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Universal Health & Safety Plan r <br /> For use on all high-risk,industrial and HAZWOPER projects <br /> Department of Toxic Substances Control <br /> The horizontal coordinates and elevation of the top of the north side of each well's PVC casing and the center of the well box for <br /> each well will be surveyed relative to a benchmark of known coordinates and elevation, per established horizontal and vertical <br /> datum. Each horizontal coordinate point will be accurate to±0.1 foot, and elevation to±0.01 foot. <br /> A Task Hazard Assessment(THA)for each operation being performed by AECOM must be included in Attachment C,while <br /> those performed by the managed subcontractors should be prepared by the subcontractor. <br /> AECOMTask Name Permit(s) Primary Task Performed By <br /> Required <br /> Coronavirus Precautions—Field, Office&Travel THA ❑ Yes Z No ❑x ❑x ❑ <br /> Driving To and From the Site ❑ Yes Z No ❑x ❑x ❑ <br /> Site Visit and Phase I ❑ Yes Z No ❑x ❑ ❑ <br /> Utility Clearance ❑ Yes Z No ❑ ❑x ❑ <br /> Direct Push drilling Z Yes ❑ No ❑ ❑x ❑ <br /> Soil Sampling ❑ Yes Z No ❑x ❑ ❑ <br /> Groundwater Sampling Z Yes ❑ No ❑x ❑ ❑ <br /> Soil gas probes installation ❑ Yes Z No ❑ ❑x ❑ <br /> Soil gas sampling ❑ Yes Z No ❑x ❑ ❑ <br /> Waste Transportation and Disposal ❑ Yes Z No ❑ ❑x ❑ <br /> Well Surveying ❑ Yes Z No ❑ ❑x ❑ <br /> 2.4 Key Dates <br /> • July 26, 2022 <br /> • August 2, 2022 <br /> • December 1, 2022 <br /> 2.5 High Potential Hazard Activities <br /> In general,the following tasks are considered High Potential (HiPo) Hazard Activities, as identified in S3AM-209-PR1, Risk <br /> Assessment, based on the factors contributing to the severity and probability of credible outcomes resulting from ineffective <br /> mitigation of their hazards.Additional tasks or activities could be added to the list below based on a similar assessment of their <br /> hazards and associated control measures. The following HiPo tasks will be required to complete the approved scope of work. <br /> High potential hazard activities may require additional documents such as: permit to work, site specific plans,task/equipment- <br /> specific training, pre-use inspections, a competent person, etc. These requirements are listed under the high potential hazard <br /> activities as a reminder that you must implement them prior to performing the activity. <br /> All procedures referenced in the table below MUST be included in Attachment D for implementation into this HASP. <br /> ❑X Drilling, Boring and Direct Push Probing <br /> — Qualified/trained operators, pre-use inspection(S3AM-321-FM1)and THA required. Follow requirements in S3AM-321-PR1. <br /> ❑X Hazardous Materials Communication <br /> — Written hazardous materials communication program, chemical inventory list and SDSs required for all chemicals on <br /> site. Follow the requirements in S3AM-115-PR1. <br /> ❑X Hazardous Waste Operations—Working with Hazardous Substances or Materials(including all HAZWOPER projects) <br /> — Completion of this site-specific HASP required. Follow the requirements in S3AM-117-PR1. <br /> ❑X Heavy Equipment—Working with/Operating or Working near Heavy Equipment, Mobile Equipment or Drill Rigs <br /> ©AECOM Restricted <br /> Universal Heath and Safety Plan Template(S4(DSC)AM-209-FM-C) 3 <br /> Revision 12 September 9,2021 <br /> PRINTED COPIES ARE UNCONTROLLED.CONTROLLED COPY IS AVAILABLE ON COMPANY INTRANET. <br />