The URL can be used to link to this page

Home My WebLink AboutSLOUNIFLOW_FS1 Admin iRC3926i Color_2473_001Brown, Molly 'tFrom: Sent: lo: Cc: Subject: Tim Conroy < tconroy@earthsystems.com > Wednesday, January 20,2021 8:19 AM Brown, Molly; Callahan, Matt Robert Down; Darrin Hasham 790 Foothill Boulevard, UST Removal Molly and Matt, Following up on our phone conversation yesterday, here is our proposed plan of action to remove the two USTs found at the site. The project developer, Robbins lReed, will apply for the UST removal permit from the SLOFD. They will hire a properly licensed contractor (TBD at this time) to remove the tanks. The tank tops will be exposed and the tank interiors triple- rinsed, with the rinsate collected for proper disposal. The tanks will then be inerted with dry ice prior to lifting from the hole, and loaded out for scrapping. Once the tanks are out, Earth Systems will conduct soil sampling. Depending on the size of the tanks, one or two sampleswillbecollectedfromadepthofabout12inchesbeloweachtank. lfcontaminatedorsuspicious-appearingsoil is noted beneath the tanks, we propose to excavate that material and stockpile it on-site for profiling to determine proper disposal, then collect samples from the excavation bottom/sidewalls. Any stockpiled material will be placed on and covered with visqueen to prevent fugitive odors/dust and erosion by rain. )fhe soil samples will be analyzed at a State-certified lab (OEC in Santa Maria) for total petroleum hydrocarbons as gasoline and volatile organic compounds by EPA Method 82608, and fortotal petroleum hydrocarbons as diesel by EPA Method 8015M. Based on the apparent age of the tanks, we will also analyze for total lead by EPA Method 60108. Once sample results indicate that target contaminants are below applicable screening levels, we will prepare a summary report for submittal to SLOFD to close out the permit. Please send the removal permit application and any other required paperwork to me at this email address, and I will forward it to our client to get the process started. lf you have any questions, please call or email. Thanks, Tim Conroy, PG, CEG Senior Geologist Ea rth Syste m s $J\^rW. ea rth system 5, co m 4378 Old Santa Fe Road - San Luis Obispo, CA 93401 1 tco n rov(a ea rthsvstems.com I '\. 790 FOOTHILL UST PERMIT APPLICATION FEBRUARY 8, 202'I CITY OF SAN LUIS OBISPO FIRE DEPARTMENT Permit Application for Closure of Underground Hazardous Materials Storage Tanks and Piping Check #Fee $Permit # FACILITY: Name and Location Cao lX Foothill. LLC 790 FoothillBlvd. San Luis oo. CA TANK OWNER: Name: Cap lX Foothill, LLC Contact:Blaise Owner Signature Mailing Address: Date: February 4,2021 601 California Blvd Suite 1150. San F CA 941 08 Telephone:(650)906-2448 TANK OPERATOR Name: Unknown Mailing Address CONTRACTOR: Name: Pacific Mailing Address: License Number: TYPE OF CLOSURE ra###'gtsum CA. lnc. PO Box 2646 886124 T T6T 8y.furl CITY Class: A- Gen X Removal tr Closure in place ! Temporary Closure Date of Closure Describe tank(s) and piping involved, include construction materialand size 2- 3'x10' UST's containino u nknown liouid. Unknown no until tanks are excavated. Previous and existing contents U nknown contents/fl uids Sampling performed by (Name, Address and Phone #): Pacific Petroleum CA. lnc. . 1615 E. Betteravia Rd- Santa Maria. CA 93454 Name of state certified lab testing the samples Oilfield Final disposition of tank(s) Final disposition of piping: 1. Tanks and piping hauled off site as hazardous waste (not cleaned) To state permitted facility: Tank haz-waste transporter: Address and phone number: CAL EPA haz-waste transPorter lD# xx 2. Tanks and piping cleaned and hauled off site to metal salvager & Compliance ELAP#2438 Bedford Ent. lnc. 1940 W . Betteravia Rd. Santa Maria, CA 93455 3 Tank cleaning company: Address and phone number: Metalsalvage company: Address and phone number Rinsate haz waste hauler: Address and phone number Pacific Petroleum California. lnc. 1615 E.Rd- Santa Maria. CA 93454 1947 Bedford Enterprises lnc. 1940 W Santa Maria. CA 93455 77 Pacific Petroleum California, lnc. 1615 E. Betteravia Rdr,,) CAL EPA haz-waste transPorter lD#136622 XX C:\Users\jeff\Desktop\Fuel Tank\SLO\UST Closure Permit Application, 2021 .doc Santa Maria. CA 93454 805-925-1947 Brown, Molly )From: Sent: To: Cc: Subject: Tim Conroy <tconroy@earthsystems.com > Wednesday, January 20,2021 8:19 AM Brown, Molly; Callahan, Matt Robert Down; Darrin Hasham 790 Foothill Boulevard, UST Removal Molly and Matt, Following up on our phone conversation yesterday, here is our proposed plan of action to remove the two USTs found at the site. The project developer, Robbins lReed, will apply for the UST removal permit from the SLOFD. They will hire a properly licensed contractor (TBD at this time) to remove the tanks. The tank tops will be exposed and the tank interiors triple- rinsed, with the rinsate collected for proper disposal. The tanks will then be inerted with dry ice prior to lifting from the hole, and loaded out for scrapping. Once the tanks are out, Earth Systems will conduct soil sampling. Depending on the size of the tanks, one or two sampleswillbecollectedfromadepthofabout12inchesbeloweachtank. lfcontaminatedorsuspicious-appearingsoil is noted beneath the tanks, we propose to excavate that material and stockpile it on-site for profiling to determine proper disposal, then collect samples from the excavation bottom/sidewalls. Any stockpiled material will be placed on and covered with visqueen to prevent fugitive odors/dust and erosion by rain. )The soil samples will be analyzed at a State-certified lab (OEC in Santa Maria) for total petroleum hydrocarbons as gasoline and volatile organic compounds by EPA Method 82608, and for total petroleum hydrocarbons as diesel by EPA Method 8015M. Based on the apparent age of the tanks, we will also analyze for total lead by EPA Method 60108. Once sample results indicate that target contaminants are below applicable screening levels, we will prepare a summary report for submittal to SLOFD to close out the permit. Please send the removal permit application and any other required paperwork to me at this email address, and I will forward it to our client to get the process started. lf you have any questions, please call or email. Thanks, Tim Conroy, PG, CEG Senior Geologist Earth Syste m s www.earthsystems,com 4378 old Santa Fe Road - San Luis obispo, CA 93401 1 tconrov(a ea rthsvstems.com 790 E. Foothill Blvd Plot Plan Legend: Red Line - Property Perimeter Blue Box - FuelTanks & Excavation Site \I Excavation Site -) Excavation Site Sampling Legend Excavation # 1 Excavation #2 Dimensions of excavation #1 & 2 are unknown ) tt It TT tt J lt = 8 Wall SamPles & 4 Floor SamPles TABLE OF NTENTS coNFoRMANCE S1GNATURES................ APPLICABILIW and REFERENCES........'..'.'.. SITE VISTIOR REQUI REMENTS................... HEATTH AND SAFETY ORGANIZATION................ PERSONNEL RESPONSIBILITIES.............. TRAINING AND ORIENTATION............... SITE SPECIFIC TRAINING..... JOB SPECIFIC SPECIALIZED TRAINING & MEDICAL CLEARANCE.. SUBSTANCE ABUSE SCREENING.. PROJECT OVERVIEW AND TASK RISK ANA1YSIS............"..... CHEMICAL HAZARDS...... GENERAL PHYSICAL HAZARDS AND PROTECTIVE MEASURES....."......."." BIOLOGICAL HAZARDS...... Page 3 5 7 7 8 9 10 LI 13 13 t4 L4 15 t5 L6 L7 19 t9 2l 2L 2t 22 22 23 23 24 25 26 28 29 29 29 29 30 31 31 31 31 32 32 32 33 34 34 34 3s SITE COM MUNICATIONS P1AN............. PERSONAL PROTECTIVE EQUIPMENT (PPE)............. MINIMUM LEVELS OF PROTECTION................ DESCRIPTION OF USE OF PROTECTION LEVELS... HEARING PROTECTION RESPI RATORY PROTECTION STANDARD OPERATING PROCEDURES (SOPS)........ EXCAVATION SAFEW.......... H IDDEN PRECAUT|ONS.................... EXTERIOR PRECAUT1ONS..................... LOCKOUT/TAGOUT PO11CY.................... TNctDENT PREVENTION PROCEDURES.................... FIRE PREVENTION and PROTECTION WALKING and WORKING SURFACES. MECHANICAL EQUIPMENT HIGH PRESSURE WASHERS VEHICLE and EQUIPMENT SAFETY.. INCIDENT REPORTING.. llPage Cap Xl Foothill, LLCPacific Petroleum California, lnc.Health and Safety Plan MEDICAL EXAM1NAT1ONS.................. NON-CONTRACTOR PERSONNEL MEDICAL MONITORING................ AIR MONITORING ACTIVITY P1AN............. DECONTAMINATION PROCEDURES.................... PERSONNEL HYGENE and DECONTAMINATION.... EQU IPMENT DECONTAMINATION........... HEAVY EQUIPMENT DECONTAMINATION.......".. TOOLS and SMALL EQUIPMENT DECONTAMINATION..".'.'... DISPOSAL of DECONTAMINATION WASTES'.'.'... MANAGEM ENT of DECONTAM INATION WATERS..".... EMERGENCY EQUTPMENT AND FIRST AID REQUIREMENTS............. EMERGENCY RESPONSE AND CONTINGENCY PTAN............. REPORTING AN EMERGENCY.................. EMERGENCY CHAIN OF COMMAND.................... EMERGENCY RESPONSE TEAMS.......... FUNCTIONS OF RESPONSE TEAM MEMBERS.... COMMUNICATION METHODS and SlGNALS........ SPItt CONTAINMENT PROCEDURES POTENTIAL SOURCES and PREVENTATIVE MEASURES..'..'....."."""' SPILL RESPONSE PROCEDURES................ LOGS, REPORTS AND RECORDKEEPING................ HOT WORK PERMIT PROCEDURES (WELDING, CUTTING, OPEN FIAME WORK & SPARKING)...................... ATTACHMENT II RESERVED: SITE-SPECIFIC ACTIVITY HAZARD ANAIYSIS..... AfiACHMENT lll: PROJECT TECHNICAL PIANS........... ATTACHMENT lV RESERVED: SITE SAFETY AUD|TS................. AfiACHMENT V Reserved - BBS Safe Work Observations............. 35 36 36 36 37 37 37 38 38 39 39 39 40 4t 4t 42 42 42 42 43 44 45 45 47 49 50 50 52 53 54 55 55 2lPage Cap Xl Foothill, LLCPacific Petroleum California, lnc.Health and Safety Plan Conformance Signatures This site Health and Safety plan (HASP)has been reviewed and approved bythe individuals below. The undersigned certify that to the best of their knowledge, this HASP meets safety requirements as defined by the project specifications and all known applicable governing regulatory requirements. John Hochleutner, President Pacific Petroleum California, lnc. William Sarten, Project Manager Pacific Petroleum California, lnc. Jeffrey Ledbetter, EH&S Manager Pacific Petroleum California, lnc. Robert "Hoss" Morabito, Operations Manager Pacific Petroleum California, Inc. Date Date Date Date 3lPage Cap Xl Foothill, LLCPacific Petroleum California, lnc Health and SafetY Plan )All lndividuals working on this Project, including subcontractors must read and sign The following personnel have read and fully understand the contents of this Health, Safety and Environmental Plan and further agree to all requirements contained herein. 4lPage Cap Xl Foothill, LLC ) ) SignatureDateAffiliationName Pacific Petroleum California, lnc.Health and Safety Plan Contact 5lPage Cap Xl Foothill, LLC 9tLEmergency 1639 E. Donovan Rd Santa Maria, CA 93455 (80s) s46-7600Sierra Vista Hospital (80s)e2s-1-e47Pacific Petroleum CA office (80s) 260-soooJohn Hochleutner PHONE NUMBERCONTACTAGENCY Pacific Petroleum California, lnc.Health and Safety Plan :l LOCAT MEDICAL: Sierra Vista Regional Medical Center. L0L0 Murray Ave, San Luis Obispo, CA 0.5 miles from jobsite to hospital. V E Foothil g\dd € too'' o d.n q) CA Ea o ir:hill Flara Meinecke Ave Murray Ave 1. Head east on E. Foothill Blvd 2. Turn right onto Pacific Coast Highway / CA-1' 3. Take l't left onto MurraY Ave 4. You reached the Emergency Room destination. a cn 1r\cl2 0, Fa o' ln Sierra Vista llegranai Mpdr{al Center {lt t c c {Ju ---9-*u*€o ay Ave 6lPage Cap Xl Foothill, LLC ) 'tJ Pacific Petroleum California, lnc.Health and Safety Plan ) INTRODUCTION APPLICABI LITY AND REFERENCES ppC has developed the following site Health, Safety and Environmental Plan (HASP) in accordance with the project contract requirements and all Federal, State and Local regulations. All operations, personnel, and equipment used in conjunction with this contract shall, at a minimum, comply with the following: o Project Contract Specifications o Project Health and Safety Plan (This HASP) o PPC Technical Work Plan o OSHA 29 CFR L9L0: Occupational Safety and Health Standards - General lndustry r OSHA 29 CFR 1926: Safety and Health Regulations for Construction o EpA 9285.L-03: Office of Emergency and Remedial Response - Standard Operating Safety Guides o NIOSH 85-LL5: Occupational Safety and Health Guidance Manual for Hazardous Waste Site Activities. o PPC Corporate Health, safety and Environmental Program Manual o Orientation and Training (supervision, Laborers, Operators & Visitors) o Activity Hazard Analysis Process (JHAIHA) o Work permit Process (Safe Work, Hot Work, Confined Space, Hoisting/Lifting, etc.) o Standard Operating Procedures; Emergency Response, Reporting, lncident lnvestigation, lnspections, Audits, Work Procedures, Hazard Communication, Hot Work, Confined Space, Fire prevention, Control of Hazardous Energy (Lockout, Tagout, Tryout), Excavations, Controlled Work Zones, Ladders, Steps, Stairs, Scaffolding Contractor/Vendor Safety Checklist, Heavy Equipment Operation, Forklift Operation, Powered Aerial Platforms o Substance Abuse Policy o Receive site orientation training regarding the project requirements contained in this HASP. Site orientation will be conducted by the Health and Safety Officer (HSO) named in this HASP. o Acknowledge in writing, on page 3 of this HASP titled Conformance Signatures that they have received the site-specific orientation and; therefore, have been trained in and understand the contents of this HASP. The health and safety protocol that is established in this HASP is based upon the known site conditions and or conditions anticipated to be present from established site data. This project HASp is a living document that shall be updated and or revised over the term of this contract as warranted by change in site conditions, scope of work, methods and improvement measures. A copy of this approved HASP shall be maintained at the project site. TlPage Cap Xl Foothill, LLCPacific Petroleum California, lnc. Health and Safety Plan DEFINITIONS The Owner: Cap lX Foothill LLC - Blaise Descollanges The Contractor: PPC - Company retained by owner to conduct the Project. The Proiect: Expose Underground Storage Tanks (UST); unknown contents. Evacuate any remaining liquid and triple rinse. lnert tank using dry ice before removing tank from excavation. Transport evacuated liquid and rinsate to designated recycler. Transport tank to designated recycler. Sample excavation and spoils. Send to lab for analysis. Remediate excavation if required. The Proi ect Site:The area designated as the Contractor work area, located at 790 Foothill San Luis Obispo, CA. Contractor Work Area: An area of the Project site which includes the support zone, access road, staging area, contamination reduction zone and exclusion zone. Active Full Time Proiect Personnel: All personnel who are permanently assigned to the project and required to perform work. Does not include visitors or vendors visiting the site temporarily who are required to be escorted at alltimes by an authorized and trained project employee. eualified Person: A person with a recognized degree, or professional certificate, along with extensive knowledge and experience in the subject field who is capable of doing design, analysis, eva luation and specifications. Competent Person: A person who is capable of identifying existing any predictable hazards in their surroundings/working conditions which are unsanitary, hazardous or dangerous to employees, and who has PPC authorization to take prompt corrective measures to eliminate them. Authorized Personnel: A person that is approved or assigned by their employer to perform a specific type of duty/duties, or to be at a specific location(s) at the Project site. Stop Work Authoritv: EH&S personnel, qualified and competent persons, owner representatives and all project employees shall have the authority to stop work in any situation deemed unsafe to those working on the project site, or in any situation that poses a risk to the environment. Work will remain stopped until the involved parties correct their impact or conditions as per the requirements of this HASP. SlPage Cap Xl Foothill, LLCPacific Petroleum California, lnc.Health and Safety Plan SITE VISTIOR REQUIREMENTS A safe location, where visitors can observe site activities of interest will be established by the HSO. Anyone visiting the site will receive site-specific instructions from the HSO. All visitors shall be escorted by site trained personnel. Visitor training will include, at a minimum; o PPC Project Safety Orientation o Project Hazard Communication Awareness . Activity Hazard Analysis (JHA) Review o Work Permit Process o Safety Meetings and lnspections o PPE requirements; o Decontaminationprocedures; o Emergency procedures, and o Any other site-specific information that the HSO deems necessary Any visitor wishing to enter an established contamination reduction zone (CRZ) or exclusion zone will be required to provide the HSO with documentation of medical monitoring and training equivalent to the requirements of this HASP for that area. Only authorized visitors with written proof that they have been medically certified and trained in accordance with project requirements will be permitted to enter the CRZ and/or exclusion area. The only exception to this rule is for emergency personnel whom may enter the work area without fully complying with the requirements of this subsection. Emergency crews will be quickly briefed as to site conditions and hazards by the HSO. 9lPage Cap Xl Foothill, LLCPacific Petroleum California, lnc.Health and Safety Plan HEALTH and SAFETY ORGANIZATION The following PPC management personnel will be assigned to this Project: o President - John Hochleutner o RME - Robert Morabito o Project Manager - Bill Sarten o HR Manager - Claudia Velasco o Superintendent - Dewey Erickson o Health & Safety Officer(s): George Heather o EH&S Manager -Jeff Ledbetter ln addition to the above listed management, PPC will provide the appropriate number of operators and laborers; as well as the required subcontractors for this project. ORGANIZATION CHART l0 lPage Cap Xl Foothill, LLC HR Manager EH&S Manager President RME HSOs Proiect Manager Site Superintendent Pacific Petroleum California, lnc.Health and Safety Plan PERSONNEL RESPONSIBITITIES PROJ ECT MANAGERS AN D SU P ERI NTEN D ENTS The project Manager will be responsible for the overall direction and completion of this contract. The project Manager reports to the Vice President and will be responsible for managing and coordinating all project related activities; as well as serving as PPCs primary contact with the Owner and/or Owner's Representative. The Site Superintendent will be responsible for overseeing contractor and subcontractor operations in the field. The Site Superintendent will report directly to the Project Manager. Project Managers and Superintendents will be responsible for the following: o Assure compliance with the Corporate EH&S Manual and this HASP during the proposal and initial stages of this Project. o lmplement the procedures and guidelines outlines in this HASP throughout the duration of the Project. r perform incident investigations. ln cases where subcontractors are involved, the Site Superintendent will notify the Director EH&S immediately. The Director EH&S will collect the appropriate injury and/or incident documentation with help from the Superintendent. lf the Director EH&S is unavailable, the HSO will conduct the incident investigation. o Perform and support site safety audits and address all errors. o provide incentive and motivation for safe work practices; as well as discipline for unsafe work practices. o Ensuring a copy of this HASP is onsite at all times. o Conduction, along with the HSO, initial site orientation meetings. o The HSO will handle health and safety management on the project level and will report to the Director EH&S. Specific duties of the HSO include: o Overall implementation, enforcement and maintenance of this HASP. o Act as a point of contact for all project site health and safety concerns. o Conduct initial training of the contents of this HASP; as well periodic training for when rules/regulations change, new equipment or procedures are introduced, additional skills are needed and new hazards are presented. Report observations in the daily safety meetings and update JHAs and training accordingly. 11 lPage Cap Xl Foothill, LLC HEALTH AND SAFETY OFFTCER (HSO) Pacific Petroleum California, lnc.Health and Safety Plan o Conduct daily meetings regarding health and safety. Manage the BBS observations - conduct, collect and trend BBS observations data and incorporate findings into the daily safety process; o Maintaining separation of the exclusion zone (dirty) from the support zone (clean) areas' o Supervising any additional EH&S requirements that are needed for this Project. The HSO will monitor the jobsite health and safety via inspection at the start and completion of each day's work; as well as monitoring the jobsite for this purpose throughout the day. Any EH&S deficiencies will be promptly corrected, recorded, and reported to the Project Manager. All corrective and improvement measures will be reviewed with project personnel at the morning daily safety briefing. lntentional violations of the site EH&S regulations will be grounds for disciplinary action, which could include temporary suspension or termination of personnel and/or expulsion of vendor and/or subcontractor personnel from the site' HSE TECHNTCTANS (not anticipoted for this proiect) The HSO will assign qualified technicians (air monitoring, material sampling, equipment specific and job design professionals) to each work crew or task in potentially hazardous areas as warranted. PPC CORPORATE MEDICAL CONSULTANT The Medical Consultant will be available to provide injury consultation and to conduct additional medical evaluations of PPC personnel, when necessary. PPC's Medical Consultant is: lndustrial Medical Group (lMC) 3070 Skyway Dr. Ste. L06 Santa Maria, CA 93455 Phone: 805-922-8282 SUBCONTRACTORS AII subcontractors shall be prequalified according to the PPC subcontractor/vendor prequalification requirements including Certificates of lnsurance that meet or exceed the project contract requirements (See Project Subcontractor Prequalification and Pre-lnsurance Requirements Provided Under Separate Cover)' All subcontractor employees shall be required to attend a project safety orientation prior to commencing and starting work on site (See Training and Orientation Requirements of this HASP). Subcontractors are responsible for health and safety as it pertains to their operations at the project site and shall provide the required PPC EH&S supporting documentation. Documented proof of training shall be provided for all subcontractor employees. All subcontractors are responsible for providing their employees with the proper PPE required to perform their work as well as ensure that all tools and equipment are properly inspected and maintained. Subcontractors are responsible for ensuring that their employees conform to all EH&S project 12 lPage Pacific Petroleum California, lnc. Health and Safety Plan Cap Xl Foothill, LLC requirements and applicable government regulations. PPC will monitor subcontractor performance for conformance with the applicable requirements and may immediately cease any nonconforming activity. TRAINING and ORIENTATION All personnel, including subcontractors, shall be provided with the training required to comply with this HASp. All training documentation (training certificates, attendance rosters)will be filed and maintained onsite by the HSO and will be made available for inspection upon request. Training documentation will be kept in an organized manner for each individual worker. All full time active project personnel working onsite must have received the following; o Required safety training as defined by OSHA CFR 1926.2L for construction o Medical clearance - fit for work, (includes medical surveillance for specific occupations and probable contaminants, i.e. lead) negative drug screen, clearance for respirator use, fit test and training for the type of respirator required. Supervisor Training - in addition to the above all supervisors shall have as a minimum received training that covers competent person training for the specific operation they are responsible for (i.e. fall protection, excavation trenching and shoring, confined space, rigging, scaffold erection etc.), first aid and CPR, blood borne pathogen, record keeping, incident investigation, OSHA i nspections, employee substa nce abuse, EH&S documentation requirements. SITE SPECIFIC TRAINING Documented site training will be provided by a qualified safety professional for the following topics: PPC Site Specific Tail Gate Meeting Job safety analysis & safe work procedures (JHA Review) Hazard Communication and Project Hazard Awareness Training PPE requirements & Decontamination procedures Heat Stress (Symptoms, Protective Measures & Monitoring) Ladders, Stairs, Scaffolds and Powered Aerial Platforms Fall Protection Traffic Control Heavy Equipment OPeration Powered Industrial Fork Truck Operation Control of Hazardous Energy Lockout/Tagout {Procedures - De-energizing sources, Locks Tags and Lock Boxes) and Air Gapping Requirements (1ft. visible air gap) lncident reporting Emergency response & available services (medical, fire, inclement weather, tornado, bomb threat, signals and procedures) a o a a o a o o a o o a a t3 lPage Cap Xl Foothill, LLCPacific Petroleum California, lnc.Health and Safety Plan Hoisting and Rigging Flagging and traffic controls Respirator use, maintenance, inspection, medical clearance and fit test Excavation Hazards and Protective Measures Confined Space Dust, Erosion and Sediment Control Noise Control Measures Authority to stop work (All Employees) and the Buddy System "No One Works Alone". 40 Hour HAZWOPPER training in accordance with OSHA CFR 1910.1.20 and subsequent annual refresher updates shall be required for all personnel involved with hazardous waste activities. lf an employee may be exposed to lead then a current medical clearance for lead as well as respiratory qualification (i.e. respirator clearance, fit test and fit for work). This is not anticipated for this project. MEETINGS Attendance at all EH&S meetings will be documented and filed onsite. o Daily Morning Safety Brief prior to the start of work (tool box talk). r prior to the beginning of each work task and/or each work day, all involved workers shall be required to attend a EH&S meeting to review task-specific health and safety requirements pertinent to the days tasks (JHA review - job hazards and protective measures). o Twilight Talk at the end of the day to review day's activities and conditions Weekly EH&S Meetings All onsite supervisory personnel shall be required to attend a weekly EH&S meeting, conducted by the HSO, to review project and/or task specific procedures. Topics to be discussed at these weekly meetings include, but are not limited to; o JHA review for all definable features of work, hazards and controls o Previous safe work observations and recommendations (i.e., Safety Task Analysis Cards) o Audit/lnspection findings, and recommendations for improvement o Project employee recognition o Necessary training requirements and site work rules o Change in work practices and/or work conditions, lncident Alerts o Precautions and work practices related to scheduled site activities o New or modified site wide procedures or requirements o Discussion of potential hazards or hazardous operations 14 lPage Cap Xl Foothill, LLC a O a a a o a a JOB SPECIFIC SPECIALIZED TRAINING & MEDICAL CLEARANCE Pacific Petroleum California, lnc.Health and Safety Plan SU BSTANCE ABUSE SCREEN ING o Procedures on restricted areas o Equipment rules and requirements o Restrictions on the handling of materials o PPE requirements o Delegation of responsibility (emergency backup personnel, competent persons, etc.) o Review of emergency response for any given situation (medical, fire, inclement weather, tornado, bomb threat, environmental release/spill) and communication methods (alarms, radio, voice, and hand signals) ppC requires pre-employment, post-accident, reasonable suspicion and random substance abuse testing (random testing for CDL license holders only). All employees as a minimum undergo a NIDA 5 panel drug test or a NIDA 10 panel drug screen (retests) for illegal drugs under the company's medical surveillance program. All DOT drug screens are performed by SAMHA- certified laboratories with "Chain of Custody" procedures in place to ensure continuity in specimen handling for secure drug screening analysis. Only collection facilities that utilize DHHS specimen collection procedures that meet Federal and State requirements are used. Random drug screens can be carried out during the course of projects where required by contract. NOTE - Prescription drugs taken without an authorized prescription for use is considered an illegal drug. Also, in case of any injury, incident, or emergency, employees will have to undergo screening for consumption of illegal drugs, alcohol, or prescribed medication. Submission to substance abuse testing is a condition of employment. Failure or refusal to submit to substance abuse testing is treated the same as a positive result. All reports will be maintained at the main office. Any positive results will be referred to PPC Senior Management for further action. 15 lPage Cap Xl Foothill, LLCPacific Petroleum California, lnc Health and Safety Plan i) i..*-) PROJECT OVERVIEW AND TASK RISK ANALYSIS TASK/RISK ANALYSIS A Job Hazard Analysis (JHA) shall be developed for every significant feature of work which shall break jobs down into individual tasks defining the potential hazard(s) of that task and the proper protective and control measures that shall be taken to eliminate the hazard. JHA's shall be completed with the daily work permit to the site superintendent for approval. JHA's shall be modified as warranted by work observations, audit and incident investigation. A general exposure assessment of the work hazards associated with the scope of work for this project is provided in Table 1.0 below. PPE requirements for most work is anticipated to be primarily in level D; ANSI approved hard hat, safety glasses, hearing protection, puncture resistant gloves, steel toed boots or steel toed rubber boots (dependent on soil conditions and chemical exposure), high visibility traffic vest, and chemical resistant gloves/disposable coveralls/ full face shield (modified D). Specific information relating to the potential chemical and health hazards is provided in Table 1.1. 16 lPage Cap Xl Foothill, LLC Potential Exposure ModerateMobilization Site Setup: Establish work areas; equipment office/equipment trailer setup, establishment of controlled work zones: hazard warning signs, PPC designated work area directional signs, traffic, dust, fire and erosion controls.ba rricades/delineation, Moderately HighTrenching/excavation and backfill HiehEquipment decontamination HiehEvacuation of unknown liquid from USTs. HighTriple Rinse Tanks HighRemove Tanks from Excavation ModerateSample Excavation spoils and walls. ModerateDemobilization TABLE 1.0 GENERAL HAZARD AND CHEMICAL EXPOSURE ASSESSMENT (See attachment llfor detail (JHA's) Low: Non-intrusive work - No chance of exposure. Slieht: Non-intrusive work / Possible EH&S hazards with tools. - Little to chance of exposure. Moderate: Non-intrusive work / Possible EH&S hazards with powered tools, heavy equipment and/or working near or in water - Little to no chance of exposure to contaminants. Moderatelv High: lntrusive work / Possible EH&S hazards with equipment - Exposure to contaminants is possible. High: lntrusive work / Possible EH&S hazards with equipment - Exposure to contaminants is robable Pacific Petroleum California, lnc Health and Safety Plan CHEMICAL HAZARDS Existing Site Hazards The primary chemical hazard is unknown. The objective is to expose the existing USTs to determine the content of the tan( and remediate in accordance with Federal, State and local regulations. Ch e m i cals Brou g ht Onsite The use of chemical products onsite will be in compliance with the requirements set forth in OSHA 29 CFR 1910.L200 (OSHA's Hazard Communication Standard), all applicable Federal, State and Local regulations and the project containment procedure provided in this HASP. The potential hazards associated with these products will be mitigated through site specific training, administrative controls (e.g. proper labeling and storage) and proper use of the prescribed PPE. Safety Data Sheets (SDS) or Material Safety Data Sheets, for all chemicals brought onsite, will be available for review in PPC's field office at the project site. All chemical products shall be properly labeled which shall include, product name, manufacturers name, hazard warning, identifier and hazard pictogram. The following table provides exposure guidelines for common hazardous chemicals that may be brought to the site, if required, for use during this project. The HSO will be notified before any new chemicals (chemicals not listed on the below table) are brought onsite. 8-Hour TWA STEL and IDLH TreatmentExposure SymptomsRoute of EntrySubstance STEL: 500 PPM o Eyes; lrrigate o Skin; Flush with soap and water o lnhalation; remove to fresh air . lngestion; seek medical attention 3OO PPM . Sl(in contact r Eye contact e lnhalation . lngestion o Harmful if comes in contact with or is absorbed throughout the skin.o Contact may cause skin and eves irritation.. Prolonged or repeated exposure may cause llver or blood forming organ damase.o Mav ciuse skin irritation or dermatitis. Diesel Fuel HAZARD SUMMARY FOR CHEMICALS BROUGHT ONSITE lTlPage Cap Xl Foothill, LLCPacific Petroleum California, lnc. Health and Safety Plan N/A o Eyes; lrrigate o Skin; Flush with soap and water . lnhalation; remove to fresh air o lngestion; seek medical attention N/A o 5Ktn contacr . Eye contact o lnhalation lngestiona May be slightly irritating to skin and eyes. lnhalation may cause headaches. lngestion could result in nausea and vomiting. a a a Grease, Oil and Hydraulic Fluids STEL: 500 PPM o Eyes; lrrigate o Skin; Flush with soap and water r lnhalation; remove to fresh air o lngestion; seek medical attention 3OO PPM . Skin contact . Eye contact o lnhalation lngestiona Acute: Central nervous system effects. Chemical pneumonitis if aspirated into the lungs. Chronic: Benzene is a confirmed carcinogen. Long term exposure caused kidney and liver cancer in rats/Chemical. o a Gasoline Petroleum Distillates 18 lPage Cap Xl Foothill, LLCPacific Petroleum California, lnc. Health and Safety Plan GENERAL PHYSICAL HAZARDS AND PROTECTIVE MEASURES (See Attachments JHA for more specific detail): Activity: All general Work Activities (manual laboring, operating equipment, supervising, inspecting). potential Hazard: Noise/Hearing, Slips, trips and falls, struck by, pinched, falling debris, shock, heat stress Procedures to Mitigate Hazard: Minimum standard site required PPE (Level D ANSI rated hard hat, eye protection, safety boots, high visibility traffic vest or equivalent clothing, cut/puncture resistant gloves. Hearing protection (NR rating of 28 or greater "You Need to Raise Your Voice to Hear yourself Talk") is required whenever working with power tools or near loud noise sources that could BIOLOGICAL HAZARDS Ticks, Chiggers and LYme diseose Ticks and chiggers may be present in vegetated areas during the spring, summer and fall seasons. preventative measures for getting bit include protective clothing that covers the entire body, tucking pant legs into boots or socks and tucking a long-sleeved shirt into pants; head/hair protection; and the use of insect repellant containing DEET on all exposed areas and coveralls. project personnel should check their bodies thoroughly for ticks and should bathe soon after returning home. Remove any ticks carefully, using a gentle firm, tugging motion with fine tweezers. Do not kill the tick before it has been removed. Workers should save the tick (place in zip lock bag for freezing and lab test) and monitor their bites, checking for a rash and any other symptoms for up to eight weeks after the bite. Lyme disease is spread primarily through deer tick bites. This tick can be found near wooded areas, tall grass and brush. Although the disease is rarely fatal, it can because flu-like symptoms, arthritis, hear arrhythmias, facial palsy, severe headaches and loss of sensation' Some warning signs include a "bulls-eye" sized rash that may appear days to weeks after the bite and swelling and pain in the joints; less common warning signs include heart arrhythmia, weakness in the legs, facial paralysis and numbness. lf Site employees feel they have been bitten they should notify the HSO immediatelY. ) Snakes 19 lPage Cap Xl Foothill, LLCPacific Petroleum California, lnc. Health and Safety Plan Venomous snakes must be left alone. Snakes will attempt to bite when handled. The pit viper family and can be easily recognized from the deep pits on either side of their triangle shaped heads and slit shaped pupils. lf project personnel encounter a potentially dangerous snake - stop work, remove yourself and other workers from the immediate area and notify the project supervisor. The supervisor will contact an appropriate site representative to request that the hazard be removed. Do not re-enter the work area until you have been cleared by the HSO to do so. Males are especially active during mating season, late fall' According to the American Red Cross the following first aid steps should be taken when dealing with any snakebite: . Wash the bite with soap and water o lmmobilize the bitten area; keep it lower than the heart. o Get professional medical help immediately' o lf the victim is unable to reach medical care within 30 minutes, a bandage wrapped 2 - 4 inches above the bite may help slow the venom. The bandage should not cut off blood flow from any veins or arteries. Ensure that the bandage is loose enough; a finger should be able to slip under the bandage. o A suction device may be placed over the bite to help draw venom out of the wound without making any cuts. DO NOT use your mouth to try an extract the venom. Suction instruments are often included in commercial snakebite kits. A commercial snakebite kit will be maintained at the Project site in PPC field trailer. o Do not place ice, or any other type of coolant, on the bite. o No tourniquets shall be used. This cuts blood flow completely and may result in the loss of the affected limb. o Do not make any incisions in the wound. Such measures have not been proven useful and may cause further injurY. Toxic Plants poison lvy, poison sumac and poison oak may be present during the spring, summer and fall seasons. Avoid contact with these plants, if possible. lf a project worker has come in contact, the affected area should be washed thoroughly with soap and cool water. Care should be taken when handling clothing or any other items that have come in contact with the poisonous plant. lf an allergic reaction occurs, a physician's advice should be sought. Blood borne Pathogens The following program has been developed in compliance with OSHA regulation 29 CFR 1910.1030 to protect all first aid responders who may come in contact with potentially infectious materials. With any person conducting first aid, there is a chance of exposure to infectious materials. ln general, all employees should; o Avoid contact with any blood, if possible; o Clean-up any/all blood with a disinfectant; o Wear the proper personal protective equipment while cleaning blood (i.e. gloves), and 20 lPage Cap Xl Foothill, LLCPacific Petroleum California, lnc.Health and Safety Plan Contact the Project HSO to conduct a medical evaluation if personnel have been exposed (i.e. blood contacts eyes, mouth or nose). ln addition to the above requirements, the following guidelines will applyto all project personnel; o All personnel will wash hands immediately after potential exposure to infectious materials. o No eating, drinking, smoking, or applying lip balm will be permitted in the designated work, decontamination and first aid areas. o All first aid kits will be equipped with the proper PPE (i.e. gloves, CPR shields and respirators). o lf a garment (gloves included) is infiltrated by blood, or other potentially infectious materials, the garment(s)will be immediately removed, or removed as soon as possible. r After an exposure incident, a confidential medical evaluation and follow-up will be conducted and immediately available to the employee. The HSO will coordinate all medical arrangements. Radiological Hazords No radiological hazards are expected during this project. SITE SECURITY ppC will provide and maintain security within the project site controlled work zones during all active working hours from project mobilization though substantial completion. All onsite personnel and visitors will be required to sign-in and sign-out, at the project support office, before entering or the work site. PPC will maintain, onsite, all records of site access areas and security incidents. Visitors will be required to read and conform to this HASP, prior to accessing controlled work zones. Vehicular traffic will be permitted in the designated parking area as permitted by the owner. Access to the controlled work and traffic zones is restricted to authorized vehicles onlY. SITE LAYOUT See project work plan and proposal submitted under separate cover. BUDDY SYSTEM Working alone is prohibited. Allfield personnel will be assigned a buddy who willwatch for hazards or problems his/her buddy might encounter. Communication between buddies must be maintained at all times. Buddies will pre-determine hand signals, or other means of emergency signals, for 2LlPage Cap Xl Foothill, LLCPacific Petroleum California, lnc Health and Safety Plan communication when respiratory protection or distance makes communication difficult. Visual contact must remain between the two buddies; they must remain in close proximity to each other in order to assist in case of an emergency. SITE COMM UN ICATIONS PLAN ln the event of an emergency situation, and two-way radio communication is not available, oral, visual and semaphore safety signals have been established to protect project personnel. These signals will be made available to personnel for all phases of operation before going onsite. These safety signals will ensure quick communication during adverse or emergency situations. Examples of established signals, and their meanings, are provided below. WORK AREAS The project site will be divided, as needed and in conjunction with the owner representative, into the following three major zones. Exclusion Zone: The exclusion zone will encompass the areas of concern; as well as any areas b.rg utilized for the temporary storage of salvaged materials and related piping that could be contaminated with hazardous materials. The minimum level of protection in the exclusion zone will be a modified Level D. Level c PPE will be available onsite, in the event an upgrade of protection is needed (as determined by exposure above established regulatory limits). Contamination Reduction Zone (CRZI: A CRZ will be created in cases where contaminated materials are encountered. The CRZ is the transitional area between the identified contaminated and clean areas. The CRZ will be provided for the transfer of equipment and materials to and from the exclusion zone; the decontamination of personnel and equipment existing in the exclusion zone; and the physical segregation of the clean and contaminated work areas. The CRZ 22lPage Cap Xl Foothill, LLC Out of air; can't breatheHandthroat Attention: stand for nextWavehands over head from side to side Come hereSwing hands from the direction of person receiving the signal to directly overhead and throu a circle Look in that directionr with extended armPointed Leave the area immedis wrist with one or both handsGri Need assistanceHand on of head I understandl'm aloThuu look here No CaShort blast of air or vehicle horn Thumbs down Leave the areaThree long blasts of air or vehicle horn lndicationAudio Si nal lndicationVisual Signs Pacific Petroleum California, lnc.Health and Safety Plan ) will include an equipment decontamination pad and personnel decontamination trailer, and will be located in the approved location as designated by PPC. personnel and equipment decontamination will be conducted in accordance with this HASP. Any disposable, single-use sampling equipment will be collected and properly disposed of in accordance with ppC and/or PPC directives. Non-disposable sampling equipment will be decontaminated at a decontamination station that will be adjacent to the exclusion zone, or at the decontamination Pad. Support Zone: Utility trailers will be located in designated support area(s) which shall be kept clear of contamination and upwind of potentially contaminated equipment/material' The HSO will be responsible for establishing, delineating, maintaining and controlling access to the established work areas and support zones in accordance with this HASP. PERSONAL PROTECTIVE EQUIPMENT (PPE) ppE will be selected, used, maintained and stored in accordance with OSHA 29 cFR 1-910 Subpart l, 29 cFR 1g26 Subpart E, and the manufacturer's recommendations. Engineering, administrative and/or work practice controls will be implemented where feasible, rather than exclusively on PPE. MINIMUM LEVELS OF PROTECTION Level D personal protective equipment that is to be worn at all times by project personnel at the site includes; r ANSI approved Safety glasses with side shields; o Leather safety boots (ANSI or ASTM) o Hardhat (ANSI Rated) o High visibility vest or equivalent high visibility clothing o PPC issue FRC uniforms (long sleeve shirts, pants) o Gloves o Hearing protection Modified D ppE will be used when using power tools such as chain saws, when performing decontamination or when working in contaminated soil zones; o The above minimum PPE o Full-face shield (splash and debris protection) o Chemical resistant/barriergloves o Level C PPE o Level D or modified level D PPE 23 lPage Cap Xl Foothill, LLCPacific Petroleum California, lnc.Health and Safety Plan . Air purifying respirator o Appropriate filtering media (P100) The following table describes the minimum levels of protection that are anticipated for this project. The minimum levels of protection are to be considered preliminary and may change based upon exposure assessments as work progresses. No change to the specified level of protection will be made without the approval of the HSO. DESCRIPTION OF USE OF PROTECTION LEVELS Respiratory and skin contact PPE will be used when project activities involve known, or suspected, contamination; when vapors, gases or particulates may be generated by site activities; or when direct contact with skin may occur. Respirators protect the lungs, gastrointestinal tract and eyes against airborne toxicants. Chemical resistant clothing protects skin from contact with harmful and absorbable chemicals. Level D: Protection will be used when no airborne contaminant exposure is likely and job functions do not require the use of respiratory equipment or chemical resistive clothing. The equipment for this level of protection is described above and is the minimum for the project' Level D Modified: Protection will be modified when additional contact hazards have been identified such as splash hazards, and dust. See the description above. 24lPage Cap Xl Foothill, LLC Level D Mobilization Site Setup & Safe up work areas; equipment office/equipment trailer setup, establishment of controlled work zones: cutting areas, fire and erosion controls. Level D Supported with dust control (misting, careful material handling) Excavation/soil intrusion work: non- contaminated soil Level D Supported with dust control (misting, careful material handling) Excavation/soil intrusion work: contaminated soil Level DTriple rinsing tank Level Dtank from excavationRemoving Level Dsoilfrom excavationSa Level DDemobilization lnitial Level of ProtectionWork Activity Pacific Petroleum California, lnc.Health and Safety Plan Level C: protection that will be provided when airborne contaminants have been identified and which require the use of air purifying respiratory equipment to keep exposures below health- based limits. Level C requirements will not be implemented until a safety stand down is implemented, Client is notified, and a Level C implementation program is approved by PPC. Respiratory protection for this project will be a half-face air purifying respirator with appropriate cartridges (i.e. P-100 cartridges for particulates, Black Organic Vapor - VOC, Brown/Gold Acid Gas, etc.). Level B: protection that will be provided when the highest level of respiratory protection is needed with some body or skin protection. Equipment for this level of protection will include a minimum of the following: o SCBA, PAPR or airline respirator depending on contaminate and situation o chemical resistant protective clothing for hazards identified. o Hardhat or helmet for hazards identified' o chemical resistant gloves with liners for hazards identified. o Chemical resistant safety shoes or boot covers for hazards identified- Level B is not expected for this project l HEARING PROTECTION project personnel will be provided hearing protection and required to use it whenever exposures approach those in the following table; Duration ner d {in hours)nd level dB - Slow Resoonse 8 6 4 3 2 1.5 1. .5 .25 or less 90 92 95 97 100 ro2 10s L10 115 Furthermore, hearing protection will be required whenever an employee is either using a powered tool or working in the vicinity of loud noises (excavators). Hearing protection may be obtained from the HSO. Each employee is responsible for bringing their hearing protector to the jobsite, and wearing it when required. Replacements may be obtained from the HSO, if necessary. Employees are encouraged to use hearing protection below these exposures as long as communications are not compromised. 25 lPage Cap Xl Foothill, LLCPacific Petroleum California, Inc'Health and Safety Plan 1 RESPI RATORY PROTECTION project personnel will be required, when necessary, to use respiratory protection to reduce their exposure to airborne hazardous substances. The standard requirements that determine the selection and use of respirators depend on the hazards present. Respirators will also be made available for emergencies. Only respirators that are approved by the Mine Safety and Health Administration (MSHA) and the National lnstitute for Occupation Safety and Health (NIOSH) are allowed. Use must follow the regulatory requirements set forth by OSHA 29 CFR 19L0.L34 and OSHA 29 CFR L926.1O3' Medical Clearonce & Fit Testing All personnel, which are assigned to tasks where a respirator is needed, must have prior medical clearance. Medical evaluations and fit testing are provided by PPC. Fit test records will be filed and maintained onsite, by the HSO. Certification of medical assessment may be made available upon request. Medical limitations and restrictions will be strictly enforced. No employee will be permitted to use a respirator if he/she has any facial hair that may affect the seal of their respirator. Training All personnel who are required to wear a respirator have received training on the use, maintenance, proper care and inspection of their respirators. Attendance at all training has been and will be documented. Attendance records will be maintained onsite by the HSo and will be available for inspection upon request. lnspection All respirators to be used at the jobsite will be inspected for damage by the employee, prior to use. After they are trained, every employee will be responsible for inspection of their own respirator. The following elements will be inspected; o Tightness of the connections o Face piece o Headbands o lnhalation valve o Cartridge or filter fittings 25lPage Cap Xl Foothill, LLCPacific Petroleum California, lnc.Health and Safety Plan ) o Pliability of the rubber or elastic parts o Signs of deterioration Any malformation, distortion, missing parts, cracks, etc. in the respirator will cause the equipment to be deemed useless until a qualified technician can properly repair the respirator. lf necessary, a new respirator will be issued. Respirator Type The type of respirator, and who is required to wear them, will be identified on a task specific level by the HSO, in consultation with the Director EH&S, based on the type of work that will be performed and the potential for exposure to airborne contaminants. Standard Procedure for Use All personnel will adhere to the following standard operating procedure for respirator use; o Carefully inspect the respirator prior to entering potentially contaminated work areas o Conduct positive and negative pressure leak tests each time the respirator is to be used o Do not remove the respirator in contaminated work areas o wear a respirator with straps while inside disposable garments Cleaning and disinfecting Any reusable respirator must be cleaned after each use. The steps required to clean a respirator after use are; o Remove the cartridge and headbands o Disassemble all respirator parts r Wash all parts, with the exception of the cartridge and headband, in a cleaner-disinfectant solution or use soaP and hot water o Rinse all parts completely in clean, warm water o Air dry in a clean, sanitary area o Re-assemble the resPirator o Store the cleaned respirator in a sealed bag. Storage Respirators will be stored in a sealed bag to protect against dust, sunlight, extreme temperature, moisture and abrasives. Respirators should be stored so that the face piece and exhalation valve will rest in a normal position and function will not be impaired by the elastic setting in an abnormal position. The respirator should not be hung to store or air dried by its straps. 2TlPage Cap Xl Foothill, LLCPacific Petroleum California, lnc.Health and SafetY Plan STANDARD OPERATING PROCEDURES (SOPs) General o Ensure that all safety equipment and protective clothing is kept clean and well maintained. o Ensure that all prescription eyeglasses are safety glasses and are compatible with respirators. No contact lenses are allowed at this Project site. o Ensure that all disposable or reusable gloves are approved by the HSO o Respirator filters will be changed as determined by the HSO and based on conditions. o Cover all footwear used onsite with rubber over boots or booties when entering or working in the exclusion zone area or the contamination reduction zone. Boots/booties shall be washed with water and detergent to remove the dirt and contaminated sediment, before leaving the exclusion zone or contamination reduction zone. o At the end of each day, decontaminate or dispose of all PPE used onsite. The HSO is responsible for ensuring decontamination before PPE reuse. o The HSO will individually assign all respirator use. Respirators will not be interchanged between workers. Any PPC personnel, subcontractor and/or service personnel unable to use a negative pressure respirator as a result of facial hair will not enter or work in an area requiring Protection. o All project personnel will have vision or corrected vision to at least 2O/4O in one eye. r Onsite personnel that are found to be disregarding any provision of this HASP will be barred, at the request of the HSO, from this Project. o Do not reuse contaminated disposable outerwear such as coveralls, gloves and boots. Contaminated disposable outerwear will be removed upon leaving the exclusion zone and placed inside disposable containers that are provided for this sole purpose. The containers will be stored at the Project site, at the designated staging area, and PPC will be responsible for the proper disposal of these materials at the completion of the Project. o When working, immediately replace protective coveralls that have become torn or badly soiled. o There will be NO eating, drinking, smoking, chewing gum or tobacco in the exclusion zone or contamination reduction zone. o All personnel must thoroughly wash their hands, face and forearms prior to using the facilities, eating, drinking and smoking. o NO alcohol, drugs (without prescriptions) or firearms will be allowed onsite at any time. 28 lPage Cap Xl Foothill, LLCPacific Petroleum California, lnc Health and Safety Plan All personnel who are on medication with a safety-sensitive affect will report it to the HSO, prior to work start-up, The HSO will require a letter from the individual's personal physician stating what limitations, if any; the medication may impose on the individual. EXCAVATION SAFETY ppC maintains strict procedure for soil excavations. The safety of all employees during these operations depends on the soil structure and stability, contamination level, weather conditions, buried utilities and structures and superimposed loads. Entry into an excavation will be strictly controlled and only allowed for authorized, pre-designated personnel. lf excavating within a wet, sandy area, or if the area has been backfilled at any time, it is likely to be very unstable. All personnel working in these conditions must be cautious and provide extra sloping, if possible. A change in weather conditions, such has heavy rain, can loosen the soil and increase the risk of a collapse. lf the area of excavation is prone to collapse precautions, such as covering the area, should be taken. Heavy equipment or materials should be kept as far away as possible from the excavation area because they can also increase the risk of collapse' All excavated soilshould be removed from the rim of the area and contained if possible. HIDDEN PRECAUTIONS ln order to eliminate the impact on buried pipelines or cables, before any excavation begins PPC personnel will notify all utility companies to locate their lines. Non-public underground lines will be located by a third party. lf such a hazard exists, the lines will be carefully marked prior to the start of the excavation activities. When deeper than five feet, to prevent collapsing soil the excavation must be sloped, shored or somehow contained before any personnel can enter. Ladders will be provided, for employees who are working in depths of more than four feet and such that no more than 25-feet has to be traveled to reach an exit. Ladders will not be removed until all employees have exited the excavation. All excavations will be inspected at least daily for collapse and other hazards. All activity will cease if the ppC designated Competent Person or the HSO identify a hazardous condition. EXTERIOR PRECAUTIONS For the protection of all employees, PPC requires that all exterior structures (sidewalks, bridges, etc.) be protected and clear of excavated materials. Sidewalks will be shored to carry a load of at least j.25 pounds/sf. Planks, which are being used for temporary walkways, will be laid parallel 29 lPage Cap Xl Foothill, LLCPacific Petroleum California, lnc.Health and Safety Plan to the length of the walkway and will be fastened together. Fences or other barricades will be erected to warn employees and vehicle traffic of excavation edges. LOCKOUT/TAGOUT Energized equipment will be locked out. This procedure ensures the health and safety of all personnel by deactivating any movable, electrical or pressurized equipment. This policy applies to all machinery or equipment that can be moved either by the use of electrical power, hydraulic power, compressed air, steam or energy stored in springs/suspension devices. Damaged tags will be placed on all movable equipment and machinery. Only project personnel and supervisors are authorized to lockout machinery/equipment. Every employee is responsible for his/her own equipment and nobody else is permitted to remove a lock or tag except the authorized employee. Any violation of this policy is cause for strict disciplinary action. Lockout Procedures Lockout devices are used to prevent the accidental re-energizing of equipment. De-enereizine Ci rcuits and Equipment: Disconnect the circuits and equipment, to be worked on, from all electrical sources and release stored energy that could accidentally re-energize equipment. Aoolication of ks and Taes: On ly authorized personnel are allowed to place a lock and tag on each disconnecting - means used to de-energize the circuits or equipment before the work begins. A lock prevents unauthorized personnel from re-energizing the equipment or circuits. A tag prohibits unauthorized operation of the disconnecting device. Verification of De-energized Conclition of Circuits/Equipment: Prior to work on equipment, PPC requires that a "qualified" employee verify that the equipment is de-energized and cannot be restarted. Re-energizing Circuits and Equipment: Before circuits or equipment are re-energized, the following steps must be taken in the following order: o A "qualified" employee conducts tests and verified that all tools and devices have been removed. r All exposed employees are warned to stay clear of the circuits and equipment. o Authorized personnel will remove their own locks and tags. o The HSO will conduct a visual inspection of the area to be sure all employees are clear of the circuits and equiPment. ELECTRICAL 30 lPage Cap Xl Foothill, LLCPacific Petroleum California, lnc.Health and Safety Plan ) ) Only qualified and authorized project personnel may work on or around electrical equipment. ppC follows the standards, set by OSHA and the National Electrical Code, for the purchase and maintenance of electrical equipment and systems. The following shall be observed; o The working space around all electrical equipment will be large enough to permit access to all parts of the equipment. The working space will never be used for the storage of other materials so that immediate access can be gained. . Only authorized electrical tools may be used at the site. . A ground fault circuit interrupter (GFCI) shall be utilized with all portable electric tools; plugged in at the source and tested prior to use. All electrical equipment shall be properly grounded or guarded (double insulated tools, GFCI). o Single phase electrical tools must be plugged into properly grounded receptacles. o The use of extension cords is discouraged. lf their use is necessary, extension cords must never be used in traffic areas where they may be a hazard, or where they may become unplugged. Extension cords will always be grounded. o Any energized electrical equipment, operating at 50 volts or higher, must be protected by a cabinet or other approved enclosure with warning signs that are immediately visible. FALL PROTECTION All work form elevated heights > 6 ft. with an open edge to the next lowest level shall be performed as supervised by a competent person. ln all cases proper fall protection systems shall be utilized as determined by the competent person for fall protection; personal fall arrest/restraint systems (PFAS/PFRS, guard rails, nets, and warning lines (restricted for roof and leading-edge work where traditional systems are not practical). PPC observes a policy of 7}O%tie-ofl above 6-feet, at alltimes. INCIDENT PREVENTION PROCEDURES FIRE PREVENTION AND PROTECTION The Emergency Response and Contingency Plan provided this HASP will be in effect at all times throughout all phases of work. lncluded in this Plan are firefighting equipment, alarm systems, the location of the closest fire departments and procedures for handling fire emergencies. All firefighting equipment will be inspected on a regular basis, maintained in proper working condition and will be located in an accessible place, at the site, at alltimes. WALKING AND WORKING SURFACES The following rules shall aPPIY; 31 lPage Cap Xl Foothill, LLCPacific Petroleum California, lnc.Health and Safety Plan Floor openings will be guarded on all exposed sides by a standard railing/toe boards or cover. Every open-sided floor or platform that is 6+ feet above the adjacent floor or ground level, will be guarded by a standard railing on all open sides. Runways over 4+ feet high will have standard railings on all open sides, unless operating conditions prohibit it. Temporary floor openings will have standard railings or a temporary cover. SITE HOUSEKEEPING The following housekeeping guidelines apply at this site: r All excess material and debris will be kept clear from all working areas' o Combustible materials will be removed at regular intervals and all wastes will be properly disposed of at frequent intervals' o Containers will be provided for the collection and separation of all discarded materials and refuse. Covers and identification will be provided for all containers used for flammable or harmful substances. MECHANICAL EQUIPMENT The following guidelines apply when dealing with the inspection and operation of all mechanical equipment; o All vehicles and equipment, used on the site, must be checked at the beginning of each shift to assure that all parts that affect safe operation are in proper working condition and are free from defects. o No project personnel will be permitted to use any vehicle or equipment that has an obstructed view to the rear, unless there is a reverse signal alarm or a signal man is assigned to help. o Employees will not work or walk under or between any equipment that had parts which are suspended or held aloft unless/until the parts are substantially blocked to prevent falling and shifting. HIGH PRESSURE WASHERS ppC requires that only trained and authorized personnel operate high pressure washers. This policy is intended to protect both PPC employees as well as any property where the equipment will be used. The following guidelines apply: r The lance must always be pointed at the specific work area. o All personnel will remain at least 25 feet away from the washer; as well as the structure being washed. o Care should be taken to ensure the proper footing of the operator. 32 lPage Cap Xl Foothill, LLC o a a o Pacific Petroleum California, lnc.Health and Safety Plan The operator and his assistant will wear the following personal protective equipment: Hard hat with face shield, goggles, safety boots with metal foot and shin guards, hearing protection, PVC rain or acid suit and heavy gloves; as well as any additional equipment to protect against chemicals, as needed. ppC requires that all operators and assistants be trained in the emergency shutdown procedures and general equipment maintenance of high pressure washers. Under no circumstances will an operator be allowed to make modifications to a power washer while on a job. VEHICLE AND EQUIPMENT SAFETY On ppC jobsites, only trained and qualified personnel may operate equipment and vehicles. This policy is intended to protect all employees and client properties. lt is effect at all times. The guidelines for this policy are as follows; o Each unit is to be inspected prior to its use on site and then inspected periodically depending on the equipment involved and the manufacturer's specifications. o No repair work, or refueling, will be done while the vehicles or equipment are in operation. The engine is to be turned off and all buckets, blades, gates or booms must be lowered to the ground, or a substantial support. o Equipment backup alarms must be operational and audible over the surrounding noise levels. lf this is not the case, an assistant must be assigned to the operator and he/she will be required to clear the waY. . Only authorized personnel are permitted to ride in company vehicles and equipment' o Under no circumstances will an employee be permitted to get on or off a moving vehicle. o Operators must wear the following PPE: Boots/sturdy work shoes, ear protection devices when the noise level is in excess of 90dBA, heavy work gloves and a hardhat. o Any vehicle and equipment, which are not in use, will be parked off roads and major access routes with their wheels blocked. The vehicle will be turned off and the keys will be given to the Site SuPervisor. o The operator and assistant must wear seatbelts at all times. o To ensure the proper visibility all windshields, side windows, mirrors and lights will be cleaned as often as necessary. Trucks The following guidelines apply to the operators of PPC's trucks; o A current drive/s license must be carried at all times. o The driver will check the loaded material to ensure against material loss or shifting during tra nsit. o All DOT regulations will be followed. o When towing trailers, safety chains must be in used 33 lPage Cap Xl Foothill, LLC a a Pacific Petroleum California, lnc.Health and Safety Plan Heavy Equipment ppc has the following guidelines for the operation of front end loaders, scrapers, dozers and tractors; prior to their use onsite, the equipment's brakes, cables and hoses must be checked and in good working order. When the equipment is moving, all blades, buckets and bowls will be carried close to the ground but high enough to avoid any obstacles on the ground. lf not in motion, they must be lowered to the ground or to a substantial support. No employees are permitted to ride on a boom, bucket, bowl or any other heavy equipment extension. All safety equipment must be properly installed, and in good working condition, before a piece of equipment will be used on this project. a a a a SANITATION With the exception of mobile crews having transportation readily available, all work sites will have toilets provided that adhere to the following requirements: One toilet for 20 or less employees; one toilet seat and one urinal per 40 employees; if there are 200+ employees, on toilet seat and one urinal per 50 workers. Adequate washing facilities will be provided on site where there are harmful substances, and they will be in close proximity to the site. An acceptable supply of portable water will be provided onsite, and it will be clearly marked as such. Portable water containers will have tightly sealed tops and a tap. DAILY INSPECTIONS The HSO will monitor jobsite EH&S through inspections at the start and completion of each work day. Results of these daily inspections will be recorded on a daily safety log' Any safety violations will be recorded and corrected by the Project Manager. All observed safety violations will be immediately corrected, explained to the person responsible, and reviewed at the next safety meeting. lf an employee has excessive violations of the site safety rules, it will be grounds for disciplinary action which could lead to termination if PPC personnel or expulsion if an onsite subcontractor personnel. INCIDENT REPORTING ppC will maintain an OSHA 300 Form of all recordable occupational injuries and illnesses on projects lasting more than 1year. The annual OSHA3OOA log will be posted onsite from February lst until May lst every Year. 34 lPage Cap Xl Foothill, LLCPacific Petroleum California, lnc.Health and Safety Plan All records and OSHA forms will be maintained by PPC for at least five years, following the end of the year to which they relate. These Logs will be made available upon request to authorized personnel. Any occupational incident, which results in the death of one or more employees will be reported to OSHA within g hours. The inpatient hospitalization of an employee and all amputations or loss of an eye will be reported within 24 hours. All such incidences will be reported by PPC to the nearest O5HA Area Director during normal business hours or at the National Hotline (800-321- 67421'. MEDICAL SURVEILLANCE Medical monitoring is required by OSHA as a means of monitoring worker exposure to certain toxic substances under OSHA 29 CFR L9L0.L20(f), OSHA's Hazardous Waste Operations and Emergency Response Standard. MEDICAL EXAMINATIONS All pp6 field personnel are provided with a thorough, initial medical examination to assess fitness for the project and to provide baseline health data for subsequent reference. Examinations are repeated every year, unless abnormal test results, annual "questionnaire" answers or other problems dictate more frequent observation. A copy of the physician's statement certifying each employee's ability to work at task specific operations will be available upon request. During the medical examination employees are evaluated for their ability to wear respiratory protection. This evaluation includes, at a minimum, an examination of the cardiopulmonary system; including forced vital capacity (FVC) and forced expiratory volume C 1 second (FEV L.0)' When indicated by the physician, other tests of the respiratory and cardiovascular systems are performed on the basis of an individual's past history, findings of the current evaluation, and/or the type of equipment the individual may be required to use' Following is a summary of PPC's medical examination program: 35 lPage Cap Xl Foothill, LLC ExitInterimAnnual2BaselinerExam Components YesYesYesYesBlood and Urine Specimen YesYesYesYesVital Signs YesYesYesYesVision Screening (lncludes Peripheraland Color) YesYesYesYesDipstick Urine Analysis YesNoYesYesAudiometer YesYesYesYesSpirometry 3No33EKG Medical Monitoring Protocol Pacific Petroleum California, lnc. Health and Safety Plan No 33YesChest X-ray YesYesYesYesReview of History YesYesYesYesPhysical Exam Only do an X-ray if not done within the last 12 months Only do an X-ray if not done within the last 3 For medical indications onlY NOTE: Any employee who develops a lost time injury or result of work in the exclusion zone will be evaluated by illness, during the period of this contract, as a the Medical Consultant. The Project Supervisor will be provided with a written statement that indicated the employee's fitness and ability to return to work, signed by the Medical Consultant prior to allowing the employee to re-enter the exclusion zone. NON-CONTRACTOR PERSON N EL M EDICAL MON ITORI NG Onsite personnel entering the contaminated reduction zone or exclusion zone, and not employed by ppC, will be required to provide documentation that he/she meets the medical surveillance requirements of this HASP; has been certified fit to enter contaminated area (i.e., asbestos abatement); has the required pPE for this project; and has received their 40-hour OSHA training pursuant to OSHA 29 CFR tg26.65. Documentation will be submitted to the HSo and maintained onsite. Truck drivers for the off-site transportation subcontractors are exempt from this requirement, but will be required to remain in their cabs at all times when not in support zones. AIR MONITORING Exposure monitoring for ppC personnel shall be conducted by the HSO, in conjunction with the owner,s representative and based on the hazard potential information provided in the bid documents. The primary contaminate of concern is Diesel fuel and it constituents. No data has been provided showing proof of contamination. Real-time air monitoring shall be conducted for work activities that result in soil intrusion (i.e., excavation) in areas designated as impacted soil (i.e., having diesel contamination) and as noted in the project documentation. All personnel in the excavation area will be equipped with Level D PPE as long as monitoring does not indicate respiratory protection is necessary. The HSO will make the determination to increase PPE requirements. AIR MONITORING ACTIVITY PLAN 36 lPage Cap Xl Foothill, LLC Sample Type and Method TaskActivity Pacific Petroleum California, lnc. Health and Safety Plan Constant air monitoring with a Calibrated 4-way gas monitor; monitor is checking LEL, CO and 02 levels. Laborer 4-way monitor Once tank is filled with the appropriate amount of dry ice, check to make sure tank is inert, before removing from excavation. Laborer 4-way, PID/FlD CONFINED SPACE ENTRY PROCEDURES Confined space entry is not expected during this project. Should confined space entry be identified, the client will be notified and safety procedure will be developed and approved before any entry proceeds. DECONTAM I NATION PROCEDU RES Decontamination of equipment and personnel will be performed as necessary to limit the potential migration of contaminants outside the project limits. All equipment and personnel will be decontaminated before leaving the property. A detailed decontamination plan will be developed as part of project mobilization. personnel and equipment decontamination procedures to be employed when exiting contaminated work areas at this site are summarized in the following subsections. PERSONNEL HYGIENE AND DECONTAMINATION All project personnel will minimize contact with contaminants in order to minimize the need for extensive decontamination. All personnel will be made aware of any personal habit that may allow contaminants into or onto their body. All personnel will check that regularly worn PPE (i.e. hardhats and liners, eye protection, etc.) is clean and in good condition. Any products used for personal consumption are prohibited in any work area. Break areas will be limited to specific areas where eating, drinking, smoking, etc. and the storage of these materials will be allowed. No ppE will be removed from the designated contaminated work area without proper decontamination or disposal. All personnel leaving the contaminated work area will pass through 3TlPage Cap Xl Foothill, LLCPacific Petroleum California, lnc. Health and Safety Plan a contamination reduction zoned where they will remove their PPE and thoroughly wash/rinse any exposed skin with water and biodegradable soap before leaving the Project site. personnel decontamination equipment consists of wash tubs (boot wash), trash cans with liners (for disposable ppE), buckets (glove wash/rinse and respirator wash/sanitize/rinse), brushes, water supply and detergent. Boot, glove and respirator cleaning and rinsing solutions will be changed at least dailY. A standard, typical personnel decontamination sequence is presented below. o Step L: Scrape the gross contamination from boots and outer gloves. Wash them using soap in a water solution and rinse with water into a designated container in the contamination reduction zone. o Step 2: Remove the tap from and around boots an outer gloves and deposit in a collection drum (if disposable) or store on a rack (if reusable). Remove the over boots and outer gloves and place in a collection drum (if disposable) or wash and place on a rack (if reusable). o Step 3: Remove respirator cartridge and place in a collection drum. o Step 4: Remove disposable coveralls and place in a collection drum. Remove boots and store in an appropriate location. Remove disposable innergloves and dispose of them in a collection drum. o Step 5: Remove hardhat and safety glasses: Decontaminate as necessary (wash with sanitizing solution IMSA sanitizing solution or equivalent], rinse with potable water and allow to drY at the end of each daY). r Step 6: Remove respirator, if used, and deposit in a plastic liner. Avoid touching face with fingers. Respirators will be washed in a sanitizing solution (MsA sanitizer or equivalent), rinsed with portable water and allowed to air dry at the end of each day. . Step 7: Thoroughly wash and rinse any exposed skin with water and biodegradable soap using bucket 1. Rinse in bucket 2. Re-rinse in bucket 3. Shower and launder all personal clothing as soon as possible upon completing daily activities. personnel hygiene, hand and face washing, following decontamination will take place in the project support area. EQU I PM ENT DECONTAMINATION The HSO will be responsible for inspecting decontaminated vehicles, equipment and material contaminated work areas, to ensure proper decontamination. The HSO will certify in writing that each piece of equipment utilized in the exclusion zone has been properly decontaminated. Decontamination personnel will be required to use Level C PPE until exposure monitoring confirms Modified Level D ppE is sufficient. The standard operating procedure for the use of high pressure washers will be strictly followed. 33lPage Cap Xl Foothill, LLCPacific Petroleum California, lnc Health and Safety Plan H EAVY EQUI PM ENT DECONTAM I NATION As a general practice, equipment, such as excavators, bulldozers, etc. will remain within the project work zone for the duration of the excavation activities. This ensures the minimization of the potential migration of contaminants outside the project limits. ln addition, the sequence of excavation has been designed to avoid the movement of machinery and personnel over areas within the work zones that have been excavated. Generally heavy equipment, and large materials used in potentially contaminated areas equipment, will be decontaminated as outlined below; o Conduct gross removal of solids at point use. o Degrease as necessary. o Move to the equipment decontamination pad for decontamination via pressure washing. o Collect and handle resultant liquids/solids. TOOLS AND SMALL EQUIPMENT DECONTAMINATION Tools and smaller equipment that may have come in contact with potentially contaminated materials will be decontaminated using the procedures outlined below; o Flush and wipe components to remove debris and other gross contamination. o Clean with potable water and non-phosphate detergent (i.e. Alconox) using a brush or high-pressure washer, as necessary, to remove particulate matter and surface films. o Rinse thoroughly with potable water. o Allow to air dry for as long as possible. NON-DISPOSABLE SAMPLING EQUIPMENT Non-disposable sampling equipment that may have come into contact with potentially contaminated materials will be decontaminated prior to collecting each sample as follows; o Clean with potable water and non-phosphate detergent using a brush, if necessary, to remove allvisible foreign matter. o Rinse thoroughly with potable water. o Rinse thoroughly with de-ionized water. r Visually inspect the openings and treads for solid materials. o Allow to air dry as long as possible on a clean polyethylene sheet or aluminum foil. DISPOSAL OF DECONTAM I NATION WASTES All equipment and solvents used for decontamination will be decontaminated or disposed of properly. All aqueous liquids generated in the personnel and equipment decontamination process will be collected, characterized and appropriately disposed of. All disposable PPR will be containerized in drums and properly disposed of. 39 lPage Cap Xl Foothill, LLCPacific Petroleum California, lnc.Health and Safety Plan MANAGEM ENT OF DECONTAMINATION WATERS Not anticipated for this project. collected decontamination wash water will be sucked into a 70 BBL vacuum truck and hauled to disposal. ln the event an appointment at the designated disposal site could be made until a later date, the fluid will be sucked into a 100 BBL vacuum bin and stored onsite. The bin will be provided by PPC. Mud/sediment/debris from the decontamination operation will be collected in the same vacuum bin from the decontamination area and relocated to the designated material staging for shipment to the approved disposal. Decontamination wash water shall not be treated on site. EMERGENCY EQUIPMENT and FIRST AID REQUIREMENTS Emergency and first aid equipment to be maintained onsite will include the following; . Approved, portable, emergency eye wash units in accordance with ANSI standard 2358.1 o At least one industrial first aid kit and stretcher will be provided and maintained fully at an easily accessible, uncontaminated location chosen by the HSo onsite. Additional first aid kits will be Provided as needed o At least one commercial snakebite kit will be provided and kept in an easily accessible, unconta minated location o First aid and cpR kit locations will be specifically marked by the HSo and stocked with adequate water and other supplies necessary to cleanse and decontaminate burns, wounds or lesions. o At least two first aid qualified employees, certified by the American Red Cross, American Heart Association, National Safety Council or other approved recognized group, will be onsite at all times. r 20#A: B: C type dry chemical fire extinguishers will be provided at all project site locations where flammable materials present a fire risk. Agencies and medical facilities that need to be contacted in the event of an onsite emergency, as well as directions to the nearest hospital, are identified at the beginning of this HASP. The tables stating the emergency contact information and hospital location will be posted in a prominent location(s) onsite. lf a site worker becomes injured or ill, Red Cross/American Heart Association recommended first aid procedures shall be followed. First aid, or other appropriate initial reactions, will be provided by the certified first aid technician that is closest to the incident. 40 lPage Cap Xl Foothill, LLCPacific Petroleum California, lnc. Health and Safety Plan NOTE: When protective clothing has been grossly contaminated during an incident, contaminants may be transferred to the treatment personnel or the wearer and cause injuries. Unless severe medical problems have occurred simultaneously with splashes, protective clothing should be washed off as quickly as possible and removed. lf the worker can be moved, he/she will be taken to the decontamination station where decontamination procedures, additional first aid or preparation for transport to the hospital will be accomplished. ln the event that the victim could not be decontaminated, the rescue service provider must be notified of the situation' lf the injury to the worker is of a chemical nature, the procedures listed below are to be followed; Eye Exposure: lf contaminated solids or liquids get into the eyes, wash eyes immediately using large amounts of water while lifting the lower and upper eyelids occasionally. Wash for at least 15 minutes. Obtain medical attention. Skin Exposure: lf contaminated solids or liquids get on the skin, promptly wash the contaminated skin using soap and water. lmmediately obtain medical attention. Respiratory Exposure: lmmediately move the victim to fresh air. Obtain immediate medical attention. lngestion Exposure; ldentify what contaminant was swallowed. Follow the appropriate procedure and obtain medical attention as soon as possible. NOTE: Any person who is transported to the hospital for treatment related to an exposure injury willtake with them the appropriate information (i.e. SDSs) on the Chemicalto which he/she has been exposed. SDSs for known or suspected Chemicals to exist onsite will be stored in PPCs field office and maintained bY the HSO. EMERGENCY RESPONSE and CONTINGENCY PLAN The following Emergency Response and Contingency Plan includes the following: Preventative measu res; o personnel training and regular EH&S meetings conducted to reduce the likelihood of incidents; o Mitigation measures to limit the scope of any incident, and o Contingency actions to respond to and remedy the effects of incidents. Controllable: No need to report this type of an emergency. Project personnel will notify the HSO of the incident. .) Minor:The HSO will immediately notify the Site Superintendent and state the following: o Name 41 lPage Cap Xl Foothill, LLC REPORTING AN EMERGENCY Pacific Petroleum California, lnc.Health and Safety Plan o Location of emergency o Describe problem o State whether fire department is needed o State whether emergency personnel are needed. The Site Superintendent will react as follows o o Call the fire department if required. Call personnelfrom the emergency phone list. Mojor:The HSO will immediately notify the Site Superintendent stating the same points that are listed under a minor emergency. However, with a major emergency the HSO must state that this is a major emergency. The site superintendent will react as follows: o Call PPC Project Manager e Callfire department o Call rescue personnel o Call police o Call contracted emergency response coordinator o Call PPCsCorporate Director EH&S PRE-PLANNING All work will be coordinated with the PPC Project Manager. Arrangements for emergency services will be made prior to initiating onsite operations. Emergency response procedures will be covered as part of the project personnel's training. This training will include, but not be limited to; o Emergency chain of command; o Communication methods and signals; o Location of phones and emergency numbers; o Use of emergency equipment; o Evacuation and emergency procedures; o Offsite support; o Site-sPecifichazards; o DecontaminationProcedures; o Standard operating procedures, and o Location and use of the first aid equipment EMERGENCY CHAIN OF COMMAND ln the event of an emergency, personnel will immediately notify the HSO, using available communications. The HSO will assess the situation and take appropriate action which can include (depending on the circumstances) notifying the Project Manager, Site Supervisor, Vice President and Corporate EH&S Director and Owner's representative of the situation; initiating engineering controls (i.e. dust suppression, ventilation, etc.); ceasing all work; ordering evacuation of the work zone; implementing emergency altering and response procedures; requesting emergency medical treatmenU and/or administering first aid. 42 lPage Cap Xl Foothill, LLCPacific Petroleum California, lnc. Health and Safety Plan EMERGENCY RESPONSE TEAMS The emergency response team will consist of individuals with the following responsibilities; o lnitial lncident Manager o Coordinator o Safety Officer FUNCTIONS OF REPONSE TEAM MEMBERS The ppc site superintendent will serve as the lnitial lncident Manager. Responsibilities are as follows; o Manage response activities o Be responsible for the overall direction of the staff o Arrange for notification of the appropriate individuals and agencies o Act as the liaison with governmental officials, during an emergency o Act to minimize public contact o Coordinate the notification of neighboring businesses and residents with local authorities o Characterize the extent of contamination and notify the proper authorities The Coordinator position will be filled by the PPC Project Foreman who will; o Coordinate with the police authorities, with respect to notification of neighbors o Arrange and provide for the equipment and materials needed to cope with emergency conditions. This equipment will include showers, eye wash stations, firefighting equipment capable of extinguishing chemical fires, first aid supplies and construction equipment o Direct onsite questions from the public to the appropriate individuals o Notify the contracting officer of any scheduled meetings with local government officials PPC's HSO will also act as the incident Safety Officer as follows; o Be responsible for the safety of personnel at the scene o Recommend the proper PPR and equipment o Test downwind areas for levels of chemicals HSO Role in Emergencies ln the event of a spill or release, the HSO will attempt to characterize any human exposure to project personnel or others. He will also attempt to determine the levels of exposure, when feasible. The HSo will consult with the physician to determine if any health effects are to be expected. lf appropriate, medicaltreatments will be recommended. COMMUNICATION METHODS AND SIGNALS Evacuation 43 lPage Cap Xl Foothill, LLCPacific Petroleum California, lnc. Health and Safety Plan Emergency escape routes will be designated by the HSO for use in situations where rapid egress from the exclusion zone is required. Project personnelwill be notified of the specific evacuation routes and re-assembly areas during the daily toolbox EH&s meetings. The re-assembly area will be determined based on current wind conditions and indicated on a site map. The map will be posted in an area readily accessible to workers in the different project areas. An emergency evacuation alarm (air or vehicle horn) will be kept onsite at all times. The audible evacuation signal will be short bursts on the horn (one second burst followed by one second interval) and will be repeated until the site is evacuated. After the work area is cleared, Project personnel will meet at an upwind re-assembly facility area that the HSo will designate. The emergency alarm will be sounded in the event of any serious problems or emergency (fire, medical) that requires the assistance of personnel or the evacuation of the construction team. ln situations where an onsite emergency results in evacuation, personnel will not be permitted to re-enter until; o The conditions resulting in the emergency have been corrected; o The hazards have been reassessed; o The HASP has been reviewed, and o Project personnel have been briefed on any change in the HASP Emergency Services and Vehicle Access The emergency telephone numbers, listed in the Contact lnformation section of this HASP, will be posted at each project site telephone. Directions to the hospital will also be posted at this location. ln the event that emergency service vehicles need access to a location that is blocked by onsite operations, those operations (equipment, materials, etc.) will be immediately moved to allow vehicle access. The emergency crews will be quickly briefed as to the site conditions and hazards by the HSO. All vehicles and personnel will be decontaminated prior to leaving the site. WEATHER ln the event of severe weather (heavy rain, lightning, high winds, etc.), the HSO will monitor the appropriate public notification system and notify project personnel of any alerts. As the storm approaches, all work will stop, loose objects will be secured and site personnel will take shelter at a location pre-arranged by the HSO. After the severe weather has passed, and prior to work startup, the HSO will inspect the site for hazards. Landslides- During very heavy downpours, any work being conducted in valleys, near unstable vertical surfaces, or excavations will stop. Personnel will move away from the hazard area and report to the HSO. Work will not commence until a competent person has inspected the area' 44 lPage Cap Xl Foothill, LLCPacific Petroleum California, lnc Health and Safety Plan Lightning - Any visual sighting of lightning will result in stopping outside work activities. Work will not commence until 30 minutes after the last observed strike. High Winds- Winds higher than 25 mph will cause all exterior hoisting and lifting to cease. Crane operators have the authority to stop lifts at lower wind speeds based on their discretion. project Tornado Shetter - To be determined with initial hazard exposure assessments and site mobilization. All reasonable efforts should be made to access this location in the event of a tornado. Recognizing imminent tornado signs include seeing an unusually dark sky, possibly with some green or yellow clouds. You may hear a roaring or rumbling sound like a train, or a whistling sound like a jet. Large hail may also be falling. You may be able to see funnels, or they may be hidden by rain or hail. Listen to the radio for tornado warnings during bad thunderstorms. lf a tornado warning is issued, don,t panic. lnstead, listen and look. Quickly but calmly follow directions for getting to shelter. Take cover. lndoors you should go down into the basement and crouch down under the stairs, away from windows. Do not take an elevator. lf you can't get to a basement, go into a closet or bathroom and pull a mattress over you or sit underneath a sturdy piece of furniture on the ground floor near the center of the building. pull your knees up under you and protect your head with your hands. A bad place to be in a tornado is in a building with a regular freestanding roof such as a gymnasium, arena, auditorium, church or shopping mall. lf you are caught in such a building, take cover under something sturdy. More than half of tornado deaths occur in mobile homes. lf a tornado threatens, get out and go to a building with a good foundation, or lay down in a ditch away from vehicles and other objects. lf driving, get to a shelter, lie down in a ditch or seek cover up under the girders of an overpass or bridge. Stay as close to the ground as you can. Protect your head and duck flying debris. Stay away from metal and electrical equipment because lightning accompanies tornadoes. lf there is time before the tornado strikes, secure objects such as garbage cans and lawn furniture which can injure people. While most tornado damage is a result of the violent winds, most injuries and deaths actually result from flying debris. EARTHQUAKE ln event of an earthquake, if you are outside, stay outside, and stay away from buildings utility wires, sinkholes, and fuel and gas lines. Once in the open, get down low (to avoid being knocked down by strong shaking) and stay there until the shaking stops. The area near the exterior walls of a building is the most dangerous place to be. Windows, facades and architectural details are often the first parts of the building to collapse. Also, shaking can be so strong that you will not be able to move far without falling down, and objects may fall or be thrown at you. Stay away from this danger zone--stay inside if you are inside and outside if you are outside. 45 lPage Cap Xl Foothill, LLCPacific Petroleum California, lnc. Health and Safety Plan I WILDFIRE ln event of a wildfire in the project vicinity and which threatens the area, it is everyone's responsibility to; o Stay aware of the latest news and updates from local media and be prepared to evacuate; o Place valuables in a motor vehicle; o Move equipment as far away from potential combustible material as soon as possible; o Connect water hoses and fill any large containers with water for possible firefighter use; o Leave as early as possible, after being told to evacuate. Do not linger once evacuation orders have been given. Clears roads for firefighters to get equipment in place to fight the fire. SPI LL CONTAI NMENT PROCEDU RES The purpose of this section is two-fold; to prevent and control accidental discharge of polluting materials to surface soils and waterways {or groundwater); and to minimize and abate the hazards to human health and the environment from hazardous waste releases to air, soil or surface water. These procedures will be reviewed with project personnel prior to startup and thereafter as necessary during regular weekly EH&S meetings and daily briefings. EMERGENCY NUMBERS The names and phone numbers of emergency services and offices to be contacted in the event of a spill, or any other onsite emergency, is provided in the Contact lnformation portion located at the beginning of this HASP. These phone numbers will be posted by the HSO in prominent positions throughout the Project site' DEFINITIONS For the purposes of this plan, spoils are defined as any material that is accidentally or intentionally leaked, pumped, poured, dumped or emitted onto the ground, surface water, groundwater or air. All spilled material will be considered hazardous; cleaned up following the established spill response procedures; and reported as required. Spills will be categorized as: Priority 1 or Priority 2. priority l spills: Result in a significant release of contamination into the air, or onto the ground, outside the exclusion zone. priority 2 Spills: Result in minor spill, less than five (5) gallons and not reportable, which can be easily cleaned up. POTENTIAL SOURCES AND PREVENTATIVE MEASURES The contracted work has potential spill sources. These include, but are not limited to: 46 lPage Cap Xl Foothill, LLCPacific Petroleum California, lnc.Health and Safety Plan ln general the HSO will be require to transportation vehicles used in support of this contract are equipped with the appropriate spill response equipment, and that the drivers have received the proper spill response training and maintain all their require federal and state licenses and certifications. verify that all Transporting waste material to selected offsite disposal facilities PPC will prohibit the long term storing of diesel fuel. PPC wi limit the amount of fuel kept onsite to only that required for weekly equipment usage. Re-fueling onsite equiPment Easily accessible spill response stations will be set up containing absorbent pillows, floor dry, shovels and brushes to be used in the event of a spill. The location will be known to all rsonnel.ro ct General spill prevention requirements Preventive Measure(sPotential Spill Source SPILL RESPONSE PROCEDURES tnitial Contoinment and ResPonse ln the event of a spill, the following initial containment and response procedure must be im plemented immediatelY. o Administer first aid to injured person(s). Any employee that observes a spill will act immediately to remove and /or protect the injured person from a life-threatening situation. First aid and/or decontamination procedure will be implemented as appropriate. o Warn other persons and/or vehicles of the hazard. Personnel will act to prevent any unsuspecting persons from coming in contact with the spilled materials by alerting nearby people and by obtaining assistance of other personnel who are familiar with spill control and clean up training. . Stop the spill at the source, if possible. Without taking unnecessary risks, personnel will attempt to stop the spill at the source. This may involve activities such as up-righting a drum, closing a valve or temporarily sealing a hole with a plug. PPC personnel will not expend more than a brief effort, prior to notifying the HSO. o Notify the HSO. Using available onsite communication systems, or other rapid communication procedures, the HSO will be notified of the spill, including information on the material spilled, quality, personnel injuries and immediate life-threatening hazards. The HSO will notify the PPC representative and emergency contacts immediately (See EmergencY Contact List). NOTE: lf a flammable liquid is involved in the spill, remove all ignition sources and monitor for explosive conditions with an LEL meter during cleanup. Also, remove any surrounding materials that might chemically react with the spill materials. 4TlPage Cap Xl Foothill, LLCPacific Petroleum California, lnc. Health and Safety Plan Spill Containment The HSO will make a rapid assessment of any spill at the site; apply the appropriate EH&S considerations to the use of PPE in the spill release zone; and direct primary containment measures. Depending on the nature of the spill, primary containment measures may include, but are not limited to; o Constructing a temporary containment berm to control the horizontal flow of the spill using absorbent pads, booms, sandbags, sand and/or other inert materials o placing drums under the leak to collect the spilling material before it flows onto the ground o Digging a sump, installing a polyethylene liner and diverting the spilled material to the sump o Transferring the material from its original container to another container Spills that occur between the project site and the offsite disposal facility will be initially contained by the driver using on-board spill response equipment. SpillCleanup The HSO and Project Manager will develop an incident-specific spill clean-up plan for Priority L spills that will take into consideration the associated hazards, quantity of spilled material, disposal methods and costs. The incident specific spill clean-up plan will be reviewed for acceptance by the ppC representative and/or other Federal, State or Local oversight personnel. Once approved, the spill clean-up plan will be implemented under the direct supervision of the Site Superintendent. Generally, all visually detectable spills, leaks or releases of fuel oil will be collected and cleaned up using absorbent pads, booms, sandbags, sand and/or other inert materials as practicable using the response procedures outline below. Emergency spill kits will be kept in each vehicle. 43lPage Cap Xl Foothill, LLCPacific Petroleum California, lnc.Health and Safety Plan contain the spill and excavate the visually contaminated soils. Containerize, sample for classification purposes and dispose offsite. Waste oil on the ground contain the spill. Power wash the contaminated are(s). collect and containerize the resultant wastewater for onsite treatment.Building/paved surfaces Power wash the vehicle. Collect, contain and treat the resultant decontamination fluids.Vehicle Contain the spilled material. Collect, containerize and remove the spilled material. sample for waste classification purposes. Dispose of materialoffsite. Waste from truck spilled on roadway Post-spill lnspection The HSO, project Manager and pPC representative willjointly inspect the spill site to determine that the spill has been cleaned up to the satisfaction of all involved parties. Reporting ln the event of a spill incident, the HSO will immediately contact the Corporate EH&S Director, project Manage and PPC Representative; initiate the emergency procedure steps that are provided in this HASP, and Complete a Spill Report From for submittal to the Project Manage and the PPC project RePresentative. ppC will be responsible for reporting any Priority 1 spills immediately following the incident. A written report will be submitted within seven days after the telephone call reporting the incident. The written report will include the item spilled, quantity, identification and manifest numbers, whether the amount spilled is EPA/state/District reportable, exact location of occurrence, containment procedures used, anticipated clean-up and disposal procedures and disposal of spill residue. HEAT STRESS MONITORING The HSO willvisually monitor project personnel for signs of heat overexposure. The HSO will be responsible for implementing the following program when the ambient air temperature exceeds 85"F (heat stress monitoring). Symptoms Weakness, dizziness, fainting, nausea, headaches, cool and clammy skin, profuse sweating, slurred speech, weak pulse and dilated pupils. Procedure 49 lPage Cap Xl Foothill, LLCPacific Petroleum California, lnc. Health and Safety Plan Personnel who wear PPE allow their body heat to be accumulated with and elevation of the body temperature. Heat, heat exhaustion and heat stroke can be experienced which, if not remedied, can threaten health and life. A current edition of the American Red Cross Standard First Aid book or equivalent will be maintained onsite at all times so that the HSO and all Project personnel will be able to recognize the symptoms of heat emergency and be capable of controlling them. When PPE is worn (especially levels B and C) the suggested guidelines for ambient temperature and maximum wear time per excursion are as follows: rature Wear Ti n Min 15 30 60 90 L20 180 One method for measuringthe effectiveness of employees' rest-recovery regime is by monitoring their heart as follows: o During a 3-minute period, count the pulse rate for the last 30 seconds of the first minute, the last 30 seconds of the second minute and the last 30 seconds of the third minute. o Double that count. o lf the recovery rate during the last 30 seconds of the first minute is at LL0 beats per minute or less and the deceleration between the first, second and third minute is at least 10 beats/minute, the work recovery regime is acceptable. lf the employee's rate is above the specified, longer rest period is required, and accompanied by and increased intake of fluids. LOGS, REPORTS and RECORDKEEPING The following reports will be prepared and submitted as indicated below. Copies of the field logs, permits and forms required for this Project are provided in Attachment L. Tvpe Frequencv JHA for Work Approved Pre-plan for High Risk Work Weekly prior to start of work Employee Daily Safety Brief Site Log As required lncident Report Spill Report As required, within 24 hours 50 lPage Cap Xl Foothill, LLC Above 90 85-90 80-85 70-80 60-70 s0-60 Pacific Petroleum California, lnc. Health and Safety Plan Site Specific OSHA 300 Log 10th of each Month for previous month The above logs and reports will be prepared by the HSO, or his designated representative, at the frequency noted above. Completed logs and reports will be maintained stored on site in the project field office. Copies shall be provided to the PPC Project Manager. Hot Work Permit Procedures (not applicoble for this task) ppC will follow specific procedures to assure all hot work activities, welding, burning, cutting, sparking and other ignition source work is completed safely without incident (no fires, injuries or property damage). All hot work shall require an approved hot work permit issued by the PPC HSO prior to commencing work. The hot work permit shall define the minimum acceptable procedures and precautions that shall be taken for all phases of the hot work; prior to start of work, as well as during and after hot work is completed. A permit shall be issued daily for each specific location, type of hot work, protective measures, date, time duration and final completion time. Hot work permits will be available for review by the PPC project manager. Completed and signed permits shall be returned to the HSO at the end of the work day. Copies of completed permits shall be maintained in the PPC field office for review. Certification of Equipment Operators & Rigging (not applicable for this task) All heavy equipment operators, including crane and rigging personnel, working on site will be certified through ppC's in-house program. Training requirements for certification are as follows; H eovy Eq u i pme nt OPe rators o Formal classroom with written qualification o Determination of proficiency by an PPC certified operator o On-the-job mentoring for 40-hour minimum under a competent person The formal classroom and mentoring may be adjusted based on an operato/s previous experience. ln addition to the PPC certification, operators must obtain state-specific licenses/permits. Crane Operators o Formalclassroom with written qualification o Determination of proficiency by an PPC certified operator o On-the-job mentoring for 80-hour minimum under a competent person 51 lPage Cap Xl Foothill, LLCPacific Petroleum California, lnc. Health and Safety Plan "J The formal classroom and mentoring may be adjusted based on an operator's previous experience. ln addition to the PPC certification, operators must obtain state-specific licenses/permits. Riggers o Formal training as provided in OSHA L926.L4OL-L425 & ANSI A10.42 with written qualification o Determination of proficiency by an PPC certified rigger o On-the-job mentoring for an 8-hour minimum under a competent person 52 lPage Cap Xl Foothill, LLCPacific Petroleum California, lnc.Health and SafetY Plan ATTACHMENT l: Forms ) 53 lPage Cap Xl Foothill, LLCPacific Petroleum California, lnc.Health and Safety Plan ATTACHMENT ll RESERVED: Site-Specific Job Hazard Analysis (To be inserted as developed and revised) ) 54 lPage Cap Xl Foothill, LLCPacific Petroleum California, lnc. Health and Safety Plan ATTACHMENT lll: Project Technical Plans (To be inserted as developed and revised) 55 lPage Cap Xl Foothill, LLCPacific Petroleum California, lnc.Health and Safety Plan ,-l ATTACHMENT lV RESERVED: Site Safety Audits (To be inserted as developed and revised) ) J Pacific Petroleum California, lnc Health and Safety Plan 56 lPage Cap Xl Foothill, LLC ,l ATTACHMENT V RESERVED: BBS/STAC Safe Work Observations (To be inserted as developed and revised) ) J Pacific Petroleum California, lnc. Health and Safety Plan 5TlPage Cap Xl Foothill, LLC