, etc.), bring a copy of the HGL, Inc. Hazard Communication Program and Material Safety Data Sheets (MSDSs) to the site. The Site Safety Officer will review this information with all field personnel prior to the start of the project. The Comprehensive List of Chemicals for this site includes:

Primer See Attached MSDS

Paint See Attached MSDS

Paint Remover See Attached MSDS

Dobbins SSHP -rev 07-2011 Page 5 of 13 Project Number:

SECTION 6: ENVIRONMENTAL MONITORING

(1) The following environmental monitoring instruments shall be used on site at the specified intervals.

EQUIPMENT MONITORING PERIOD PEL/REL/TLV ACTION LEVEL

Combustible Gas Indicator - continuous/hourly/daily/other 25% 10%

O2 Monitor - continuous/hourly/daily/other 19.5 - 25% 19.5

Colorimetric Tubes (type) - continuous/hourly/daily/other

PID (Lamp _________ eV) - continuous/hourly/daily/other 5 ppm 1ppm* (benzene)

FID - continuous/hourly/daily/other 5 ppm 1ppm* (benzene)

Radiation Meter - continuous/hourly/daily/other

Respirable Dust Monitor - continuous/hourly/daily/other

Toxic Gas Indicator -

(Type ) - continuous/hourly/daily/other

Other - continuous/hourly/daily/other

- continuous/hourly/daily/other

* (benzene or vinyl chloride)

(2) Monitoring equipment is to be calibrated according to manufacturers' instructions. Record calibration data and air concentrations in the Health and Safety on-site log book.

(3) Recommended Action Levels for Upgrade or Downgrade of Respiratory Protection or Site Shutdown and Evacuation. These are average values.

Consideration should be given to the potential for release of highly toxic compounds from the waste or from reaction by-products. Levels are for persistent (> 10 min) breathing zone measurements.

Uncharacterized Airborne Vapors or Gases Characterized Gases, Vapors, Particulates*

Level D Background* Up to 50% of PEL, REL or TLV

Level C Up to 5 ppm above background Up to 25 times PEL, REL or TLV

Level B 5 ppm to 500 ppm above background Up to 500 times PEL, REL or TLV

Level A 500 ppm to 1000 ppm above background Up to 1000 times PEL, REL or TLV

*Off-site "clean" air measurement. *Use mixture calculations (% allowed = �Cn / PELn) if more than one contaminant is present.

Oxygen Deficiency

Concentration Action Taken

< 19.5% O2 Leave Area. Reenter only with supplied-air respirators.

19.5 % to 25% O2 Work may continue. Investigate changes from 21%.

> 25% O2 Work must stop. Ventilate area before returning.

Flammability

Concentration Action Taken

< 10% of LEL Work may continue. Consider toxicity potential.

10% to 25% LEL Work may continue. Increase monitoring frequency.

> 25% LEL Work must stop. Ventilate area before returning.

Radiation

Intensity Action Taken

< .5 mR/hr Work may continue.

< 1 mR/hr Work may continue. Continue to monitor. Notify Corporate H&S

5 mR/hr Radiation work zone. Work must stop.

Dobbins SSHP -rev 07-2011 Page 6 of 13 Project Number:

SECTION 7: HEALTH AND SAFETY TRAINING AND MEDICAL MONITORING PROGRAM

The project staff is included in the HGL Health and Safety training and medical monitoring programs.

HAZWOPER TRAINING

Medical Initial Refresher MGR/SUPV CPR/FA/BBP Fit Test

Name (Date) (Hrs/Date: (Date) (Date) Dates (Make/Size/Type/Date)

JC Scott

03/20/2011

01/19/2011

04/07/2009

03/12/2010

NA

SECTION 8: PERSONAL MONITORING

The following personal monitoring will be in effect on site:

Personal exposure sampling:

Medical monitoring: The expected air temperature will be 75 . If it is determined that heat stress monitoring is required (mandatory for heavy exertion in PPE at temperatures over 70°F) the following procedures shall be followed (describe procedures in effect, i.e., monitoring body temperature, body weight, pulse rate): See Appendix for heat and cold stress procedures

A copy of personal monitoring results is to be sent to Corporate Health and Safety for inclusion in the Employee’s Confidential Exposure Record File.

SECTION 9: CONFINED SPACE ENTRY

(1) WILL CONFINED SPACE ENTRY TAKE PLACE? Yes No

If yes, attach Confined Space Entry Program and complete the Pre-Entry Inspection Checklist and Confined Space Entry Permit prior to entering each confined space, each work shift. The Confined Space Permit must be posted outside the confined space.

Permits will be saved and logged with project documentation.

SECTION 10: COMMUNICATIONS PROCEDURES

The following standard hand signals will be used in case of failure of radio communications:

Hand gripping throat - Out of air, can't breathe

Grip partner's wrist or both hands around wrist - Leave area immediately

Hands on top of head - Need assistance

Thumbs up - OK, I am all right, I understand

Thumbs down - No, negative

If applicable, telephone communication to the Command Post should be established as soon as practicable. The stationary and/or mobile phone number(s)

Dobbins SSHP -rev 07-2011 Page 7 of 13 Project Number:

are 830-377-1525 and 210-618-4474 .

Dobbins SSHP -rev 07-2011 Page 8 of 13 Project Number:

SECTION 11: DECONTAMINATION PROCEDURES

Personnel and equipment leaving the Exclusion Zone shall be thoroughly decontaminated. The Site Safety Officer is responsible for monitoring adherence with this decontamination plan. The standard level decontamination protocol shall be used with the following decontamination stations*:

(1) N/A

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

Other

*See the HGL Health and Safety Procedures Manual, Procedure 02, Personal Protective Equipment, for sample decontamination station descriptions.

The following decontamination equipment is required:

will be used as the decontamination solution.

Dobbins SSHP -rev 07-2011 Page 9 of 13 Project Number:

SECTION 12: EMERGENCY PROCEDURES

The following standard emergency procedures will be used by onsite personnel. The Site Safety Officer (SSO) shall be notified of any onsite emergencies and be responsible for ensuring that the appropriate procedures are followed.

Personnel Injury in the Exclusion Zone: Upon notification of an injury in the Exclusion Zone, the designated emergency signal 3 bursts of an air horn shall be sounded. All site personnel shall assemble at the decontamination line. An outside rescue team summoned by the field team leader or SSO will enter the Exclusion Zone (if required) to remove the injured person to the hotline. The SSO and Field Team Leader should evaluate the nature of the injury, and the affected person should be decontaminated to the extent possible prior to movement to the Support Zone. The onsite CPR/FA personnel shall initiate the appropriate first aid, and contact should be made for an ambulance and with the designated medical facility (if required). No persons shall reenter the Exclusion Zone until the cause of the injury or symptoms are determined.

Personal Protective Equipment Failure: If any site worker experiences a failure or alteration of protective equipment that affects the protection factor that person and his/her buddy shall immediately leave the Exclusion Zone. Reentry shall not be permitted until the equipment has been repaired or replaced.

Fire/Explosion: Upon notification of a fire or explosion on site, the designated emergency signal 3 bursts of an air horn shall be sounded and all site personnel assembled at the decontamination line. The fire department shall be alerted and all personnel moved to a safe distance from the involved area.

Other Equipment Failure: If any other equipment on site fails to operate properly, the Field Team Leader and Site Safety Officer shall be notified and then determine the effect of this failure on continuing operations on site. If the failure affects the safety of personnel or prevents completion of the Work Plan tasks, all personnel shall leave the Exclusion Zone until the situation is evaluated and appropriate actions taken.

The following emergency escape routes are designated for use in those situations where egress from the Exclusion Zone can not occur through the decontamination line (attach map if available):

In all situations, when an onsite emergency results in evacuation of the Exclusion Zone, personnel shall not reenter until:

1. The conditions resulting in the emergency have been corrected.

2. The hazards have been reassessed by the SSO.

3. The Site Safety Plan has been reviewed by the SSO and Corporate Health and Safety Director.

4. Site personnel have been briefed on any changes in the Site Safety Plan by the SSO.

Dobbins SSHP -rev 07-2011 Page 10 of 13 Project Number:

SECTION 13. EMERGENCY INFORMATION

TO BE POSTED IN SITE-TRAILER/OFFICE AND IN FIELD VEHICLES

(1) LOCAL RESOURCES

Ambulance (name): Metro Atlanta Ambulance Service/ Dobbins Fire & Emergency Services

Phone: 911

Hospital (name): Kennestone Hospital Phone: 770-793-5000

Police (local or state): Local Phone: 911

Fire Dept. (name): Dobbins Fire & Emergency Services Phone: 911

HAZ MAT Responder: Dobbins Fire & Emergency Services Phone: 911

Nearest phone: Personal Cell Phone

On-Site CPR/FA(s): John Sandoval and Jason McDaniel

The hospital is minutes from the site and the ambulance response time is minutes. of was contacted on / / and briefed on the situation, the potential hazards, and the substances involved. When IDLH conditions exist, arrangements should be made for onsite standby of emergency services.

(2) DIRECTIONS TO NEAREST HOSPITAL - ATTACH MAP:

Exit base by turning left on S. Cobb Dr. Travel 0.4 miles and turn right on Atlanta Road SE for 2.5 miles. Turn left on Church street. Travel 0.2 miles to Kennestone Hospital.

(3) CORPORATE RESOURCES

Mark A. McGowan, CIH, CSP

Corporate Health & Safety Director

703 736-4561 Work

703 888-6441 Cell

(Office Health & Safety Coordinator)

HGL Corporate Occupational Physician

Samuel J. Scott, Jr. MD

Washington Occupational Health Associates

202-463-6698

HGL Emergency Contact Number: 800-341-3647

(4) WHOM TO NOTIFY IN CASE OF ACCIDENT:

Robert Keskonis 404-227-5909

Dobbins SSHP -rev 07-2011 Page 11 of 13 Project Number:

Map to Kennestone Hospital 677 Church Street NE Marietta, GA. 30060

Dobbins SSHP -rev 07-2011 Page 12 of 13 Project Number:

SECTION 14: PROTECTIVE EQUIPMENT LIST

TASK* RESPIRATORS &

CARTRIDGE*

USE CLOTHING GLOVES BOOTS OTHER

Bollard Sanding N/A Cont Long Pants Leather S G

Bollard Painting N/A Cont Long Pants T S G

Hanging Signs N/A Cont Long Pants Leather S G

*Same as in Section 4(2).

RESPIRATORS APR CARTRIDGES USE CLOTHING GLOVES BOOTS OTHER

B = SCBA O = Organic vapor Cont = Continuous T = Tyvek B = Butyl F = Firemans F = Face Shield

APR = APR G = Organic vapor/acid gas UP = Upgrade P = PE Tyvek L - Latex L = Latex G = Goggles

E = Escape P = Particulate C = Coveralls T = Nitrile S = Safety H = Hardhat

AL = Airline C = Combination organic V = Viton N = Hearing Protection

PA = Polyvinyl Alcohol

SECTION 15: SAFE WORK PRACTICES

THE FOLLOWING PRACTICES MUST BE FOLLOWED BY PERSONNEL ON SITE

1. Smoking, eating, chewing gum or tobacco, or drinking are forbidden except in clean or designated areas.

2. Ignition of flammable liquids within or through improvised heating devices (e.g., barrels) is forbidden.

3. Contact with samples, excavated materials, or other contaminated materials must be minimized.

4. Use of contact lenses is prohibited at all times.

5. Do not kneel on the ground when collecting samples.

6. If drilling equipment is involved, know where the 'kill switch' is.

7. All electrical equipment used in outside locations, wet areas or near water must be plugged into ground fault circuit interrupter (GFCI) protected outlets.

8. A "Buddy System" in which another worker is close enough to render immediate aid will be in effect.

9. Good housekeeping practices are to be maintained.

10. Where the eyes or body may be exposed to corrosive materials, suitable facilities for quick drenching or flushing shall be available for immediate use.

11. In the event of treacherous weather-related working conditions (i.e., thunderstorm, limited visibility, extreme cold or heat) field tasks will be suspended until conditions improve or appropriate protection from the elements is provided.

Site Specific Safe Work Practices:

Dobbins SSHP -rev 07-2011 Page 13 of 13 Project Number:

SECTION 16: EMPLOYEE ACKNOWLEDGEMENTS

PLAN REVIEWED BY: DATE

Corporate Health & Safety:

Site Safety Officer:

Project Manager:

Project Leader:

I acknowledge that I have read the information on this Site Safety Plan Short Form and the attached Material Safety Data Sheets (MSDSs). I understand the site hazards as described and agreed to comply with the contents of this Plan.

EMPLOYEE (print name) SIGNATURE DATE

LEVEL 2 HEALTH AND SAFETY PLAN

05 January 2009 Page 1 of 12

Site Name: Dobbins ARB, GA Site Contact: Andy Kandray Telephone: (404) 308-2828 Location: 531 Atlantic Avenue Dobbins ARB Marietta, Cobb County, Georgia 30069 Client Contact: Hal Huddlestun Telephone: (678) 655-3547

EPA ID No. NA Prepared By: Chris Jones Date Prepared: 6/27/11

Project No. 103IG1807A Dates of Activities: Periodically Ongoing Aug.

2011 to July 2012

Emergency Response Yes No

Objectives:

1. Inspection and Maintenance of DPE System.

2. Groundwater Monitoring Well Inspections.

Site Type: Check as many as applicable.

Active Landfill Inner-City

Inactive Railroad Rural

Secured Residential Remote

Unsecured Industrial Other (specify)

Project Scope of Work and Site Background

The AVGAS Sludge Burial Site A (Site DP-05) is a former storage and handling facility for aviation fuels located northwest of the AFRC petroleum, oil, and lubricant (POL) tank farm area. The POL tank farm area is active and is currently used to store aviation fuel. The site is located at 531 Atlantic Avenue, Marietta, Cobb County, Georgia. The coordinates of this site are latitude 33°55’20” North and longitude 84°31’39” West. The adjoining 709 acres house Air Force Plant 6 (AFP 6), operated by Lockheed-Martin Corporation for Aeronautical Systems Center, which borders the site to the northwest. The Georgia Army Reserve National Guard (AVGAS Burial Site B [Site DP-B]) is located southeast of the POL fuel area, across Atlantic Avenue. Tetra Tech personnel entering Dobbins ARB will be required to obtain security clearance from the Base Security Department prior to the commencement of work. Depending on the level of security, a Base escort may be required. If an escort is required, Tetra Tech will call the Installation Remedial Project Manager or designated alternate contacts, in order to arrange for an escort. In the event that security levels do not allow contractor personnel any access to the Base, Tetra Tech will contact the installation RPM for direction.

Tetra Tech anticipates performing two types of activities at the Dobbins ARB.

1. Inspection and Maintenance of DPE System – During DPE System inspection and maintenance events, a minimum of two Tetra Tech employees will be onsite to inspect the DPE System, conduct routine maintenance (light cleaning and lubrication of equipment), and conduct light maintenance of the DPE System.

Tyvek suits will be donned while cleaning the air sparge and oil water separator as well as when applying the rust inhibitor.

2. Groundwater Monitoring Well Inspections – During well inspections, a minimum of two Tetra Tech employees will be onsite to inspect 30 wells associated with five sites on the Dobbins ARB property. Inspections will be conducted to insure the casings, concrete pads, bollards, and well interiors are in good condition and acceptable for future use.

Health and Safety Plan Approver Signature: Date:

Note: A minimum of two persons with appropriate training and medical surveillance must be on site for any fieldwork subject to Level 2 HASP requirements.

Note: A detailed site sketch may be included on Page 10 of 12.

chris.draper Draper Signature chris.draper Approved

05 January 2009 Page 2 of 12

Initial Isolation and Protective Action Distances (for emergency response operations only): N/A – This is not an emergency response HASP. However, if an uncontrolled release occurs, the 2010 Emergency Response Guidebook Isolation distances and protective action distances will be used.

Initial Isolation Distance: N/A – This is not an emergency response HASP. However, if an uncontrolled release occurs, the 2010 Emergency Response Guidebook Isolation distances and protective action distances will be used.

Subsequent Isolation and Protection Action Zones Based on Air Monitoring Results: This is not an emergency response HASP. However, if an uncontrolled release occurs, the 2010 Emergency Response Guidebook Isolation distances and protective action distances will be used.

Wind Speed and Direction (Approach from upwind) Temperature (oF) Relative Humidity (%) Probability of

Precipitation (%) Weather Forecast

(such as partly cloudy, snow, etc.)

Speed (mph): TBD From Direction: TBD TBD TBD TBD TBD

On-Site Supplies: First Aid Kit Fire Extinguisher Air Horn Oral Thermometer Noise Dosimeter

Known or Anticipated Site Hazards or Concerns: (Hazards covered by existing Safe Work Practices are listed on the next page)

Work on active roadway Overhead utilities Energized electrical systems

Onsite laboratory Surface or underground storage tanks Portable hand tool use

Explosion or fire hazard General slips, trips, falls Portable electrical tool use

Oxygen deficiency Uneven, muddy, rugged terrain Machine guarding

Inorganic chemicals Industrial truck (forklift) use Portable fire extinguisher use

Organic chemicals Lift (man lift, cherry picker) use Driving commercial vehicles

Chemical warfare materiel Scaffold use Driving personal vehicles

Compressed Gas Cylinders Wood or metal ladder use Scientific diving operations

Asbestos Dangerous goods shipped by air Injury and Illness Prevention Program (California only)

Respirable particulates Elevated work (over 6’ high) Ergonomics (California only)

Respirable silica Construction work Client-specific safety requirements (attach to HASP)

Blasting and explosives Excavation or trenching ATV use

Non-ionizing radiation (lasers, radiofrequencies, UV) Benching, shoring, bracing Methamphetamine lab

High Noise Work in strip or shaft mines Mold

Buried Utilities Grinding operations Other: Water Sampling Operations

Explosion or Fire Potential: High Medium Low Unknown

05 January 2009 Page 3 of 12

Chemical Products Tetra Tech EM Inc. Will Use or Store On Site: (Attach a Material Safety Data Sheet [MSDS] for each item.)

Alconox or Liquinox Calibration gas (Methane) Hydrogen gas Isopropyl alcohol Hydrochloric acid (HCl) Calibration gas (Isobutylene) Household bleach (NaOCl) HazCat Kit Nitric acid (HNO3) Calibration gas (Pentane) Sulfuric acid (H2SO4) Mark I Kits (number?)

Sodium hydroxide (NaOH) Calibration gas (4-gas mixture) Hexane Other Rust Inhibitor Spray

WARNING: Eyewash solution shall be readily available on ALL projects where corrosives (acids or bases) are used, including sample preservatives

Applicable Safe Work Practices (SWP) Attach to HASP: Check as many as apply

Tasks Performed At Job Site that are NOT Covered by SWPs NOTE: Many completed AHA’s can be found on the Health & Safety intranet site

Attach Activity Hazard Analysis (AHA) for each non-covered task

(non-covered task) (non-covered task) (non-covered task) (non-covered task) (non-covered task)

Tetra Tech Employee Training and Medical Requirements:

Basic Training and Medical

Initial 40 Hour Training 8-Hour Supervisor Training (one-time) Current 8-Hour Refresher Training Current Medical Clearance (including respirator use) Current First Aid Training (minimum 1 Tetra Tech employee on site) Current CPR Training (minimum 1 Tetra Tech employee on site) Current Respirator Fit-Test

Other Specific Training and Medical Surveillance Requirements

Confined Space Training Level A Training Radiation Training OSHA 10-hour Construction Safety Blood Lead Level and ZPP Pre and Post-Project Urinary Arsenic Level Pre and Post-Project Other

SWP 6-1 - General Safe Work Practices for Field Work SWP 6-2 - Control of Hazardous Energy (Lockout-Tagout) SWP 6-3 - Work Near Drill Rigs SWP 6-4 - Excavation Work SWP 6-5 - Working Over or Near Water SWP-6-6 - Hot Work SWP 6-7 - Special Site Hazards (Bears, Firearms, Remote Locations, Mines, Abandoned Buildings, and Aircraft Hazards) SWP 6-8 - Electrical Work SWP 6-9 - Fall Protection SWP 6-10 - Use of Portable Ladders SWP 6-11 - Drum and Container Handling SWP 6-12 - Shipping Dangerous Goods SWP 6-13 - Flammable Hazards and Ignition Sources SWP 6-14 - Accidental Spill and Discharge Controls SWP 6-15 - Heat Stress SWP 6-16 - Cold Stress SWP 6-17 - Various Biohazards SWP 6-18 - Underground Storage Tank Removal Procedures SWP 6-21 - Sites with Ionizing Radiation Sources SWP 6-22 - Data Collection on Rivers SWP 6-23 - Permit-Required Confined Space SWP 6-24 - Non-Permit-Required Confined Space SWP 6-25 - Oil and other Petroleum Fuel Products SWP 6-26 - Working Near Heavy Equipment SWP 6-27 - Respirator Cleaning SWP 6-28 - Use of Air Purifying Respirators SWP 6-29 - Qualitative Fit Test Procedures SWP 6-30 - Office Employees SWP 6-31 - Hurricane Affected Areas SWP 6-33 - UXO/MEC Field Work

05 January 2009 Page 4 of 12

Materials Present or Suspected at Site

Highest Observed Concentration

(specify units and sample medium)

Exposure Limit (specify ppm or mg/m3)

IDLH Level (specify ppm or mg/m3)

Primary Hazards of the Material (explosive, flammable, corrosive, toxic, volatile, radioactive, biohazard, oxidizer, or other)

Symptoms and Effects of Acute Exposure

Photoionization Potential (eV)

Benzene U

PEL = 1 ppm REL = Ca TWA 0.1 ppm ST 1 ppm [Skin] Hazard

500 ppm

CARC

Flammable, Toxic Severe irritant (skin, eye); reproductive toxin, CNS narcotic

9.24

Toluene U

PEL = 100 ppm

REL = TWA 100

ppm (375 mg/m3) ST 150 ppm (560 mg/m3) [Skin] Hazard

500 ppm Flammable, Toxic Severe irritant (skin, eye); reproductive toxin, CNS narcotic, fatigue, weakness, dizziness, headache

8.82

Ethyl Benzene U

PEL = 100 ppm

REL = TWA 100

ppm (435 mg/m3) ST 125 ppm ppm (545 mg/m3) [Skin] Hazard

800 ppm Flammable Severe irritant (skin, eye, mucous membranes), headache, narcosis

8.76

Xylenes (ortho, meta, para) U

PEL = 100 ppm

REL = TWA 100

ppm (435 mg/m3) ST 150 ppm (545 mg/m3) [Skin] Hazard

900 ppm Flammable, Toxic Irritant (skin, eye, throat), reproductive toxin, CNS narcotic

8.44-8.56

Diesel Fuel U

PEL = NE

REL = NE

[Skin] Hazard

NE Toxic Irritant (respiratory tract), possible carcinogen, possible mutagen

NE

Gasoline U PEL = 300 ppm

REL =

[Skin] Hazard

CARC Flammable, Toxic Irritant (eye, skin, mucous membrane), CNS narcotic

NE

PEL =

REL =

TLV =

[Skin] Hazard

PEL =

REL =

TLV =

[Skin] Hazard

Specify Information Sources: NIOSH Pocket Guide to Hazardous Chemicals, September 2005 and American Conference of Governmental Industrial Hygienists (ACGIH). “Threshold Limit Values and Biological Exposure Indices for 2008.”

Note: In the Exposure Limit column, include Ceiling (C) and Short-Term Exposure Limits (STEL) if they are available. Also, use the following short forms and abbreviations to complete the table above.

A = Air CARC = Carcinogenic eV = Electron volt U = Unknown

IDLH = Immediately dangerous to life or health mg/m3 = Milligram per cubic meter NA = Not available NE = None established

PEL = Permissible exposure limit ppm = Part per million REL = Recommended exposure limit S = Soil

TLV = Threshold limit value

05 January 2009 Page 5 of 12

Note: If no contingency level of protection is selected, all employees covered under this plan must evacuate the immediate site area if air contaminant levels require upgrading PPE. This information is available on the chemical hazards page of this HASP.

Field Activities Covered Under this HASP:

Level of Protection1 Task Description Primary Contingency Date of Activities

1 Inspection and Maintenance of DPE System A B C D A B C D Late March 2012

2 Monitoring Well Inspection A B C D A B C D Late March 2012

3 A B C D A B C D

4 A B C D A B C D

5 A B C D A B C D

Site Personnel and Responsibilities (include subcontractors):

Employee Name and Office Code / Location Task(s) Responsibilities

Andy Kandray – AT 1-2

• Project Manager: Manages the overall project, makes site safety coordinator (SSC) aware of pertinent project developments and plans, and maintains communications with client as necessary. Additionally, For projects lasting longer than one consecutive week on-site, the PM is responsible for conducting one field audit using Form AF-1.

Chris Jones – AT 1-2

• Field Team Leader: Directs field activities, makes site safety coordinator

(SSC) aware of pertinent project developments and plans, and maintains communications with the Project Manager and the client as necessary

Chris Jones –AT 1-2

• Site Safety Coordinator (SSC): Ensures that appropriate personal protective equipment (PPE) is available, enforces proper use of PPE by on-site personnel and subcontractors; suspends investigative work if personnel are or may be exposed to an immediate health hazard; implements and enforces the HASP; identifies and controls site hazards when possible;

communicates site hazards to all personnel; and reports any deviations observed from anticipated conditions described in the health and safety plan to the health and safety representative.

• Alternate Site Safety Coordinator (if any)

DD Fung – AT Eric Turner – AT

1-2

• Field Personnel: Completes tasks as directed by the project manager, field team leader, and SSC, and follows the HASP and all SWPs and guidelines established in the Tetra Tech, Inc., Health and Safety Manual.

• Tetra Tech-hired subcontractor personnel on site (a subcontract SSC MUST be identified by name): Completes tasks as outlined in the project scope of work in accordance with the contract. Participates in all Tetra Tech on-site safety meetings and follows all procedures and guidelines established in this HASP, as well as the company health and safety plan and program.

Note:

1. See next page for details on levels of protection

05 January 2009 Page 6 of 12

NOTE: Contingency level of protection section should be completed only if the upgraded level of protection is immediately available at the job site. If no contingency level of protection is denoted, all employees covered under this HASP must evacuate the immediate site area if air contaminant levels would require an upgrade of

PPE.

Protective Equipment: (Indicate type or material as necessary for each task.)

Tas k

Primary Level of

Protection (A,B,C,D) PPE Component Description (Primary)

Contingency Level of

Protection (A, B, C, D) PPE Component Description (Contingency)

1 D

Respirator type: NA Cartridge type (if applicable): NA CPC material: NA Glove material(s): Nitrile Boot material: Steel Toe Other: safety glasses, hardhats, high-visibility vest, first aid kit

C

Respirator type: full face Cartridge type (if applicable): Organic Vapor/Particulates CPC material: Tyvek® QC or similar Glove material(s): Nitrile Boot material: Steel toe Other: safety glasses, first aid kit

2 D

Respirator type: NA Cartridge type (if applicable): NA CPC material: Tyvek (while cleaning the OWS, AS, and while applying the rust inhibitor) Glove material(s): Nitrile Boot material: Steel Toe Other: safety glasses, hardhats, high-visibility vest, first aid kit

C

Respirator type: full face Cartridge type (if applicable): Organic Vapor/Particulates CPC material: Tyvek® QC or similar Glove material(s): Nitrile Boot material: Steel toe Other: safety glasses, first aid kit

Respirator type:

Cartridge type (if applicable):

CPC material:

Glove material(s):

Boot material:

Other:

Respirator type:

Cartridge type (if applicable):

CPC material:

Glove material(s):

Boot material:

Other:

Respirator type:

Cartridge type (if applicable):

CPC material:

Glove material(s):

CPC material:

Glove material(s):

Boot material:

Other:

Respirator type:

Cartridge type (if applicable):

CPC material:

Glove material(s):

CPC material:

Glove material(s):

Boot material:

Other:

Respirator Notes:

Respirator cartridges may only be used for a maximum time period of 8 hours or one work shift, whichever is less, and must be discarded at that time. For job sites with organic vapors, respirator cartridges may be used as described in this note as long as the concentration is less than 200 parts per million (ppm), the boiling point is greater than 70 °Celsius, and the relative humidity is less than 85 percent. If any of these levels are exceeded, a site-specific respirator cartridge change-out schedule must be developed and included in the HASP using Tetra Tech Form RP-2 (Respiratory Hazard Assessment Form)

Notes:

All levels of protection must include eye, head, and foot protection.

CPC = Chemical protective clothing Thermoluminescent Dosimeter (TLD) Badges must be worn during all field activities on sites with radiation hazards. TLDs must be worn under CPC.

05 January 2009 Page 7 of 12

Monitoring Equipment: All monitoring equipment on site must be calibrated before and after each use and results recorded in the site logbook Instrument (Check all required) Task Instrument Reading Action Guideline Comments

Combustible gas indicator model:

0 to 10% LEL Monitor; evacuate if confined space

10 to 25% LEL Potential explosion hazard; notify

SSC

>25% LEL Explosion hazard; interrupt task;

evacuate site; notify SSC

Oxygen meter model:

>23.5% Oxygen Potential fire hazard; evacuate site

23.5 to 19.5% Oxygen Oxygen level normal

<19.5% Oxygen Oxygen deficiency; interrupt task;

evacuate site; notify SSC

Radiation survey meter model:

Normal background Proceed Annual exposure not to exceed 1,250 mrem per quarter

Background reading must be taken in an area known to be free of radiation sources.

Two to three times background Notify SSC

>Three times background Radiological hazard; interrupt task; evacuate site; notify Health Physicist

Photoionization detector model:

11.7 eV 10.6 eV

10.2 eV 9.8 eV

________ eV

Any response above background to 5 ppm above background

Level Ca is acceptable Level B is recommended

These action levels are for unknown gases or vapors. After the contaminants are identified, action levels should be based on the specific contaminants involved.

> 5 to 500 ppm above background Level B

> 500 ppm above background Level A

Flame ionization detector model:

Any response above background to 5 ppm above background

Level Ca is acceptable Level B is recommended

These action levels are for unknown gases or vapors. After the contaminants are identified, action levels should be based on the specific contaminants involved.

>5 to 500 ppm above background Level B

>500 above background Level A

Detector tube models:

Specify:

< 1/2 the PEL > 1/2 the PEL

Specify: The action level for upgrading the level of protection is one-half of the contaminant’s PEL. If the PEL is reached, evacuate the site and notify a safety specialist

Other (specify):

Specify:

Specify:

Notes:

eV= electron volt LEL=Lower explosive limit mrem=Millirem PEL=Permissible exposure limit ppm=Part per million

a. Level C may be acceptable for certain tasks in some situations. If you are uncertain whether Level C is appropriate, consult the Regional Safety Officer. Additionally, when working with unknown respiratory hazards, Level C cartridge must provide protection for organic vapors, acid gases, ammonia, amines, formaldehyde, hydrogen fluoride, and particulate aerosols.

05 January 2009 Page 8 of 12

Project-Specific Industrial Hygiene Requirements Emergency Contacts: Telephone No.

OSHA-Regulated Chemicals:

Check any present on the job site in any medium (air, water, soil)

No chemicals below are located on the job site Friable Asbestos alpha-Napthylamine Methyl chloromethyl ether 3,3’-Dichlorobenzidine (and its salts) bis-Chloromethyl ether beta-Napthylamine Benzidine 4-Aminodiphenyl Ethyleneimine beta-Propiolactone 2-Acetylaminoflourene 4-Dimethylaminoazobenzene N-nitrosomethylamine Vinyl chloride Inorganic arsenic Lead Chromium (VI) Cadmium Benzene Coke oven emissions 1,2-Dibromo-3-chloropropane Acrylonitrile Ethylene oxide Formaldehyde Methylenedianiline 1,3-Butadiene Methylene chloride

Work Care and Incident Intervention (800) 455-6155

Tetra Tech EMI 24-hour Anonymous Hazard Reporting Line (866) 383-8070

U.S. Coast Guard National Response Center (800) 424-8802

InfoTrac (800) 535-5053

Dobbins On-Base Emergency Fire and Rescue (via cell phone) (678) 655-5117

Dobbins On-Base Emergency Fire and Rescue (via hard wired phone) 655-5117

Fire department 911

Police department 911

Personnel Call-Down List:

Job Title or Position: Name Primary Phone:

Regional Safety Officer Chris Draper 615-969-1334 Project Manager: Andy Kandray 404-308-2828 Field Team Leader: Chris Jones 404-395-5220 Site Safety Coordinator (SSC): Chris Jones 404-395-5220 Subcontractor SSC: NA NA

Medical and Site Emergencies:

Signal a site or medical emergency with three blasts of a loud horn (car horn, fog horn, or similar device). Site personnel should evacuate to the area of safe refuge designated on the site map.

Hospital Name: Wellstar Kennestone Hospital Address:

677 Church St NE

General Phone: 770-793-5000 Emergency Phone: 911 Ambulance Phone: 911

Hospital called to verify emergency services are offered? YES NO

Step-by-step Route to Hospital: (see Page 10 of 12 for route map)

1. Head West to back gate on Atlanta Rd SW

2. Turn Right at Atlanta Rd SW

3. Slight Right at Cherokee St NE

4. Continue on Cherokee St NE

5. Sharp Left Church St NW

Note: This page must be posted on site.

05 January 2009 Page 9 of 12

Decontamination Procedures The site safety coordinator overseas implementation of project decontamination procedures and is responsible for ensuring they are effective.

Emergency Response Planning

During the pre-work briefing and daily tailgate safety meetings, all on-site employees will be trained in the provisions of emergency response planning, site communication systems, and site evacuation routes.

Personnel Decontamination

Level D Decon - Wet Dry

Level C Decon - Wet Dry

Level B Decon – Briefly outline the level B decontamination methods to be used on a separate page attached to this HASP.

Level A Decon – A Level 3 HASP is required. Notify your regional health and safety representative and health and safety director.

Equipment Decontamination

All tools, equipment, and machinery from the Exclusion Zone (hot) or Contamination Reduction Zone (warm) are decontaminated in the CRZ before they are removed to the Support Zone (cold).

Equipment decontamination procedures are designed to minimize the potential for hazardous skin or inhalation exposure, cross-contamination, and chemical incompatibilities.

Respirator Decontamination

Respirators are decontaminated in compliance with SWP 6-27 and should be included with this HASP.

Waste Handling for Decontamination

Procedures for decontamination waste disposal meet all applicable local, state, and federal regulations.

Decontamination Equipment Washtubs

Buckets

Scrub brushes

Pressurized sprayer

Detergent [Alconox]

Solvent [Type]

Household bleach solution Concentration/Dilution: ___________

Deionized water

Disposable sanitizer wipes

Facemask sanitizer powder

Wire brush

Spray bottle

Tubs / pools

Banner/barrier tape

Plastic sheeting

Tarps and poles

Trash bags

Trash cans

Duct tape

Paper towels

Folding chairs

Other

In the event of an emergency that necessitates evacuation of a work task area or the site, the following procedures will take place.

• The Tetra Tech SSC will contact all nearby personnel using the on-site communications to advise the personnel of the emergency.

• The personnel will proceed along site roads to a safe distance upwind from the hazard source.

• The personnel will remain in that area until the SSC or an authorized individual provides further instructions.

In the event of a severe spill or a leak, site personnel will follow the procedures listed below.

• Evacuate the affected area and relocate personnel to an upwind location.

• Inform the Tetra Tech SSC, a Tetra Tech office, and a site representative immediately.

• Locate the source of the spill or leak, and stop the flow if it is safe to do so.

• Begin containment and recovery of spilled or leaked materials.

• Notify appropriate local, state, and federal agencies.

In the event of severe weather, site personnel will follow the procedures listed below.

• Site work shall not be conducted during severe weather, including high winds and lightning.

• In the event of severe weather, stop work, lower any equipment (drill rigs) and evacuate the affected area.

• Severe weather may cause heat or cold stress. Refer to SWPs 15 and 16 for information on both.

All work-related incidents must be reported. According to TtEMI's reporting procedures, for non-emergency incidents you should:

• Notify WorkCare and Incident Intervention at (800) 455-6155

• Notify your Project Manager or Regional Safety Officer (RSO) via phone.

• Complete a "Tetra Tech Incident Report" (Form IR) within 24 hours and send it to your RSO. If an injury or illness has occurred, the Form IR-A and the WorkCare HIPAA form must be completed at the same time the Form IR is completed.

05 January 2009 Page 10 of 12

Site Map (May be drawn after crews arrive at site):

Label the following on your map:

1. Orientation

2. Wind direction

3. Evacuation route

4. Area of safe refuge

5. Exclusion zone

6. Contamination reduction zone (CRZ)

7. Support zone

8. Location(s) of hazardous materials

9. Monitoring locations

10. Sampling locations

11. Command post

05 January 2009 Page 11 of 12

Hospital Route Map (attach or insert):

1. Head West to back gate on Atlanta Rd SW

2. Turn Right at Atlanta Rd SW

3. Slight Right at Cherokee St NE

4. Slight left onto Tower Rd

5. Turn left toward Martin St/S Medical Dr.

6. Slight left onto Martin St/S Medical Dr

Note: A dry-run should be conducted to establish a physical location associated with the map included in the HASP. Verbal verification from the hospital emergency room should also be obtained to ensure that the hospital will accept chemically contaminated patients.

10/08

DEFINITIONS AND NOTES

Emergency Contacts

Work Care - For issues requiring an Occupational Health Physician; assistance is available 24 hours per day, 7 days per week.

InfoTrac — For issues related to incidents involving the transportation of hazardous chemicals; this hotline provides accident assistance 24 hours per day, 7 days per week

U.S. Coast Guard National Response Center — For issues related to spill containment, cleanup, and damage assessment; this hotline will direct spill information to the appropriate state or region

Limitations:

The Level-Two HASP is not appropriate in some cases:

• Projects involving unexploded ordnance (UXO), radiation sources as the primary hazard, or known chemical/biological weapons site must employ the Level 3 HASP

• Projects of duration longer than 1 month must employ the Level 3 HASP

• Projects with more than five tasks must employ the Level 3 HASP

Decontamination:

Decontamination Solutions for Chemical and Biological Warfare Agentsa: PPE and equipment can be decontaminated using 0.5 percent bleach (1 gallon laundry bleach to 9 gallons water) for biological agents (15 minutes of contact time for anthrax spores; 3 minutes for others) followed by water rinse for chemical and biological agents. In the absence of bleach, dry powders such as soap detergents, earth, and flour can be used. The powders should be applied and then wiped off using wet tissue paper. Finally, water and water/soap solutions can be used to physically remove or dilute chemical and biological agents. Do not use bleach solution on bare skin; use soap and water instead. Protect decontamination workers from exposure to bleach.

Decontamination for Radiological and Other Chemicals: Primary decontamination should use Alconox and water unless otherwise specified in chemical specific information resources. The effectiveness of radiation decontamination should be checked using a radiation survey instrument. Decontamination procedures should be repeated until the radiation meter reads less than 100 counts per minute over a 100-square-centimeter area when the probe is held 1 centimeter from the surface and moving slower than 2.5 centimeters per second.

Decontamination Corridor: The decontamination setup can be adjusted to meet the needs of the situation.

The decontamination procedures can be altered to meet the needs of the specific situation when compound-and site-specific information is available.

Decontamination Waste: All disposable equipment, clothing, and decontamination solutions will be double-bagged or containerized in an acceptable manner and disposed of with investigation-derived waste.

Decontamination Personnel: Decontamination personnel should dress in the same level of PPE or one level below the entry team PPE level.

All investigation-derived waste should be left on site with the permission of the property owner and the EPA on-scene coordinator. In some instances, another contractor will dispose of decontamination waste and investigation-derived waste. DO NOT place waste in regular trash. DO NOT dispose of waste until proper procedures are established.

Notes:

a Source: Jane’s Information Group. 2002. Jane‘s Chem-Bio Handbook. Page 39.

TETRA TECH, INC.

DAILY TAILGATE SAFETY MEETING FORM

Date: ______________ Time: ________________ Project No.: ________________

Client: __________________________________ Site Location: __________________________

Site Activities Planned for Today: ________________________________________________________

Weather Conditions: __________________________________________________________________

Safety Topics Discussed

Protective clothing and equipment:

Chemical and physical hazards:

Emergency procedures:

Equipment hazards:

Other:

Attendees

Printed Name Signature

Meeting Conducted by:

Name Signature

TETRA TECH EM INC.

HEALTH AND SAFETY PLAN AMENDMENT

Site Name:

Amendment Date:

Purpose or Reason for Amendment:

Required Additional Safe Work Practices or Activity Hazard Analyses:________________________

Required Changes in PPE:

Action Level Changes:

AMENDMENT APPROVAL

RSO or Designee Name Signature Date

Site Safety Coordinator Name Signature Date

Date presented during daily site safety meeting:

TETRA TECH, INC.

FIELD AUDIT CHECKLIST

Project Name: ________________________________ Project No.: _______________________

Field Location: ________________________________ Completed by: _____________________

Project Manager: ________________________ Site Safety Coordinator: _____________________

General Items In Compliance?

Health and Safety Plan Requirements Yes No NA

1 Approved health and safety plan (HASP) on site or available

2 Names of on-site personnel recorded in field logbook or daily log

3 HASP compliance agreement form signed by all on-site personnel

4 Material Safety Data Sheets on site or available

5 Designated site safety coordinator physically present on jobsite

6 Daily tailgate safety meetings conducted and documented on Form HST-2

7 Documentation available proving compliance with HASP requirements for medical examinations, fit testing, and training (including subcontractors)

8 HASP onsite matches scope of work being conducted

9 Emergency evacuation plan in place and hospital located

10 Exclusion, decontamination, and support zones delineated and enforced

11 HASP attachments present onsite (VPP sheet, audit checklist, AHA, etc.)

12 Illness and injury prevention program reports completed (California only)

Emergency Planning

13 Emergency telephone numbers posted

14 Emergency route to hospital posted

15 Local emergency providers notified of site activities

16 Adequate safety equipment inventory available

17 First aid provider and supplies available

18 Eyewash solution available when corrosive chemicals are present

Air Monitoring

19 Monitoring equipment specified in HASP available and in working order

20 Monitoring equipment calibrated and calibration records available

21 Personnel know how to operate monitoring equipment and equipment manuals available on site

22 Environmental and personnel monitoring performed as specified in HASP

Safety Items In Compliance?

Personal Protection Yes No NA

23 Splash suit, if required

24 Chemical protective clothing, if required

25 Safety glasses or goggles (always required)

26 Gloves, if required

27 Overboots, if required

28 Hard hat (always required)

29 High visibility vest, if…