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Basewide Site Safety and Health Plan Former Fort Ord, California

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Basewide Site Safety and Health Plan Former Fort Ord, California BASEWIDE SITE SAFETY AND HEALTH PLAN FORMER FORT ORD, CALIFORNIA TOTAL ENVIRONMENTAL RESTORATION CONTRACT CONTRACT NO. DACW05-96-D-0011 TASK ORDER NO. 011 Submitted to: U.S. Department of the Army Corps of Engineers, Sacramento 1325 "J" Street Sacramento, California 95814-2922 Submitted by: Shaw Environmental, Inc. #4 All Pro Lane Marina, California 95045 December 2004 Revision 8 Issued to:___________________________ Date:_______________ Copy #:_______ Controlled Uncontrolled BASEWIDE SITE SAFETY AND HEALTH PLAN FORMER FORT ORD, CALIFORNIA TOTAL ENVIRONMENTAL RESTORATION CONTRACT CONTRACT NO. DACW05-96-D-0011 TASK ORDER NO. 011 December 2004 Revision 8 Approved by: Date: Peter Kelsall Project Manager Approved by: Date: Tom Ghigliotto Contractor Quality Control System Manager Approved by: Date: Charles Luckie Site Safety and Health Officer Approved by: Date: Rudy VonBurg, C.I.H. Program Certified Industrial Hygienist CONTRACT NO. DACW05-96-D-0011 SITE SAFETY AND HEALTH PLAN ACKNOWLEDGMENT FORM The contract for the above project requires that you be provided with complete formal and site- specific training; that you be supplied with proper personal protective equipment, including respirators; that you be trained in its use; and that you receive a medical examination to evaluate your physical capacity to perform your assigned work tasks under the environmental conditions expected while wearing the required personal protective equipment. These provisions are to be done at no cost to you. By signing this certification, you are acknowledging that your employer has met these obligations to you. I HAVE REVIEWED, UNDERSTAND, AND AGREE TO FOLLOW THE SITE SAFETY AND HEALTH PLAN FOR THE FORT ORD REMEDIAL ACTION SITE. PRINTED NAME SIGNATURE REPRESENTING DATE CONTRACT NO. DACW05-96-D-0011 TRAINING ACKNOWLEDGMENT FORM By signing this certificate, you are acknowledging that you have completed the following formal training courses that meet Occupational Health and Safety Administration (OSHA) requirements: SITE-SPECIFIC TRAINING: I have been provided and have completed the site-specific training required by this Contract. The Site Safety and Health Officer conducted the training. ____________________ Employee/Visitor Initials RESPIRATORY PROTECTION: I have been trained in accordance with the criteria in Shaw Environmental’s/my Employer's Respiratory Protection Program. I have been trained in the proper work procedures and use the limitations of the respirator(s) I will potentially wear. I have been trained in and will abide by the facial hair policy. ____________________ Employee/Visitor Initials RESPIRATOR FIT-TEST TRAINING: I have been trained in the proper selection, fit, use, care, cleaning, maintenance, and storage of the respirator(s) that I will potentially wear. I have been fit-tested in accordance with the criteria in Shaw Environmental’s /my Employer's Respiratory Protection Program and have received a satisfactory fit. I have been assigned my individual respirator. I have been taught how to properly perform positive and negative pressure fit-check upon donning negative pressure respirators each time. ____________________ Employee/Visitor Initials MEDICAL EXAMINATION: I have had a medical examination within the last 12 months, which was paid for by my employer. The examination included health history and pulmonary function tests and may have included an evaluation of a chest x-ray. A physician made a determination regarding my physical capacity to perform work tasks on the project while wearing protective equipment, including a respirator. I was personally provided a copy and informed of the results of that examination. My employer's Site Safety and Health Officer evaluated the medical certification provided by the physician and signed the appropriate blank below. The physician determined that there were: no limitations to performing the required work tasks: ____________________ Employee/Visitor Initials identified physical limitations to performing the required work tasks: ____________________ Employee/Visitor Initials [Employee's] [Visitor's] Signature _______________________________________________________ Date ______________________________________________________________________________ Printed Name _______________________________________________________________________ Social Security Number _______________________________________________________________ Employer's Site Safety and Health Officer Signature _________________________________________ Date ______________________________________________________________________________ Printed Name _______________________________________________________________________ Social Security Number ________________________________________________________________ _________________________________________________________ Table of Contents________________________________________________ List of Tables ................................................................................................................................................ v List of Figures ...............................................................................................................................................vi List of Forms................................................................................................................................................viii List of Appendices .........................................................................................................................................ix Acronyms and Abbreviations......................................................................................................................... x 1.0 Introduction.....................................................................................................................................1-1 1.1 Document Organization........................................................................................................1-2 1.2 Site Description ....................................................................................................................1-4 1.2.1 Operable Unit 1 Groundwater Treatment System....................................................1-6 1.2.2 Operable Unit 2 Groundwater Treatment System....................................................1-6 1.2.3 Sites 2/12 Groundwater Treatment System.............................................................1-7 1.2.4 Operable Unit 2 Landfills .........................................................................................1-7 1.2.5 Site 39 Impact Area.................................................................................................1-8 1.2.6 Site 39A East Garrison Area ...................................................................................1-8 1.2.7 Munitions Response Sites.......................................................................................1-9 1.2.8 Operable Unit Carbon Tetrachloride Plume.............................................................1-9 1.2.9 Aboveground and Underground Storage Tank Sites...............................................1-9 1.3 Site-Specific Work Plans ....................................................................................................1-10 1.4 Regulatory Guidance..........................................................................................................1-10 2.0 Organization, Qualifications, and Responsibilities ..........................................................................2-1 2.1 All Personnel ........................................................................................................................2-1 2.2 Occupational Physician ........................................................................................................2-1 2.3 Certified Industrial Hygienist.................................................................................................2-1 2.4 Site Safety and Health Officer ..............................................................................................2-2 2.5 Health and Safety Technicians.............................................................................................2-3 2.6 Unexploded Ordnance Safety Officer...................................................................................2-4 2.7 Senior Unexploded Ordnance Supervisor ............................................................................2-4 2.8 Unexploded Ordnance Avoidance/Escort Personnel............................................................2-4 2.9 Project Manager ...................................................................................................................2-5 2.10 Superintendent.....................................................................................................................2-5 2.11 Independent Certified Industrial Hygienist............................................................................2-5 2.12 Subcontractors .....................................................................................................................2-6 3.0 Hazard Analysis and Risk Assessment...........................................................................................3-1 3.1 Activity Hazard Analysis .......................................................................................................3-1 3.2 Job Safety Analysis ..............................................................................................................3-2 3.3 Safety Observation Program ................................................................................................3-2
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