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; TOXIC ❑For toxic substances,use/store in a manner to control exposure hazards(inhalation,ingestion,skin contact,
<br /> skin absorption);use active ventilation and/or PPE as appropriate.
<br /> ® EMISSIONS FROM FUEL N Position outdoor personnel upwind of exhaust source.
<br /> COMBUSTION,HOT PROCESSES ❑Avoid"idling"of equipment when not in use.
<br /> ®Gasoline ❑Use passive ventilation(air infiltration/air currents)to disperse atmospheric hazards in breathing zone.
<br /> ®Diesel ❑Use dilution ventilation(blowers/fans)to provide fresh air to work area and dissipate atmospheric hazards.
<br /> ❑Propane/Natural Gas ❑Use exhaust ventilation(hood/duct/exhaust stack/blower)to capture/divert exhaust from work area.
<br /> ❑Welding/cutting/hot work ❑Use respiratory protection for high levels of smoke,exhaust particulates,soot.
<br /> ®Vehicle/equipment exhaust ❑Conduct air monitoring as appropriate;see Part E,"Air Monitoring,Worker Exposure Monitoring."
<br /> ❑Other
<br /> OTHER HAZARDS ❑Describe other hazardous substances and safety measures under"Site Specific Notes&Clarifications,"above.
<br /> Geosyntec Procedures: HS-115-US-Hazard Communication,HS-115-CA-WHMIS,HS-111-Air Monitoring,HS-112-Respiratory Protection,
<br /> HS-113-Personal Protective Equipment,HS-114-Safety Traininq Programs,Others as applicable
<br /> D.15. SITE CONTAMINANTS, CHEMICAL WASTES ® Applicable -- Not Applicable, Not Anticipated
<br /> Site-Specific Notes&Clarifications:
<br /> CHECK ALL THAT APPLY. Provide site-specific notes/clarifications above.
<br /> ................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
<br /> N Soil/groundwater contaminants(historical release) ❑Explosive dust ❑Potential for flammable gas(methane)
<br /> ❑Recent release,known high concentrations ❑Oxygen deficiency ❑Corrosive,acids/caustics,strong irritants
<br /> ❑Former chemical disposal site,landfill N Chlorinated volatile organic compounds(VOCs) ❑Asbestos abatement work
<br /> N Urban fill,residual contaminants ❑BTEX,petroleum derived VOCs ❑Pesticides,herbicides,fungicides
<br /> ❑Containerized waste(drums,process equipment) ❑Fuel oils,petroleum,waste oil,lubricants ❑Sensitizers
<br /> ❑Buried drums(known or potential) ❑Metals,metal compounds,metal dusts ❑Radioactive contaminants
<br /> ❑Large containers,potential for spills El Elemental mercury ❑Controlled substances,drugs
<br /> ❑Contaminated building surfaces ❑Polyaromatic hydrocarbons(PAHs) ❑Other-describe above
<br /> ❑Unexploded ordnance ❑Potential for flammable vapors
<br /> NOTE:For sites with one or more"high-risk contaminants"(below)designated/recognized as a contaminant of concern,or exceeding an environmental reporting
<br /> threshold, or representing a potential exceedonce of an action level or exposure limit,the THA must be reviewed by the H&S Dept.before initiating the work:
<br /> ❑ ❑ ❑L Asbestos Cadmium ead
<br /> ❑Arsenic/arsenic compounds ❑Chromium VI(Hexavalent chromium) ❑ Methylene chloride
<br /> ❑Benzene(except as trace constituent of petroleum fuel) ❑Dioxins ❑Polychlorinated biphenyls(PCBs)
<br /> ❑Beryllium ❑Reactives—Cyanides/sulfides(HCN,H2S) ❑Vinyl chloride
<br /> ® FOR WORK CONSISTING OF CLEANUP OPERATIONS,CORRECTIVE ACTIONS,PRELIMINARY INVESTIGATIONS at an"UNCONTROLLED HAZ.WASTE SITE"
<br /> (per HAZWOPER,29 CFR 1910.120 or equivalent),delineate procedures in"Site-Specific Notes and Clarifications"(or attachments)addressing the
<br /> following,as applicable to the work:
<br /> — Workers attend pre-work orientation on hazards,risks,onsite safety measures,emergency contingencies.
<br /> — Implement site control plan-delineate Exclusion Zone(s),Contaminant Reduction Zone(s),Support Zone(aka EZ,CRZ,SZ).
<br /> — Include site map/figure depicting work locations and other relevant site-specific information.
<br /> — Site workers in EZ or CRZ to have 40-hour HAZWOPER training,current 8-hour refresher,3 days supervised field experience.
<br /> — Site supervisor(s)required to have 8-hour Supervisor training.
<br /> — Site workers in EZ or CRZ to participate in medical monitoring program,as applicable.
<br /> — Implement site-specific procedures for worker protection via engineering controls,work practices,personal protective equipment(PPE),air
<br /> monitoring,decontamination procedures,spill containment,emergency preparedness and response.
<br /> — Conduct air monitoring,as appropriate;see Part E,"Air Monitoring,Worker Exposure Monitoring."
<br /> — PPE program:Specify Levels of Protection and specific PPE to be used for applicable tasks;
<br /> 0 Level D:No respirator,no chemical protective clothing,standard work clothes,basic PPE;(COVID-19 face covers allowed)
<br /> 0 Modified Level D:No respirator,chemical protective clothing as appropriate;(COVID-19 face covers allowed)
<br /> 0 Level C:Air-purifying respirator,chemical protective clothing as appropriate;consult with Corp.H&S Dept.required.
<br /> 0 Level B:Air-supplied respirator,chemical protective clothing/suit as appropriate;consult with Corp.H&S Dept.required.
<br /> 0 Level A:Fully encapsulating suit,self-contained breathing apparatus(SCBA);Level A prohibited for Geosyntec personnel.
<br /> Geosyntec Procedures:HS-301-HAZWOPER,HS-108-Medical Monitoring Surveillance,HS-111-Air Monitoring,HS-112-Respiratory Protection,
<br /> HS-113-Personal Protective Equipment,HS-114-Safety Traininq Programs,HS-115-Hazard Communication,HS-405-Drum Samplinp,Others as applicable
<br /> FOR SITE WITH CHEMICAL CONTAMINANTS OR WASTE BUT NOT REGULATED BY HAZWOPER
<br /> — Workers to be knowledgeable/aware of chemical hazards thru safety training/orientation and availability of hazard information.
<br /> — Implement controls to minimize worker exposure through engineering controls,work practices,PPE,decon,as appropriate.
<br /> — Evaluate worker exposure via air monitoring/sampling,as applicable;see Part E,"Air Monitoring,Worker Exposure Monitoring."
<br /> Geosyntec Procedures: HS-111-Air Monitoring,HS-112-Respiratory Protection,HS-113-Personal Protective Equipment,
<br /> HS-114-Safety Training Programs,HS-115-Hazard Communication,Others as applicable
<br /> ProjectlTask Name:
<br /> Geosyntec THA Date: Page 11
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