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HomeMy WebLinkAboutHeritage CHASP 10-12-16 APPROVED : PLANNING • RD TOWN OF • • F of I i 11 1 � X1 . 1 � 1 • • r I 1 l., d I � o !1 3 I PREPARED FOR PREPARED BY The Heritage at Cutchogue,LLC ""k 1721-D North Ocean Avenue I&V�;", � Medford,New York 11763 V 100 Motor Parkway,Suite 135 c%:John M. Wagner,Esq. Hauppauge,NY 11788 Certilman Bolin Adler&Hyman LLP (631)787-3400 October 12,2016 ■;i -.",Ovhb Table of Contents Statementof Commitment.......................................................................................................................i Introduction and Site Entry Requirements...........................................................................................1 1.1 Site Safety Plan Acceptance Acknowledgment.........................................................2 1.2 Daily Safety Meetings................................................................................................2 1.3 Key Personnel............................................................................................................2 1.4 Roles and Responsibilities.........................................................................................3 1.5 Training Requirements...............................................................................................4 1.6 Medical Monitoring Requirements.............................................................................4 1.7 Fit-Testing Requirements...........................................................................................4 Site Background and Scope of Work....................................................................................................5 2.1 Site Background.........................................................................................................5 2.2 Scope of Work...........................................................................................................7 HazardAssessment................................................................................................................................9 3.1 Activity-Specific Hazards and Standard Operating Procedures.................................9 3.1.1 Operation of Heavy Equipment.....................................................................9 3.1.2 Excavation/Earthwork...................................................................................9 3.1.3 Work in Extreme Temperatures..................................................................11 3.1.4 Drilling and Probing Operations..................................................................11 3.1.5 Dust Control and Monitoring During Earthwork...........................................11 3.2 General Site Hazards...............................................................................................12 3.3 Chemical Hazards....................................................................................................15 3.3.1 Asbestos-Containing Materials...................................................................15 3.3.2 Lead-Based Paint........................................................................................16 3.3.3 Polychlorinated Biphenyl-Containing Materials...........................................16 3.3.4 Petroleum or Other Contaminants..............................................................17 3.3.5 Respirable Dust...........................................................................................17 3.3.6 Organic Vapors...........................................................................................17 Personal Protective Equipment...........................................................................................................19 4.1 Activity-Specific Levels of Personal Protection........................................................19 4.2 General PPE............................................................................................................20 4.2.1 Level D........................................................................................................20 4.2.2 Level C........................................................................................................20 4.2.3 Level B........................................................................................................21 Air Monitoring and Action Levels........................................................................................................22 5.1 Air Monitoring Requirements...................................................................................22 5.2 Air Monitoring Results and Actions..........................................................................23 SiteControl............................................................................................................................................25 6.1 Work Zones..............................................................................................................25 6.2 General Field Safety and Standard Operating Procedures.....................................26 Decontamination Procedures...............................................................................................................27 ConfinedSpace.....................................................................................................................................29 8.1 Rescue and Emergency Services............................................................................29 8.1.1 On-Site Rescue Services............................................................................30 8.1.2 Subcontractor Entry Operations..................................................................30 Contingency Plan/Emergency Response Plan...................................................................................31 9.1 Emergency Equipment On-Site...............................................................................31 9.2 Emergency Telephone Numbers and Hospital Information.....................................31 9.3 Personnel Responsibilities During an Emergency...................................................32 9.4 Medical Emergencies...............................................................................................33 9.5 Fire or Explosion......................................................................................................34 9.6 Evacuation Routes...................................................................................................34 9.7 Spill Control Procedures..........................................................................................35 Table of Contents ■'I --.W*Vhb List of Attachments Attachment Description A Figures B Site Safety Plan Acknowledgment Form C Site Safety Plan Amendments D Heat/Cold Stress Protocols E Chemical Hazards F Confined Space Entry Checklist/Permit G Emergency Telephone Numbers Hospital Information and Map Field Accident Report Table of Contents ■'I --.W*Vhb Glossary of Common Acronyms ACGIH-American Conference of Governmental Industrial Hygienists ANSI-American National Standards Institute APR-Air Purifying Respirator C&D—Construction and Demolition CFR-Code of Federal Regulations CGI-Combustible Gas Indicator CSEP-Confined Space Entry Permit DECON—Decontamination ESA-Environmental Site Assessment ESI—Environmental Site Investigation FID-Flame Ionization Detector HEPA—High Efficiency Particulate Air HASP-Health and Safety Plan IDLH-Immediately Dangerous to Life and Health LEL-Lower Explosive Limit MSDS-Material Safety Data Sheets NIOSH-National Institute for Occupational Safety and Health OSHA-Occupational Safety and Health Administration OVA-Organic Vapor Analyzer PID-Photoionization Detector PEL-Permissible Exposure Limit PPB—Parts Per Billion PPE-Personal Protective Equipment PPM—Parts Per Million REC—Recognized Environmental Condition SCBA—Self-Contained Breathing Apparatus SOP-Standard Operating Procedure SPCC-Spill Prevention Controls and Countermeasures SVOC—Semi-Volatile Organic Compound TLV-Threshold Limit Value TWA-Time Weighted Average UEL-Upper Explosive Limit UIC-Underground Injection Control Table of Contents This Construction Health and Safety Plan was prepared by: Prepared by: Bryan Murty Senior Project Manager VHB Engineering,Surveying and Landscape Architecture,P.C. Signature: p^ Supervised by: Stephen Kaplan Director,OHM Services VHB Engineering,Surveying and Landscape Architecture,P.C. Signature: by: / S,� I,$ ■ l _.Vhb Statement of Commitment On-site employees may be exposed to risks from hazardous conditions related to remedial activities conducted as part of the Soil Management Plan(SMP)and construction and development activities for The Heritage at Cutchogue development project,a 45.99±acres site located at the intersection of Schoolhouse Road and Griffing Street, in the hamlet of Cutchogue,Town of Southold,Suffolk County,New York(hereinafter the"subject property" or the"site",see Attachment A,Figure 1). VHB Engineering,Surveying and Landscape Architecture P.C.'s(VHB's)policy is to minimize the possibility of work-related injury through aware and qualified supervision,health and safety training,medical monitoring,use of appropriate personal protective equipment, and the activity-specific safety protocols contained in this Construction Health and Safety Plan(CHASP).VHB has established a guidance program to implement this policy in a manner that protects personnel to the maximum reasonable extent. This CHASP has been developed to meet the requirements of the Occupational Safety and Health Administration(OSHA) regulation, Title 29,Code of Federal Regulations,Part 1910.120(20 CFR 1910.120), "Hazardous Waste Operations and Emergency Response." It is intended for the protection of on-site workers. This CHASP,which applies to personnel actually or potentially exposed to safety or health hazards,describes emergency response procedures for actual and potential physical and chemical hazards.This CHASP is also intended to inform and guide all personnel entering the work area or exclusion zone.All persons are to acknowledge that they understand the potential hazards and the contents of this CHASP by signing off upon receipt of their individual copy of the document. A copy of a Site Safety Plan Acknowledgment Form is included in Attachment B of this CHASP. Contractors and suppliers are retained as independent contractors and are responsible for ensuring the health and safety of their own employees. VHB may require that its personnel, subcontractors, clients and visitors take certain precautions in accordance with this CHASP. i Statement of Commitment I,$ ■ l MoVhb 1160 Introduction and Site Entry Requirements VHB has prepared this CHASP for activities associated with the SMP for The Heritage at Cutchogue development project. This CHASP addresses the potential physical and chemical hazards that VHB's workers and other on-site personnel may face while performing the planned site activities. It establishes procedures to minimize worker's exposures through personal protective equipment and safe work practices. The protocols and procedures outlined herein will be used for all planned field activities at the site. A copy of the CHASP will be available on site during all SMP field activities and all personnel will be familiar with the document and its requirements. This CHASP has been developed to meet the requirements of the Occupational Safety and Health Administration(OSHA)regulation,title 29,Code of Federal Regulations,Part 1910.120(20 CFR 1910.120), "Hazardous Waste Operations and Emergency Response." It is intended for the protection of on-site workers. A copy of the CHASP will be available on-site during all site construction and remedial activities,and all personnel conducting on-site activities will be familiar with the document and its requirements. It is recommended that anyone else entering the site,such as subcontractors,clients and visitors,also review the CHASP and follow its procedures. This site-specific CHASP is based on information available at the time the plan was prepared. The CHASP will be revised when new information is received or as conditions change. A written amendment will be prepared for any activities not covered herein and document all changes made to the CHASP. A copy of the Site Safety Plan Amendment form is included in Attachment C of this CHASP. The Site Safety Officer and Project Manager(as identified within this CHASP)will acknowledge all amendments to the CHASP. 1 Introduction and Site Entry Requirements I,$ ■ l ,oVhb 1.1 Site Safety Plan Acceptance Acknowledgment The Construction Project Manager or Site Safety Officer(SSO)will be responsible for providing a copy of this plan to all personnel that are or may reasonably be expected to work at the site and will request that each person sign the Safety Plan Acknowledgment Form in Attachment B. By signing the Site Safety Plan Acknowledgment Form,personnel are recognizing the actual or potential on-site hazards and the policies and procedures that project personnel will take to minimize exposure and risk. Site Safety Plan Acknowledgment Forms will also be signed for any Safety Plan Amendments that may be completed during this work. Safety Plan Amendment forms are included in Attachment C. 1.2 Daily Safety Meetings Each day before work begins,the Construction Project Manager or SSO will hold safety(tailgate or tool box)meetings to ensure that all on-site personnel understand the site conditions and operating procedures,to ensure that personal protective equipment is being used correctly and to address safety questions and concerns. Meeting minutes and attendance will be recorded. All personnel eligible to enter the exclusion and decontamination zones must attend the meetings. Project staff will discuss and remedy any health and safety issues at these meetings. 1.3 Key Personnel The key construction personnel will be determined prior to the start of field activities. The following identifies the key project personnel involved with the work, their title,and contact telephone number: Personnel Title Firm Telephone Stephen Kaplan Project Manager VHB 631-787-3400 Joseph Stressler Site Safety Officer(SSO)VHB 631-787-3400 Victor Rizzo Alt.Site Safety Officer VHB 631-787-3400 If the VHB and/or the project developer replaces any of the above,the CHASP will be modified accordingly. 2 Introduction and Site Entry Requirements I,$ ■ l .oVhh 1.4 Roles and Responsibilities The Project Manager is responsible for overall project administration and,with guidance from the SSO,for supervising the implementation of this CHASP. When the Project Manager is absent from the site,the SSO will assume the on-site responsibilities of the Project Manager. All relevant OSHA health and safety standards will apply. The SSO will conduct daily(tail gate or tool box)safety meetings at the project site and oversee daily safety issues. Each contractor, subcontractor and supplier(defined as an OSHA employer)is also responsible for the health and safety of its employees. If there is any dispute about health and safety or project activities,on-site personnel will attempt to resolve the issue. If the issue cannot be resolved at the site,the Project Manager will be consulted. The SSO is also responsible for coordinating and enforcing health and safety activities on-site. The SSO must meet the emergency response and hazardous materials training requirements of OSHA 29 CFR Part 1910.120,must have completed OSHA supervisor training,pursuant to 29 CFR 1910.120(e)4;and must have experience appropriate to the related site work. The SSO is authorized to suspend the site work based on safety concerns,and is responsible for the following: > Educating personnel about all of the information in this CHASP and any other safety requirements to be observed during site operations,including,but not limited to,decontamination procedures,designation of work zones and levels of protection,air monitoring,fit testing,and emergency procedures dealing with fire and first aid. > Coordinating site safety decisions with the project superintendent and the Project Manager. > Designating exclusion,decontamination and support zones on a daily basis. > Monitoring the condition and status of known on-site hazards and maintaining and implementing the air quality monitoring program specified in this CHASP. > Maintaining the exclusion zone entry/exit log and site entry/exit log. > Maintaining records of safety problems,corrective measures and documentation of any chemical exposures or physical injuries(the Site Safety Officer will document these conditions in a bound notebook and maintain a copy of the notebook on-site). Any person who observes safety concerns and potential hazards that have not been addressed in the daily safety meetings should immediately report their observations/concerns to the SSO or appropriate key personnel. 3 Introduction and Site Entry Requirements I,$ ■ l MoVhb 1.5 Training Requirements All site safety personnel,including the Project Manager,Site Safety and Alternate Site Safety Officer(s)entering the exclusion zone or decontamination zone must meet the training requirements for hazardous waste site operations and emergency response operations in accordance with OSHA 29 CFR 1910.120(e). The general contractor and other subcontractors operating heavy machinery must meet the training requirements for the 10-hour construction safety certification under OSHA 29 CFR 1926. Each subcontractor and supplier working on the job must provide the SSO with training documentation for its personnel. This documentation will be reviewed by the SSO to ensure compliance with site-specific health and safety rules. The SSO may require modifications to the contractor,subcontractor or supplier's safety training documentation if it does not conform to site-specific requirements. 1.6 Medical Monitoring Requirements All site safety personnel,including the Project Manager,Site Safety and Alternate Site Safety Officer(s)entering the exclusion zone or decontamination zone must have completed appropriate medical monitoring required under OSHA 29 CFR 1910.120(f). Medical monitoring enables a physician to monitor each employee's health,physical condition, and fitness to wear respiratory protective equipment and carry out on-site tasks.The general contractor,subcontractors and suppliers working on the job will be responsible to determine if each of their on-site workers are fit to operate and work on-site. Contractors,subcontractors and suppliers working on the job must provide the SSO with documentation on their own medical monitoring programs. 1.7 Fit-Testing Requirements All site safety personnel,including the Project Manager,Site Safety and Alternate Site Safety Officer(s)entering the exclusion zone or decontamination zone using a negative pressure air purifying respirator(APR)must have successfully passed a qualitative respirator fit test in accordance with OSHA 29 CFR 1910.134 or the American National Standards Institute(ANSI). If any adverse conditions are identified during the soil management activities that require the use of a respirator,fit testing documentation will be required to be provided to the SSO by each contractor and subcontractor. . 4 Introduction and Site Entry Requirements I,$ ■ l MoVhb 2oO Site Background and Scope of Work 2.1 Site Background The site consists of an undeveloped parcel located at the northwestern intersection of Schoolhouse Road and Griffing Street in the hamlet of Cutchogue,Town of Southold, Suffolk County,New York.The subject property is known as District 1000—Section 102.00—Block 01.00—Lot No.033.003 on the Suffolk County Tax Maps. The subject property is an approximately 45.99-acre parcel of undeveloped land that was farmed prior to 1983,but currently supports early-through mid-successional habitats, including areas of successional woodland habitat. Due to historical agricultural use at the subject property,sampling was performed to determine if there had been any contamination of on-site soils resulting from pesticide use. A Pesticide Report for the Heritage @ Cutchogue(Pesticide Report)was prepared by Nelson&Pope(N&P)in 2007,and included soil sampling and analysis based upon then-prevailing guidelines,which was based upon guidance from the New York State Department of Health Bureau of Toxic Substances Assessment (BTSA). Initial sampling was conducted on October 24,2007.Eighteen soil samples were collected from nine sampling locations at low points as well as areas throughout the property likely to have accumulated the highest contaminant levels,identified as PS- 1 through PS-9(see Pesticide Report provided under separate cover).Samples were collected from zero-to-three and three-to-six-inch intervals at the nine locations,and analyzed as follows: > Samples from zero-to-three-inch depths were analyzed for Pesticides and SCDH metals at PS-1,PS-2, PS-5,PS-6,and PS-8 > Samples from zero-to-three-inch depths were analyzed for arsenic at PS-3,PS-4, PS-7 and PS-9 5 Site Background and Scope of Work I,$ ■ l MoVhb > Samples from three-to-six-inch depths were analyzed for arsenic at all locations > Samples from three-to-six inch depths were analyzed for mercury at PS-2,PS-5 and PS-8. Based on the results from the above-described testing,additional sampling was conducted on November 10,2007 at depths of nine-to-12 inches, 15-to-18 inches and 21-to-24 inches.All samples were analyzed for arsenic and mercury.The sampling results as provided in the Pesticide Report are as follows: > Five(5)zero-to-three-inch interval samples contained elevated levels of pesticide compounds,but they did not exceed their respective USEPA Soil Screening Levels(SSLs)or NYSDEC Technical Administrative Guidance Memorandum (TAGM)4046 recommended soil cleanup objectives. > Five(5)zero-to-three-inch samples were found to contain elevated levels of arsenic and mercury. ➢ Arsenic was found to exceed its corresponding SCDHS guidance value in four samples. ➢ Mercury was found to exceed its NYSDEC TAGM 4046 recommended soil cleanup objective(RSCO)in three samples. > Three(3)three-to-six-inch samples contained levels of arsenic exceeding the SCDHS guidance value. > Three(3)three-to-six-inch samples contained levels of mercury exceeding the NYSDEC TAGM 4046 recommended soil cleanup objective(RSCO),but below the USEPA SSL. > Seven(7)of the samples from November 10,2007 indicated the presence of mercury,but they were below the USEPA SSL and NYSDEC TAGM 4046 recommended soil cleanup objective(RSCO). > Six samples from November 10,2007 indicated the presence of arsenic and one of the six samples exceeded the SCDHS guidance value. It should be noted that soil sample results under the Pesticide Report were compared to standards that have since been superseded by the prevailing NYSDEC DER-10 SCOs provided in 6 NYCRR§375-6.8(a)or(b). Furthermore,since the issuance of the Pesticide Report, the SCDHS no longer regulates arsenic to a four(4)ppm standard in Suffolk County. When compared to prevailing standards,mercury detections fall below the most stringent SCOs(i.e.,below 0.18 micrograms per kilogram[ug/kg] [a.k.a.parts per billion{ppb}])and only arsenic requires on-site soil management. Based upon the confirmed subsurface impacts at the site,this CHASP has been prepared to address these and other site-and activity-specific hazards to be encountered during the implementation of the SMP and on-site construction activities. 6 Site Background and Scope of Work I,$ ■ l MoVhb 2.2 Scope of Work Tasks to be performed at the subject property under this CHASP include removal and stockpiling of soils throughout the site,sampling of soil stockpiles,potential on- site mixing of soil stockpiles,redistribution of topsoil throughout the site,and site development activities. The development project involves the construction of 124 age-restricted condominium units on the approximately 45.99-acre subject property.The 124 units would consist of 52 two-story units with a maximum of 1,999 square feet of livable floor area(identified as Unit Types A and C),which would be available in a total of three configurations,and 72 units with a maximum of 1,599 square feet of livable floor area(identified as Unit Type B),which would be available as one-or two-story structures.To be conservative,it was assumed that,of the configurations proposed, only the larger-footprint units would be constructed(i.e.,52 units at 1,999 square feet and 72 at 1,599 square feet). Unit Types B and C would be connected to a second adjoining unit by a common wall,while Unit Type A would be connected to a second adjoining unit by a covered breezeway.All units would include an approximately 20-foot by 15-foot porch as well as an attached two-car garage.The proposed project includes the construction of approximately 219,076 square feet of livable floor area. The two-story units would be a maximum of 28 feet in overall height while the one-story units would be 16 feet in height. The proposed project incorporates a variety of features and amenities,including: > A 6,189-square-foot clubhouse with a maximum height of 35 feet and an associated outdoor recreation area,including an outdoor pool and outdoor tennis court to be located near the main entrance to the subject property. > A 100-square-foot unmanned reception booth,approximately 16 feet in height,at the entrance to the development. > 23±acres set aside for open space within the interior of the subject property as well as around the perimeter. > A pervious nature trail(±0.98-mile)that meanders throughout the interior of the subject property as well as along the northern and eastern property boundary, and provides access to the clubhouse,and outdoor recreation area. The roadways,drainage features,open space areas,clubhouse,pool,tennis court, nature trails,and landscaped areas would all be owned and maintained by a condominium association or home owner's association. A construction/excavation contractor will be responsible for the excavation and management of contaminated soils,as outlined in the SMP(provided under separate cover).The aforementioned contractor will be responsible to ensure that all materials 7 Site Background and Scope of Work I,$ ■ l MoVhb introduced into the work area and all installation equipment will be environmentally suitable and do not contain potential contaminants. In the event that additional unknown contaminated soils and/or groundwater are encountered(i.e.,if the presence of staining,sheens,odors or other physical evidence of contamination is noted)during the completion of the aforementioned tasks,work activities will be suspended and the Project Manager will be notified. Site activities will then proceed only at the direction of the Project Manager and/or the Site Safety Officer.Care will be exercised during the continued work activities to mitigate the further movement of any contamination,and equipment will be periodically cleaned during appropriate work stages, as needed to prevent the spread of contaminants. The Site Safety Officer shall incorporate awareness of trip/fall hazards and hazards associated with the operation of heavy equipment into the daily tailgate safety meetings.In addition,following the completion of the daily activities,the Site Safety Officer shall inspect the site for excavations and other trip/fall hazards. If such excavation or hazards are identified,the Site Safety Officer will be responsible for having their areas secured. Activity-specific hazards associated with site operations and the standard operating procedures(SOPs)that will be implemented to reduce these hazards are discussed in Section 3.0(Hazard Assessment)below. 8 Site Background and Scope of Work 0 'iii hb 300 Hazard Assessment This Hazard Assessment identifies the activity-specific hazards associated with site operations and the SOPs that will be implemented to reduce the hazards. This section identifies general physical hazards that can be expected,and presents an analysis of documented or potential chemical hazards likely to be encountered at the site. Every effort will be made to reduce or eliminate these hazards. Hazards that cannot be eliminated must be managed through engineering controls and/or personal protective equipment. 3.1 Activity-Specific Hazards and Standard Operating Procedures 3.1.1 Operation of Heavy Equipment OSHA guidelines will be followed for operating heavy equipment as outlined in 29 CFR 1926.602. 3.1.2 Excavation/Earthwork According to the site-specific scope of work proposed in the SMP, excavation/earthwork activities will be conducted in order to manage contaminated soils on the subject property and in order to complete the proposed development activities.On-site personnel will follow the earthwork protocols described below. Equipment,including earth-moving equipment or other heavy machinery,will be operated in compliance with the manufacturer's instructions and limitations as well as any applicable regulations. The operator is responsible for inspecting the equipment daily to verify that it is functioning property and safely. 9 Hazard Assessment 0 'iii hb Operation of equipment at the site poses physical hazards. The following precautions should be observed whenever heavy equipment is in use: > PPE,including steel-toed boots,safety glasses,reflective vests and hard hats must be worn. > Personnel must be aware of the location and operation of heavy equipment and take precautions to avoid getting in the way of its operation. > Workers must never assume that the equipment operator sees them;eye contact and hand signals should be used to inform the operator of intent. Personnel should not walk directly in back of,or to the side of heavy equipment without the operator's knowledge,and not always make the heavy equipment operator aware of their presence. > High visibility traffic safety vests are required to be worn when working in high traffic zones or where heavy equipment is being operated. > The heavy equipment operation work area must be coned off to distinctly mark the boundaries. > All non-essential personnel and pedestrians must be kept out of the work area. The OSHA 29 CFR 1926.651 (February 20, 1990) established construction industry standards relating to excavation work. These standards include shoring and cutback requirements,equipment specifications,entry requirements, etc. To avoid exposure to site-specific contaminants and to ensure acceptable atmospheric conditions,the following additional requirements apply: > Air quality will be tested before employees enter excavations over four feet deep if a hazardous atmosphere exists or is suspected to exist. If the Site Safety Officer determines that excavations are,by OSHA's definition, "confined space,"the confined space entry policy(Section 8.0)will be followed. > Open excavations will be backfilled as soon as practicable. However,based upon the proposed site activities,some shallow excavations may remain open pending the receipt of laboratory analytical results. While excavations remain open,appropriate warnings will be posted and barricades will be erected to protect pedestrian and worker safety. Where possible,excavation side walls will be cut at a gradual slope to maximize egress and access. However,workers will not enter excavations at any other time,unless absolutely required. In addition, workers will not,under any circumstances,enter an excavation which contains standing water. 10 Hazard Assessment 0 'iii hb > To ensure atmospheric quality, tests shall be conducted as often as necessary as determined by the Site Safety Officer. This includes tests for flammable gas and oxygen deficiency. > When the Site Safety Officer identifies hazardous atmospheres,emergency rescue equipment and PPE must be on the work site(Level C PPE)and readily accessible to employees(29 CFR 1926.651(g)(2)(i)). > Daily site safety inspections of all excavations will be conducted by the Site Safety Officer and/or by a qualified contractor. 3.1.3 Work in Extreme Temperatures Work under extremely hot or cold weather conditions requires special protocols to minimize the chance that employees will be affected by heat or cold stress. On-site personnel will follow the heat and cold stress safety protocols described in Attachment D. 3.1.4 Drilling and Probing Operations Drilling and probing are not currently included in the site-specific scope of work. However,should the scope of work be changed to include drilling operations,this CHASP will be amended and on-site personnel will follow the drill rig operation safety protocols. 3.1.5 Dust Control and Monitoring During Earthwork Dust generated during site activities may contain contaminants associated with the site characteristics. Dust control measures will be implemented as necessary, including wetting of soils with water,and applying calcium chloride if the problem cannot be controlled with water. Site workers will not be required to wear APR's unless dust concentrations are consistently over 150 µg/m3 in the breathing zone, (as measured by a dust monitor)unless the Site Safety Officer directs workers to wear APRs. The Site Safety Officer will use visible dust as an indicator to implement the dust control plan. The primary sources of dust will be equipment,vehicular traffic, and excavation and soil-mixing activities. Dust control and monitoring will be handled under the site-specific Community Air Monitoring Plan(CAMP),which has been prepared and provided under separate cover in accordance with the guidelines set forth by the New York State Department of Health(NYSDOH). 11 Hazard Assessment 0 'iii hb 3.2 General Site Hazards Although not all of these hazards may be encountered at the site,employees should be aware of the potential of encountering these hazards during site work: Fire Site personnel will not perform or allow any act on the subject property which involves the creation of a fire or explosion hazard. Non-sparking tools and fire extinguishers shall be used or available as appropriate. Sources of ignition shall be removed from work areas. When necessary,explosion-proof instruments and/or bonding and grounding will be used. Electricity Applicable OSHA 29 CFR 1910.120(m)standards for illumination shall apply. All work is to be conducted during daylight hours whenever possible. Overhead and underground utilities shall be identified and/or inspected prior to conducting operations involving potential contact or interference. As per OSHA 1910.333,for unqualified persons working on the ground near overhead energized lines,the minimum permissible distance requirements are as follows: > For voltages to ground 50kV or below—10 feet > For voltages to ground over 50kV-10 feet plus 4 inches for every 10kV over 50 kV Live power sources will be locked and tagged out by authorized personnel. All drilling equipment will be securely grounded when working within or around the electrical substation. All electrical power to the work site must run through a ground fault circuit interrupter as an integral part of the circuit. All equipment must be suitable and approved for the class of hazard. Applicable OSHA 29 CFR 1926 Subpart K standards for electrical use shall apply. Noise Protection Workers will wear appropriate hearing protection when operating or working near heavy equipment. The use of heavy equipment may generate noise above the OSHA permissible exposure limit for noise of 90 dB(A)for an 8-hour time weighted average. If loud noise is present or normal conversation becomes difficult,hearing protection in the form of earplugs or the equivalent is required. 12 Hazard Assessment 0 'iii hb Underground and Overhead Utilities The locations of underground pipes,fuel lines,electrical conductors,water,sewer, telecom and natural gas lines must be determined prior to any intrusive activities such as excavations. Hand-operated equipment shall not be used in areas with known electrical hazards. A minimum distance of 20 feet from overhead utility lines such as power lines is required. By law,excavators and contractors working in the five boroughs of New York City and Nassau and Suffolk Counties on Long Island must contact New York 811 at(800) 272-4480,at least 48 hours prior to beginning any mechanized digging or excavation work to ensure that underground utility lines are marked. The Site Safety Officer will ensure that the contractor has a valid One Call Ticket No.prior to the start of field activities. If an underground utility is damaged during work at the subject property, mechanized equipment will immediately be shut down until the damage can be assessed. Depending on the type of utility involved,the appropriate local entity will be notified. Trip/Fall Hazards Work,where a fall of over four feet is possible,will be performed by appropriately using ladders and/or fall protection(i.e.body harness, lifeline,and suitable anchorage). The Site Safety Officer shall incorporate awareness of trip/fall hazards into the daily tailgate safety meetings and conduct periodic inspections of the site to identify potential trip/fall hazards.In addition,following the completion of the daily activities,the Site Safety Officer shall inspect the site for open excavations and other trip/fall hazards. If such excavations or hazards are identified,the Site Safety Officer will be responsible for having their areas secured. Proper housekeeping practices should be utilized,including the removal of debris, tools,cords,etc.from the work area in order to minimize trip hazards. If trip hazards cannot be removed from the work area,same should be secured and cones should be utilized to identify the hazards. Poison Ivv Although it is recommended that workers learn to recognize the poison ivy plant,in practice,it is hard to do,since poison ivy and its relatives are often mixed in with other vegetation and not noticed until after an exposure has occurred. Keeping the skin covered in situations in which exposure is hard to avoid is the best way to 13 Hazard Assessment 0 'iii hb prevent the problem. Long pants and long sleeves will be worn while working in vegetated areas. Poisonous Insects Common examples include bees and wasps. Hives can be located above,below or on the ground. If necessary,an insecticide may be recommended for control;check with the Site Safety Officer. Long sleeves and long pants will offer some protection against inadvertent contact. On-site personnel who have insect allergies are instructed to inform the Site Safety Officer prior to field activities. In addition,all personnel with potentially life-threatening insect allergies are required to bring their epi pens or rescue medicines to the field with them for use in the event of a sting. Ticks Ticks like to rest on low-lying brush and'catch a ride'on a passing animal or person. Workers should exercise caution when working in vegetated wilderness areas where ticks may be present. To reduce the chance of getting a tick-bite,workers should wear light-colored clothing and conduct frequent tick-checks. Light-colored clothing allows ticks to be seen more easily on clothing and gives the opportunity to remove them before they can attach to the skin and feed. As required above,long-sleeve shirts and long pants will also aid in the prevention of tick bites by reducing the amount of skin exposed to the ticks. Also, shirts should be tucked into the pants and pants legs tucked into the socks.This keeps the ticks on the outside of the clothing and restricts the tick's efforts to crawl onto the skin. Frequent tick-checks should be conducted which include a visual inspection of the clothing and exposed skin, followed by a naked,full-body examination in a private location.Workers should be sure to check the scalp,behind and in the ears,and behind any joints. Heavy Traffic Areas Vehicular traffic represents one of the most common hazards that cause serious injury or death when working at sites.Risk from vehicular traffic may be minimized by safe operating practices by the employee during site work. Site personnel will wear high-visibility orange safety vests in areas of heavy traffic. Employees should make an effort to be aware of their surroundings and potentially dangerous traffic areas at all times. If work is being done that will in any way inhibit the employees'ability to continuously be aware of their surroundings,such as crouching down to sample a monitoring well or taking notes,tall orange cones should be placed around the employees to make motorists aware of their presence. Tall orange traffic cones should also be placed in work areas considered to be highly dangerous traffic areas. Any work performed in a road or on the shoulder of the 14 Hazard Assessment 0 'iii hb road should require a police detail to monitor worker safety in vehicular traffic in addition to the use of orange vests and orange traffic cones. 3.3 Chemical Hazards Based upon the results of subsurface investigations completed at the subject property,subsurface soils contain concentrations of arsenic above applicable standards. The results of the subsurface investigation are discussed in Section 2.1, above. As such,contaminated media in contravention of applicable regulatory standards may be encountered during work activities.Accordingly,all excavation and sampling activities will be performed in Level D or Level C protection,as determined by the Site Safety Officer. As there are no reported or suspected volatile organic compound(VOC)conditions present at the Site,air monitoring with a photoionization detector(PID)will not be conducted by the Site Safety Officer. Although it is not anticipated, if air monitoring results indicate that work cannot proceed because of atmospheric conditions,the work will be stopped and an amendment to this CHASP will be prepared to include procedures for engineering controls and increased levels of personal protection. Copies of the MSDS for the contaminants of concern are included in Attachment E. Attachment E will be supplemented if additional site-specific chemicals are identified. Potential routes of exposure of these materials include: > Inhalation of airborne particulate and vapor > Dermal contact > Incidental ingestion 3.3.1 Asbestos-Containing Materials Asbestos is the name given to a group of fibrous silicate minerals,typically those of the serpentine group. The tensile strength, flexibility,and non-flammability of asbestos have led to many uses including structural materials,brake linings, insulation,and pipe manufacture. Asbestos is of concern as an air pollutant because, when inhaled,it may cause asbestosis,mesothelioma,and bronchogenic carcinoma. In 1989,the USEPA announced regulations that would phase out most uses of asbestos by 1996. There are currently no structures located on the Site. As such,ACM is not considered an environmental or safety concern. 15 Hazard Assessment 0 'iii hb 3.3.2 Lead-Based Paint In 1978,the U.S.Product Safety Commission issued a ban on paints or surface coatings that contain greater than 0.06 percent lead. Lead-based paint(LBP)is defined by the USEPA and Housing and Urban Development(HUD)guidelines as paint or other surface coating that contains lead equal to or greater than 0.5 percent, 5,000 parts per million(ppm)or 1.0 milligram per square centimeter(mg/cm2)as measured by laboratory analysis or X-ray fluorescence(XRF). The Action Level and Permissible Exposure Limit(PEL),set forth by OSHA Lead in Construction 1926.62 regulations for worker safety are defined in units of air measurement. The interim final standard establishes an Action Level of 30 micrograms per cubic meter(ug/m3)averaged over an eight-hour day. The Action Level triggers several ancillary provisions of the standard such as exposure monitoring,medical surveillance and training. If lead is present in the workplace at any quantity,the contractor is required to make an initial determination whether a worker's exposure to lead exceeds the Action Level(30 ug/m3 averaged over an eight-hour day). Employee exposure is that exposure which would occur if the employee were not using a respirator. This initial determination requires the employer to monitor workers'exposures unless he or she has objective data that demonstrates conclusively that no employee will be exposed to lead in excess of the Action Level. OSHA has established a PEL of 50 ug/m3 of lead,averaged over an eight-hour workday,which is referred to as a time weighted average(TWA). This is the highest level of lead in air to which a worker may be permissibly exposed over an eight-hour workday. There are currently no structures located on the Site. As such,LBP is not considered an environmental or safety concern. 3.3.3 Polychlorinated Biphenyl-Containing Materials PCBs were used until 1978 and are a group of compounds formed by the chlorination of biphenyl.PCBs have extremely high physical and chemical stabilities which led to their being used in many applications,including heat transfer fluids,hydraulic fluids,and dielectrics.PCBs are often found in transformers,capacitors and hydraulic systems.Fluorescent light fixtures may contain PCB-containing light ballasts. PCBs may also be present in materials such as cable insulation,caulking, thermal insulation materials,adhesives,oil-based paints and floor finishes that were produced before the 1978 ban. 16 Hazard Assessment 0 'iii hb Because of the health hazard associated with PCBs,they are regulated under the Toxic Substances Control Act(TSCA). PCBs are subject to federal disposal regulations. There are currently no structures located on the Site. As such,PCBs are not considered an environmental or safety concern. 3.3.4 Petroleum or Other Contaminants In the event that previously-unidentified contaminated soils are encountered(i.e.,if the presence of staining,sheens,odors or other physical evidence of contamination is noted),on-site activities will be suspended and the Project Manager and the SSO will be notified(if not already present). The project developer will be notified expeditiously and consultation will be required with all involved parties to determine whether the NYSDEC Spills Hotline should be notified. Construction and/or excavation activities will then proceed only at the direction of the Project Manager and the SSO. Any petroleum-impacted soils will be removed and properly disposed of in accordance with all NYSDEC regulations. The CHASP will also be updated to reflect the newly-identified chemical hazards associated with the contamination. Although not anticipated, in the event that any underground storage tanks(USTs) are encountered(including dispensers,piping and fill ports),same must be properly removed/closed in accordance with all applicable NYSDEC and Suffolk County regulations. 3.3.5 Respirable Dust Dust may be generated from vehicular traffic,construction and/or excavation activities. Dust monitoring will be conducted in accordance with the CAMP prepared for the construction of The Heritage at Cutchogue,provided under separate cover. If visible observation monitoring detects concentrations greater than 150 µg/m3 over daily background,the Site Safety Officer will take corrective actions as defined herein, including increasing the amount of water applied to the material and, if this is not effective,requiring workers to wear APRs with high efficiency particulate air(HEPA)cartridges. 3.3.6 Organic Vapors Excavation activities can cause the release of organic vapors to the atmosphere. However,based upon the results of the N&P subsurface investigation activities,it is not anticipated that organic vapors will be generated during construction activities. 17 Hazard Assessment 0 'iii hb However,if previously unknown contaminants are encountered at the site,the CAMP will be amended to include monitoring of organic vapors with a PID during site activities to determine whether organic vapor concentrations exceed action levels. Additional information regarding air monitoring activities is included in Section 5.0,below. 18 Hazard Assessment 0 'iii hb 400 Personal Protective Equipment Personal protective equipment(PPE)shall be selected in accordance with the site air monitoring program,OSHA 29 CFR 1910.120(c), (g),and 1910.132. Protective equipment shall be NIOSH and/or ANSI-approved(as appropriate)and respiratory protection shall conform to OSHA 29 CFR Part 1910.133 and 1910.134 specifications; head protection shall conform to 1910.135;eye and face protection shall conform to 1910.133;and foot protection shall conform to 1910.136. The only significant difference among the levels of protection from D thru B is the type of respiratory protection. 4.1 Activity-Specific Levels of Personal Protection The required level of PPE is specific to the activity being conducted and the contaminants expected to be encountered(Section 3.3),and may be based on air monitoring results(Section 5.0). Based upon the results of the subsurface investigation and the nature of the work to be performed,the scope of work will be performed in Level D or Level C protection, as determined by the Site Safety Officer. As no VOCs are anticipated to be present in on-site soils, air monitoring with a PID will not be conducted by the Site Safety Officer during excavation activities and earth-moving activities in order to determine if organic vapor concentrations are present and exceed action levels.If the presence of VOCs are suspected or identified,then on-site work activities will be temporarily suspended and the CAMP will be amended. When work commences again,and only if necessary,the VOC results will be monitored via PID and recorded,in order to determine whether acceptable atmospheric conditions are being sustained. If determined necessary by the SSO,air monitoring may be amended to also include the concentrations of oxygen(Oz),the concentrations of flammable gases with respect to the lower explosive limit(LEL)and the concentration of carbon monoxide(CO) and hydrogen sulfide(HzS). 19 Personal Protective Equipment 0 'iii hb Although it is not anticipated,if air monitoring results indicate that work cannot proceed because of atmospheric conditions,the work will be stopped and an amendment to this CHASP will be prepared to include procedures for engineering controls and increased levels of personal protection. 4.2 General PPE 4.2.1 Level D Level D PPE shall be donned when the atmosphere contains no known hazards and work functions preclude splashes,immersion,or the potential for inhalation of,or contact with,hazardous concentrations of harmful chemicals. Level D PPE consists of: > standard work uniform,coveralls,or tyvek,as needed > steel-toe and steel-shank work boots > hard hat > gloves,as needed > safety glasses > hearing protection > equipment replacements available as needed 4.2.2 Level C Level C PPE shall be donned when the concentrations of measured total organic vapors in the breathing zone exceed background concentrations(using a portable Organic Vapor Analyzer[OVA],or equivalent),but are less than 5 ppm,or otherwise when required by SOPS or the respiratory protection procedures set forth in this CHASP. The specifications on the APR filters used must be appropriate for contaminants identified or expected to be encountered. Level C PPE shall be donned when the identified contaminants have adequate warning properties and criteria for using APR have been met. Level C PPE consists of: > Chemical-resistant or coated tyvek coveralls > steel-toe and steel-shank work boots > chemical resistant overboots or disposable boot covers > disposable inner gloves(surgical gloves) > disposable outer gloves > full-face APR fitted with organic vapor/dust and mist filters or filters appropriate for the identified or expected contaminants > hard hat > splash shield,as needed > ankles/wrists taped with duct tape 20 Personal Protective Equipment 0 'iii hb The Site Safety Officer will verify if Level C is appropriate by checking organic vapor concentrations using a PID or compound and/or class-specific detector tubes. 4.2.3 Level B Level B PPE shall be donned when the contaminants have not been identified and/or the concentrations of unknown measured total organic vapors in the breathing zone exceed 5 ppm(using a portable OVA,or equivalent). Level B PPE shall be donned if the IDLH of a known contaminant is exceeded. If a contaminant is identified or is expected to be encountered for which NIOSH and/or OSHA recommend the use of a positive pressure self-contained breathing apparatus(SCBA)when that contaminant is present,Level B PPE shall be donned even though the total organic vapors in the breathing zone may not exceed 5 ppm. Level B shall be donned for confined space entry,and when the atmosphere is oxygen deficient(oxygen less than 19.5%)or potentially oxygen deficient. If Level B PPE is required for a task,at least three people shall be donned in Level B at any one time during that task. PPE shall only be donned at the direction of the Site Safety Officer. Level B PPE consists of: > supplied air SCBA or air line system with five-minute egress system > chemical-resistant coveralls > steel-toe and steel-shank work boots > chemical-resistant overboots or disposable boot covers > disposable inner gloves > disposable outer gloves > hard hat > ankles/wrists taped The exact PPE ensemble for the subject site will be determined by the SSO, with the intent to provide the most protective and efficient worker PPE. 21 Personal Protective Equipment I,$ ■ l MoVhb 5 * 0 Air Monitoring and Action Levels Pursuant to 29 CFR 1910.120(h),air monitoring shall be conducted to identify and quantify levels of airborne hazardous substances and health hazards,and to determine the appropriate level of worker protection. 5.1 Air Monitoring Requirements Based upon known contaminants at the subject property,and the nature of the work to be performed,air monitoring will be conducted by the Site Safety Officer during all remedial activities.If determined necessary by the Site Safety Officer,air monitoring may include the following instruments: > A PID calibrated to detect Volatile Organic Compounds(VOCs)at a minimum concentration of 0.1 part per million(ppm). The PID will be used during all soil removal and stockpiling activities,if determined necessary by the Site Safety Officer. > Four-Gas Meter(02/LEL/CO/H2S)or equivalent,to determine the concentrations of oxygen(Oz),the concentrations of flammable gases with respect to the lower explosive limit(LEL)and the concentration of carbon monoxide(CO)and hydrogen sulfide(FLS). The PID will be used during all soil removal and stockpiling activities,if determined necessary by the Site Safety Officer. All air monitoring data will be documented in a site logbook. Air monitoring instruments will be calibrated and maintained by the Site Safety Officer in accordance with the manufacturer's specifications. When tasks are performed,the concentration of contaminants(for example,VOCs)shall be measured in employees' breathing zones several times during the task using the direct-reading instrument. The specific frequency of the monitoring shall vary with the task to be performed, and monitoring will be conducted more frequently during operations having a greater potential for exposure. 22 Air Monitoring and Action Levels I,$ ■ l MoVhb Measurements with the PID and Four-Gas Meter will also be taken prior to personnel entering a confined space;however,based upon the site-specific scope of work, confined space entries will not be necessary. Should the scope of work be amended to include confined space entry,an amendment to this CHASP will be prepared. In addition,a Community Air Monitoring Program(CAMP)has been prepared for the subject property,which fulfills the requirements set forth by the New York State Department of Health(NYSDOH)Generic Community Air Monitoring Plan,dated December 2009, and NYSDEC Fugitive Dust Suppression and Particulate Monitoring Program(under the Technical Assistance and Guidance Memorandum[TAGM]— 4031). The intent of the CAMP is to provide for a measure of protection for downwind communities from potential airborne releases of constituents of concern during on-site remedial activities. These activities will include excavation and removal of impacted soils from areas of proposed excavation and build-out. The CAMP specifies potential air emissions,air monitoring procedures,monitoring schedule and data collection and reporting. The CAMP is provided under separate cover. 5.2 Air Monitoring Results and Actions The results of the air monitoring and sampling will be compared,for most stressors, to applicable OSHA Permissible Exposure Limits(PELs). The following table identifies applicable OSHA criteria and the action levels used to make decisions about changing the requirements for personal protective equipment. Stressor OSHA PEL Action Level Flammable Gases 0—1%of the LEL Work continues 1 —10%of the LEL Work continues; increase monitoring frequency >10%of the LEL Work stops Oxygen <19% Leave area immediately 19-23.5% Work continues >23.5% Work stops;ventilate area before returning. VOCs 1 ppm sustained for 5 min. Screen for benzene using Draeger tubes 10 ppm sustained for 5 min. Work stops;ventilate area before returning. 10 ppm sustained for 30 min. Upgrade to Level C. Carbon Monoxide 35 ppm 25 ppm-Leave area and ventilate Hydrogen Sulfide 10 ppm 10 ppm-Leave area and ventilate 23 Air Monitoring and Action Levels I,$ ■ l -.OVhb Although it is not anticipated,if air monitoring results indicate that work cannot proceed because of atmospheric conditions,the work will be stopped and an amendment to this CHASP will be prepared to include procedures for engineering controls and increased levels of personal protection. 24 Air Monitoring and Action Levels 0 ..=Vhb 6oO Site Control 6.1 Work Zones The primary purpose of site controls is to establish the perimeter of a hazardous area, to reduce the migration of contaminants into clean areas,and to prevent access or exposure to hazardous materials by unauthorized persons. When operations are to take place involving hazardous materials,the Site Safety Officer will establish an exclusion zone,a decontamination zone,and a support zone. These zones"float" (move around the site)depending on the tasks being performed on any given day. The Site Safety Officer will outline these locations before work begins and when zones change. The Site Safety Officer records this information in the site log book. Tasks requiring OSHA 40-hour Hazardous Waste Operations and Emergency Response Operations training(Site Safety Project Manager,Site Safety Office and Alternate Site Safety Officer[s])and OSHA 10-hour Construction Safety Certification (contractors,and on-site construction workers)are carried out in the exclusion zone. The exclusion zone is defined by the Site Safety Officer but will typically be a 50400t area around work activities. Gross decontamination(as determined by the Site Safety Officer)is conducted in the exclusion zone;all other decontamination is performed in the decontamination zone or trailer. Protective equipment is removed in the decontamination zone. Disposable protective equipment is stored in receptacles staged in the decontamination zone, and non-disposable equipment is decontaminated according to the procedures outlined in Section 7.0. All personnel and equipment shall exit the exclusion zone through the decontamination zone. If a decontamination trailer is provided,the first aid equipment,an eye wash unit,and drinking water are kept in the decontamination trailer. The support zone is used for vehicle parking, daily safety meetings,and supply storage. Eating,drinking,and smoking are permitted only in the support zone. When a decontamination trailer is not provided,the eye wash unit,first aid 25 Site Control 0 ..=Vhb equipment,and drinking water are kept at a central location designated by the Site Safety Officer. 6.2 General Field Safety and Standard Operating Procedures Hazards on the site can be controlled by limiting entrance to exclusion zones to essential personnel and by implementing the following rules: > Non-essential(as judged by the SSO)personnel and unauthorized persons will not enter the exclusion or decontamination zone. > Before entering the exclusion or decontamination zones,all personnel must be familiar with emergency response procedures(Section 9.0),site safety locations, first aid and communication equipment,and the location of the map to the hospital and the list of emergency telephone numbers. > The buddy system will be used at all times by field personnel in the exclusion zone;no one is to perform work within the exclusion zone alone. When in Level D or C,visual contact or radio contact shall be maintained at all times. In Level B,visual contact shall be maintained at all times,and radio contact shall be maintained with the decontamination and/or support zone. > Contact with contaminated and potentially contaminated surfaces should be avoided. Walk around(not through)puddles and discolored surfaces. Do not kneel on the ground or place equipment on the ground. Protect equipment from contamination. > All personnel exiting the exclusion zone must exercise the decontamination procedures described in Section 7.0 of this CHASP. > Beards or other facial hair that interferes with respirator fit will preclude admission to the exclusion zone. Contact lenses shall not be worn in the exclusion or decontamination zones,or if the worker may be expected to enter these zones under routine or emergency situations. > Eating, drinking,or smoking is permitted only in designated areas in the support zone. > Each worker must be supplied with and maintain his/her own personal protective equipment. Note: These policies will be enforced by the designated SSO 26 Site Control 0 ..=Vhb 7oO Decontamination Procedures Prior to the start of the field activities,the Site Safety Officer will be responsible for the designation of the work zone,support zone,and clean zone. The work zone will be an area surrounding the immediate work being performed where the greatest potential hazards exist. Only the workers required to perform the work will be permitted in this zone. A support zone will be established for the storage of equipment and personnel decontamination. A clean zone will be established for site control of visitors,equipment deliveries,and communications. In general, everything that may come in contact with contaminated media must either be decontaminated or discarded prior to exit. In addition to worker protection,care must be taken to avoid cross-contamination of samples and other facility areas. All support and sampling equipment which has or may have contacted contaminated materials will be cleaned with detergent/water solution and rinsed with water in wash tubs or buckets. The wash water,rinse water and residues will be collected and properly stored until sampling results are received and final disposition of the waste can be determined. Monitoring equipment to be utilized will be decontaminated according to manufacturer specifications. Decontamination is done in the exclusion or decontamination zones. Rented equipment is photographed after decontamination. Disposable PPE and equipment will be properly bagged and disposed of. Employees will wash their hands and faces with detergent and water prior to eating or smoking. Smoking will not be permitted in the work and support zones. The minimum measures for Level B doffing and decontamination are: > deposit equipment on plastic drop cloths. > scrub outer boots and gloves with a water and detergent solution and rinse. 27 Decontamination Procedures 0 ...OVlib > remove outer boots and outer gloves. Discard disposable outer garments in receptacle provided. > remove SCBA and face piece and place on rack provided > remove tyvek/outer garment and place in receptacle provided > remove inner gloves and deposit in receptacle provided > shower/wash face and hands The minimum measures for Level C doffing and decontamination are: > deposit equipment on plastic drop cloths. > scrub outer boots and gloves(if worn)with a water and detergent solution and rinse. > remove outer boots and outer gloves. Discard disposable outer garments in receptacle provided. > remove tyvek/outer garment and place in receptacle provided. > remove first pair of inner gloves > remove respirator(using"clean"inner gloves)and place on rack provided > remove last pair of inner gloves and deposit in receptacle provided > shower/wash face and hands The second to last item to be removed is the APR,and the last item to be removed is the last of several pairs of surgical gloves. Wearing several pairs of inner gloves permits layers to be removed as needed during various stages of the doffing procedure,and if the APR inadvertently becomes contaminated,inner gloves guard against bare hands contacting the APR. 28 Decontamination Procedures I,$ ■ l MoVhb 800 Confined Space According to OSHA 29 CFR 1910.146,a confined space is a space which is large enough and so configured that an employee can bodily enter and perform assigned work,has limited or restricted means for entry or exit,and is not designed for employee occupancy. Based upon the site-specific scope of work,confined space entries will not be necessary. However,should the scope of work be amended to include confined space entry,the following protocol will be followed when employees must enter a confined space: > The Site Safety Officer evaluates the space and site conditions to determine whether the space must be considered"confined". > If so,the Site Safety Officer monitors the space for hazardous atmospheres prior to entry and fills out a pre-entry checklist(Attachment F)to determine whether an entry-permit is required. > If there is no hazardous atmosphere,the space will be continuously monitored during the entry to assure that the atmosphere remains non-hazardous. > If the space contains a hazardous atmosphere,an entry permit(Attachment F) will be prepared and the space will only be entered in accordance with 29 CFR 1910.146. 8.1 Rescue and Emergency Services When practical,non-entry rescue is the preferred method of rescue,even for horizontal entries. To help permit-required confined space non-entry rescue,each authorized entrant will use a full body or chest harness with a retrieval line attached to a mechanical device or fixed point outside the permit-required confined space. Mechanical devices to retrieve personnel will be used for vertical spaces more than five feet deep. 29 Confined Space I,$ ■ l MoVhb 8.1.1 On-Site Rescue Services Qualified personnel will be available on-site to conduct confined space entry rescue, if needed. All essential equipment(SCBA/air lines,hoist,etc.)needed to effect rescue will also be staged on-site during all confined space activities. Rescue personnel will extract the confined space worker to the nearest available safe location so that emergency first aid may be performed. In the event of a confined space rescue,the Attendant will be responsible to notify First Responder Medical Care,the Site Safety Officer,and the Project Manager immediately. 8.1.2 Subcontractor Entry Operations Based on the site-specific scope of work,on-site personnel will not have to enter confined spaces. However,in the event that completing the work requires on-site personnel to enter a confined space,entry will only be made by personnel who have received the training required to correctly perform their assigned duties. 30 Confined Space 0 ..=Vhb 900 Contingency Plan/Emergency Response Plan It is essential that site personnel be prepared for an emergency. Emergencies can take many forms:sudden illnesses or injuries,chemical exposures,fires,explosions, spills,leaks,releases of harmful contaminants,or sudden changes in the weather. A list of emergency telephone numbers and hospital travel routes to the nearest hospital with an emergency capacity will be posted on site in the field vehicle. Site personnel must be familiar with the emergency incident procedures,and the locations of site safety,first aid, and communication equipment. 9.1 Emergency Equipment On-Site Private Telephones: Site Personnel Two-way Radios Site Personnel(where necessary) Emergency Alarms: On-site vehicle horns* First Aid Kits: On-site vehicle/heavy equipment Fire Extinguisher: On-site vehicle/heavy equipment *Horns—Air Horns will be supplied to personnel at the discretion of the Project Manager or Site Safety Officer. 9.2 Emergency Telephone Numbers and Hospital Information Emergency telephone numbers and routes to the nearest hospital with an emergency capacity are as follows: 31 Contingency Plan/Emergency Response Plan ■yl y�•Vh b General Emergencies: 911 Town of Southold Police Department 911 or 1-631-765-2600 Cutchogue Fire District: 911 or 1-631-734-6907 First Responder Medical Care: 911 National Response Center 1-800-424-8802 State Poison Control Center 1-800-222-1222 Project Manager 1-631-787-3400 or 1-631-316-4892 Site Safety Officer 1-631-787-3400 or 1-631-521-1198 Alternate Health and Safety Officer 1-631-787-3400 or 1-631-732-9557 For Non-Emergency Care—(Emergencies must call 911) Nearest Hospital: Eastern Long Island Hospital 201 Manor Place Greenport,New York 11944 1-631-477-1000 Directions to Eastern Long Island Hospital(Approximately 11 miles from the site): Head northwest on Schoolhouse Road toward North Street(0.2 mile),then turn left onto Depot Lane.Continue on Depot Lane (1.0 mile) then turn right onto County Road 48. Continue on County Road 48 for 9.6 miles, then turn right onto Main Road. Continue on Main Road for 0.3 mile then turn left onto Manor Place. Arrive at Eastern Long Island Hospital. A map showing the route to the nearest hospital is provided in Attachment A, Figure 2. The emergency telephone numbers and hospital route presented above are also included in Attachment G. 9.3 Personnel Responsibilities During an Emergency As the administrator of the project, the Project Manager has primary responsibility for responding to and correcting emergency situations. In the absence of the Project Manager,the senior person on-site(e.g.,the Site Safety Officer) shall act as the Project Manager's on-site designee. Their responsibilities include: > Take appropriate measures to protect personnel including: evacuating and securing the site or up-grading or down-grading the level of protective clothing and respiratory protection. 32 Contingency Plan/Emergency Response Plan 0 ..=Vhb > Ensure that the project developer and appropriate Federal,State and local agencies are informed,and emergency response plans are coordinated;in the event of fire or explosion,the local fire department should be summoned immediately. In the event of an air release of toxic materials,the local authorities and project developer must be informed in order to assess the need for evacuation. In the event of spill or on-land release of hazardous or toxic materials,the Project Manager will be contacted immediately. The Project Manager will contact the project developer to determine reporting requirements to the appropriate agency. > Ensure appropriate decontamination treatment or testing for exposed or injured personnel. > If possible, determine the cause of the incident and make recommendations to prevent recurrence. > Ensure that all required reports which may be required by the project developer and/or regulatory agencies have been prepared and filed. 9.4 Medical Emergencies Any on-site person who becomes ill or injured must be decontaminated to the maximum extent possible. If the injury or illness is minor,full decontamination should be completed and first aid(if a qualified and trained provider is part of the field team) administered prior to transport. First aid will be administered while waiting for an ambulance or paramedics. A Field Accident Report(Attachment G)must be filled out for any injury. Any person transporting an injured/exposed person to the hospital for treatment should follow the following route to Eastern Long Island Hospital(Approximately 11 miles from the site): Head northwest on Schoolhouse Road toward North Street(0.2 mile),then turn left onto Depot Lane.Continue on Depot Lane(1.0 mile)then turn right onto County Road 48. Continue on County Road 48 for 9.6 miles, then turn right onto Main Road. Continue on Main Road for 0.3 mile then turn left onto Manor Place. Arrive at Eastern Long Island Hospital. A map showing the route to the nearest hospital is provided in Attachment A, Figure 2. 33 Contingency Plan/Emergency Response Plan 0 ..=Vhb 9.5 Fire or Explosion In the event of a fire or explosion,the fire department should be summoned immediately. Upon their arrival,the senior staff on-site will advise the fire commander of the location and nature of on-site hazardous materials that the senior staff is aware of. If it is safe to do so,site personnel may: > Use firefighting equipment available on site. > Remove or isolate flammable or other hazardous materials that may contribute to the fire. 9.6 Evacuation Routes Evacuation routes established by work area locations for each site will be reviewed prior to commencing site operations. As the work areas change,the evacuation routes will be altered accordingly,and the new route will be reviewed. Under extreme emergency conditions,evacuation is to be immediate without regard for equipment. The evacuation signal will be a continuous blast of a vehicle horn,if possible,and/or by verbal/radio communication. When evacuating the site, personnel will follow these instructions: > Keep upwind of smoke,vapors,or spill location. > Exit through the decontamination corridor if possible. > If evacuation through the decontamination corridor is not possible,personnel should remove contaminated clothing once they are in a safe location and leave it near the exclusion zone or in a safe place. > The Site Safety Officer will conduct a head count to ensure that all personnel have been evacuated safely. The head count will be correlated to the site and/or exclusion zone entry/exit log. > If emergency site evacuation is necessary,all personnel are to escape the emergency situation and decontaminate to the maximum extent practical. 34 Contingency Plan/Emergency Response Plan 0 `--.O hb 9.7 Spill Control Procedures In the event of a leak or a release,site personnel will: Inform their supervisor immediately. Locate the source of the spillage and stop the flow if it can be done safely. Begin containment and recovery of the spilled materials. Subcontractors utilizing heavy equipment will be responsible for maintaining containment equipment, emergency spill kits and oil booms in the immediate vicinity of the work site to address any release of diesel or hydraulic fluid from the equipment. In the event of a leak or a release,site personnel will immediately inform the Project Manager. The Project Manager will immediately notify the project developer and consultation with all involved parties will be taken in order to determine whether the NYSDEC spills hotline should be notified. Within 24 hours of this verbal notification, the Project Manager will provide the project developer with a written report. The report will include the events that transpired and any action taken to protect health and safety as well as the environment. The report will list all those who were notified of the release. J:\29305.00 Heritage Cutchogue\reports\SMP\HASP\Heritage CHASP.docx 35 Contingency Plan/Emergency Response Plan ■' Attachment A Figures F`Q�9rPP'. � - •y, r r ",� ' � - fes, �� .'44 V. �Q 44, 4- , +•* i i !'S 71r, > • r tF,. ! !:" yw oo 77 7W AW fAp dr Sr �� . :,'�Y ,yTj.. �. t'•.• ?".S fi. ���� i �'��r ...� `/ash * � 1,k y +' ,ssy. ;�' ``yy 7'*��. ; �°::1�7� �a ., _ �'r., F ..� +� ,q��4P � •`Si� s, mrd . ��� `•_ ,�;,, ,' •+ ac ti ,.ttr'•� � �,�,,, � co,%a% ``ate �� �•.�; �f•� • • •� '+ � • ,yppJ � .�y •,- �� ��' � pa" 4�.•;��:,,�" i • , d �'e ! % x�f . , c� orf ' r ``S`� . , J J �v w /,,.• o d 9 ' <�• ; � ♦ � �� " ,� .r �� „S fes- 5tute = P N PLUM ISLAND `"' = �• Long Island Sound �GARDINERS IS. �'* l w SHELTER ISLAND - •�. . '� r o SOUTHOL'D � EAST HAMPTON r. ;+, d �• ��?� RIVERHEAD �• •I ♦ f t 7 .L' ,i • a r { k~ t' Y ROOKHAVEN SOUTHAMPTON ►"` r+l a ro ! �. r r �� !�! :'• :. '� y SHINNECOCK BAY The Heritage at Cutchogue Figure 1 — Site Location n/s/o Intersection of Griffing Street and Schoolhouse Lane N Legend's Engineering,surveying 1 inch=386 feet Vhb and Landscape Architecture,P.C. Hamlet of Cutchogue,Town of Southold W E Feet Subject Property SOURCE:2013 NYS Digital Ortho-imyery Suffolk County,NY 11935 S 0 135 270 540 Cutchogue Hamlet Center Boundary ©Npe file 2013.Hamlet Center boundary VHB Ref.29305.00 � . .■ 9 rY shapefile based on Southold Hamlet Study, North American Datum,1983-New York Long Island State Plane 2005. 1s Eastern Long Island Hospital-ER r - Shelter Island _ Heights e w � Beexedon Shelter Island S thold estates Shelter Island au Stwher Mand R dnn SHver beach P nac S ores 16h Shelter Wand Sound Rafhrrt[�r�`1 Creek North Ha Noyack Bay Watennlle ' Schoolhouse Rd & Ciriffing Sag Harbor St, Cutchogue, NY 11935 No}vaek FIGURE 2 - ROUTE TO HOSPITAL SITE NAME: The Heritage at Cutchogue STREET ADDRESS: Schoolhouse Road and Griffing Street CITY, STATE, ZIP: Cutchogue, New York 11935 PROJECT NUMBER: 29305.00 BASE MAP SOURCE: Bing Maps ■I,$ l Attachment B Site Safety Plan Acknowledgment Form ■I,$ l SITE SAFETY PLAN ACKNOWLEDGMENT FORM I have been informed and understand the procedures set forth in the Safety and Health Plan/Site Safety Plan Printed Name Signature Representing Date ew � .0fVhb SITE SAFETY PLAN ACKNOWLEDGMENT FORM I have been informed and understand the procedures set forth in the Safety and Health Plan/Site Safety Plan Printed Name Signature Representing Date ■f of SITE SAFETY PLAN ACKNOWLEDGMENT FORM I have been informed and understand the procedures set forth in the Safety and Health Plan/Site Safety Plan Printed Name Signature Representing Date 0 ...Oglib SITE SAFETY PLAN ACKNOWLEDGMENT FORM I have been informed and understand the procedures set forth in the Safety and Health Plan/Site Safety Plan Printed Name Signature Representing Date SITE SAFETY PLAN ACKNOWLEDGMENT FORM I have been informed and understand the procedures set forth in the Safety and Health Plan/Site Safety Plan Printed Name Signature Representing Date SITE SAFETY PLAN ACKNOWLEDGMENT FORM I have been informed and understand the procedures set forth in the Safety and Health Plan/Site Safety Plan Printed Name Signature Representing Date ■I,$ l Attachment C Site Safety Plan Amendments SITE SAFETY PLAN AMENDMENT# A Site Safety Plan Acknowledgment Form must be signed by the site personnel for each Site Safety Plan Amendment. REASON FOR AMENDMENT: ALTERNATE PROCEDURES: REQUIRED CHANGES IN PPE: PROJECT MANAGER (DATE) SITE SAFETY OFFICER (DATE) TECHNICAL SAFETY MANAGER (DATE) ■yl Attachment D Heat/Cold Stress Protocols 0 ..=Vhb HEAT RELATED EMERGENCIES Good judgment is essential. Pace yourself by knowing your limitations. Avoid over exertion. You are your best gauge for heat related emergencies. HEAT EXPOSURE The human body stubbornly defends its constant core temperature of 98.67. To maintain this constant temperature,heat loss must equal heat gain. If heat loss exceeds heat gain,the body temperature will fall; conversely,if heat production exceeds heat loss,the temperature will rise. In a heat related emergency,the body's mechanisms for temperature regulation are overwhelmed. The body can no longer regulate core temperature, and the core temperature begins to rise. As this rise occurs,the body will begin to show the signs and symptoms of heat related stress. The sequence of illness may start with heat Cramps and progress into a more severe case or may go straight to Heat Stroke. The degree of illness will vary from person to person,depending on the nature of the exposure,physical conditioning and inherited traits. PREVENTION General • While not mandated by corporate requirements,employees should attempt to maintain good physical conditioning and control blood pressure(avoid weight gain, smoking,etc.). • Eat regularly and properly. Increase salt intake through food consumption during the hot season or hot spells and avoid the use of salt tablets,if possible. • Avoid alcohol intake the night before if you are going to be working in hot environments,either from ambient conditions or by wearing Chemical Protective Clothing. • If you are on medication or have a chronic medical history,consult a physician prior to working in a high temperature environment. On-Site/Scene • Sufficient quantities of water(at least 2 to 4 ounces of water prior to commencing work and during every rest period)should be consumed to help avoid heat related emergencies.A recommended alternative to water is an electrolyte drink split 50/50 with water c■"' 0.0 '1b HEAT RELATED EMERGENCIES SIGNS AND SYMPTOMS EMERGENCY CARE Heat Rash Also known as prickly heat,this is a condition affecting the skin. The condition occurs in situations where the skin remains wet most of the time. The sweat ducts become plugged,and a skin rash soon appears. Signs and Symptoms 1. Skin rash over affected areas of the body. 2. Tingling or prickling sensation on the affected areas. Emergency Care 1. Take shower after working in heat. 2. Dry the skin thoroughly. 3. Change underwear as needed. 4. Stay in cool place after work hours. 5. Adjust clothing to wear materials that wick moisture away from body(cotton or Gore-Tex, etc.). Heat Cramps Heat cramps are muscle pains,usually in the lower extremities,the abdomen,or both,which occur secondary to profuse sweating with accompanying salt depletion. Heat cramps most often afflict people in good physical condition,who overwork in conditions of high temperature and humidity. Untreated,heat cramps may progress to heat exhaustion. Treatment of heat cramps is aimed at eliminating the exposure and restoring the loss of salt and water. Signs and Symptoms 1. Cramps in the extremities and abdomen which come on suddenly during vigorous activity. Heat cramps can be mild with only slight abdominal cramping and tingling in the extremities,but more commonly present intense and incapacitating pain in the abdomen and extremities. 2. Respiration rate will increase,decreasing after the pain subsides. 3. Pulse rate will increase. 4. Skin will be pale and moist. 5. Body temperature will be normal. 6. Loss of consciousness or airway maintenance are seldom problems with this condition. 7. Generalized weakness will be noted as the pain subsides. ■Fi 41M+Vhb Emergency Care 1. Move the worker to a cool environment. Have the worker lie down if the worker feels faint. 2. If the worker is not nauseated,the worker may be given 1 or 2 glasses of an electrolyte solution. Have the worker drink slowly. The use of salt tablets is not recommended,as they may precipitate nausea. 3. If the worker is nauseated,avoid giving anything by mouth until the nausea subsides. 4. Avoid massaging the cramping muscles. This rarely helps and may actually aggravate the pain. 5. As the salt and water level is replenished,the worker's pain will subside. The Worker may wish to return to work,however,this is NOT recommended for a period of 12 hours. Further exertion may lead to heat exhaustion or heat stroke. HEAT EXHAUSTION Heat exhaustion represents a somewhat more severe response to salt and water loss,as well as an initial disturbance in the body's heat-regulating system. Like heat cramps,heat exhaustion tends to occur in persons working in hot environments. Heat exhaustion is likely in dehydrated and hypertensive people. Untreated Heat Exhaustion may progress to Heat Stroke. Treatment of heat exhaustion is similar in principle to that of heat cramps. Signs and Symptoms 1. Heat Exhaustion may come on suddenly or may be felt as headache,fatigue,dizziness,and nausea with occasional abdominal cramping. 2. Sweating will be profuse. 3. Pulse will be rapid and weak. 4. Respiration rate will be rapid and shallow. 5. The skin will be pale and clammy. 6. The body temperature will be normal or decreased. 7. The worker could be irritable and restless. Emergenc,:Care 1. Move the worker to a cool environment,take off as much of the worker's clothing as possible, and place the worker in a supine position with the worker's legs elevated. 2. Sponge the worker with cool water. If you fan the worker,avoid chilling. When the body chills,the muscles generate energy. When the body shivers,this energy is released as heat and actually can increase the body temperature. 3. If this is a true medical emergency,prompt intervention by Emergency Medical Services is recommended. 4. Monitor the worker's level of consciousness and airway. HEATSTROKE Heat Stroke is caused by a severe disturbance in the body's heat-regulating mechanism and is a profound emergency,with a mortality rate ranging from 25 to 50 percent. It is most common in men over 40,especially 0 *Vh b in alcoholics. It can also occur in people of any age having too much exposure to the sun or prolonged confinement in a hot atmosphere. Heat stroke comes on suddenly. As the sweating mechanism fails,the body temperature begins to rise precipitously,reaching 106°F(41°C)or higher within 10 to 15 minutes. If the situation is not corrected rapidly,the body cells-especially the very vulnerable cells of the brain-are literally cooked, and irreversible central nervous system damage occurs. The treatment for Heat Stroke is aimed at maintaining vital functions and causing as rapid a temperature fall as possible. Signs and Symptoms 1. The worker's pulse will be strong and pounding. 2. The skin will be hot,dry and flushed. 3. The worker may experience headache,dizziness,and dryness of mouth. 4. Seizures and coma occur. 5. Loss of consciousness and airway maintenance problems can occur. Emergency Care 1. Establish an open airway. 2. Move the worker to a cool environment. Take off as much clothing as possible,and place the worker in a semi-reclining position with the head elevated. 3. Use any means to cool the worker. Improvise with whatever is available. A bathtub filled with cold water and ice cubes is ideal. Remember,speed is essential;delay may result in permanent brain damage.Vigorous efforts to cool the worker must continue until the body temperature is below 103°F(38.9°C). 4. This is a true medical emergency;prompt intervention by Emergency Medical Services is required. These are only guidelines for the care of Heat Related Emergencies. Actual training in emergency medical care or basic first aid is recommended. HEAT STRESS 1. Heart rate(HR)should be monitored by the radial pulse for 30 seconds as soon as possible in the resting period. If at the beginning of the rest period a worker's radial pulse is measured and his heart rate exceeds 100 beats per minute,the worker's next work period should be reduced by 33%. Therefore,if the original work period was one hour,the following work cycle should be reduced to 40 minutes. 2. Administering salt tablets to prevent heat stress is not recommended due to a number of reasons: (a) sweat is hypotonic,therefore,adding salt to the body would only increase the body's need for water; (b)additional salt may interfere with a worker's predisposed physical condition(i.e.,high blood pressure);and(c)increasing the sodium content in the body may cause an imbalance in the body's potassium content. Unless a physician recommends the use of salt tablets,individuals naturally obtain the necessary salt in their normal diet. 0 *Vh b 3. Heat Stroke is a true medical emergency. First aid should be directed toward immediate measures to cool the body quickly,as well as seeing that the victim receives medical attention as soon as possible. Prior to medical treatment,remove as much clothing as possible and proceed to cool the victim's body, taking care not to overchill the victim once his temperature falls below 102°F. One of the following cooling measures should be taken: (1)sponge the bare skin with cool water;(b)apply cold packs continuously;(c)wrap the victim in a sheet soaked with water;or(d)immerse the victim in a tub of cold water,while closely monitoring the victim's level of consciousness. 4. Prior to site activity, the field team leader will make arrangements for heat stress monitoring(i.e., monitoring heart rate,body temperature and body water loss)during actual site work if conditions warrant these measures. In addition,the worker would want to ensure that the team members have been acclimatized to the particular environmental conditions and that personnel are aware of the signs and symptoms of heat illness and have been adequately trained in first aid procedures. As field team leader,one could also make sure there is sufficient personnel on site, so as to rotate work assignments,schedule work during hours of reduced temperatures,and ensure personnel drink moderate levels of an electrolyte solution and eat well prior to commencing site work. 5. The worker could be experiencing a condition of heat rash. Allow workers to rest and relieve the itching associated with heat rash rather than return to work too soon. Itching workers may not follow stringent decon procedures or risk cross contamination. Keeping the skin clean and dry will reduce the incidence of heat rash. This can be accomplished by adjusting clothing to wear materials that wick moisture away from the body(cotton,Gore-Tex or other similar materials)underneath protective clothing. Upon removal of the protective clothing,the worker should wash and dry his skin thoroughly. 6. The sense of thirst is not an adequate regulator of water replacement during heat exposure. Therefore,as a general rule,the amount of water administered should replace the amount of water lost,and it should be administered at regular intervals throughout the day. It is not practical to measure water loss in the field;however,water should be replaced by drinking 2-4 ounce servings during every rest period. A recommended alternative to water is an electrolyte drink split 50/50 with water. 7. Although there is no specific test given during a baseline physical that would identify a person's tolerance to heat,there are physical factors and personal habits which may indicate possible intolerance to heat,such as,whether or not an individual smokes,one's dietary habit,body weight,as well as predisposed physical conditions such as high blood pressure,heart conditions,diabetes,or medication,that may influence an individual's ability to tolerate excessive heat. 8. First aid treatment:remove victim to a cool place and give sips of salted water(1 teaspoon of salt to 1 quart of water)-4 ounces every 15 minutes over a period of one hour. A commercial preparation, e.g.,Gatorade, may be used if split 50/50 with water. The salted water or solution should mitigate the cramps. Manual pressure should not be applied to the cramped muscles. 0 ..=Vhb TABLE C-P) REQUIRED FREQUENCY OF HEAT STRESS MONITORING FOR WORKERS IN IMPERMEABLE CLOTHING Adjusted(2) Work Time Allowed Before Monitoring Break(min.) Temperature(°F) 90 or above 15 87.5-90 30 82.5-87.5 60 77.5-82.5 90 72.5-77.5 120 (1) Adapted from Eastern Research Group and National Institute for Occupational Safety and Health, Occupational Safety and Health Guidance Manual for Super Activities. September 26, 1984,pp.8-75. (2) Calculate the adjusted air temperature(Ta adj)by using this equation: Ta adj°F=Ta°F+(13 x%sunshine) Measure air temperature(Ta)with a standard thermometer,with the bulb shielded from radiant heat. Then estimate percent sunshine(100 percent sunshine=no cloud cover and a sharp,distinct shadow;0 percent sunshine=no shadows). 0 ..=Vhb TABLE C-2 Heat Stress Indicator When to Measure If Exceeds. . . Action heart rate(pulse) beginning of rest period 110 beats per minute shorten next work period by 33% oral temperature beginning of rest period 99°F(after thermometer is under shorten next work tongue for 3 minutes) period by 33% 100.6°F prohibit work in impermeable clothing body weight 1.before workday begins(a.m.) increase fluid intake 2.after workday ends(p.m.) COLD STRESS(HYPOTHERMIA) Cold stress is a function of cold,wetness and wind. A worker's susceptibility to cold stress can vary according to his/her physical fitness,degree of acclimatization to cold weather,age,and diet. Prevention Institute the following steps to prevent overexposure of workers to cold: 1. Maintain body core temperature at 96.8°F or above by encouraging workers to drink warm liquids during breaks(preferably not coffee)and wear several layers of clothing. Wool is recommended since it can keep the body warm even when the wool is wet. 2. Avoid frostbite by adequately covering hands,feet,and other extremities. Clothing such as insulated gloves or mittens,earmuffs,and hat liners should be worn. To prevent contact frostbite(from touching metal and cold surfaces below 20-F),workers should wear anti- contact gloves. Tool handles and control bars should be covered with insulating material. 3. Adjust work schedules if necessary,providing adequate rest periods. When feasible,rotate personnel and perform work during the warmer hours of the day. 4. Provide a heated enclosure for workers close to their work area. Workers should remove their outer layer(s)of clothing while in the shelter to allow for sweat evaporation. 5. In the event that wind barriers are constructed around an intrusive operation(such as drilling),the enclosure must be properly vented to prevent the build-up of toxic or explosive 0 .oVhb gasses or vapors. Care must be taken to keep any heat source away from flammable substances. 6. Using a wind chill chart such as the one in Table C-4,obtain the equivalent chill temperature (ECT)based on actual wind speed and temperature. Refer to the ECT when setting up work warm-up schedules,planning appropriate clothing,etc. Workers should use warming shelters at regular intervals at or below an ECT of 20°F. For exposed skin, continuous exposure should not be permitted at or below an ECT of-25°F. 7. Workers who become immersed in water or whose clothing becomes wet(from perspiration, rain,etc.)must immediately be provided a change of dry clothing whenever the air temperature is 25.6°F or below. 8. Although not mandated by corporate requirements,employees should strive to maintain an optimal level of worker fitness by encouraging regular exercise,proper diet,etc. Monitoring Personnel should be aware of the symptoms of cold stress. If the following symptoms of systemic hypothermia are noticed in any worker,he/she should immediately go to a warm shelter: • heavy,uncontrollable shivering; • excessive fatigue or drowsiness; • loss of coordination; • difficulty in speaking;and, • frostbite(see below). Frostbite is the generic term for local injury resulting from cold. The stages of frostbite and their symptoms are as follows: 1. frostbite or incipient frostbite: • sudden blanching or whitening of the skin. 2. superficial frostbite: • waxy or white skin which is firm to the touch(tissue underneath is still resilient). 3. deep frostbite: • tissues are cold,pale,and solid. ■yl y�•Vh b TABLE C-40) COOLING POWER OF WIND ON EXPOSED FLESH EXPRESSED AS AN EQUIVALENT TEMPERATURE (UNDER CALM CONDITIONS) Estimated Actual Temperature Reading(°F)P Wind Speed(in mps) 50 40 30 1 20 10 0 1 -10 1 -20 -30 1 -40 1 -50 -60 Equivalent Chill Temperature(°F) calm 50 40 30 20 10 0 -10 -20 -30 -40 -50 -60 5 48 37 27 16 6 -5 -15 -26 -36 -47 -57 -68 10 40 28 16 4 -9 -24 -33 -46 -58 -70 -83 -95 15 36 22 9 -5 -18 -32 -45 -58 -72 -85 -99 -112 20 32 18 4 -10 -25 -39 -53 -67 -82 -96 -110 -121 25 30 16 0 -15 -29 -44 -59 -74 -88 -104 -118 -133 30 28 13 -2 -18 -33 -48 -63 -79 -94 -109 -125 -140 35 27 11 -4 -20 -35 -51 -67 -82 -98 -113 -129 -145 40 26 10 -6 -21 -37 -53 -69 -85 -100 -116 -132 -148 LITTLE DANGER INCREASING GREAT DANGER (Wind speeds In<hr with dry skin. Maximum DANGER Flesh may freeze within 30 seconds greater than 40 danger of false sense of security. Danger from freezing of mph have little exposed flesh within additional one minute. effect. Trenchfoot and immersion foot may occur at any point on this chart. Developed by U.S.Army Research Institute of Environmental Medicine,Natick,MA. (1) Reproduced from American Conference of Governmental Industrial Hygienists,Threshold Limit Values and Biological Exposure Indices for 1985-1986,p.01. ■' Attachment E Chemical Hazards Ascent Battery Supply, LLC Ce1325 Walnut Ridge Drive Hartland, Wisconsin 53029 T P:1 Safety Data Sheet (SDS) Alkaline Batteries The information and recommendations below are believed to be accurate at the date of document preparation. Ascent Battery Supply makes no warranty or merchantability or any other warranty, express or implied, with respect to this information and assumes no liability resulting from its use. This SDS provides guidelines for safe use and handling of product. It does not, and cannot, advise all possible situations. All specific uses of this product must be evaluated by the end user to determine if additional safety precautions should be taken. SECTION 1 - IDENTIFICATION Product Name Alkaline Batteries—Mercury Free Common Name(s) Alkaline Synonyms Primary Battery DOT Description Dry Battery Chemical Name Manganese Dioxide Emergency Distributed By Ascent Battery Supply, LLC Number INFOTRAC (800) 535-5053 1325 Walnut Ridge Drive Overseas Emergency Address Hartland, Wisconsin 53029 Number INFOTRAC (352) 323-3500 (Collect) SECTION 2 — HAZARD(S) Unusual Fire and Cells may rupture when exposed to excessive heat. This could result in the release of flammable or Explosion Hazards corrosive materials. SECTION 3 — COMPOSITION Chemical Name CAS No. Percentage% Manganese Dioxide 1313-13-9 32-40 Stainless Steel 7439-89-6 19-23 Zinc 7440-66-6 10-25 Potassium Hydroxide 1310-58-3 5-10 Graphite 7782-42-5 1-5 Barium Sulfate 7727-43-7 <5 Water, Paper, Plastic, other inert N/A balance SECTION 4 — FIRST AID MEASURES For Manganese Dioxide Chemicals: Inhalation Get fresh air. If symptoms persist seek medical attention Eyes and Skin: Flush with copious quantities of flowing lukewarm water for a minimum of 15 minutes; wash with soap Skin and water Eyes: Flush with copious quantities of flowing lukewarm water for a minimum of 15 minutes;get immediate medical attention. Ingestion Ingestion of battery chemicals can be harmful. Call The National Battery Ingestion Hotline (202-625-3333) 24 hours a day,for procedures treating ingestion of chemicals. Do not induce vomiting. SECTION 5 — FIRE-FIGHTING MEASURES Extinguisher Media Use water,foam or dry powder Special Fire Fighting Wear self-contained breathing apparatus to avoid inhalation of hazardous decomposition products. Procedures SECTION 6 -ACCIDENTAL RELEASE MEASURES In case of accidental rupture or release: prevent skin and eye contact and collect all released material in a plastic lined metal container. See also: sections 4, 5, and 8. SECTION 7 - HANDLING AND STORAGE 1. Store in a dry place. 2. Do not store unpacked cells together: to avoid cells shorting to one another. 3. If packing materials are not available, please masking tape on the (+) and (—) ends of the cells. SECTION 8 - EXPOSURE/PERSONAL PROTECTION Respiratory Protection None required under normal handling conditions Gloves Wear gloves if cell is ruptured, corroded, or leaking materials Safety Glasses Always wear safety glasses with working with battery cells SECTION 9 - PHYSICAL/CHEMICAL PROPERTIES Boiling Point N/A Melting Point N/A Vapor Pressure N/A Vapor Density N/A Specific Gravity N/A Evaporation Rate N/A Solubility in Water N/A Appearance and Odor Geometric, solid object SECTION 10-STABILITY & REACTIVITY Reactivity in Water N/A Auto-Ignition Temperature N/A Flash Point N/A Flammable Limits in Air, by vol. N/A Percent Volatile By Volume N/A Stable Avoid electrically shorting the cell Incompatibility N/A (materials to avoid) SECTION 11 -TOXICOLOGICAL INFORMATION Threshold Limit Value N/A Signs and Symptoms of Exposure None. (In fire or rupture situations, refer to sections 4, 5, &8.) Medical Conditions Generally Chemicals may cause burns to skin, eyes, gastrointestinal tract and mucous Caused by Exposure membranes. Routes of Entry Skin, Eyes, Ingestion (swallowing) SECTION 12 - ECOLOGICAL INFORMATION Hazardous Decomposition Products N/A Hazardous Polymerization Will not occur Under normal use these batteries do not release internal ingredients into the environment. Damaged or abused batteries may release small amounts of zinc, manganese, and potassium hydroxide. Do not carelessly discard, as small amounts of zinc may be released into storm or surface water. Do not discard batteries into a fire. Dispose of properly or recycle. SECTION 13 - DISPOSAL 1. Alkaline (Manganese Dioxide) batteries have no hazardous waste characteristics and can be landfilled. SECTION 14-TRANSPORT Alkaline Batteries are considered dry-cell batteries and are not considered 'hazardous' or 'dangerous'goods for transportation.These batteries must be packed in a way to prevent short circuits or generation of a dangerous quantity of heat. SECTION 15 - REGULATORY INFORMATION IATA Not considered to be 'dangerous goods'. DOT Not considered to be a 'hazardous material'. SECTION 16 - OTHER Document Control No: I SDS20001—Ascent SDS for Alkaline Batteries Revision: 12 1 Effective Date: 12-05-2014 He a It I Science Ah .corn Chemicals&Laboratory Equipment 2 Reactivity 2 Personal E Protection Material Safety Data Sheet Arsenic MSDS Section 1: Chemical Product and Company Identification Product Name: Arsenic Contact Information: Catalog Codes: SLA1006 Sciencelab.com, Inc. 14025 Smith Rd. CAS#: 7440-38-2 Houston, Texas 77396 RTECS: CG0525000 US Sales: 1-800-901-7247 International Sales: 1-281441-4400 TSCA: TSCA 8(b) inventory: Arsenic Order Online: ScienceLab.com CI#: Not applicable. CHEMTREC (24HR Emergency Telephone), call: Synonym: 1-800-424-9300 Chemical Name: Arsenic International CHEMTREC, call: 1-703-527-3887 Chemical Formula: As For non-emergency assistance, call: 1-281-441-4400 Section 2: Composition and Information on Ingredients Composition: Name CAS# %by Weight Arsenic 7440-38-2 100 Toxicological Data on Ingredients: Arsenic: ORAL (LD50): Acute: 763 mg/kg [Rat]. 145 mg/kg [Mouse]. Section 3: Hazards Identification Potential Acute Health Effects: Very hazardous in case of ingestion, of inhalation. Slightly hazardous in case of skin contact (irritant), of eye contact (irritant). Potential Chronic Health Effects: CARCINOGENIC EFFECTS: Classified Al (Confirmed for human.) by ACGIH. MUTAGENIC EFFECTS: Not available. TERATOGENIC EFFECTS: Not available. DEVELOPMENTAL TOXICITY: Not available. The substance is toxic to kidneys, lungs, the nervous system, mucous membranes. Repeated or prolonged exposure to the substance can produce target organs damage. Section 4: First Aid Measures Eye Contact: Check for and remove any contact lenses. In case of contact, immediately flush eyes with plenty of water for at least 15 minutes. Get medical attention if irritation occurs. P. 1 Skin Contact: Wash with soap and water. Cover the irritated skin with an emollient. Get medical attention if irritation develops. Serious Skin Contact: Not available. Inhalation: If inhaled, remove to fresh air. If not breathing, give artificial respiration. If breathing is difficult, give oxygen. Get medical attention. Serious Inhalation: Evacuate the victim to a safe area as soon as possible. Loosen tight clothing such as a collar, tie, belt or waistband. If breathing is difficult, administer oxygen. If the victim is not breathing, perform mouth-to-mouth resuscitation. Seek medical attention. Ingestion: Do NOT induce vomiting unless directed to do so by medical personnel. Never give anything by mouth to an unconscious person. If large quantities of this material are swallowed, call a physician immediately. Loosen tight clothing such as a collar, tie, belt or waistband. Serious Ingestion: Not available. Section 5: Fire and Explosion Data Flammability of the Product: May be combustible at high temperature. Auto-Ignition Temperature: Not available. Flash Points: Not available. Flammable Limits: Not available. Products of Combustion: Some metallic oxides. Fire Hazards in Presence of Various Substances: Flammable in presence of open flames and sparks, of heat, of oxidizing materials. Explosion Hazards in Presence of Various Substances: Risks of explosion of the product in presence of mechanical impact: Not available. Risks of explosion of the product in presence of static discharge: Not available. Fire Fighting Media and Instructions: SMALL FIRE: Use DRY chemical powder. LARGE FIRE: Use water spray, fog or foam. Do not use water jet. Special Remarks on Fire Hazards: Material in powder form, capable of creating a dust explosion. When heated to decomposition it emits highly toxic fumes. Special Remarks on Explosion Hazards: Not available. Section 6: Accidental Release Measures Small Spill: Use appropriate tools to put the spilled solid in a convenient waste disposal container. Large Spill: Use a shovel to put the material into a convenient waste disposal container. Be careful that the product is not present at a concentration level above TLV. Check TLV on the MSDS and with local authorities. Section 7: Handling and Storage Precautions: Keep locked up.. Keep away from heat. Keep away from sources of ignition. Empty containers pose a fire risk, evaporate the residue under a fume hood. Ground all equipment containing material. Do not ingest. Do not breathe dust. Wear suitable p. 2 protective clothing. In case of insufficient ventilation, wear suitable respiratory equipment. If ingested, seek medical advice immediately and show the container or the label. Keep away from incompatibles such as oxidizing agents, acids, moisture. Storage: Keep container tightly closed. Keep container in a cool, well-ventilated area. Section 8: Exposure Controls/Personal Protection Engineering Controls: Use process enclosures, local exhaust ventilation, or other engineering controls to keep airborne levels below recommended exposure limits. If user operations generate dust, fume or mist, use ventilation to keep exposure to airborne contaminants below the exposure limit. Personal Protection: Safety glasses. Lab coat. Dust respirator. Be sure to use an approved/certified respirator or equivalent. Gloves. Personal Protection in Case of a Large Spill: Splash goggles. Full suit. Dust respirator. Boots. Gloves. A self contained breathing apparatus should be used to avoid inhalation of the product. Suggested protective clothing might not be sufficient; consult a specialist BEFORE handling this product. Exposure Limits: TWA: 0.01 from ACGIH (TLV) [United States] [1995] Consult local authorities for acceptable exposure limits. Section 9: Physical and Chemical Properties Physical state and appearance: Solid. (Lustrous solid.) Odor: Not available. Taste: Not available. Molecular Weight: 74.92 g/mole Color: Silvery. pH (1% soln/water): Not applicable. Boiling Point: Not available. Melting Point: Sublimation temperature: 615°C (1139°F) Critical Temperature: Not available. Specific Gravity: 5.72 (Water= 1) Vapor Pressure: Not applicable. Vapor Density: Not available. Volatility: Not available. Odor Threshold: Not available. Water/Oil Dist. Coeff.: Not available. lonicity (in Water): Not available. Dispersion Properties: Not available. Solubility: Insoluble in cold water, hot water. Section 10: Stability and Reactivity Data Stability: The product is stable. p. 3 Instability Temperature: Not available. Conditions of Instability: Not available. Incompatibility with various substances: Reactive with oxidizing agents, acids, moisture. Corrosivity: Non-corrosive in presence of glass. Special Remarks on Reactivity: Not available. Special Remarks on Corrosivity: Not available. Polymerization: Will not occur. Section 11: Toxicological Information Routes of Entry: Inhalation. Ingestion. Toxicity to Animals: Acute oral toxicity (LD50): 145 mg/kg [Mouse]. Chronic Effects on Humans: CARCINOGENIC EFFECTS: Classified Al (Confirmed for human.) by ACGIH. Causes damage to the following organs: kidneys, lungs, the nervous system, mucous membranes. Other Toxic Effects on Humans: Very hazardous in case of ingestion, of inhalation. Slightly hazardous in case of skin contact (irritant). Special Remarks on Toxicity to Animals: Not available. Special Remarks on Chronic Effects on Humans: Not available. Special Remarks on other Toxic Effects on Humans: Not available. Section 12: Ecological Information Ecotoxicity: Not available. BOD5 and COD: Not available. Products of Biodegradation: Possibly hazardous short term degradation products are not likely. However, long term degradation products may arise. Toxicity of the Products of Biodegradation: The products of degradation are as toxic as the original product. Special Remarks on the Products of Biodegradation: Not available. Section 13: Disposal Considerations Waste Disposal: Section 14: Transport Information DOT Classification: CLASS 6.1: Poisonous material. Identification: : Arsenic UNNA: UN1558 PG: II Special Provisions for Transport: Not available. Section 15: Other Regulatory Information p. 4 Federal and State Regulations: California prop. 65: This product contains the following ingredients for which the State of California has found to cause cancer, birth defects or other reproductive harm, which would require a warning under the statute: Arsenic California prop. 65: This product contains the following ingredients for which the State of California has found to cause cancer which would require a warning under the statute: Arsenic Pennsylvania RTK: Arsenic Massachusetts RTK: Arsenic TSCA 8(b) inventory: Arsenic Other Regulations: OSHA: Hazardous by definition of Hazard Communication Standard (29 CFR 1910.1200). Other Classifications: WHMIS (Canada): CLASS D-1A: Material causing immediate and serious toxic effects (VERY TOXIC). CLASS D-2A: Material causing other toxic effects (VERY TOXIC). DSCL (EEC): R22- Harmful if swallowed. R45- May cause cancer. HMIS (U.S.A.): Health Hazard: 3 Fire Hazard: 1 Reactivity: 2 Personal Protection: E National Fire Protection Association (U.S.A.): Health: 3 Flammability: 1 Reactivity: 2 Specific hazard: Protective Equipment: Gloves. Lab coat. Dust respirator. Be sure to use an approved/certified respirator or equivalent. Wear appropriate respirator when ventilation is inadequate. Safety glasses. Section 16: Other Information References: -Hawley, G.G.. The Condensed Chemical Dictionary, 11e ed., New York N.Y., Van Nostrand Reinold, 1987. -Liste des produits purs teratogenes, mutagenes, cancerogenes. Repertoire toxicologique de la Commission de la Sante et de la Securite du Travail du Quebec. -Material safety data sheet emitted by: la Commission de la Sante et de la Securite du Travail du Quebec. -SAX, N.I. Dangerous Properties of Indutrial Materials. Toronto, Van Nostrand Reinold, 6e ed. 1984. -The Sigma-Aldrich Library of Chemical Safety Data, Edition II. -Guide de la loi et du reglement sur le transport des marchandises dangeureuses au canada. Centre de conformite internatinal Ltee. 1986. Other Special Considerations: Not available. Created: 10/09/2005 04:16 PM Last Updated: 05/21/2013 12:00 PM The information above is believed to be accurate and represents the best information currently available to us. However, we make no warranty of merchantability or any other warranty, express or implied, with respect to such information, and we assume no liability resulting from its use. Users should make their own investigations to determine the suitability of the information for their particular purposes. In no event shall ScienceLab.com be liable for any claims, losses, or damages of any third party or for lost profits or any special, indirect, incidental, consequential or exemplary damages, howsoever arising, even if ScienceLab.com has been advised of the possibility of such damages. p. 5 E55 Safety Data Sheet Material Name: Diesel Fuel, All Types SDS No. 9909 US GHS Synonyms: Ultra Low Sulfur Diesel; Low Sulfur Diesel; No. 2 Diesel; Motor Vehicle Diesel Fuel; Non- Road Diesel Fuel; Locomotive/Marine Diesel Fuel * * * Section 1 - Product and Company Identification Manufacturer Information Hess Corporation Phone: 732-750-6000 Corporate EHS 1 Hess Plaza Emergency#800-424-9300 CHEMTREC Woodbridge, NJ 07095-0961 www.hess.com (Environment, Health, Safety Internet Website) * * * Section 2 - Hazards Identification GHS Classification: Flammable Liquids - Category 3 Skin Corrosion/Irritation —Category 2 Germ Cell Mutagenicity—Category 2 Carcinogenicity- Category 2 Specific Target Organ Toxicity (Single Exposure) -Category 3 (respiratory irritation, narcosis) Aspiration Hazard —Category 1 Hazardous to the Aquatic Environment, Acute Hazard—Category 3 GHS LABEL ELEMENTS Symbol(s) *>*< > Signal Word DANGER Hazard Statements Flammable liquid and vapor. Causes skin irritation. Suspected of causing genetic defects. Suspected of causing cancer. May cause respiratory irritation. May cause drowsiness or dizziness. May be fatal if swallowed and enters airways. Harmful to aquatic life. Precautionary Statements Prevention Keep away from heat/sparks/open flames/hot surfaces. No smoking Keep container tightly closed. Ground/bond container and receiving equipment. Page 1 of 10 Revision Date 8/30/12 Safety Data Sheet Material Name: Diesel Fuel, All Types SDS No. 9909 Use explosion-proof electrical/ventilating/lighting/equipment. Use only non-sparking tools. Take precautionary measures against static discharge. Wear protective gloves/protective clothing/eye protection/face protection. Wash hands and forearms thoroughly after handling. Obtain special instructions before use. Do not handle until all safety precautions have been read and understood. Avoid breathing fume/mist/vapours/spray. Response In case of fire: Use water spray, fog or foam to extinguish. IF ON SKIN (or hair): Wash with plenty of soap and water. Remove/Take off immediately all contaminated clothing and wash it before reuse. If skin irritation occurs: Get medical advice/attention. IF INHALED: Remove person to fresh air and keep comfortable for breathing. Call a poison center/doctor if you feel unwell. If swallowed: Immediately call a poison center or doctor. Do NOT induce vomiting. IF exposed or concerned: Get medical advice/attention. Storage Store in a well-ventilated place. Keep cool. Keep container tightly closed. Store locked up. Disposal Dispose of contents/container in accordance with local/regional/national/international regulations. * * * Section 3 - Composition / Information on Ingredients * * * CAS# Component Percent 68476-34-6 Fuels, diesel, no. 2 100 91-20-3 Naphthalene <0.1 A complex mixture of hydrocarbons with carbon numbers in the range C9 and higher. * * * Section 4 - First Aid Measures First Aid: Eyes In case of contact with eyes, immediately flush with clean, low-pressure water for at least 15 min. Hold eyelids open to ensure adequate flushing. Seek medical attention. First Aid: Skin Remove contaminated clothing. Wash contaminated areas thoroughly with soap and water or with waterless hand cleanser. Obtain medical attention if irritation or redness develops. Thermal burns require immediate medical attention depending on the severity and the area of the body burned. First Aid: Ingestion DO NOT INDUCE VOMITING. Do not give liquids. Obtain immediate medical attention. If spontaneous vomiting occurs, lean victim forward to reduce the risk of aspiration. Monitor for breathing difficulties. Small amounts of material which enter the mouth should be rinsed out until the taste is dissipated. Page 2 of 10 Revision Date 8/30/12 Safety Data Sheet Material Name: Diesel Fuel, All Types SDS No. 9909 First Aid: Inhalation Remove person to fresh air. If person is not breathing, provide artificial respiration. If necessary, provide additional oxygen once breathing is restored if trained to do so. Seek medical attention immediately. * * * Section 5 - Fire Fighting Measures General Fire Hazards See Section 9 for Flammability Properties. Vapors may be ignited rapidly when exposed to heat, spark, open flame or other source of ignition. When mixed with air and exposed to an ignition source, flammable vapors can burn in the open or explode in confined spaces. Being heavier than air, vapors may travel long distances to an ignition source and flash back. Runoff to sewer may cause fire or explosion hazard. Hazardous Combustion Products Carbon monoxide, carbon dioxide and non-combusted hydrocarbons (smoke). Extinguishing Media SMALL FIRES: Any extinguisher suitable for Class B fires, dry chemical, CO2, water spray, fire fighting foam, and other gaseous agents. LARGE FIRES: Water spray, fog or fire fighting foam. Water may be ineffective for fighting the fire, but may be used to cool fire-exposed containers. Unsuitable Extinguishing Media None Fire Fighting Equipment/Instructions Small fires in the incipient (beginning) stage may typically be extinguished using handheld portable fire extinguishers and other fire fighting equipment. Firefighting activities that may result in potential exposure to high heat, smoke or toxic by-products of combustion should require NIOSH/MSHA- approved pressure-demand self- contained breathing apparatus with full facepiece and full protective clothing. Isolate area around container involved in fire. Cool tanks, shells, and containers exposed to fire and excessive heat with water. For massive fires the use of unmanned hose holders or monitor nozzles may be advantageous to further minimize personnel exposure. Major fires may require withdrawal, allowing the tank to burn. Large storage tank fires typically require specially trained personnel and equipment to extinguish the fire, often including the need for properly applied fire fighting foam. * * * Section 6 - Accidental Release Measures Recovery and Neutralization Carefully contain and stop the source of the spill, if safe to do so. Materials and Methods for Clean-Up Take up with sand or other oil absorbing materials. Carefully shovel, scoop or sweep up into a waste container for reclamation or disposal. Caution, flammable vapors may accumulate in closed containers. Emergency Measures Evacuate nonessential personnel and remove or secure all ignition sources. Consider wind direction; stay upwind and uphill, if possible. Evaluate the direction of product travel, diking, sewers, etc. to confirm spill areas. Spills may infiltrate subsurface soil and groundwater; professional assistance may be necessary to determine the extent of subsurface impact. Page 3 of 10 Revision Date 8/30/12 Safety Data Sheet Material Name: Diesel Fuel, All Types SDS No. 9909 Personal Precautions and Protective Equipment Response and clean-up crews must be properly trained and must utilize proper protective equipment (see Section 8). Environmental Precautions Protect bodies of water by diking, absorbents, or absorbent boom, if possible. Do not flush down sewer or drainage systems, unless system is designed and permitted to handle such material. The use of fire fighting foam may be useful in certain situations to reduce vapors. The proper use of water spray may effectively disperse product vapors or the liquid itself, preventing contact with ignition sources or areas/equipment that require protection. Prevention of Secondary Hazards None * * * Section 7 - Handling and Storage Handling Procedures Handle as a combustible liquid. Keep away from heat, sparks, excessive temperatures and open flame! No smoking or open flame in storage, use or handling areas. Bond and ground containers during product transfer to reduce the possibility of static-initiated fire or explosion. Special slow load procedures for"switch loading" must be followed to avoid the static ignition hazard that can exist when higher flash point material (such as fuel oil) is loaded into tanks previously containing low flash point products (such as this product) -see API Publication 2003, "Protection Against Ignitions Arising Out Of Static, Lightning and Stray Currents." Storage Procedures Keep away from flame, sparks, excessive temperatures and open flame. Use approved vented containers. Keep containers closed and clearly labeled. Empty product containers or vessels may contain explosive vapors. Do not pressurize, cut, heat, weld or expose such containers to sources of ignition. Store in a well-ventilated area. This storage area should comply with NFPA 30 "Flammable and Combustible Liquid Code". Avoid storage near incompatible materials. The cleaning of tanks previously containing this product should follow API Recommended Practice (RP) 2013 "Cleaning Mobile Tanks In Flammable and Combustible Liquid Service" and API RP 2015 "Cleaning Petroleum Storage Tanks." Incompatibilities Keep away from strong oxidizers. * * * Section 8 - Exposure Controls / Personal Protection Component Exposure Limits Fuels, diesel, no. 2 (68476-34-6) ACGIH: 100 mg/m3 TWA(inhalable fraction and vapor, as total hydrocarbons, listed under Diesel fuel) Skin- potential significant contribution to overall exposure by the cutaneous route (listed under Diesel fuel) Page 4 of 10 Revision Date 8/30/12 Safety Data Sheet Material Name: Diesel Fuel, All Types SDS No. 9909 Naphthalene (91-20-3) ACGIH: 10 ppm TWA 15 ppm STEL Skin- potential significant contribution to overall exposure by the cutaneous route OSHA: 10 ppm TWA; 50 mg/m3 TWA NIOSH: 10 ppm TWA; 50 mg/m3 TWA 15 ppm STEL; 75 mg/m3 STEL Engineering Measures Use adequate ventilation to keep vapor concentrations of this product below occupational exposure and flammability limits, particularly in confined spaces. Personal Protective Equipment: Respiratory A NIOSH/MSHA-approved air-purifying respirator with organic vapor cartridges or canister may be permissible under certain circumstances where airborne concentrations are or may be expected to exceed exposure limits or for odor or irritation. Protection provided by air-purifying respirators is limited. Use a positive pressure, air-supplied respirator if there is a potential for uncontrolled release, exposure levels are not known, in oxygen-deficient atmospheres, or any other circumstance where an air-purifying respirator may not provide adequate protection. Personal Protective Equipment: Hands Gloves constructed of nitrile, neoprene, or PVC are recommended. Personal Protective Equipment: Eyes Safety glasses or goggles are recommended where there is a possibility of splashing or spraying. Personal Protective Equipment: Skin and Body Chemical protective clothing such as of E.I. DuPont TyChem@, Saranex@ or equivalent recommended based on degree of exposure. Note: The resistance of specific material may vary from product to product as well as with degree of exposure. Consult manufacturer specifications for further information. * * * Section 9 - Physical & Chemical Properties Appearance: Clear, straw-yellow. Odor: Mild, petroleum distillate odor Physical State: Liquid pH: ND Vapor Pressure: 0.009 psia @ 70 °F (21 °C) Vapor Density: >1.0 Boiling Point: 320 to 690 °F (160 to 366 °C) Melting Point: ND Solubility(H2O): Negligible Specific Gravity: 0.83-0.876 @ 60°F (16°C) Evaporation Rate: Slow; varies with conditions VOC: ND Percent Volatile: 100% Octanol/1­1120 Coeff.: ND Flash Point: >125 °F (>52 °C) minimum Flash Point Method: PMCC Upper Flammability Limit 7.5 Lower Flammability Limit 0.6 (UFL): (LFL): Burning Rate: ND Auto Ignition: 494°F (257°C) * * * Section 10 - Chemical Stability & Reactivity Information Chemical Stability This is a stable material. Hazardous Reaction Potential Will not occur. Page 5 of 10 Revision Date 8/30/12 Safety Data Sheet Material Name: Diesel Fuel, All Types SDS No. 9909 Conditions to Avoid Avoid high temperatures, open flames, sparks, welding, smoking and other ignition sources. Incompatible Products Keep away from strong oxidizers. Hazardous Decomposition Products Carbon monoxide, carbon dioxide and non-combusted hydrocarbons (smoke). * * * Section 11 - Toxicological Information Acute Toxicity A: General Product Information Harmful if swallowed. B: Component Analysis - LD50/LC50 Naphthalene(91-20-3) Inhalation LC50 Rat >340 mg/m3 1 h; Oral LD50 Rat 490 mg/kg; Dermal LD50 Rat >2500 mg/kg; Dermal LD50 Rabbit >20 g/kg Potential Health Effects: Skin Corrosion Property/Stimulativeness Practically non-toxic if absorbed following acute (single) exposure. May cause skin irritation with prolonged or repeated contact. Liquid may be absorbed through the skin in toxic amounts if large areas of skin are repeatedly exposed. Potential Health Effects: Eye Critical Damage/ Stimulativeness Contact with eyes may cause mild irritation. Potential Health Effects: Ingestion Ingestion may cause gastrointestinal disturbances, including irritation, nausea, vomiting and diarrhea, and central nervous system (brain) effects similar to alcohol intoxication. In severe cases, tremors, convulsions, loss of consciousness, coma, respiratory arrest, and death may occur. Potential Health Effects: Inhalation Excessive exposure may cause irritations to the nose, throat, lungs and respiratory tract. Central nervous system (brain) effects may include headache, dizziness, loss of balance and coordination, unconsciousness, coma, respiratory failure, and death. WARNING: the burning of any hydrocarbon as a fuel in an area without adequate ventilation may result in hazardous levels of combustion products, including carbon monoxide, and inadequate oxygen levels, which may cause unconsciousness, suffocation, and death. Respiratory Organs Sensitization/Skin Sensitization This product is not reported to have any skin sensitization effects. Generative Cell Mutagenicity This material has been positive in a mutagenicity study. Carcinogenicity A: General Product Information Suspected of causing cancer. Page 6 of 10 Revision Date 8/30/12 Safety Data Sheet Material Name: Diesel Fuel, All Types SDS No. 9909 Studies have shown that similar products produce skin tumors in laboratory animals following repeated applications without washing or removal. The significance of this finding to human exposure has not been determined. Other studies with active skin carcinogens have shown that washing the animal's skin with soap and water between applications reduced tumor formation. B: Component Carcinogenicity Fuels, diesel, no. 2 (68476-34-6) ACGIH: A3-Confirmed Animal Carcinogen with Unknown Relevance to Humans (listed under Diesel fuel) Naphthalene (91-20-3) ACGIH: A4- Not Classifiable as a Human Carcinogen NTP: Reasonably Anticipated To Be A Human Carcinogen (Possible Select Carcinogen) IARC: Monograph 82 [2002] (Group 2B (possibly carcinogenic to humans)) Reproductive Toxicity This product is not reported to have any reproductive toxicity effects. Specified Target Organ General Toxicity: Single Exposure This product is not reported to have any specific target organ general toxicity single exposure effects. Specified Target Organ General Toxicity: Repeated Exposure This product is not reported to have any specific target organ general toxicity repeat exposure effects. Aspiration Respiratory Organs Hazard The major health threat of ingestion occurs from the danger of aspiration (breathing) of liquid drops into the lungs, particularly from vomiting. Aspiration may result in chemical pneumonia (fluid in the lungs), severe lung damage, respiratory failure and even death. * * * Section 12 - Ecological Information Ecotoxicity A: General Product Information Keep out of sewers, drainage areas and waterways. Report spills and releases, as applicable, under Federal and State regulations. B: Component Analysis - Ecotoxicity -Aquatic Toxicity Fuels, diesel, no. 2 (68476-34-6) Test&Species Conditions 96 Hr LC50 Pimephales promelas 35 mg/L[flow- through] Naphthalene (91-20-3) Test&Species Conditions 96 Hr LC50 Pimephales promelas 5.74-6.44 mg/L [flow-through] 96 Hr LC50 Oncorhynchus mykiss 1.6 mg/L [flow- through] 96 Hr LC50 Oncorhynchus mykiss 0.91-2.82 mg/L [static] 96 Hr LC50 Pimephales promelas 1.99 mg/L[static] Page 7 of 10 Revision Date 8/30/12 Safety Data Sheet Material Name: Diesel Fuel, All Types SDS No. 9909 96 Hr LC50 Lepomis macrochirus 31.0265 mg/L [static] 72 Hr EC50 Skeletonema costatum 0.4 mg/L 48 Hr LC50 Daphnia magna 2.16 mg/L 48 Hr EC50 Daphnia magna 1.96 mg/L[Flow through] 48 Hr EC50 Daphnia magna 1.09-3.4 mg/L [Static] Persistence/Degradability No information available. Bioaccumulation No information available. Mobility in Soil No information available. * * * Section 13 - Disposal Considerations Waste Disposal Instructions See Section 7 for Handling Procedures. See Section 8 for Personal Protective Equipment recommendations. Disposal of Contaminated Containers or Packaging Dispose of contents/container in accordance with local/regional/national/international regulations. * * * Section 14 - Transportation Information DOT Information Shipping Name: Diesel Fuel NA#: 1993 Hazard Class: 3 Packing Group: III Placard: * * * Section 15 - Regulatory Information Regulatory Information Component Analysis This material contains one or more of the following chemicals required to be identified under SARA Section 302 (40 CFR 355 Appendix A), SARA Section 313 (40 CFR 372.65) and/or CERCLA(40 CFR 302.4). Naphthalene (91-20-3) CERCLA: 100 Ib final RQ; 45.4 kg final RQ SARA Section 311/312— Hazard Classes Acute Health Chronic Health Fire Sudden Release of Pressure Reactive X X X -- -- Page 8 of 10 Revision Date 8/30/12 Safety Data Sheet Material Name: Diesel Fuel, All Types SDS No. 9909 SARA SECTION 313 -SUPPLIER NOTIFICATION This product may contain listed chemicals below the de minimis levels which therefore are not subject to the supplier notification requirements of Section 313 of the Emergency Planning and Community Right-To-Know Act (EPCRA) of 1986 and of 40 CFR 372. If you may be required to report releases of chemicals listed in 40 CFR 372.28, you may contact Hess Corporate Safety if you require additional information regarding this product. State Regulations Component Analysis -State The following components appear on one or more of the following state hazardous substances lists: Component CAS CA MA MN NJ PA RI Fuels, diesel, no. 2 68476-34-6 No No No Yes No No Naphthalene 91-20-3 Yes I Yes I Yes Yes I Yes No The following statement(s) are provided under the California Safe Drinking Water and Toxic Enforcement Act of 1986 (Proposition 65): WARNING! This product contains a chemical known to the state of California to cause cancer. Component Analysis -WHMIS IDL No components are listed in the WHMIS IDL. Additional Regulatory Information Component Analysis -Inventory Component CAS# TSCA CAN EEC Fuels, diesel, no. 2 68476-34-6 Yes DSL EINECS Naphthalene 91-20-3 Yes DSL EINECS * * * Section 16 - Other Information NFPA® Hazard Rating Health 1 Fire 2 Reactivity 0 p HMIS® Hazard Rating Health 1* Slight Fire 2 Moderate Physical 0 Minimal *Chronic Page 9 of 10 Revision Date 8/30/12 Safety Data Sheet Material Name: Diesel Fuel, All Types SDS No. 9909 Key/Legend ACGIH =American Conference of Governmental Industrial Hygienists; ADG =Australian Code for the Transport of Dangerous Goods by Road and Rail; ADR/RID = European Agreement of Dangerous Goods by Road/Rail; AS = Standards Australia; DFG = Deutsche Forschungsgemeinschaft; DOT = Department of Transportation; DSL = Domestic Substances List; EEC = European Economic Community; EINECS = European Inventory of Existing Commercial Chemical Substances; ELINCS = European List of Notified Chemical Substances; EU = European Union; HMIS = Hazardous Materials Identification System; IARC = International Agency for Research on Cancer; IMO = International Maritime Organization; IATA = International Air Transport Association; MAK = Maximum Concentration Value in the Workplace; NDSL = Non-Domestic Substances List; NFPA = National Fire Protection Association; NOHSC = National Occupational Health & Safety Commission; NTP = National Toxicology Program; STEL = Short-term Exposure Limit; TDG = Transportation of Dangerous Goods; TLV =Threshold Limit Value; TSCA= Toxic Substances Control Act; TWA = Time Weighted Average Literature References None Other Information Information presented herein has been compiled from sources considered to be dependable, and is accurate and reliable to the best of our knowledge and belief, but is not guaranteed to be so. Since conditions of use are beyond our control, we make no warranties, expressed or implied, except those that may be contained in our written contract of sale or acknowledgment. Vendor assumes no responsibility for injury to vendee or third persons proximately caused by the material if reasonable safety procedures are not adhered to as stipulated in the data sheet. Additionally, vendor assumes no responsibility for injury to vendee or third persons proximately caused by abnormal use of the material, even if reasonable safety procedures are followed. Furthermore, vendee assumes the risk in their use of the material. End of Sheet Page 10 of 10 Revision Date 8/30/12 EHE55 MATERIAL SAFETY DATA SHEET Gasoline, All Grades MSDs No. 9950 EMERGENCY OVERVIEW DANGER! EXTREMELY FLAMMABLE - EYE AND MUCOUS MEMBRANE IRRITANT 0 -EFFECTS CENTRAL NERVOUS SYSTEM - HARMFUL OR FATAL IF SWALLOWED -ASPIRATION HAZARD High fire hazard. Keep away from heat, spark, open flame, and other ignition NFPA 704(Section 16) sources. If ingested, do NOT induce vomiting, as this may cause chemical pneumonia (fluid in the lungs). Contact may cause eye, skin and mucous membrane irritation. Harmful if absorbed through the skin. Avoid prolonged breathing of vapors or mists. Inhalation may cause irritation, anesthetic effects (dizziness, nausea, headache, intoxication), and respiratory system effects. Long-term exposure may cause effects to specific organs, such as to the liver, kidneys, blood, nervous system, and skin. Contains benzene, which can cause blood disease, including anemia and leukemia. 1. CHEMICAL PRODUCT and COMPANY INFORMATION Hess Corporation 1 Hess Plaza Woodbridge, NJ 07095-0961 EMERGENCY TELEPHONE NUMBER(24 hrs): CHEMTREC (800)424-9300 COMPANY CONTACT(business hours): Corporate Safety (732)750-6000 MSDS (Environment, Health, Safety) Internet Website www.hess.com SYNONYMS: Hess Conventional (Oxygenated and Non-oxygenated) Gasoline; Reformulated Gasoline (RFG); Reformulated Gasoline Blendstock for Oxygenate Blending (RBOB); Unleaded Motor or Automotive Gasoline See Section 16 for abbreviations and acronyms. 2. COMPOSITION and INFORMATION ON INGREDIENTS INGREDIENT NAME(CAS No.) CONCENTRATION PERCENT BY WEIGHT Gasoline (86290-81-5) 100 Benzene (71-43-2) 0.1 -4.9 (0.1 - 1.3 reformulated gasoline) n-Butane (106-97-8) < 10 Ethyl Alcohol (Ethanol) (64-17-5) 0 - 10 Ethyl benzene (100-41-4) < 3 n-Hexane (110-54-3) 0.5 to 4 Methyl-tertiary butyl ether (MTBE) (1634-04-4) 0 to 15.0 Tertiary-amyl methyl ether(TAME) (994-05-8) 0 to 17.2 Toluene (108-88-3) 1 -25 1,2,4-Trimethylbenzene (95-63-6) < 6 Xylene, mixed isomers (1330-20-7) 1 - 15 A complex blend of petroleum-derived normal and branched-chain alkane, cycloalkane, alkene, and aromatic hydrocarbons. May contain antioxidant and multifunctional additives. Non-oxygenated Conventional Gasoline and RBOB do not have oxygenates (Ethanol or MTBE and/or TAME). Revision Date: 09/25/2007 Page 1 of 9 EHE55 MATERIAL SAFETY DATA SHEET Gasoline, All Grades MSDs No. 9950 Oxygenated Conventional and Reformulated Gasoline will have oxygenates for octane enhancement or as legally required. 3. HAZARDS IDENTIFICATION EYES Moderate irritant. Contact with liquid or vapor may cause irritation. SKIN Practically non-toxic if absorbed following acute (single) exposure. May cause skin irritation with prolonged or repeated contact. Liquid may be absorbed through the skin in toxic amounts if large areas of skin are exposed repeatedly. INGESTION The major health threat of ingestion occurs from the danger of aspiration (breathing) of liquid drops into the lungs, particularly from vomiting. Aspiration may result in chemical pneumonia (fluid in the lungs), severe lung damage, respiratory failure and even death. Ingestion may cause gastrointestinal disturbances, including irritation, nausea, vomiting and diarrhea, and central nervous system (brain) effects similar to alcohol intoxication. In severe cases, tremors, convulsions, loss of consciousness, coma, respiratory arrest, and death may occur. INHALATION Excessive exposure may cause irritations to the nose, throat, lungs and respiratory tract. Central nervous system (brain) effects may include headache, dizziness, loss of balance and coordination, unconsciousness, coma, respiratory failure, and death. WARNING: the burning of any hydrocarbon as a fuel in an area without adequate ventilation may result in hazardous levels of combustion products, including carbon monoxide, and inadequate oxygen levels, which may cause unconsciousness, suffocation, and death. CHRONIC EFFECTS and CARCINOGENICITY Contains benzene, a regulated human carcinogen. Benzene has the potential to cause anemia and other blood diseases, including leukemia, after repeated and prolonged exposure. Exposure to light hydrocarbons in the same boiling range as this product has been associated in animal studies with systemic toxicity. See also Section 11 - Toxicological Information. MEDICAL CONDITIONS AGGRAVATED BY EXPOSURE Irritation from skin exposure may aggravate existing open wounds, skin disorders, and dermatitis (rash). Chronic respiratory disease, liver or kidney dysfunction, or pre-existing central nervous system disorders may be aggravated by exposure. 4. FIRST AID MEASURES EYES In case of contact with eyes, immediately flush with clean, low-pressure water for at least 15 min. Hold eyelids open to ensure adequate flushing. Seek medical attention. SKIN Remove contaminated clothing. Wash contaminated areas thoroughly with soap and water or waterless hand cleanser. Obtain medical attention if irritation or redness develops. INGESTION Revision Date: 09/25/2007 Page 2 of 9 EHE55 MATERIAL SAFETY DATA SHEET Gasoline, All Grades MSDs No. 9950 DO NOT INDUCE VOMITING. Do not give liquids. Obtain immediate medical attention. If spontaneous vomiting occurs, lean victim forward to reduce the risk of aspiration. Small amounts of material which enter the mouth should be rinsed out until the taste is dissipated. INHALATION Remove person to fresh air. If person is not breathing, ensure an open airway and provide artificial respiration. If necessary, provide additional oxygen once breathing is restored if trained to do so. Seek medical attention immediately. 5. FIRE FIGHTING MEASURES FLAMMABLE PROPERTIES: FLASH POINT: -45 OF (-43°C) AUTOIGNITION TEMPERATURE: highly variable; > 530 OF (>280°C) OSHA/NFPA FLAMMABILITY CLASS: 1A(flammable liquid) LOWER EXPLOSIVE LIMIT (%): 1.4% UPPER EXPLOSIVE LIMIT (%): 7.6% FIRE AND EXPLOSION HAZARDS Vapors may be ignited rapidly when exposed to heat, spark, open flame or other source of ignition. Flowing product may be ignited by self-generated static electricity. When mixed with air and exposed to an ignition source, flammable vapors can burn in the open or explode in confined spaces. Being heavier than air, vapors may travel long distances to an ignition source and flash back. Runoff to sewer may cause fire or explosion hazard. EXTINGUISHING MEDIA SMALL FIRES: Any extinguisher suitable for Class B fires, dry chemical, CO2, water spray, fire fighting foam, or Halon. LARGE FIRES: Water spray, fog or fire fighting foam. Water may be ineffective for fighting the fire, but may be used to cool fire-exposed containers. During certain times of the year and/or in certain geographical locations, gasoline may contain MTBE and/or TAME. Firefighting foam suitable for polar solvents is recommended for fuel with greater than 10% oxygenate concentration - refer to NFPA 11 "Low Expansion Foam - 1994 Edition." FIRE FIGHTING INSTRUCTIONS Small fires in the incipient (beginning) stage may typically be extinguished using handheld portable fire extinguishers and other fire fighting equipment. Firefighting activities that may result in potential exposure to high heat, smoke or toxic by-products of combustion should require NIOSH/MSHA-approved pressure-demand self-contained breathing apparatus with full facepiece and full protective clothing. Isolate area around container involved in fire. Cool tanks, shells, and containers exposed to fire and excessive heat with water. For massive fires the use of unmanned hose holders or monitor nozzles may be advantageous to further minimize personnel exposure. Major fires may require withdrawal, allowing the tank to burn. Large storage tank fires typically require specially trained personnel and equipment to extinguish the fire, often including the need for properly applied fire fighting foam. See Section 16 for the NFPA 704 Hazard Rating. Revision Date: 09/25/2007 Page 3 of 9 EHE55 MATERIAL SAFETY DATA SHEET Gasoline, All Grades MSDs No. 9950 6. ACCIDENTAL RELEASE MEASURES ACTIVATE FACILITY SPILL CONTINGENCY or EMERGENCY PLAN. Evacuate nonessential personnel and remove or secure all ignition sources. Consider wind direction; stay upwind and uphill, if possible. Evaluate the direction of product travel, diking, sewers, etc. to confirm spill areas. Spills may infiltrate subsurface soil and groundwater; professional assistance may be necessary to determine the extent of subsurface impact. Carefully contain and stop the source of the spill, if safe to do so. Protect bodies of water by diking, absorbents, or absorbent boom, if possible. Do not flush down sewer or drainage systems, unless system is designed and permitted to handle such material. The use of fire fighting foam may be useful in certain situations to reduce vapors. The proper use of water spray may effectively disperse product vapors or the liquid itself, preventing contact with ignition sources or areas/equipment that require protection. Take up with sand or other oil absorbing materials. Carefully shovel, scoop or sweep up into a waste container for reclamation or disposal - caution, flammable vapors may accumulate in closed containers. Response and clean-up crews must be properly trained and must utilize proper protective equipment (see Section 8). 7. HANDLING and STORAGE HANDLING PRECAUTIONS ******USE ONLY AS A MOTOR FUEL****** ******DO NOT SIPHON BY MOUTH****** Handle as a flammable liquid. Keep away from heat, sparks, and open flame! Electrical equipment should be approved for classified area. Bond and ground containers during product transfer to reduce the possibility of static-initiated fire or explosion. Special slow load procedures for"switch loading" must be followed to avoid the static ignition hazard that can exist when higher flash point material (such as fuel oil) is loaded into tanks previously containing low flash point products (such as this product) -see API Publication 2003, "Protection Against Ignitions Arising Out Of Static, Lightning and Stray Currents. STORAGE PRECAUTIONS Keep away from flame, sparks, excessive temperatures and open flame. Use approved vented containers. Keep containers closed and clearly labeled. Empty product containers or vessels may contain explosive vapors. Do not pressurize, cut, heat, weld or expose such containers to sources of ignition. Store in a well-ventilated area. This storage area should comply with NFPA 30 "Flammable and Combustible Liquid Code". Avoid storage near incompatible materials. The cleaning of tanks previously containing this product should follow API Recommended Practice (RP) 2013 "Cleaning Mobile Tanks In Flammable and Combustible Liquid Service" and API RP 2015"Cleaning Petroleum Storage Tanks". WORK/HYGIENIC PRACTICES Emergency eye wash capability should be available in the near proximity to operations presenting a potential splash exposure. Use good personal hygiene practices. Avoid repeated and/or prolonged skin exposure. Wash hands before eating, drinking, smoking, or using toilet facilities. Do not use as a cleaning solvent on the skin. Do not use solvents or harsh abrasive skin cleaners for washing this product from exposed skin areas. Waterless hand cleaners are effective. Promptly remove contaminated clothing and launder before reuse. Use care when laundering to prevent the formation of flammable vapors which could ignite via washer or dryer. Consider the need to discard contaminated leather shoes and gloves. Revision Date: 09/25/2007 Page 4 of 9 EE:jS] MATERIAL SAFETY DATA SHEET Gasoline, All Grades MSDs No. 9950 8. EXPOSURE CONTROLS and PERSONAL PROTECTION EXPOSURE LIMITS Component(CAS No.) Exposure Limits Source TWA STEL Note (ppm) (Ppm) Gasoline (86290-81-5) ACGIH 300 500 A3 ------------------------------------------------------------------------------ Benzene (71-43-2) OSHA 1 5 Carcinogen ACGIH 0.5 2.5 Al,skin USCG 1 5 .-n-Butane(106-97-81.......................... ACGIH 1000 __ Aliphatic_Hydrocarbon Gases Alkane(C1-C4) ____ - ------------ Ethyl Alcohol(ethanol) (64-17-5) OSHA 1000 ACGIH 1000 A4 _ Ethyl benzene (100-41-4) OSHA 100 ACGIH 100 125 A3 ------------------------------------------------------------------------- n-Hexane(110-54-3) OSHA 500 ACGIH 50 Skin ----------------------------------------------------------------------------------------------------------------------------- Methyl-tertiary but ether[MTBE]_(1634-04-4)--- ACGIH 50 A3 ----- - ---------------- Tertiary-amyl methyl ether_[TAMEI_(994-05-8)_ None established --------------------------------------------------------- Toluene (108-88-3) OSHA 200 Ceiling: 300 ppm; Peak:500 ppm(10 min.) ACGIH 20 A4 1,2,4-Trimethyl benzene (95-63-6)----------- ACGIH - 25 ------------------------------------------------------------ - -- ------- ------- ------ Xylene, mixed isomers (1330-20-7) OSHA 100 ACGIH 100 150 A4 ENGINEERING CONTROLS Use adequate ventilation to keep vapor concentrations of this product below occupational exposure and flammability limits, particularly in confined spaces. EYE/FACE PROTECTION Safety glasses or goggles are recommended where there is a possibility of splashing or spraying. SKIN PROTECTION Gloves constructed of nitrile or neoprene are recommended. Chemical protective clothing such as that made of of E.I. DuPont Tychem 0, products or equivalent is recommended based on degree of exposure. Note: The resistance of specific material may vary from product to product as well as with degree of exposure. Consult manufacturer specifications for further information. RESPIRATORY PROTECTION A NIOSH-approved air-purifying respirator with organic vapor cartridges or canister may be permissible under certain circumstances where airborne concentrations are or may be expected to exceed exposure limits or for odor or irritation. Protection provided by air-purifying respirators is limited. Refer to OSHA 29 CFR 1910.134, NIOSH Respirator Decision Logic, and the manufacturer for additional guidance on respiratory protection selection and limitations. Use a positive pressure, air-supplied respirator if there is a potential for uncontrolled release, exposure levels are not known, in oxygen-deficient atmospheres, or any other circumstance where an air-purifying respirator may not provide adequate protection. 9. PHYSICAL and CHEMICAL PROPERTIES APPEARANCE A translucent, straw-colored or light yellow liquid Revision Date: 09/25/2007 Page 5 of 9 EHE55 MATERIAL SAFETY DATA SHEET Gasoline, All Grades MSDs No. 9950 ODOR A strong, characteristic aromatic hydrocarbon odor. Oxygenated gasoline with MTBE and/or TAME may have a sweet, ether-like odor and is detectable at a lower concentration than non-oxygenated gasoline. ODOR THRESHOLD Odor Detection Odor Recognition Non-oxygenated gasoline: 0.5-0.6 ppm 0.8- 1.1 ppm Gasoline with 15% MTBE: 0.2-0.3 ppm 0.4-0.7 ppm Gasoline with 15%TAME: 0.1 ppm 0.2 ppm BASIC PHYSICAL PROPERTIES BOILING RANGE: 85 to 437 OF (39 to 200 °C) VAPOR PRESSURE: 6.4- 15 RVP @ 100 OF (38°C) (275-475 mm Hg @ 68 OF (20 °C) VAPOR DENSITY(air= 1): AP 3 to 4 SPECIFIC GRAVITY(H2O= 1): 0.70-0.78 EVAPORATION RATE: 10-11 (n-butyl acetate= 1) PERCENT VOLATILES: 100 % SOLUBILITY (H2O): Non-oxygenated gasoline- negligible (< 0.1% @ 77°F). Gasoline with 15% MTBE-slight(0.1 -3%@ 77°F); ethanol is readily soluble in water 10. STABILITY and REACTIVITY STABILITY: Stable. Hazardous polymerization will not occur. CONDITIONS TO AVOID Avoid high temperatures, open flames, sparks, welding, smoking and other ignition sources INCOMPATIBLE MATERIALS Keep away from strong oxidizers. HAZARDOUS DECOMPOSITION PRODUCTS Carbon monoxide, carbon dioxide and non-combusted hydrocarbons (smoke). Contact with nitric and sulfuric acids will form nitrocresols that can decompose violently. 11. TOXICOLOGICAL PROPERTIES ACUTE TOXICITY Acute Dermal LD50 (rabbits): > 5 ml/kg Acute Oral LD50 (rat): 18.75 ml/kg Primary dermal irritation (rabbits): slightly irritating Draize eye irritation (rabbits): non-irritating Guinea pig sensitization: negative CHRONIC EFFECTS AND CARCINOGENICITY Carcinogenicity:OSHA: NO IARC: YES - 2B NTP: NO ACGIH: YES (A3) IARC has determined that gasoline and gasoline exhaust are possibly carcinogenic in humans. Inhalation exposure to completely vaporized unleaded gasoline caused kidney cancers in male rats and liver tumors in female mice. The U.S. EPA has determined that the male kidney tumors are species-specific and are irrelevant for human health risk assessment. The significance of the tumors seen in female mice is not known. Exposure to light hydrocarbons in the same boiling range as this product has been associated in animal studies with effects to the central and peripheral nervous systems, liver, and kidneys. The significance of these animal models to predict similar human response to gasoline is uncertain. This product contains benzene. Human health studies indicate that prolonged and/or repeated overexposure to benzene may cause damage to the blood-forming system (particularly bone marrow), and serious blood disorders such as aplastic anemia and leukemia. Benzene is listed as a human carcinogen by the NTP, IARC, OSHA and ACGIH. Revision Date: 09/25/2007 Page 6 of 9 EHE55 MATERIAL SAFETY DATA SHEET Gasoline, All Grades MSDs No. 9950 This product may contain methyl tertiary butyl ether(MTBE ): animal and human health effects studies indicate that MTBE may cause eye, skin, and respiratory tract irritation, central nervous system depression and neurotoxicity. MTBE is classified as an animal carcinogen (A3) by the ACGIH. 12. ECOLOGICAL INFORMATION Keep out of sewers, drainage areas and waterways. Report spills and releases, as applicable, under Federal and State regulations. If released, oxygenates such as ethers and alcohols will be expected to exhibit fairly high mobility in soil, and therefore may leach into groundwater. The API (www.api.org) provides a number of useful references addressing petroleum and oxygenate contamination of groundwater. 13. DISPOSAL CONSIDERATIONS Consult federal, state and local waste regulations to determine appropriate disposal options. 14. TRANSPORTATION INFORMATION PLACARD: DOT PROPER SHIPPING NAME: Gasoline DOT HAZARD CLASS and PACKING GROUP: 3, PG II DOT IDENTIFICATION NUMBER: UN 1203 DOT SHIPPING LABEL: FLAMMABLE LIQUID 15. REGULATORY INFORMATION U.S. FEDERAL, STATE, and LOCAL REGULATORY INFORMATION This product and its constituents listed herein are on the EPA TSCA Inventory. Any spill or uncontrolled release of this product, including any substantial threat of release, may be subject to federal, state and/or local reporting requirements. This product and/or its constituents may also be subject to other federal, state, or local regulations; consult those regulations applicable to your facility/operation. CLEAN WATER ACT(OIL SPILLS) Any spill or release of this product to "navigable waters" (essentially any surface water, including certain wetlands) or adjoining shorelines sufficient to cause a visible sheen or deposit of a sludge or emulsion must be reported immediately to the National Response Center (1-800-424-8802) as required by U.S. Federal Law. Also contact appropriate state and local regulatory agencies as required. CERCLA SECTION 103 and SARA SECTION 304 (RELEASE TO THE ENVIRONMENT) The CERCLA definition of hazardous substances contains a "petroleum exclusion" clause which exempts crude oil, refined, and unrefined petroleum products and any indigenous components of such. However, other federal reporting requirements (e.g., SARA Section 304 as well as the Clean Water Act if the spill occurs on navigable waters) may still apply. SARA SECTION 311/312 - HAZARD CLASSES ACUTE HEALTH CHRONIC HEALTH FIRE SUDDEN RELEASE OF PRESSURE REACTIVE X X X -- -- SARA SECTION 313 -SUPPLIER NOTIFICATION This product contains the following toxic chemicals subject to the reporting requirements of section 313 of the Emergency Planning and Community Right-To-Know Act (EPCRA) of 1986 and of 40 CFR 372: INGREDIENT NAME(CAS NUMBER) CONCENTRATION WT.PERCENT Benzene(71-43-2) 0.1 to 4.9(0.1 to 1.3 for reformulated gasoline) Ethyl benzene (100-41-4) <3 Revision Date: 09/25/2007 Page 7 of 9 EHE55 MATERIAL SAFETY DATA SHEET Gasoline, All Grades MSDs No. 9950 n-Hexane (110-54-3) 0.5 to 4 Methyl-tertiary butyl ether (MTBE) (1634-04-4) 0 to 15.0 Toluene (108-88-3) 1 to 15 1,2,4-Trimethylbenzene (95-63-6) <6 Xylene, mixed isomers (1330-20-7) 1 to 15 US EPA guidance documents (www.epa.gov/tri) for reporting Persistent Bioaccumulating Toxics (PBTs) indicate this product may contain the following deminimis levels of toxic chemicals subject to Section 313 reporting: INGREDIENT NAME(CAS NUMBER) CONCENTRATION -Parts per million(ppm)by weight Polycyclic aromatic compounds (PACs) 17 Benzo (g,h,i) perylene (191-24-2) 2.55 Lead (7439-92-1) 0.079 CALIFORNIA PROPOSITION 65 LIST OF CHEMICALS This product contains the following chemicals that are included on the Proposition 65 "List of Chemicals" required by the California Safe Drinking Water and Toxic Enforcement Act of 1986: INGREDIENT NAME(CAS NUMBER) Date Listed Benzene 2/27/1987 Ethyl benzene 6/11/2004 Toluene 1/1/1991 CANADIAN REGULATORY INFORMATION (WHMIS) Class B, Division 2 (Flammable Liquid) Class D, Division 2A(Very toxic by other means) and Class D, Division 2B (Toxic by other means) 16. OTHER INFORMATION NFPA® HAZARD RATING HEALTH: 1 Slight FIRE: 3 Serious REACTIVITY: 0 Minimal HMIS® HAZARD RATING HEALTH: 1 * Slight FIRE: 3 Serious PHYSICAL: 0 Minimal * CHRONIC SUPERSEDES MSDS DATED: 07/01/06 ABBREVIATIONS: AP =Approximately < = Less than > = Greater than N/A= Not Applicable N/D = Not Determined ppm = parts per million ACRONYMS: ACGIH American Conference of Governmental CERCLA Comprehensive Emergency Response, Industrial Hygienists Compensation, and Liability Act AIHA American Industrial Hygiene Association DOT U.S. Department of Transportation ANSI American National Standards Institute [General Info: (800)467-4922] (212)642-4900 EPA U.S. Environmental Protection Agency API American Petroleum Institute HMIS Hazardous Materials Information System (202)682-8000 Revision Date: 09/25/2007 Page 8 of 9 EE:jS] MATERIAL SAFETY DATA SHEET Gasoline, All Grades MSDs No. 9950 IARC International Agency For Research On REL Recommended Exposure Limit (NIOSH) Cancer SARA Superfund Amendments and MSHA Mine Safety and Health Administration Reauthorization Act of 1986 Title III NFPA National Fire Protection Association SCBA Self-Contained Breathing Apparatus (617)770-3000 SPCC Spill Prevention, Control, and NIOSH National Institute of Occupational Safety Countermeasures and Health STEL Short-Term Exposure Limit (generally 15 NOIC Notice of Intended Change (proposed minutes) change to ACGIH TLV) TLV Threshold Limit Value (ACGIH) NTP National Toxicology Program TSCA Toxic Substances Control Act OPA Oil Pollution Act of 1990 TWA Time Weighted Average (8 hr.) OSHA U.S. Occupational Safety & Health WEEL Workplace Environmental Exposure Administration Level (AIHA) PEL Permissible Exposure Limit (OSHA) WHMIS Workplace Hazardous Materials RCRA Resource Conservation and Recovery Act Information System (Canada) DISCLAIMER OF EXPRESSED AND IMPLIED WARRANTIES Information presented herein has been compiled from sources considered to be dependable,and is accurate and reliable to the best of our knowledge and belief,but is not guaranteed to be so. Since conditions of use are beyond our control,we make no warranties, expressed or implied,except those that may be contained in our written contract of sale or acknowledgment. Vendor assumes no responsibility for injury to vendee or third persons proximately caused by the material if reasonable safety procedures are not adhered to as stipulated in the data sheet. Additionally,vendor assumes no responsibility for injury to vendee or third persons proximately caused by abnormal use of the material,even if reasonable safety procedures are followed. Furthermore, vendee assumes the risk in their use of the material. Revision Date: 09/25/2007 Page 9 of 9 Ascent Battery Supply, LLC Ce1325 Walnut Ridge Drive Hartland, Wisconsin 53029 T P:1 Safety Data Sheet (SDS) Nickel Cadmium (NiCd) Batteries The information and recommendations below are believed to be accurate at the date of document preparation. Ascent Battery Supply makes no warranty or merchantability or any other warranty, express or implied, with respect to this information and assumes no liability resulting from its use. This SDS provides guidelines for safe use and handling of product. It does not, and cannot, advise all possible situations. All specific uses of this product must be evaluated by the end user to determine if additional safety precautions should be taken. SECTION 1 - IDENTIFICATION Product Name Nickel Cadmium Battery Common Name(s) NiCd, NiCad, Nickel Cadmium Synonyms Nickel Cadmium Rechargeable Battery DOT Description Dry Battery Chemical Name Nickel Cadmium Secondary Battery Emergency Distributed By Ascent Battery Supply, LLC Number INFOTRAC (800) 535-5053 1325 Walnut Ridge Drive International Address Hartland, Wisconsin 53029 Emergency Number INFOTRAC (352) 323-3500 (Collect) SECTION 2 — HAZARD(S) Unusual Fire and Cells may rupture when exposed to excessive heat. This could result in the release of flammable or Explosion Hazards corrosive materials. SECTION 3 — COMPOSITION Chemical Name CAS No. Wt. Percentage% Nickel 7440-02-0 15-22% Potassium Hydroxide 1310-58-3 1.5-3% Mercury 7439-79-6 <_5 ppm Lead 7439-92-1 <_10 ppm Cadmium 7440-43-9 18-26% Other/Housing n/a balance SECTION 4— FIRST AID MEASURES Inhalation Get fresh air. If symptoms persist seek medical attention Eyes and Skin: Flush with copious quantities of flowing lukewarm water for a minimum of 15 minutes; wash with soap Skin and water Eyes: Flush with copious quantities of flowing lukewarm water for a minimum of 15 minutes;get immediate medical attention. Ingestion Ingestion of battery chemicals can be harmful. Call The National Battery Ingestion Hotline (202-625-3333) 24 hours a day,for procedures treating ingestion of chemicals. Do not induce vomiting. SECTION 5 — FIRE-FIGHTING MEASURES Extinguisher Media UseCO2, foam or dry chemical extinguishers. Sand may also be used. Special Fire Fighting Procedures Wear self-contained breathing apparatus to avoid inhalation of hazardous decomposition products. SECTION 6 -ACCIDENTAL RELEASE MEASURES In case of accidental rupture or release: prevent skin and eye contact and collect all released material in a plastic lined metal container. Leaking batteries should be handled with gloves. Wear protective clothing. Use a self-contained breathing apparatus if in the presence of chemical vapor. See also: sections 4, 5, and 8. SECTION 7 - HANDLING AND STORAGE 1. Store in a dry place with ambient temperature between -20°C(-4°F) and 35°C(95°F). 2. Do not store unpacked cells together: avoid cells shorting to one another—especially in a charged state. 3. Do not mix new and used batteries. 4. Do not disassemble. S. Do not store with conductive objects. 6. Store away from flame or spark hazards. SECTION 8 - EXPOSURE/PERSONAL PROTECTION Respiratory Protection None required under normal handling conditions Gloves Wear gloves if cell is ruptured, corroded, or leaking materials Safety Glasses Always wear safety glasses with working with battery cells SECTION 9 - PHYSICAL/CHEMICAL PROPERTIES Boiling Point N/A Melting Point N/A Vapor Pressure N/A Vapor Density N/A Specific Gravity N/A Evaporation Rate N/A Solubility in Water N/A Appearance and Odor Cylindrical, solid object, odorless SECTION 10-STABILITY & REACTIVITY Reactivity in Water N/A Auto-Ignition Temperature N/A Flash Point N/A Flammable Limits in Air, by vol. N/A Percent Volatile By Volume N/A Stable Avoid electrically shorting the cell. Under normal conditions this product is stable and will not decompose. Incompatibility N/A (materials to avoid) SECTION 11 -TOXICOLOGICAL INFORMATION Threshold Limit Value N/A Signs and Symptoms of Exposure None. (In fire or rupture situations, refer to sections 4, 5, &8.) Medical Conditions Generally Chemicals may cause burns to skin, eyes, gastrointestinal tract and mucous Caused by Exposure membranes. Inhalation of electrolyte vapors may cause irritation of the upper respiratory tract and lungs. Routes of Entry Skin, Eyes, Ingestion (swallowing) SECTION 12 - ECOLOGICAL INFORMATION Hazardous Decomposition Products N/A Hazardous Polymerization Will not occur Under normal use these batteries do not release internal ingredients into the environment. Damaged or abused batteries may release small amounts of cadmium, nickel or carbon oxides. Do not carelessly discard, as small amounts of cadmium may be released into storm or surface water. Do not discard batteries into a fire. Dispose of properly or recycle. SECTION 13 - DISPOSAL Dispose of batteries according to all Federal, State and local laws and regulations. SECTION 14-TRANSPORT These batteries must be packaged in a way that prevents the dangerous evolution of heat and protects the terminals from short circuit. When properly packaged and labeled,these dry batteries are not subject to dangerous goods regulation for the purpose of transportation and fall under special provision of the agencies listed in Section 15. SECTION 15 - REGULATORY INFORMATION IATA Not considered to be 'dangerous goods' when packaged properly DOT Not considered to be a 'hazardous material' when packaged properly ICAO Not subject when packaged properly IMDG Not subject when packaged properly UN2800 Exempted when packaged properly SECTION 16 - OTHER Document Control No: SDS20008—Ascent SDS for Nickel Cadmium (NiCd) Batteries Revision: 1 Effective Date: 01-02-2015 0 'iii hb Attachment F Confined Space Entry Checklist/ Permit I,$ ■ l MoVhb NON-PERMIT REQUIRED CONFINED SPACE PRE-ENTRY/ENTRY CHECK LIST Date and Time: Date and Time Expire: Issued By: Excavation Number: Job Site: Job Supervisor: Work to Be Performed: Work to Be Performed: Pre-Entry(See Safety Procedures) 1. Entry,standby,and backup persons Yes No 1. Atmospheric Checks:Time: Successfully completed required training? O () Oxygen: % Is it current? () () Explosive: %LEL 2. Source Isolation(No Entry):N/A Yes No 3. Equipment: N/A Yes No Pumps or lines blinded, Direct reading gas monitor-tested O O ( ) disconnected or blocked () () () Safety harnesses and life-lines for entry and standby persons? () () () 3. Ventilation Modification N/A Yes No Hoisting Equipment? O O () Mechanical ( ) () () Powered Communications? () () () Natural Ventilation Only () () () SCBAs for Entry and Standby Persons?O O () Protective Clothing? O O () 4. Atmospheric check after isolation and ventilation Oxygen % >19.5% Explosive %LEL<10% Toxic PPM <10 PPM H2S Time 5. Rescue Procedure: If conditions are in compliance with the above requirements and there is no reason to believe conditions may change adversely, then proceed to the Permit Space Pre-entry Check List. Complete and post with this permit. If conditions are not in compliance with the above requirements or there is reason to believe that conditions may change adversely,proceed to the Entry Check List portion of this permit. I,$ ■ l MoVhb We have reviewed the work authorized by this permit and the information contained here-in. Written instructions and safety procedures have been received and are understood. Entry cannot be approved if any squares are marked in the"No"column. This permit is not valid unless all appropriate items are completed. Permit and Check List Prepared By: Approved By: Reviewed By: (Signature) A copy of this Pre-Entry Check List must be retained in a bound notebook for each excavation. If during the work hazardous atmospherics develop in the space,the work must be immediately terminated. I,$ ■ l .oVhb CONFINED SPACE ENTRY PERMIT Confined Space Hazardous Area Non Permit Required Note: No work will be performed unless the space meets non permit requirements Permit valid for 8 hours only. All copies of permit will remain at this job site until job is completed. Site location and description Purpose of Entry Supervisor(s)in charge of crews Type of Crew Phone# *Bold denotes minimum requirements to be completed and reviewed prior to entry* Requirements Completed Date Time Requirements Completed Date Time Lock Out/De-energize/try-out Full Body Harness w/"D"Ring Line(s)Broken-capped- Emergency Escape Retrieval blanked Purge-Flush and Vent Lifelines Ventilation Fire Extinguishers Secure Area(Post and Flag) Lighting(Explosive Proof) Breathing Apparatus Protective Clothing Resuscitator-Inhalator Respirator(s)(Air Purifying) Standby Safety Personnel Burning and Welding Permit Note: Items that do not apply enter N/A in the blank. **Record Continuous Monitoring Results Every 2 Hours. I,$ ■ l . .0Vhb Continuous Permissible Monitoring Results Percent of Oxygen 19.5%to 23.5% Lower Flammable Limit Under 10% Hydrogen Sulfide + 10 PPM* 15 Short-term exposure time:Employee can work in the area up to 15 minutes. +8 hour time-Weighted average: Employee can work in area 8 hours(longer with appropriate respiratory protection). **Record continuous monitoring results every 30 minutes starting 1h hour prior to beginning work. REMARKS: Gas Tester Name&Check# Instrument(s)Used Model&/or Type Serial&/or Unit# Safety standby person is required for all confined space work Safety standby person(s) Check# Name of Safety Standby Person(s) Check# Supervisor Authorizing Entry All Above Conditions Satisfied Emergency number posted in job trailer Note: A single entry permit can be filled out prior to start of daily work. ■I,$ l Attachment G Emergency Telephone Numbers Hospital Information Field Accident Report stoo h b EMERGENCY INFORMATION Emergency telephone numbers and routes to the nearest hospital with an emergency capacity are as follows: General Emergencies: 911 Town of Southold Police Department 911 or 1-631-765-2600 Cutchogue Fire District: 911 or 1-631-734-6907 First Responder Medical Care: 911 National Response Center 1-800-424-8802 State Poison Control Center 1-800-222-1222 Project Manager 1-631-787-3400 or 1-631-316-4892 Site Safety Officer 1-631-787-3400 or 1-631-521-1198 Alternate Health and Safety Officer 1-631-787-3400 or 1-631-732-9557 For Non-Emergency Care—(Emergencies must call 911) Nearest Hospital: Eastern Long Island Hospital 201 Manor Place Greenport,New York 11944 1-631-477-1000 Directions to Eastern Long Island Hospital(Approximately 11 miles from the site): Head northwest on Schoolhouse Road toward North Street(0.2 mile),then turn left onto Depot Lane.Continue on Depot Lane (1.0 mile) then turn right onto County Road 48. Continue on County Road 48 for 9.6 miles, then turn right onto Main Road. Continue on Main Road for 0.3 mile then turn left onto Manor Place. Arrive at Eastern Long Island Hospital. A map showing the route to the nearest hospital is provided in Attachment A, Figure 2. The emergency telephone numbers and hospital route presented above are also included in Attachment G. I,$ ■ l MoVhb VHB Engineering Surveying and Landscape Architecture,P.C. FIELD ACCIDENT REPORT This report is to be filled out by the designated Site Safety Officer after EVERY accident. PROJECT NAME PROJECT.NO. Date of Accident Time Report By Type of Accident(Check One): ( )Vehicular ( )Personal ( ) Property Name of Injured DOB or Age How Long Employed Names of Witnesses Description of Accident Action Taken Did the Injured Lose Any Time? How Much(Days/Hrs.)? Was Safety Equipment in Use at the Time of the Accident(Hard Hat, Safety Glasses,Gloves, Safety Shoes,etc.)? (If not,it is the EMPLOYEE'S sole responsibility to process his/her claim through his/her Health and Welfare Fund.) INDICATE STREET NAMES,DESCRIPTION OF VEHICLES,AND NORTH ARROW