PROJECT SPECIFIC HEALTH AND SAFETY PLAN FOR THE TUTU WELLFIELD SITE
TUTU WELLS SUPERFUND SITE‐SPECIFIC HEALTH AND SAFETY PLAN (HASP) PROJECT SPECIFIC HEALTH AND SAFETY PLAN (HASP) FOR TUTU WELLS SUPERFUND SITE EPA WORK ASSIGNMENT NUMBER: 031‐RICO‐021D REMEDIAL INVESTIGATION/ FEASIBILITY STUDY UNITED STATES ENVIRONMENTAL PROTECTION AGENCY ST. THOMAS, U.S. VIRGIN ISLANDS Effective Dates: SEPTEMBER 2015 THROUGH FEBRUARY 2019 HDR ENGINEERING ONE INTERNATIONAL BOULEVARD 10TH FLOOR SUITE 1000 MAHWAH, NEW JERSEY 07495 PROJECT NUMBER 147‐254794 This document is confidential and is to be used by those persons whose signatures appear within. Reproduction of this document is strictly prohibited unless approved in writing by the respective HDR Project Manager or Corporate Director of Health and Safety. *537591* 537591 TUTU WELLS SUPERFUND SITE‐SPECIFIC HEALTH AND SAFETY PLAN (HASP) TABLE OF CONTENTS TITLE PAGE ............................................................................................................................... 3 SITE LOCATION PLAN / SITE SKETCH ........................................................................................ …
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TUTU WELLS SUPERFUND SITE‐SPECIFIC HEALTH AND SAFETY PLAN (HASP) PROJECT SPECIFIC HEALTH AND SAFETY PLAN (HASP) FOR TUTU WELLS SUPERFUND SITE EPA WORK ASSIGNMENT NUMBER: 031‐RICO‐021D REMEDIAL INVESTIGATION/ FEASIBILITY STUDY UNITED STATES ENVIRONMENTAL PROTECTION AGENCY ST. THOMAS, U.S. VIRGIN ISLANDS Effective Dates: SEPTEMBER 2015 THROUGH FEBRUARY 2019 HDR ENGINEERING ONE INTERNATIONAL BOULEVARD 10TH FLOOR SUITE 1000 MAHWAH, NEW JERSEY 07495 PROJECT NUMBER 147‐254794 This document is confidential and is to be used by those persons whose signatures appear within. Reproduction of this document is strictly prohibited unless approved in writing by the respective HDR Project Manager or Corporate Director of Health and Safety. *537591* 537591 TUTU WELLS SUPERFUND SITE‐SPECIFIC HEALTH AND SAFETY PLAN (HASP) TABLE OF CONTENTS TITLE PAGE ............................................................................................................................... 3 SITE LOCATION PLAN / SITE SKETCH ........................................................................................ 4 EMERGENCY CONTACTS & APPROVAL ..................................................................................... 5 PRIMARY HOSPITAL ROUTE ...................................................................................................... 6 HISTORY AND WASTE CHARACTERIZATION ............................................................................. 8 HAZARDOUS MATERIAL SUMMARY ......................................................................................... 9 CHEMICAL HAZARD TABLE ..................................................................................................... 10 CHEMICAL HAZARD TABLE (CONTINUED) .............................................................................. 11 TASK DESCRIPTION ................................................................................................................. 12 DESCRIPTION OF RESPONSIBILITIES AND ORGANIZATIONAL STRUCTURE ............................ 13 PERSONAL PROTECTIVE EQUIPMENT BY TASK ...................................................................... 14 AIR MONITORING BY TASK ..................................................................................................... 15 DECONTAMINATION INFORMATION ..................................................................................... 16 WORK ZONE (EXCLUSION, DECONTAMINATION, AND SUPPORT ZONES MAP) .................... 17 POLICY ACKNOWLEDGEMENT PAGE ...................................................................................... 18 List of Appendices Appendix A: Incident Report Form Appendix B: Deviations and Additions Form Appendix C: Visitors Log List of Attachments Slip, Trip, and Fall Prevention (HDR H&S Procedure #3) Hazard Communication (HDR H&S Procedure #6) Traffic Safety (HDR H&S Procedure #17) Personal Protective Equipment (HDR H&S Procedure #21) Noise (HDR H&S Procedure #26) Portable Fire Extinguishers (HDR H&S Procedure #27) Heat Stress (HDR H&S Procedure #28) First Aid and CPR (HDR H&S Procedure #30) Biological Hazards (HDR H&S Procedure #34) Drill Rig Safety (HDR H&S Procedure #37) Additional procedures to be added as necessary TUTU WELLS SUPERFUND SITE‐SPECIFIC HEALTH AND SAFETY PLAN (HASP) SITE SPECIFIC HEALTH AND SAFETY PLAN TITLE PAGE PROJECT NAME TUTU WELLS SUPERFUND SITE FSRI/FS PROJECT COMPANY HDR ENGINEERING SITE ADDRESS VARIOUS SAMPLING LOCATION IN THE ANNA’S RETREAT SECTION, ST. THOMAS, UNITED STATES VIRGIN ISLANDS JOB NUMBER 147‐254794 PROJECT MANAGER DEMETRIOS KLERIDES (HDR) PHONE NUMBER 1‐212‐542‐6012 SITE CONTACT(S) CAROLINE KWAN (USEPA) PHONE NUMBER: 1‐212‐637‐4275 NOTE: ☐ AMENDMENT NO. _____ TO EXISTING APPROVED HASP – DATE EXISTING APPROVED HASP ______________________ OBJECTIVES OF FIELD WORK: SITE TYPE (CHECK ALL THAT APPLY) Preliminary Investigation Objectives: To characterize conditions at the source area. Objectives: Further characterize the source area using focused field investigations to describe the groundwater plume and aquifer, investigate potential contamination sources, close any remaining data gaps, refine the conceptual site model (CSM), complete risk assessments and prepare focused RI/FS reports. ☒ ACTIVE ☐ LANDFILL ☐ NATURAL ☒ INACTIVE ☐ UNCONTROLLED ☐ MILITARY ☐ SECURE ☒ INDUSTRIAL ☐ OTHER (SPECIFY) ☒ UNSECURED ☐ RESIDENTIAL ☐ ENCLOSED SPACE ☐ WELL FIELD SITE DESCRIPTION Summarize below. Include principal operations and unusual features (i.e. containers, buildings, dikes, power lines, hills/slopes, rivers, etc…) The Tutu Wellfield site is located on the eastern end of St. Thomas, U.S. Virgin Islands (USVI), in the Anna’s Retreat section. The site is situated within the upper Turpentine Run surface drainage basin. This basin, which covers approximately 2.3 square miles, trends roughly north‐south and is bounded by the steep slopes of the surrounding hills. During the investigation, the field work will consist of water level monitoring, surface geophysical surveys, borehole drilling/coring, monitoring well installations, borehole geophysics, packer testing, and groundwater sampling to determine the nature and extent of groundwater contamination at the source area and to support the preparation of a focused RI and a FS. SURROUNDING POPULATION: ☒ RESIDENTIAL ☒ INDUSTRIAL ☐ RURAL ☒ URBAN ☒ COMMERCIAL ☐ OTHER: TUTU WELLS SUPERFUND SITE‐SPECIFIC HEALTH AND SAFETY PLAN (HASP) SITE SPECIFIC HEALTH AND SAFETY PLAN SITE LOCATION PLAN / SITE SKETCH TUTU WELLS SUPERFUND SITE‐SPECIFIC HEALTH AND SAFETY PLAN (HASP) SITE SPECIFIC HEALTH AND SAFETY PLAN PRIMARY HOSPITAL ROUTE ADDRESS MAP TO HOSPITAL Nearest Hospital: Schneider Regional Medical Center Schneider Regional Medical Center 9048 Sugar Estate, St. Thomas, VI, USA, 00802 Shown below. E.D. PHONE: (340) 776‐8311 ROUTE Directions to Schneider Regional Medical Center from the site: 1. Head southwest on Smith Bay Rd/Rte 38 toward Fisher St/Flambouyant Ave/Rte 384 (3.7 km) 2. Turn right to stay on Rte 38 (85m) 3. Hospital is on right. Follow signs to the Emergency Department. Directions to hospital acquired from http://maps.google.com/ on 8/27/2015. TUTU WELLS SUPERFUND SITE‐SPECIFIC HEALTH AND SAFETY PLAN (HASP) TRAFFIC SAFETY Important Note: In the Virgin Islands, they drive on the left side of the road; however, most vehicles in the USVI are from the US and have the steering wheel on the left side of the car. Nearly ALL of the roads in the USVI are two‐lane, very narrow roads with little or no shoulder areas and few guardrails even in hilly areas. It is often very difficult to pass a vehicle safely in the USVI (especially since you are driving on the left side with the steering wheel on the left side of the car. Follow all traffic safety laws on the Island when driving. TUTU WELLS SUPERFUND SITE‐SPECIFIC HEALTH AND SAFETY PLAN (HASP) SITE SPECIFIC HEALTH AND SAFETY PLAN HISTORY AND WASTE CHARACTERIZATION HISTORY: The northern CVOC plume, which originates at the Curriculum Center, was identified in the 1995 RI to extend approximately 1,600 feet south, in the direction of the groundwater flow, to a point just southeast of Four Winds Plaza, and was estimated to be 500 feet wide. The highest concentrations of total CVOCs occurred in shallow zone monitoring wells near the source, where CVOC concentrations greater than 1,000 microgram/liter (ug/l) were detected. Concentrations of VOCs in the northern part of the northern plume had not decreased with time, nor had the shape or general extent of VOC contamination changed in this area. This pattern suggested the presence of a continuing source of VOCs to groundwater in the vicinity of the Curriculum Center. Deeper groundwater zones (> 150 feet below ground surface (bgs)) at the Curriculum Center were not investigated during the RI. The principal CVOCs detected in the northern plume were cis-1,2- dichloroethene (DCE), PCE, and trichloroethene (TCE). Vinyl chloride was also detected at high concentrations in the northern plume, but its detection was restricted to the immediate vicinity of the Curriculum Center. The maximum concentrations detected in the northern plume during the RI were DCE at 2,100 ug/l, vinyl chloride at 1,300 ug/l, PCE at 360 ug/l and TCE at 78 ug/l, all of which exceeded their respective MCLs. WASTE TYPES: ☒ LIQUID ☐ SOLID ☐ GAS ☐ UNKNOWN ☒ OTHER: Drill cuttings (soil and bedrock) and groundwater from well installation, rock coring, and sampling. WASTE CHARACTERISTICS (CHECK ALL THAT APPLY): WORK ZONES (Describe how the exclusion, contamination reduction, and support zones will be delineated in terms that on‐site personnel will recognize. Depict on Work Zone Map Page) ☐ Corrosive ☐ Flammable ☐ Radioactive Work zones will be delineated by traffic safety cones and/or additional safety devices (e.g., caution tape) as determined by the Site HSO. Because several work zones with different types of work will be set up over time (soil & groundwater sampling, well installation/testing, etc.), a standard work area with representative zones cannot be depicted. ☐ Toxic ☒ Volatile ☐ Reactive ☐ Inert Gas ☐ Unknown ☐ Other: HAZARDS OF CONCERN (Check all that apply): PRINCIPAL DISPOSAL METHODS AND PRACTICES (Summarize site specific procedures below): ☒ Heat Stress (H&S Proc. #28) ☒ Noise (H&S Proc. #26) Investigation‐derived waste (IDW) (monitoring well development and purge water, residual drilling fluids, decontamination fluids consisting of wash/rinse water and decontamination chemicals, soil cuttings, and contaminated debris, PPE, plastic sheeting and consumable sampling equipment) will be containerized (drummed) and analyzed for proper off‐site disposal. Non‐Hazardous solid wastes (not IDW) will be disposed of through a disposal service to be arranged by HDR. ☐ Cold Stress (H&S Proc. #29) ☐ Inorganic Chemicals ☐ Explosives/Flammables ☒ Organic Chemicals ☐ Oxygen Deficient Atmospheres ☒ Motorized Traffic ☐ Radiological Hazards ☒ Heavy Machinery ☒ Biological Hazards (H&S Proc. #34) ☒ Slips/Trips/Falls (H&S Proc. #3) ☐ Other: CONFINED SPACES WILL NOT BE ENTERED! If confined spaces are to be entered, a specific confined space entry plan will be developed and implemented in accordance with HDR H&S Policies. TUTU WELLS SUPERFUND SITE‐SPECIFIC HEALTH AND SAFETY PLAN (HASP) SITE SPECIFIC HEALTH AND SAFETY PLAN HAZARDOUS MATERIAL SUMMARY HAZARDOUS MATERIAL SUMMARY (Check all that apply and estimate quantify by category if possible): CHEMICALS SOLIDS SOLVENTS OILS MISCELLANEOUS SLUDGES AMOUNT: AMOUNT: AMOUNT: Unknown AMOUNT: AMOUNT: AMOUNT: ☐ Acids ☐ Fly ash ☒ Chlorinated Solvents ☐ Oily Wastes ☐ Laboratory Wastes ☐ Paint ☐ Pickling Liquors ☐ Asbestos ☐ Hydrocarbons ☐ Gasoline ☐ Pharmaceuticals ☐ Pigments ☐ Caustics ☐ Millings/ Mine Tailings ☐ Alcohols ☐ Diesel Fuel/Oil ☐ Hospital Waste ☐ Metal Sludges ☐ Pesticides ☐ Ferrous Smelter ☐ Ketones ☐ Lubricants ☐ Radiological Waste ☐ POTW Sludges ☐ Dyes/Inks ☐ Non‐Ferrous Smelter ☐ Esters ☐ PCBs ☐ Municipal Waste ☐ Aluminum ☐ Cyanides ☐ Metals ☐ Ethers ☐ PAHs ☐ Construction Debris ☐ Distillation Bottoms ☐ Phenols ☐ Other: ☐ Other: ☐ Other: ☐ Munitions ☐ Other: ☐ Halogens ☐ Other: ☐ Dioxins ☐ Other: OVERALL HAZARD EVALUATION: ☐ HIGH ☐ MEDIUM ☒ LOW (groundwater& soil) ☐ UNKNOWN (soil) (For tasks where the hazards are different, evaluate each one) JUSTIFICATION: Limited exposure to contaminated media. Field crew will wear personal protective equipment (PPE) as outlined in this HASP. FIRE/EXPLOSION HAZARD: ☐ HIGH ☐ MEDIUM ☒ LOW ☐ UNKNOWN BACKGROUND REVIEW: ☒ COMPLETED ☐ INCOMPLETE HDR is continuing to review information for potential source areas. TUTU WELLS SUPERFUND SITE‐SPECIFIC HEALTH AND SAFETY PLAN (HASP) SITE SPECIFIC HEALTH AND SAFETY PLAN CHEMICAL HAZARD TABLE CONTAMINANT HIGHEST OBSERVED CONCENTRATION (Specify units and matrix) OSHA PEL / ACGIH TLV IDLH SYMPTOMS/ EFFECTS OF ACUTE EXPOSURE PHYSICAL PROPERTIES Cis‐1,2‐Dichloroethylene (DCE) CAS: 2,100 ug/L (ppb) in GW PEL: 200 ppm TLV: 200 ppm 1,000 ppm Irritation to eyes, respiratory system, and central nervous system depression. Colorless liquid, usually a mix of the cis‐ and trans‐ isomers, with a slightly acrid, chloroform‐like odor. IP: 9.65 eV Fl.P: 36 – 39°F LEL: 5.6% UEL: 12.8% VP: 180‐265 mmHg Vinyl chloride CAS: 75‐01‐4 1,300 ug/L (ppb) in GW PEL: 1 ppm TLV: 1 ppm Ca ND‐ Weakness, exhaustion, Abdominal pain, Gastrointestinal bleeding Colorless liquid with a pleasant odor at high concentrations IP: 9.99 eV Fl.P: NA LEL: 3.6% UEL: 33.0% VP: 3.3 atm Tetrachloroethylene (PCE) CAS: 127‐18‐4 360 ug/L (ppb) in GW PEL: 100 ppm TLV: 25 ppm 150 ppm Irritation to eyes, nose, and throat; nausea; flush face; skin redness; vertigo; dizziness; incoherence; headache; central nervous system impairment. Colorless liquid with mild chloroform like odor. IP: 9.32 eV Fl.P: NA LEL: NA UEL: NA VP: 14 mmHg Trichloroethylene (TCE) CAS: 79‐01‐6 78 ug/L (ppb) in GW PEL: 100ppm TLV: 50ppm 1,000 ppm Irritation to eyes, nose, and throat; nausea; flush face; neck; vertigo; dizziness; incoherence; headache; central nervous system impairment. Colorless liquid with mild chloroform like odor. IP: 9.45 eV Fl.P: NA LEL: 8% UEL: 10.5% VP: 14 mmHg SOURCES: ACGIH Threshold Limit Values and Biological Exposure Indices (2014); NIOSH Pocket Guide to Chemical Hazards (2007) NA = Not Available NE = Not Established A = Air S = Soil SW = Surface Water GW = Groundwater T = Tailings SL = Sludge W = Waste D = Drums SD = Sediment U = Unknown OFF = Offsite IP = Ionization Potential eV = electron volts LEL = Lower explosive limit UEL = Upper explosive limit VP = Vapor Pressure mmHg = milligrams of mercury Fl.P = Flashpoint TUTU WELLS SUPERFUND SITE‐SPECIFIC HEALTH AND SAFETY PLAN (HASP) SITE SPECIFIC HEALTH AND SAFETY PLAN CHEMICAL HAZARD TABLE (CONTINUED) HAZARD COMMUNICATIONS STANDARD A notebook or binder containing this Site Specific Health and Safety Plan will be taken in the field with the crew and kept in the vehicle. As part of the investigation activities, chemicals expected to be on‐site include: Calibration gasses in small, disposable cylinders o Isobutylene o Multi‐Gas (Hydrogen sulfide, Methane, Oxygen, Carbon Monoxide, and Oxygen balance) Sample preservatives contained within pre‐preserved sample containers. Quantities are small but sufficient for proper sample preservation. o Hydrochloric Acid (HCl) o Sodium Hydroxide (NaOH) o Nitric Acid (HNO3) Decontamination Chemicals o Non‐Phosphate Detergent (i.e. Alconox or similar) Fuels and Oils o Gasoline o Motor Oil A complete and current inventory of chemicals to be brought on‐site and their appropriate Safety Data Sheets (SDS, formerly known as Material Safety Data Sheets – MSDS) will accompany these chemicals. The SDSs will be kept in the field office and on‐site in the vehicle used for the investigation activities. TUTU WELLS SUPERFUND SITE‐SPECIFIC HEALTH AND SAFETY PLAN (HASP) SITE SPECIFIC HEALTH AND SAFETY PLAN TASK DESCRIPTION FIELD ACTIVITIES COVERED UNDER THIS PLAN – ATTACH ACTIVITY HAZARD ANALYSIS FOR EACH TASK TASK DESCRIPTION TYPE PRIMARY CONTINGENCY HAZARD SCHEDULE 1 Site Reconnaissance (Site survey; land surveying) ☐ Intrusive LEVEL D EXIT AREA ☐HIGH ☐MED ☒ LOW ☒ Non‐Intrusive ☒ Modified ☐ Modified 2 Mobilization / Demobilization of Personnel and Equipment ☐ Intrusive LEVEL D EXIT AREA ☐HIGH ☐MED ☒ LOW ☒ Non‐Intrusive ☒ Modified ☐ Modified 3 Hydrogeologic Assessment/Monitoring Well Installation, Development, and Testing ☒ Intrusive LEVEL D EXIT AREA ☐HIGH ☐MED ☒ LOW ☐ Non‐Intrusive ☒ Modified ☐ Modified 4 Monitoring Well Installation, Development and Testing (i.e. Soil Boring, Drilling, and Testing, Monitoring Well Installations, Rock Coring) ☒ Intrusive LEVEL D EXIT AREA ☐HIGH ☐MED ☒ LOW ☐ Non‐Intrusive ☒ Modified ☐ Modified 5 Environmental Sampling (i.e. groundwater, surface soil, subsurface soil, surface water, potable water, sediment, vapor/air) ☒ Intrusive LEVEL D EXIT AREA ☐HIGH ☐MED ☒ LOW ☐ Non‐Intrusive ☒ Modified ☐ Modified 6 Ecological Characterization ☐ Intrusive LEVEL D EXIT AREA ☐HIGH ☐MED ☒ LOW ☒ Non‐Intrusive ☒ Modified ☐ Modified 7 Geotechnical Survey ☐ Intrusive LEVEL D EXIT AREA ☐HIGH ☐MED ☒ LOW ☒ Non‐Intrusive ☒ Modified ☐ Modified 8 Investigation Derived Wastes (IDW) Characterization and Disposal ☐ Intrusive LEVEL D EXIT AREA ☐HIGH ☐MED ☒ LOW ☒ Non‐Intrusive ☒ Modified ☐ Modified PERSONNEL AND RESPONSIBILITIES (Include subcontractors if applicable). Responsibilities and the reporting organizational structure are described on the following page. NAME PHONE DATE OF LAST TRAINING DATE OF LAST HEALTH CLEARANCE RESPONSIBILITIES ON‐SITE (YES/NO) List Task Numbers DEMETRIOS KLERIDES 1‐212‐542‐6012 JANUARY 2015 NA PROJECT MANAGER NO NA CHRISTOPH STANNIK 1‐484‐325‐1937 JANUARY 2015 OCTOBER 2014 SITE COORDINATOR, FIELD TEAM LEADER, SITE HEALTH & SAFETY OFFICER YES 1‐8 TBD TBD TBD TBD FIELD TEAM MEMBER YES 1‐8 TBD TBD TBD TBD FIELD TEAM MEMBER YES 1‐8 TBD TBD TBD TBD FIELD TEAM MEMBER YES 1‐8 TBD TBD TBD TBD FIELD TEAM MEMBER YES 1‐8 TBD TBD TBD TBD FIELD TEAM MEMBER YES 1‐8 TUTU WELLS SUPERFUND SITE‐SPECIFIC HEALTH AND SAFETY PLAN (HASP) SITE SPECIFIC HEALTH AND SAFETY PLAN DESCRIPTION OF RESPONSIBILITIES AND ORGANIZATIONAL STRUCTURE 1. Site Safety and Health Personnel: The Site Health and Safety Officer (HSO), in conjunction with the Site Coordinator, ensure that the provisions of this HASP are adequate and implemented effectively in the field. The Project Manager is to take all necessary actions to guarantee Site Safety. Changing field conditions may require decisions to be made concerning adequate protection programs and may require deviations and/or additions to this HASP. All deviations and/or additions must be documented and approved by the HSO on the DEVIATIONS AND ADDITIONS form located in Appendix B. Personnel assigned to the role of HSO must be experienced and meet the additional training requirements specified by OSHA in 29 CFR 1910.120 and this HASP. The HSO is also responsible for conducting site inspections on a regular basis in order to ensure the effectiveness of this plan. 2. Organizational Structure and Responsibilities: 1. Project Manager (PM) Overall responsible for project schedule; Develop cost estimates for work identified; Identify scope of work and estimate schedule for work; Determine the technical and field teams. 2. Site Coordinator / Field Lead (Reports to “1” – Project Manager when PM is onsite, otherwise in charge) Enforce disciplinary action when unsafe acts or practices occur; Grant permission for site access (including visitors, see Appendix C); Designate site security; Enforce the buddy system; Attend all pre‐entry Site Safety Briefings Serve as the facilitator of communications in emergencies. 3. Site Health and Safety Officer (HSO) (Reports to “2” – Site Coordinator) Maintain daily field log book and health and safety file for the project; Conduct safety meetings; Monitor on‐site hazards and conditions; Enforce safety procedures; Designate facilities and equipment for health and safety; Select, dispense, and ensure availability of Personal Protective Equipment (PPE) Maintain copies of instrument operation manuals and maintain records of usage and calibration; Periodically inspect PPE and sure proper storage and maintenance; Monitor for heat stress; Set up decontamination lines, control decontamination; prepare decontamination solutions; and monitor; Train employees on site‐specific emergency procedures, and evacuation routes; Control entry and exit at site access control points; Confirm an employee’s suitability for work based on physician’s recommendation. 4. Other On‐Site Personnel (Report to “2” – Site Coordinator) TUTU WELLS SUPERFUND SITE‐SPECIFIC HEALTH AND SAFETY PLAN (HASP) SITE SPECIFIC HEALTH AND SAFETY PLAN PERSONAL PROTECTIVE EQUIPMENT BY TASK PROTECTIVE EQUIPMENT: Specify by task. Indicate type and/or material(s) as necessary. SITE RECONNAISSANCE AND MOBILIZATION MONITORING WELL INSTALLATION, DEVELOPMENT AND TESTING TASKS: 1 2 3 4 5 6 7 8 ☒ PRIMARY TASKS: 1 2 3 4 5 6 7 8 ☒ PRIMARY PPE LEVEL: A B C D MODIFIED ☐ CONTINGENCY PPE LEVEL: A B C D MODIFIED ☐ CONTINGENCY RESPIRATOR PROTECTIVE CLOTHING RESPIRATOR PROTECTIVE CLOTHING ☒ Not Needed ☒ Not Needed ☒ Not Needed ☒ Not Needed ☐ SCBA or Airline: ☐ Encapsulated Suit: ☐ SCBA or Airline: ☐ Encapsulated Suit: ☐ APR: ☐ Splash Suit: ☐ APR: ☐ Splash Suit: ☐ Cartridge: ☒ Apron: Optional ☐ Cartridge: ☒ Apron: Optional; See Below ☐ Escape Mask: ☒ Disposable Coverall: Optional ☐ Escape Mask: ☒ Disposable Coverall: Optional ☐ Other: ☐ Saranex Coverall: ☐ Other: ☐ Saranex Coverall: ☐ Cloth Coverall: ☐ Cloth Coverall: HEAD AND EYE PROTECTION ☒ Other: Shorts; Optional; See Below HEAD AND EYE PROTECTION ☒ Other: Shorts; Optional; See Below ☒ Safety Glasses: ☒ Safety Glasses: ☐ Face Shield: GLOVES ☐ Face Shield: GLOVES ☐ Goggles: ☐ Not Needed ☐ Goggles: ☐ Not Needed ☒ Hard Hat: ☐ Under Gloves: ☒ Hard Hat: ☐ Under Gloves: ☐ Other: ☒ Gloves: See Below ☐ Other: ☒ Gloves: See Below ☐ Over Gloves: ☐ Over Gloves: BOOTS / FOOT PROTECTION ☐ Other: BOOTS / FOOT PROTECTION ☐ Other: ☐ Not Needed ☐ Not Needed ☒ Boots: See Below OTHER PPE ☐ Boots: See Below OTHER PPE ☐ Over boots: ☒ Hi‐Visibility Safety Vest: See Below ☐ Over boots: ☒ Hi‐Visibility Safety Vest: See Below ☐ Rubber: ☐ ANSI Rated ear plugs ☐ Rubber: ☒ ANSI Rated ear plugs See Below ADDITIONAL COMMENTS: ADDITIONAL COMMENTS: VESTS: Crews will wear hi‐visibility safety vests (Class II) when conducting work in the vicinity of active roadways, where heavy machinery is being operated, and/or when visibility increases safety of workers. GLOVES: Crews will wear disposable nitrile gloves whenever handling potentially contaminated materials or equipment; whenever handling potentially hazardous substances (i.e. pre‐preserved sample jars with acids); and/or whenever performing sampling. Gloves should be changed as necessary and disposed of properly. BOOTS: ASTM rated safety‐toe work boots (must meet ASTM F 2413). CLOTHING: Crews can wear light summer clothing to allow for free air movement and sweat evaporation. If splash protection is required, disposable coveralls or aprons can be worn. VESTS: Crews will wear hi‐visibility safety vests (Class II) when conducting work in the vicinity of active roadways, where heavy machinery is being operated, and/or when visibility increases safety of workers. GLOVES: Crews will wear disposable nitrile gloves whenever handling potentially contaminated materials or equipment; whenever handling potentially hazardous substances (i.e. pre‐preserved sample jars with acids); and/or whenever performing sampling. Gloves should be changed as necessary and disposed of properly. BOOTS: ASTM rated safety‐toe work boots (must meet ASTM F 2413). EAR PLUGS or EAR MUFFS: To be worn whenever working near heavy machinery (i.e. drill rigs) or whenever the individual is exposed to elevated noise levels as described in HDR H&S Policy #26. CLOTHING: Crews can wear light summer clothing to allow for free air movement and sweat evaporation. If splash protection is required, disposable coveralls or aprons can be worn. TUTU WELLS SUPERFUND SITE‐SPECIFIC HEALTH AND SAFETY PLAN (HASP) SITE SPECIFIC HEALTH AND SAFETY PLAN AIR MONITORING BY TASK MONITORING EQUIPMENT: Specify by task. Indicate type as necessary. Attach additional sheets as necessary. INSTRUMENT APPLICABLE TASKS ACTION GUIDELINES COMMENTS (Include schedule of use) Portable Gas Monitor / Multi‐Gas Monitor (i.e. RAESystems MultiRAE or similar device) NOTE: If multi‐gas monitor also contains a Photoionization Detector (PID) sensor and a separate PID is not used, follow the information and procedures provided under the PID equipment information. 3, 4, 5 LEL 0 – 10% LEL No explosion hazard. 10‐25% LEL Potential explosion hazard; Notify HSO >25% LEL EXPLOSION HAZARD; Interrupt task/ Evacuate; Notify HSO OXYGEN (O2) 20.9% O2 Normal oxygen level. <20.5% O2 Oxygen deficient; Notify HSO <19.5% O2 Interrupt task / Evacuate; notify HSO HYDROGEN SULFIDE (H2S) 0 – 1 ppm < 1 ppm Use caution and continue with increased monitoring. < 5 ppm H2S Hazard; Notify HSO; Interrupt Task/Evacuate. Photoionization Detector (i.e. MiniRAE 3000 or similar device) Lamp: 3, 4, 5 If TOTAL VOCs ≥ 5ppm above background in the breathing zone and sustained for 5 or more minutes then all personnel shall evacuate the site / work area. Contact the HSO and re‐evaluate the site after 30 minutes. The HSO will re‐enter the site from the upwind direction and monitor with the PID. Once the volatile levels are below 1ppm work may resume. PID monitoring will be conducted continuously to ensure concentrations do not exceed safe levels. If it is determined that VOC concentrations are often ≥ 5ppm during investigation activities, intrusive work activities will not resume until the chemical(s) causing the elevated readings are identified and the appropriate respiratory protection has been selected and is made available. If such a deviation from the original HASP is necessary, an amendment to the HASP will be made. ☐ 11.7 eV ☒ 10.6 eV ☐ 9.8 eV ☐ Other: TUTU WELLS SUPERFUND SITE‐SPECIFIC HEALTH AND SAFETY PLAN (HASP) SITE SPECIFIC HEALTH AND SAFETY PLAN DECONTAMINATION INFORMATION DECONTAMINATION PROCEDURES ATTACH SITE MAP INDICATING EXCLUSION, DECONTAMINATION, AND SUPPORT ZONES AS PAGE TWO OF THIS SECTION NOTE: Due to the size of the site and the relatively limited area generally impacted during intrusive investigation work such as advancing soil borings and installing wells, exclusion zones will be limited to the area immediately around the monitoring well and/or soil boring location and delineated by the field crew using visible demarcation devices such as, but not limited to, traffic cones, saw‐horse style barricades, and/or caution tape as necessary. Decontamination and support zones will be similarly marked by the field crew. Should elevated PPE Levels (levels beyond Level D) be required, additional measures will be determined at such time by the HSO and Project Management personnel and amendments to the HASP will be made if necessary before work continues. PERSONNEL DECONTAMINATION SAMPLING EQUIPMENT DECONTAMINATION HEAVY EQUIPMENT DECONTAMINATION Summarize below and/or attach diagram; discuss use of work zones. Summarize below and/or attach diagram; discuss use of work zones. Summarize below and/or attach diagram; discuss use of work zones. Only disposable personal PPE will be used, and personnel decontamination is not anticipated to be needed. Non‐disposable sampling equipment such as soil augers and groundwater sampling pumps will be decontaminated using wash water with Liquinox™/Alconox™ detergent, followed by rinsing with potable water. Pumps will run in containers with wash water and potable water, and soil sampling equipment will be cleaned in trays or buckets containing these liquids. Heavy equipment (drill rig and down‐hole tools that have come into contact with potentially contaminated soil, rock, or groundwater) will be decontaminated by the respective contractor using decontamination solutions (generally, wash water with Liquinox™/Alconox™ detergent, followed by rinsing with potable water), which will be applied using suitable methods such as manual scrubbing, pressure washers, etc. ☒ Not Needed ☐ Not Needed ☐ Not Needed CONTAINMENT AND DISPOSAL METHOD CONTAINMENT AND DISPOSAL METHOD CONTAINMENT AND DISPOSAL METHOD Gloves and disposable clothing will be placed in sealed plastic bags and disposed of as municipal waste. Decontamination fluids (wash/rinse water and decontamination chemicals) will be containerized (drummed) at the point of generation and transported to the designated IDW staging area (TBD ‐ either the City of Orange water department complex on Beech Street or the Department of Works garage on Center Alley) and analyzed for proper off‐site disposal. Following proper characterization, the drummed waste will be transported and disposed of by the designated IDW contractor. Decontamination fluids (wash/rinse water and decontamination chemicals) will be containerized (drummed) at the point of generation and transported to the designated IDW staging area (TBD ‐ either the City of Orange water department complex on Beech Street or the Department of Works garage on Center Alley) and analyzed for proper off‐site disposal. Following proper characterization, the drummed waste will be transported and disposed of by the designated IDW contractor. TUTU WELLS SUPERFUND SITE‐SPECIFIC HEALTH AND SAFETY PLAN (HASP) SITE SPECIFIC HEALTH AND SAFETY PLAN WORK ZONE (EXCLUSION, DECONTAMINATION, AND SUPPORT ZONES MAP) WORK ZONE SITE MAP NOTE: Due to the size of the site and the relatively limited area generally impacted during intrusive investigation work such as advancing soil borings and installing wells, exclusion zones will be limited to the area immediately around the active work zone (i.e. soil boring or monitoring well) and delineated by the field crew using visible demarcation devices such as but not limited to traffic cones, saw‐horse style barricades, and/or caution tape as necessary. Decontamination and support zones will be similarly marked by the field crew. Should elevated PPE Levels (levels beyond Level D) be encountered, additional measures will be determined at such time by the HSO and Project Management personnel and amendments to the HASP will be made if necessary. Unauthorized personnel and the general public shall be kept at a safe distance and will be prevented access to the active work zone (Exclusion Zone). Staging areas for heavy equipment and for temporary IDW storage will be determined with assistance from USEPA and appropriately protected and marked. CONCEPTUAL WORK ZONE LAYOUT SUPPORT ZONE CONTAMINATION REDUCTION ZONE CONTAMINATED ZONE / WORK ZONE DECON CORRIDOR WIND ACCESS POINT ACCESS POINT TUTU WELLS SUPERFUND SITE‐SPECIFIC HEALTH AND SAFETY PLAN (HASP) SITE SPECIFIC HEALTH AND SAFETY PLAN POLICY ACKNOWLEDGEMENT PAGE The following personnel have read and fully understand the contents of this Site Health and Safety Plan and the referenced HDR Health & Safety Procedures and further agree to all requirements contained herein. Furthermore, the individuals are fully trained and have the required clearances in accordance with HDR Health & Safety Procedure #20. ATTACH ALL COPIES OF CURRENT HTRW AND FIRST AID TRAINING, MEDICAL CLEARANCE, AND RESPIRATORY FIT TEST RECORDS AS NECESSARY. NAME AFFILIATION DATE SIGNATURE DEMETRIOS KLERIDES HDR ENGINEERING CHRISTOPH STANNIK HDR ENGINEERING TUTU WELLS SUPERFUND SITE‐SPECIFIC HEALTH AND SAFETY PLAN (HASP) APPENDIX A ACCIDENT REPORTING All accidents, injuries, and illnesses which occur from performing project related activities in this HASP require that the injured person(s) and the Site Health & Safety Officer (HSO) complete an INCIDENT REPORT. If access to the HDR Health & Safety portal is available the report can be submitted online; if access to the HDR Health & Safety portal is not available an hard copy version will be filled out and forwarded to the Corporate Director of Safety or a representative in the corporate Health & Safety Department: Mr. Jim Woolcott 8404 Indian Hills Drive Omaha, NE 68114‐4098 Tel: (402) 399 ‐ 4823 TUTU WELLS SUPERFUND SITE‐SPECIFIC HEALTH AND SAFETY PLAN (HASP) ACCIDENT / INCIDENT REPORTING FORM Part 1 – Incident Details Name of Exposed/Injured Employee Name of Employee Completing Form Incident Date Incident Time AM or PM (circle one) Did incident occur within working hours?