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Universal Health & Safety Plan For use on all high-risk,industrial and HAZWOPER projects Department of Toxic Substances Control • . • PeneCore Drilling ■ Operating DPT rig ■ No Xavier Green ■ Installing Soil Vapor Pins Required Subcontractor Documents: PM must verify that the following documents are in-place for each subcontractor; check to verify. Select One: ■ Copy of task specific THAs/JHAs and inspection/tailgate forms ❑ Subcontractor's Project/Site-specific Health and Safety Plan ElCompetent Person Documentation OR ❑ Copy of their business license and training certificates(task specific) ❑x Subcontractor will work under AECOM's Health ❑ Copy of their Corporate Safety Management Manual and Safety Plan and field personnel will sign the AECOM HASP Acknowledge Form El of the signed contract Prequalification Status Supplier Status Action(s) X❑Approved None, skip to next subcontractor ❑ Conditionally Approved List condition(s)of approval below and describe how condition(s)will be met. ❑ Pending Approval Subcontractor is NOT approved for use Safety Conditions of Approval that Apply to Subcontractor (check all that apply) ❑ AECOM PM will prepare and obtain AECOM SH&E approval of a variance to use this subcontractor. AECOM PM will ensure the control measures listed in the variance are implemented. ❑X Subcontractor will work under the AECOM HASP. AECOM PM will verify that the AECOM HASP covers the subcontractor's scope of work. Subcontractor's field personnel will review the AECOM HASP and sign the HASP Acknowledgement Form (Section19). ❑ Subcontractor has prepared a Site-Specific HASP for their activities that has been reviewed and accepted by AECOM SH&E. ❑X AECOM Site Supervisor and/or Site Safety Officer will supervise the subcontractor's field activities at the Site. ❑ Other: Click here to Describe Attach additional sheets as required to account for each subcontractor performing field work. ©AECOM Restricted Universal Heath and Safety Plan Template(S4[DSC]AM-209-FM2-C) 45 Revision 15 October 18,2023 PRINTED COPIES ARE UNCONTROLLED.CONTROLLED COPY IS AVAILABLE ON COMPANY INTRANET.