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SAIC - Engineering and Infrastructure <br /> Health and Safety Plan for Chevron EMC Field Operations <br /> Job Name: Mountain House Development Site #5 Soil and Groundwater Investigation <br /> Incident Notification Matrix <br /> Initial Incident DetailslDraft SAIC Internal EMC Portfolioof Report <br /> -�ibl- Incident Identification Report Determination Project Manager Notification Incident Review to LIP 11 ata ase oo naldir <br /> Ming rNotification <br /> Immediately following the incident(< Provide details to the SAIC FM Within 24 hrs. Participate as <br /> 1 hour),inform the SAIC FM Provide details throughout process requested <br /> Immediately following the incident Provide data for the Immediate Within 24 hrs. Participate as <br /> notification,contact the SAIC Project Incident Notification Report to the requested <br /> Manager within 1 hr. SAIC PM within 1 hr from time of the <br /> For RCRA sites,contact the incident notification,after stabilizing <br /> CHEVRON/EMC Site Manager after the site <br /> or in parallel with contact to the SAIC <br /> PM within l hour of being notified. Provide details throughout this <br /> Do not rely on voice mail. Continue process <br /> to make calls to next level of <br /> CHEVRON Management until you <br /> can relay the message in person. <br /> Contact the Regional Program Prepare&submit the Immediate Within 24 hrs. Active Participation Within 5 working days to the <br /> Manager &H&S Manager within 1 Notification Report to the SAIC EMC LPS IPS system&copies <br /> hr,of notification from the field Regional Program Manager within 1 to the EMC Portfolio Manager/ <br /> • ' ' hr.after notification Office Manager8 PM <br /> •• SAIC Regional Program <br /> Prepare draft LPSIIPS Incident form Manager&H&S Manager are to <br /> within 24 hours review&approve the report prior <br /> to entry into LPS/IPS database <br /> Contact the Program Manager within Provide Immediate Incident report to Within 24 his. Immediate Incident Notification Establish the <br /> 1 hr.of notificabon from the Project H&S Manager(safety related)and form within 24 hrs.Immediate Meeting prior to 48 <br /> Manager Program Manager Incident Notification form within 8 hours from the time <br /> hours for serious incidents of the incident <br /> •• . (hospitalization,fatality, notification. <br /> >$50,000 damage,large spills)— <br /> Note 2-Final notification&draft Chair the meeting(s) <br /> LPSIIPS report within 48 hrs.& <br /> After SAIC's final determination <br /> &classification of the incident <br /> �. Perform additional SAIC internal Within 24 hrs. Active Participation: <br /> reporting,as appropriate. Safe Incidents <br /> • „ , Contact SAIC Senior Management Within 24 hrs. Active Participation Immediately following <br /> within 1 hr.from notification from the notification by the <br /> Regional Program Manager or H&S Regional Program <br /> Manager.Provide regular status manager to EMC <br /> briefings throughout the process Portfolio/Office Manager <br /> &PM <br /> Notes: <br /> 1.Upon completion of SAIC's internal determination of the incident,a subsequent meeting with the EMC Supervisor will be held within 36 hours of the time of the incident notification to the SAIC Project <br /> Manager. <br /> 2.Reporting to EMC of serious incidents(fatalities or multiple hospitalizations,property damage>$50K,all releases of oil,chemicals,salt water,or other hazardous substances)shall be conducted <br /> immediately and confirmed in writing before the end of the shift. <br /> 14 <br />