HTP-APP_RFP_Attach 10_Onsite Hazards Form.pdf

PNNL Onsite Vendor Work Hazard Form

RFP # 843396

Anticipated hazards have been identified (checked below) for this work based on the Performance Specification and General

Requirements. Offeror must review the list of hazards below and identify any additional hazards that may be presented by the planned work and return with your proposal.

Hazard Description ☒

Biological Biological research involving potentially infectious or known infectious materials. ☐

Asbestos (TOR-2) Work that is likely to disturb asbestos containing material ☐

Beryllium Article (for Subcontracted Work Activities)

A manufactured item that is formed to a specific shape or design during manufacture, and that does not release beryllium or otherwise results in exposure to airborne concentrations of beryllium under normal conditions of use

Chemical Hazard Awareness All contractor workers must be aware of the chemical hazards they may work with. ☒

Nanoparticles Intentionally-created with one or more dimensions greater than 1 nanometer and less than 100 nanometers

Confined Space Subcontractor entry into confined space ☐

Electrical Diagnostic & Testing Work Using a meter on live conductors over 50 volts. No other work on live parts over 50 volts.

Low Risk Electrical Work Work on live parts where all exposed conductors in the work area are under 50 volts

Work on Cord-Plug Equipment Repair or maintenance work on de-energized equipment which is controlled by exclusive control of cord-and-plug.

Work on Permanently Wired Equipment Repair or maintenance of non-cord-and-plug equipment. ☐

Power Tools Powered tools including battery operated. E.g. Skil saw, sawzall, jigsaws, portable bands, table saws, chop saws, hand drills, drill presses, etc.

Single Purpose Hand Tools (not powered) Non-powered hand tools. E.g. hammers, chisels, screwdrivers, wrenches, pliers, etc.

Hot Work Work involving open flame, welding, cutting, grinding, or any spark-producing activity (including heat, high temperature metal slag, sparks)

PNNL-controlled Radiological Hazards or Access Work presenting a potential exposure to PNNL-controlled radiological hazards ☐

Subcontract-generated Radiological Hazards Subcontractor brings radiological hazards into PNNL space ☐

Embedded 3B/4, Class 1 system - Service/Maintenance with beam operating

Class 1 laser system with embedded Class 3B or Class 4 laser. Servicing, maintenance, or alignment of embedded Class 3B or 4 laser - Operating.

High power Laser (3B/4) Servicing/ maintenance work with a high-power laser operational ☐

High power laser (3B/4) servicing, not operating Class 3B/4 laser servicing or maintenance, not operating ☐

Magnetic Field Equipment or permanent magnet generating magnetic field greater than 5 Gauss in the space

Hoisting and Rigging Crane, hoist, shop crane ☐

Manual Material Handling Manual lifting techniques. ☒

Non-powered Mechanical Material Handling Device Hand truck, dolly cart, lift table ☒

Powered Material Handling Forklifts, powered pallet jack, dock board, liftgate. ☒

Noise Exposure to noise above the action level (85 dBA) ☐

Non-Ionizing Radiation Hazardous levels of nonionizing radiation; including electrical fields, radio frequency, microwave, ultraviolet light, infra-red light, or blue light

Use of Compressed Gas/ Pressure/ Vacuum System Any use of compressed gases or pressure/vacuum systems ☒

Use of Cryogen Any use of cryogen ☒

Elevating Work Platform Subcontractor use of elevating work platform ☐

Fall Hazard Subcontractor exposed to fall hazard ☐

Ladder Subcontractor use of ladder ☐

Scaffold Subcontractor erecting, using, dismantling, or moving scaffold ☐