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0 ' • Staff: Ultimate control of Health Safety is in the hands of each individual employee. Therefore, each employee must become familiar with and comply with all Health and Safety requirements associated with their position and daily operations. ' Employees also have the responsibility to notify the appropriate management, SSO, and/or HSO of unsafe conditions and accidents/injuries immediately. When employees are issued respirators or any other personal protective equipment(PPE), they are responsible for ensuring that said items are used properly,cleaned as required and maintained in good working order. ' • (Sub) contractors: (Sub) contractors should develop their own site safety plan related to their specific on-site activities. Subcontractors may use AEI's plan as an informational model. However, each Subcontractor is responsible for determining the plan's adequacy and applicability to its own activities on site. Subcontractors wishing to do so must deliver their plan in clear written form to AEI prior to the initiation of on-site activities. ' 6.0 PLAN ACKNOWLEDGEMENT AND APPROVALS Approval or Acknowledgement SSO HSO SS/PM Probable hazards identified on form. X X ' Project scope accurately reflected on form. X Appropriate emergency response info identified on form. X X tAppropriate control measures identified on form. X X Hazards and control measures to be implemented on site X acknowledged. Overall project scope and health and safety requirements X acknowledged. 7.0 SITE CONTROL MEASURES All work will strictly follow OSHA guidelines and HAWOPER regulations. There will be a 10-foot boundary surrounding ' the work area. The boundaries are identified by orange safety cones and/or yellow" caution or red "danger" tape. The area within this boundary is considered an exclusion zone and only qualified personnel will be allowed to enter. All personnel arriving or departing the site should log in before entering the exclusion zone. All activities on site must ' be cleared through the Site Manager. Additional hazards on site include heavy equipment and overhead equipment. Only 40-hour HAWOPER trained personnel will operate equipment or perform any duties associated with this project. A hard hat and steel toed boots are mandatory for all personnel associated with the drilling operation. Nitrile gloves will be worn at all times and changed periodically (as required) during boring logging, soil and groundwater sample ' collection and decontamination to reduce the risk of dermal exposure. A GENERAL PURPOSE FIRST AID KIT WILL BE AVAILABLE ONSITE. EMERGENCY SERVICES ARE AVAILABLE BY ' DIALING 911 ON THE TELEPHONE LOCATED IN THE SITE MANAGER'S VEHICLE.WHICH WILL BE ONSITE AT ALL TIMES. 8.0 DOCUMENTATION TO BE COMPLETED ON SITE ' A Site Inspection Log must be completed at the initiation of on-site activities and at least once per week thereafter until the completion of AEI on-site activities. ' A Site Health and Safety Briefing or"Tailgate Safety Meeting"must be completed at the initiation of on-site activities and t the beginning of site activities each day thereafter until the completion of AEI on-site activities. (Note:The actual briefing may be conducted off-site, in the office for example, if conditions preclude or render impractical its completion on site.) The corresponding Site Orientation Record should be completed at the initiation of on-site activities and once per week thereafter. • The AEI Incident Investigation Form (OSHA Form 301) and the Subcontractor's Statement of Understanding Regarding Health and Safety Responsibilities Form are to be completed on an as needed basis. tAEI Health&Safety,Injury&Illness Prevention Plan March 15,2012