GSOP 351F1: Office HSE Sample

Outline and Guide for HASAP Development HSEP 2.12f1, Rev. 9 The following topics should be considered when developing the HASAP. Due to project and/or site specific issues, it may not be necessary to include all topics, and, conversely, it may be appropriate to address additional topics in order to provide a comprehensive hazard assessment and mitigation plan. Where appropriate the HASAP information may be integrated with the Project Execution Plan. 1.0 INTRODUCTION 1.1. Project Description Provide a brief description of the project including:  Project Name  Project Location  Project Number  Client/owner name  Key project contributors, as appropriate, including partners  General description of project scope including a general indication of size and complexity  Primary role of Jacobs  Unique project conditions (e.g., owner controlled insurance program) 1.2. HSE Policy When a site or project-specific policy is required and agreed to by Jacobs and the client, it should support the Jacobs policy stated in GSOP 350. 1.3. Objectives Describe the project-specific HSE objectives and targets. Examples of objectives and targets include:  Achieve zero incidents  Achieve OSHA VPP status  Achieve recognition from the client for outstanding performance  Achieve corporate recognition, i.e., HSE Awards program (ref. HSEP 1.8)  Percent improvement in HSE performance based on a lagging metric (e.g., E-1, OSHA recordable, etc.) Refer to HSEP 5.3, HSE Performance Metrics, for definitions of key performance metrics. 2.0 PROJECT SCOPE AND SCHEDULE 2.1. Description of Work Provide a description of the work to be performed consistent with that provided in the Project Execution Plan. The description of the work should include definition of the various work phases where appropriate. Copyright © 2012 Jacobs Engineering Group Inc. All rights reserved. The contents of this document are proprietary and produced for the exclusive benefit of Jacobs Engineering Group Inc and its affiliated companies. No part of this document may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior written approval of Jacobs Engineering Group Inc.

The applicable version of this document resides in the Business Practices section of http://JNet.jacobs.com.. All copies are considered to be uncontrolled.

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2.2. Work Environment Describe the physical working environment including the processes, equipment, work areas, and areas adjacent to the project work area. 2.3. Schedule Provide a summary of the overall project schedule addressing the following:  Project start  Mobilization  Start and end of different project phases  Project milestones  Key events related to implementation of the HSE program (SER dates, internal audits, cold eyes reviews, etc.)  Project completion 2.4. Project Manpower Provide an estimate of the number of personnel. List separately the number of Jacobs employees, subcontractor, and contractor workers that will be on site during the various phases of the project. Indicate the number of shifts to be worked and the normal work hours for each shift. 3.0 CONTRACT AND REGULATORY HSE REQUIREMENTS 3.1. Client/owner Requirements Describe the specific HSE policies and procedures required by the client/owner to be implemented on the project. Identify client/owner requirements that Jacobs is required to implement. Perform a gap analysis between the client/owner requirements and the Jacobs requirements to identify potential areas for concern and a plan to resolve the concerns. 3.2. HSE Roles and Responsibilities Describe the HSE roles and responsibilities of all parties involved with the project, preferably by quoting actual contractual language. Address expectations of the client/owner regarding company HSE. Refer to the Safety Management Roles and Responsibilities, January 2006 corporate directive for details. 3.3. Contract Indemnification Assure that contract indemnification is addressed in each subcontract issued by the company. Indemnification text between the client/owner and the construction contractor shall include indemnification language provided by the Jacobs Legal Department. 3.4. Regulatory Inspections Describe the procedure for response to and management of a regulatory agency inspection (ref. HSEP 2.4.) The procedure shall address:  Notification requirements for client/owner, contractor, and subcontractor and Jacobs personnel  Participation in the inspection process by Jacobs project management personnel

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4.0 HSE MANAGEMENT AND STAFFING 4.1. Project Management Describe the project management structure consistent with the project organization defined in the Project Execution Plan. 4.2. HSE Roles and Responsibilities General HSE roles and responsibilities are defined in HSEP 1.5. Additional project-specific roles and responsibilities should be defined for the following, as appropriate:  Project Manager  Site Manager  Site Supervisors and Foremen  Site employees  Site HSE Manager/Supervisor/Coordinator  Corporate HSE Management  Client personnel  Contractors, subcontractors, vendors, etc.  Visitors 4.3. Leadership Engagement Describe the expectations and strategies for engagement of management and supervision in the HSE program. Describe the process or tool that will be used to assess the engagement of leadership on a regular basis. 4.4. HSE Staffing Describe the strategy for provision of HSE support for the duration of the project. Provide a list of the HSE personnel assigned to the project with contact information. In addition, provide a list of client and subcontractor HSE personnel with contact information. Describe the criteria for determining when a full-time HSE representative is required on site and for incrementally increasing the HSE presence on site. 4.5. Key Client Contacts Provide a list of the key client personnel with contact information. 5.0 PERSONNEL AND CONTRACTOR MANAGEMENT 5.1. Selection of Contractors and Suppliers Describe the site specific process for selection of contractors and suppliers. Refer to HSEP 2.9 and GSOP-400, Supply Management, for guidance. 5.2. Medical Services Define the requirements for medical services (ref. HSEP 4.1 and HSEP 4.4) for employees, contractors, and subcontractor employees. Examples of medical services most often required for projects include:  Pre-placement medical examinations  Periodic/interim medical examinations  Medical surveillance tests

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 Termination or exit physical examinations  Routine injury and illness treatment (during work hours)  After-hour injury and illness treatment For each type of medical service, define the procedure for provision of the service (who, what, when, where) and provide the name, address, and contact information for the medical facility or facilities to be utilized. For employee injury and illness treatment, a list of approved medical providers should be obtained from Risk Management. For all required medical services describe the protocols for medical records management. 5.3. Drug Screening and Alcohol Testing Describe the requirements for drug screening and alcohol testing including client/owner requirements that must be implemented. Define how the company drug and alcohol screening program will be implemented including the procedure for random testing. Indicate any reasons for not implementing the full Jacobs drug screening program. Confer with Human Resources to identify any local requirements that may restrict application of the company program. State whether additional regulatory screening requirements will be enforced on the project and specify the agency (DOT, CDL, pipeline, etc.) Describe the specific procedure for the drug and alcohol screening process including procedures for specimen collection, testing, and records management. 5.4. Training and Certification Include a training matrix in this section that specifies the required training (ref. HSEP 3.1) by job title or role including the when, how often, and content of training. At a minimum the training matrix shall define:  HSE orientation training – new employee orientation training for Jacobs employees and site-specific orientation training  Ongoing HSE training – training specific to work activity or hazard  Supervisor training – required supervisor training (for example “Leading Safety Excellence” or “Supervising for Safety” )  Certifications – mobile crane operators, scaffold inspection, trench and excavation inspections, forklift operators, confined space entrant supervisor, etc. 5.5. Signs and Communication Specify the primary language to be used on the project for signs and communication. Where appropriate, include provisions for translating or posting certain warnings and requirements in other languages. 6.0 HSE PROGRAM 6.1. HSE Program Implementation Address each of the following core HSE program elements and describe in detail how they will be implemented based on the scope of the project, client/owner requirements, regulatory requirements and the hazard analysis.  Safe Plan of Action (SPA) (ref. HSEP 2.16)  Safety Observation Report (SOR) (ref. HSEP 2.17) and/or Behavioral Safety Observation Report Process (BSOR) (ref. HSEP 2.18)  Accident and Incident Reporting and Investigation (HSEPs 5.1 and 5.2)

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 Safety Evaluation Report (SER) (ref. HSEP 2.2)  HSE Training (ref. HSEP 3.1) In addition to the program elements identified above, other site-specific programs and activities including but not limited to site audits, site walkthroughs, and others shall be defined in the HASAP. 6.2. Work Control Describe the process for planning, scheduling and control of work activities. Methods and tools for controlling work activities include:  Competent Person Designation (ref. HSEP 2.5)  Work Permits (ref. HSEP 2.7)  Site-specific work order system, etc. In some cases, the client/owner work permit process will be used to ensure that the appropriate precautions are taken prior to work commencing. 6.3. Safety Committee When there is a site safety committee, describe the committee’s charter, area of responsibility, and interface with project management. State frequency and duration of meetings and time and place of meetings. 6.4. Safety Meetings Describe the various safety meetings, which will occur on the project. For each of the various types of safety meetings, state:  the frequency of the meeting,  who will attend the meeting,  who will chair the meeting, and  the method of documentation. 6.5. Project PPE and Dress Code Requirements Define the minimum personal protective equipment and appropriate dress (ref. HSEP 13.1) required for entry onto the project site. Typical minimum PPE and dress requirements include:  Hard hat  Safety glasses with side shields  Hard toe construction type footwear  Long pants/slacks  Shirt/blouse with minimum two-inch sleeves Additional project specific requirements such as high visibility reflective vests, gloves, and other PPE, as well as dress requirements, shall be included as appropriate. 6.6. Environmental Program Describe the primary environmental issues associated with the project and define the requirements for recycling, erosion control, waste segregation, waste reduction, substitution of less hazardous materials, etc. Explain how and when these environmental issues will be evaluated and applied. 6.7. Recognition Programs

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Describe any recognition programs for the project. Recognition can be at the project, group, or individual levels and may include recognition for mile achievement or for participation in HSE activities. Examples of recognition milestones include:  Achieving project HSE milestones (e.g., target number of hours worked without an E-1, OSHA recordable, or lost time injury) and  Reducing incidents by category (e.g., first aids, near misses, etc.). 6.8. Incident Reporting and Investigation Describe the incident reporting and investigation process (ref. HSEP 5.1). Use specific names or job titles to assign responsibility for each step. 6.9. HSE Reports Define the type and frequency of HSE reports (ref. HSEP 5.3) including the information to be contained in the report, distribution of the report, and the person(s) responsible for preparing the report. 7.0 HAZARD ANALYSIS A comprehensive hazard analysis shall be performed based on the scope of the project and the potential hazards in the workplace. The hazard analysis shall take into consideration routine work activities, health hazards associated with chemical and biological exposures, and hazards associated with working in proximity to operating facilities. 7.1. Hazard Identification and Risk Assessment For each work activity in each project phase, perform a hazard analysis to identify the hazards, assess the risk, and define the controls necessary to eliminate or mitigate the risk. Refer to HSEP 2.22, Hazard Identification and Risk Assessment. The hazard analysis may be included as part of this section or referenced from this section and attached to the HASAP. The following list of typical work activities shall be considered along with other project or site- specific tasks and activities. Some of the types of work activities and hazards that can be addressed in HSEP 2.22 include:  Chemical, gas cylinder, and hazardous material handling and storage  Confined space, decontamination, demolition, electrical, and excavation work  Environmental remediation and hazards associated with natural conditions and phenomena such as weather, flora and fauna, terrain, altitude, and endemic diseases  Marine operations (working around or above water)  Operation of tools and heavy equipment and mobile equipment, including crane operations and critical lifts  Operation of or working around pressurized systems and equipment  Operation of small tools and power equipment  Working alone, at elevations, in hot/cold work environments, with lead and/or asbestos. For each hazard, assess the risk of harm to personnel and identify the controls required to eliminate or mitigate the risk. Wherever possible, the controls shall be selected in order of effectiveness. Typical controls include:  Eliminating or minimizing the hazard by changing the design or method,

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 Utilizing engineered safety features such as interlocks, ground fault circuit interrupters (GFCI), etc. to prevent or minimize the extent of the hazard,  Utilizing safety devices such as barriers and guards to protect personnel from the hazard,  Utilizing warning devices to warn personnel of the hazard or condition,  Implementing administrative controls including PPE, work instructions, and training. 7.2. Health Hazard Evaluation Provide a summary of the Health Hazard Evaluation (refer to HSEP 12.1) and include the HHE as an attachment to the HASAP. The summary of the HHE should identify all major health hazard issues including the following:  Monitoring requirements  Equipment required for monitoring  Analysis of monitoring results  Reporting and distribution of results 7.3. Highest Risk Hazards Provide a summary of the highest risk hazards based on risk from the hazard identification and risk assessment process. Describe the control strategies that will be implemented to eliminate or reduce the risk. Control strategies should focus on implementation of the controls with the highest degree of effectiveness and rationale for selection of controls. Highest Risk Hazards Activity or Phase Risk Controls Rationale

7.4. Occupied Facility Location Provide an executive summary of the Occupied Facility Location review process and make reference to the appropriate supporting documents. Refer to HSEP 7.7. 8.0 SITE ACCESS AND CONTROL, VEHICLE SAFETY, AND SECURITY 8.1. Access and Control Describe the process for gaining and controlling access to the site. 8.2. Security Measures Describe the security procedures for the site with consideration for:

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 Security clearance or security pass requirements  Vehicle inspection requirements  Policy regarding contraband or other devices (e.g., mobile phones, cameras, computers, etc.) 8.3. Traffic Plan and Vehicular Safety Describe the site specific traffic and vehicle safety plan (refer to HSEP 21.1 and 21.2) including requirements for the following:  Personnel driving on site  Defensive driving training  Pedestrian safety on site  Heavy equipment use on site  Parking 8.4. Facilities Describe the location and access to common areas and facilities including:  Break facilities  Lunchrooms and cafeterias  Locker rooms and changing rooms  Showers  First aid and medical facilities  Smoking areas 9.0 EMERGENCY RESPONSE PLAN 9.1. Emergency Notification List Provide a list of personnel to be contacted in the event of an emergency (refer to HSEP 2.11). An emergency response matrix is a common method of identifying emergency contacts for various types of emergency situations. The notification list should include appropriate site, client, subcontractor, and corporate personnel. 9.2. General Emergency Response Provide site-specific emergency response procedures that address:  Credible severe weather emergencies (tornado, hurricane, severe thunderstorm, etc.)  Credible natural events (earthquake, flood, etc.)  Bomb threat or threat of terrorism  Social disturbances  Shelter in place areas  Rally or assembly points  Coordination with other emergency response agencies

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In developing the emergency response procedures, consideration should be given to the local political and geographic conditions that may indicate the need for more detailed planning with respect to personnel and equipment evacuation and abandonment of the site. 9.3. Fire Emergency Response Describe the site-specific fire emergency response procedures with consideration for the following:  Location and access to fire extinguishers  Identification of Fire Wardens  Detailed evacuation plan including identification of assembly areas 9.4. Medical Emergency Response Describe the provision for medical emergency services including but not limited to the following:  Location of first aid supplies, AEDs, and other medical supplies and equipment  Identification of first aid and CPR trained personnel  Location of on-site and off-site emergency medical facilities along with contact information, directions, and protocols 9.5. Environmental Spill or Response Procedure Describe the environmental spill response procedure including:  Location of spill and containment equipment and supplies  Identification of training requirements  Identification of on-site and/or off-site resources for spill response 10.0 HSE RECORDS Describe the requirements and process for HSE record retention for various types of HSE records including:  Records of daily toolbox talks  Meeting records  Safety Observation Reports  Planning records  Training records  Certifications  Inspection records  Disciplinary records and records of non-conformity  Audit records Refer to Jacobs Legal for guidance and requirements for retention of records. 11.0 HASAP REVIEW AND APPROVAL Attach the signed HASAP Review and Approval form.

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Date: (date of original HASAP ) Revision Date: (date of latest HASAP revision)

Sign in the space provided below to document review and approval of the HASAP. Copies of the completed HASAP and this form shall be distributed to all persons on the signature block.

Site Manager Signature Date

Site HSE Manager Signature Date

Project Manager Signature Date

Designated Project Executive or Manager of Signature Date Projects

Field Services or Regional Group Signature Date Vice President, as appropriate.

Area/Regional HSE Manager’s Signature Signature Date

Copyright © 2012 Jacobs Engineering Group Inc. All rights reserved. The contents of this document are proprietary and produced for the exclusive benefit of Jacobs Engineering Group Inc and its affiliated companies. No part of this document may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior written approval of Jacobs Engineering Group Inc.

The applicable version of this document resides in the Business Practices section of http://JNet.jacobs.com.. All copies are considered to be uncontrolled.

File Name: 070595d6516312a8a0ed424721d6c2a6.doc