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Site Specific Health and Safety Plan (SSHASP)

A site specific health & safety plan (SSHASP) must be completed by the company for all emergency projects covered under HAZWOPER.

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Site Specific Health and Safety Plan (SSHASP)

INSTRUCTIONS & INTRODUCTION

INSTRUCTIONS

The following instructions must be completed prior to implementing this site specific health and safety plan (HASP) and/or starting field activities:1. Complete all applicable questions throughout the HASP. A phone book or Internet site is recommended to obtain site-specific emergency contacts and nearest hospital information. Never assume the site is within a 911 emergency calling area. Confirm all numbers are current and correct prior to insertion.2. Site personnel should be familiar with the hospital route or have GPS enabled devices prior to working on site. When available, a hospital route map should be provided and posted at the site in a conspicuous location (e.g. desk or work space of field technician, dashboard or tailgate of primary support vehicle, etc.).3. All personnel working at the subject site must acknowledge that they have reviewed and understand this HASP by completing the HASP Acknowledgement form located in Section 3.0 of this form. Contact your Department Manager or the Director of Operations prior to completing this form if any of the information in this HASP remains unclear (see Section 2.4 for relevant phone numbers).

INTRODUCTION

The purpose of this Health and Safety Plan (HASP) is to outline the necessary responses during times of emergency, to minimize hazards to human health, and protect against fire, explosion, flood, and chemical release to soil and air. Effective emergency planning requires coordination and forethought by operating staff. Constant vigilance and awareness of potential hazards and a continuing effort to eliminate or control them are prime requisites to accident prevention. However, emergencies sometimes develop. An important part of any safety program is preparation for any emergency so proper action may be taken.

SECTION 1.0 - HEALTH & SAFETY ISSUES

Section 1.1 - Accident Reporting

While it is company's policy to prevent injuries and illnesses to their employees through preparation, training, engineering and work practice controls, and personal protective equipment (PPE), accidents may occur. If an accident occurs, or a situation occurs which results in a near miss, the incident shall be reported in accordance with company’s established procedures. The accident or near miss shall be reported immediately to the Department Manager, whom will contact the Director of Operations. The Department Manager or Director of Operations shall initiate the OSHA 301 or Near Miss Report form within 24 hours of the incident. If at any time an employee requires off-site first aid or medical treatment (i.e. emergency room, doctor visit), the Director of Operations must also be contacted immediately.

Section 1.2 - Personal Protective Equipment Required

Employees will abide by all posted and/or established safety and personal protective equipment (PPE) requirements, and either comply with the requirement, or not enter the applicable project areas.At a minimum, all employees shall maintain the following PPE at all project sites as a precaution, regardless of the requirements to wear detailed below:• ANSI approved safety (steel-toed) shoes;• ANSI approved safety glasses with side shields;• ANSI approved Class G (low voltage), Type I (top impact) hard hat;• Cotton weave, jersey, or canvas gloves;• Nitrile inner glove liners;• Half-Face Negative Pressure Respirator w/ HEPA cartridges; and• Long pants, shirt with sleeves

Based on known hazards, assumed or expected hazards, pre-existing requirements, or a completed PPE Hazard Assessment (included as an attachment if available), the following PPE will be required to be worn by all employees at the referenced project site:

Other Speciality PPE Required

If respiratory protection is required, personnel must have valid medical evaluations and fit tests in accordance with the OSHA Respiratory Standard and Written Respiratory Protection Program.

Section 1.3 - General Health & Safety Requirements

1. Be alert for and avoid (where feasible) hazardous walking surfaces, such as holes, uneven walking surfaces, accumulated debris/equipment, water, and ice.2. Be alert and avoid (where feasible) potential overhead hazards, including pipes, ceiling/roof beams, and electrical wires.3. There shall be no eating, drinking or smoking in project areas, nor prior to washing of hands and face.4. Do not walk on areas that appear to have been stained by past chemical use.5. Do not touch any direct electrical connections, even if they appear to be disconnected, unless disconnection is confirmed by a licensed electrician or the electrical system has been appropriately locked out and tagged out.6. Do not enter any confined spaces, such as tunnels, excavations, boiler housings and manholes, unless previously permitted for permit required confined spaces or with an outside attendant for non-permit required confined spaces.7. Comply with all federal (OSHA, EPA, DOT), state (MIOSHA, MDEQ, MDOT, MDCH), and local standards for general industry or construction (where applicable).8. Specific hazards, including, but not limited to, asbestos, lead, mercury, and other hazardous materials, present recognized human heath hazards and are highly regulated. Any employee required to enter into a project area with such a hazard shall have successfully completed training in said hazard prior to entering into the project area, or they are not allowed to enter. Training requirements will be commensurate with the level and severity of hazard which may be encountered.

SECTION 2.0 - EMERGENCY ACTION PLAN

Section 2.1 - What is an Emergency?

An emergency is any situation that immediately threatens human life, health, the environment, or damage to facilities. The ultimate determination of an emergency situation is left to the discretion of each individual.To ensure that operations go on with minimum disruption of service, emergencies must be anticipated so plans using alternate methods of operation, emergency repair, first aid, or other emergency response procedures may be put into actionable a safer, orderly and controlled manner. Federal and state regulations require this written HASP along with specific information and training for employees to be available at this project site upon request.

Section 2.2 - Implementation of Emergency Action Plan

The company recognizes the important need for an emergency action plan at each of its project locations. In an effort to protect our employees, other personnel at the project site and the physical property at the project site, as well as persons and properties nearby and adjacent to the project site, these specific procedures and practices have been designed and developed to provide rapid, accurate, practical, and safe responses to emergency situations on this project site.The decision to implement the HASP depends on whether an impending incident could threaten human health or the environment. If an emergency situation arises, decide on the course of action, and then carry out the plans in a safe, orderly and controlled manner. Do not panic – remain calm and deal with the incident in a logical and methodical fashion. If the procedure required to correct an emergency situation is too extensive or unsafe to be handled by the personnel on hand, additional personnel must be contacted. Any person discovering an emergency situation should contact the proper agencies (e.g. police, fire) and the Site Emergency Coordinator (see Section 2.4 for relevant phone numbers).

⛔️ DO NOT ATTEMPT TO RESOLVE AN EMERGENCY IF A LOGICAL COURSE OF ACTION IS NOT READILY APPARENT - GET HELP!!! ⛔️

Section 2.3 - Site Emergency Coordinator & Staff

A key figure in implementing an Emergency Action Plan is the Site Emergency Coordinator (SEC), who may or may not necessarily be an employee of the company. The SEC's specific responsibilities and duties during and following the emergency incident are described in the following section. However, the emphasis on prevention and immediate response to hazardous conditions requires that the SEC be free to use his judgment in emergency situations. Frequent inspection and active participation in the facilities at this project on a daily basis by the SEC minimizes the chance of a major accident. If the SEC designated by a supervising entity (i.e. general contractor, property owner, contracting authority, etc.) is unable or unwilling to complete the responsibilities or duties listed, then the company will appoint their own SEC. It is the SEC's responsibility to manage emergency situations with all available assets instead of merely providing a response to a crisis. Emergency management applies good planning, definition of roles and authority, and direction of a trained staff to control the situation and resolve it quickly and efficiently. The table included in Section 2.4 provides the names and phone numbers for the SEC.Any time emergency procedures are implemented; a detailed report of the entire incident will be recorded. Careful documentation during and after an emergency will be needed for insurance issues, legal issues, accident investigations and critiquing to prevent recurrence. Good recordkeeping and a critique of an incident after the fact can provide an excellent method of preventing another incident.

Section 2.4 - Emergency Contacts

Is 911 service available at the project site?

SITE EMERGENCY COORDINATOR

▪️Name:

▪️Cellular Phone:

▪️Other Phone:

DEPARTMENT MANAGER

▪️Name:

▪️Cellular Phone: (248) 843-3896▪️Other Phone: (248) 426-0165

▪️Cellular Phone: (734) 239-1424▪️Other Phone: (248) 426-0165

▪️Cellular Phone: (734) 576-0765▪️Other Phone: (248) 426-0165

▪️Cellular Phone: (810) 923-2173▪️Other Phone: (248) 426-0165

VP OF OPERATIONS / SAFETY COORDINATOR

▪️Name:

▪️Cellular Phone: (734) 576-3056▪️Other Phone: (248) 426-0165

CLIENT CONTACT (if different than SEC)

Check if same as SEC

Client contact is same as SEC.

▪️Name:

▪️Cellular Phone:

▪️Other Phone:

LOCAL FIRE

▪️Phone:

LOCAL POLICE

▪️Phone:

LOCAL HOSPITAL/URGENT CARE

▪️Phone:

▪️Address/Directions:

AMBULANCE SERVICE

▪️Phone:

24-HOUR SPILL HOTLINE

▪️Arch Environmental Group: (248) 522-2821

STATE DEPT. OF ENVIRONMENTAL QUALITY

▪️MDEQ Pollution Emergency Alerting System (PEAS): (800) 292-4706

ELECTRIC UTILITY

▪️Phone:

GAS UTILITY

▪️Phone:

Section 2.5 - Emergency Conditions & Responses

The purpose of this section is to provide guidance to the Site Emergency Coordinator and other personnel in making emergency decisions. The following sections discuss a number of possible emergency situations that could occur at this facility. Remember that many emergencies may include a combination of two or more types of situations at the same time.

In the event of any emergency incident regardless of it's nature:• Work activities will cease and all project personnel will be evacuated from the work area. The evacuation will proceed in a direction opposite of the critically affected area with all personnel assembling in a pre-designated upwind location outside of the work area (except where specifically stated otherwise below).• A headcount will be taken of the assembled personnel and any injured individuals shall be administered first aid (if feasible).• If not present in the work area or at the assembly location, the SEC will be contacted immediately.

A universal signal for emergency evacuation (e.g., cell phone, word of mouth, use of a horn, etc.) and designation of the evacuation assembly location shall be established by the SEC. This information along with any client specific evacuation plans will be communicated to all workers during initial site-specific training. Any changes mandated by changing site conditions shall be determined by the SEC and communicated to workers in a timely manner.

Emergencies that might arise at this facility fall within the following categories:

Section 2.5.1 - Fires

Section not applicable to this project site.

Section 2.5.1 - Fires

The possibility of a fire may exist in a number of areas around the work sites at this project. Fires are most frequently in storage areas and in work areas where flammable materials and possible ignition sources are kept, as well as in electrical devices. A fire may also create hazards subsequent to the fire itself, such as an explosion or toxic vapor release.

Without endangering personnel, when a fire is observed, make a quick assessment of the situation.• Call 911 and/or the local fire department. If there are injuries, ask for medical assistance.• When calling in the emergency, give the address of the project site, the location of the fire at the site, describe the nature of the emergency, and provide your name and location at the site.• You may wish to send someone to meet the responders outside the areas to direct them to the scene and familiarize them with the conditions, which may exist.• After emergency services have been contacted, the SEC and Department Manager should be contacted as soon as is safely possible.

After - and only after - you have contacted emergency services, you may attempt to try to extinguish a fire. You should only attempt to to extinguish the fire if it is small enough, and you are confident in your ability to properly use a fire extinguisher. Pre-planning and training is necessary before performing this task. If you have not been trained in the proper usage of fire extinguishers, do not attempt to control the fire. Leave the area immediately.

EXCEPTION: NEVER ATTEMPT TO CONTROL A FIRE IF IT INVOLVES HAZARDOUS OR EXPLOSIVE MATERIALS, OR IF THE FIRE IS IN A HAZARDOUS MATERIALS STORAGE AREA.

Fire extinguishers are primarily first response instruments intended for use on fires in their beginning stages before they get a chance to spread. Portable fire extinguishers have specific regulations governing their type and use. Particular attention must be given to selecting the proper type of fire extinguisher for the particular type of fire. Many fire extinguishers are classified to be used on multiple types of fires. The following list shows various types of fire extinguishers:• Class A - for use on materials such as wood, cloth, paper, plastic, and rubber• Class B - for use on flammable liquids, gases, oils, and greases• Class C - for use on energized ("plugged in") electrical fires. Class A and B should NEVER be used on energized electrical fires, and should only be on de-energized electrical fires• Class D - for use on combustible metals such as magnesium, titanium, zirconium, sodium, and potassium

NEVER USE WATER TO FIGHT FLAMMABLE LIQUID, OIL, OR GREASE FIRES. WATER WILL NOT EXTINGUISH THE FIRE AND MAY INSTEAD CAUSE THE FIRE TO SPREAD.NEVER USE WATER TO FIGHT ELECTRICAL FIRES. WATER CONDUCTS ELECTRICITY AND GREATLY INCREASE THE RISK OF ELECTRICAL SHOCK.

Section 2.5.2 - Hazardous Materials Release

Section not applicable to this project site.

Section 2.5.2 - Hazardous Materials Release

The most common hazardous materials brought onto project sites by field personnel include:• Lab chemicals, including, but not limited to: acetone, triacetin (typically in quantities • Cleaning chemicals, including, but not limited to: degreasers, deodorizers, bleach, citrus oil cleaners (typically commercially available types/brands, but in larger quantities >1 gallon)Safety Data Sheets (SDS) shall be available for review for all materials/chemicals brought onsite for emergency response conditions. The appropriate response will be dictated by the SDS.

Other hazardous materials may be present on project sites, which are either inherent to the site (i.e. chemicals in a science lab or at a manufacturing plant) or brought onto the site by other contractors.The SEC will ensure that Safety Data Sheets (SDS) shall be available for review for all materials/chemicals brought onsite for emergency response conditions. The appropriate response will be dictated by the MSDS.

Other hazardous materials which are or may be present at the project site include:

Without endangering personnel, when hazardous materials or chemicals are spilled or released, make a quick assessment of the situation.If the spill or release is small and you are confident that it can be contained or cleaned without causing immediate danger to human health or significant damage to property:• Contact the SEC and Department Manager immediately.• When calling in the release, give the location of the release at the site and describe the nature of the release, so that an appropriate hazardous materials response plan can be initiated.If the spill or release is large, or if you are not fully confident that it can be contained or cleaned without causing immediate danger to human health or significant damage to property:• Call 911 and/or the local fire department immediately. If there are injuries, ask for medical assistance.• When calling in the emergency, give the address of the project site, the location of the release at the site, describe the nature of the emergency, and provide your name and location at the site.• You may wish to send someone to meet the responders outside the area to direct them to the scene and familiarize them with the conditions that may exist, including appropriate SDS of hazardous materials involved. Fire departments have spill containment dikes, absorbents, neutralizing chemicals and other methods available to control the spill or release.• After emergency services have been contacted, the SEC and Department Manager should be contacted as soon as is safely possible.

Specialized training, response equipment, and personal protective equipment are needed when responding to hazardous materials releases. DO NOT ATTEMPT TO CONTROL A HAZARDOUS MATERIAL RELEASE UNLESS YOU ARE PROPERLY TRAINED AND EQUIPPED.

Section 2.5.3 - Explosions

Section not applicable to this project site.

Section 2.5.3 - Explosions

The possibility of an explosion may exist around the facilities located at the project site. There are a number of various types of equipment that the company, the site owner, or other contractors may possess or operate that could explode. An explosion may also create hazards subsequent to the explosion itself such as fire or toxic vapor release.

The following types of equipment which may present the possibility of explosion are known or expected to be present at the project site:

Other equipment, materials, or situations which may present the possibility of explosion are known or expected to be present at the project site, include:

Without endangering personnel, when an explosion is observed, make a quick assessment of the situation.• Call 911 and/or the local fire department. If there are injuries, ask for medical assistance.• When calling in the emergency, give the address of the project site, the location of the explosion at the site, describe the nature of the emergency, names and last known locations of any missing persons, and provide your name and location at the site.• You may wish to send someone to meet the responders outside the areas to direct them to the scene and familiarize them with the conditions, which may exist.• After emergency services have been contacted, the SEC and Department Manager should be contacted as soon as is safely possible.

NEVER RE-ENTER A PROJECT SITE OR WORK AREA ONCE AN EXPLOSION HAS OCCURRED. EXPLOSIONS CAN AND OFTEN DUE CAUSE STRUCTURES TO BECOME UNSOUND AND MAY CAUSE ADDITIONAL EXPLOSIONS IN OTHER AREAS OF THE SITE.

Section 2.5.4 - Severe Weather

Section not applicable to this project site.

Section 2.5.4 - Severe Weather

Severe weather includes tornadoes, lightning, and flooding. Some of these conditions, such as tornadoes or flash flooding, can come upon the work site suddenly, with little to no warning. The following actions shall be implemented for each situation:

TORNADOESIf conditions are such that tornado formation may be possible (i.e. windy, rainy, etc.), the SEC shall periodically check available radios, televisions, internet sites, or other broadcast devices for updates. If conditions worsen or a tornado watch/warning has been issued, the SEC will continually monitor for updates. If conditions further worsen or a localized emergency broadcast/siren has sounded, personnel will either be sent to their homes (if time and conditions allow), or to pre-designated shelters. In the event of being outside when a tornado forms, personnel shall evacuate all equipment and lay flat in the nearest low point in the ground, unless time permits evacuation to the designated shelter).

LIGHTNINGIn the event of lightning, all equipment shall be shut off, and personnel shall enter the nearest structure or vehicle (i.e. car or truck). Under NO circumstances should personnel stand under a solitary tree. If a structure is not nearby, either remain in an enclosed vehicle, or lay flat at a low point on the ground.

FLOODINGWhen flooding is expected, take all equipment to the highest ground level or floor level in a building as can safely be accomplished. Personnel shall then proceed to the highest available point (e.g., multi-story building). If flash flooding occurs, all equipment shall be shut off, left in place, and personnel shall immediately proceed to the highest available point.

Section 2.5.5 - Medical Emergencies

Section not applicable to this project site.

Section 2.5.5 - Medical Emergencies

Medical emergencies can be described as situations that present an immediate or significant threat to human health. These can result from various causes, including, but not limited to: physical trauma (e.g. cuts, bumps, broken bones), chemical exposures, heat stress, cold stress, and poisonous insect or snakebites. Medical emergencies must be dealt with immediately and proper care should be administered. Minor injuries or illnesses that can effectively be dealt with at the site using only first aid should not be considered medical emergencies. • All injured individuals may be given appropriate emergency first aid by a qualified individual trained in first aid.• Severely injured personnel shall be transported to a hospital.

Without endangering personnel, when a medical emergency occurs, make a quick assessment of the situation.• Call 911, the local fire department and/or an ambulance service.• When calling in the emergency, give the address of the project site, the location of the affected indivduals at the site, describe the nature and severity of the injury or illness, and provide your name and location at the site.• You may wish to send someone to meet the responders outside the areas to direct them to the scene and familiarize them with the conditions, which may exist.• After emergency services have been contacted, the SEC and Department Manager should be contacted as soon as is safely possible.

After - and only after - emergency services have been contacted, injured individuals may be given appropriate emergency first aid by properly trained and qualified persons. Injured or ill individuals should not be moved, unless it is determined that further harm may arise from not moving them. If emergency services can not be reached or it is determined that illness or injury is severe enough that emergency services will not reach the project site in time, injured or ill individuals should be transported to the nearest hospital, urgent care facility, or emergency medical center.

Section 2.5.6 - Leaking Pipelines, Tanks, Vessels

Section not applicable to this project site.

Section 2.5.6 - Leaking Pipelines, Tanks, Vessels

The possibility of leaking or ruptured pipelines, tanks, or vessels may exist around the facilities located at the project site. While leaks may occur in any of these systems under any circumstances, ruptures are most frequent in pressurized systems. An rupture may also create hazards subsequent to the rupture itself such as explosions or toxic vapor release. In most cases, reducing the pressure source by either closing/opening a valve, shutting down a pump, or shutting off an ignition source will deter an explosion.

Without endangering personnel, when a leak or rupture is observed, make a quick assessment of the situation.If the leak or rupture is small and you are confident that it can be contained or cleaned without causing immediate danger to human health or significant damage to property:• Contact the SEC and Department Manager immediately.• When calling in the leak, give the location of the leak at the site and describe the nature of the leak, so that an appropriate response plan can be initiated.• If it is safe to do so, the pipeline, tank, or vessel should be shut down (e.g. valves closed, pumps turned off, etc.) or depressurized.If the leak or rupture is large, if you are not fully confident that it can be contained or cleaned without causing immediate danger to human health or significant damage to property, or if there is imminent risk of explosion:• Call 911 and/or the local fire department immediately. If there are injuries, ask for medical assistance.• When calling in the emergency, give the address of the project site, the location of the leak at the site, describe the nature of the emergency, and provide your name and location at the site.• You may wish to send someone to meet the responders outside the areas to direct them to the scene and familiarize them with the conditions, which may exist.• After emergency services have been contacted, the SEC and Department Manager should be contacted as soon as is safely possible.

Section 2.5.7 - Other Emergency Categories

Add additional emergency types as necessary.

Additional Emergency Type:

Necessary information:

Section 2.6 - Emergency Safety Equipment

At a minimum, all employees shall maintain the following emergency safety equipment at all project sites as a precaution, regardless of the expected use or lack thereof:• Personal Protective Equipment (see Section 1.2)• Sanitizer or cleaner for PPE - to be kept in personal safety kit• Cellular phone and/or two-way radio - to be kept on person or within reach at all times• First aid kit - to be kept in personal safety kit• Saline eye wash - to be kept in personal safety kit• Flashlight - to be kept in personal safety kit• Fire extinguisher - to be provided at project site by site owner or kept in cabs of all fleet vehicles• Potable water - to be provided at project site by site owner or brought to site by employee

Note on Fire Extinguishers:At a minimum, fire extinguishers capable of extinguishing Class A, B, and C fires will be available for use on the project site at all times when flammable materials are present, and a potential ignition source is present. Personnel will be readily aware of the location of the fire extinguisher at all times. In the event that a project site does not have preexisting fire extinguishers or a fleet is not present, the SEC and Department Manager shall be notified immediately, so that arrangement can be made for a fire extinguisher to be brought to the site.

SECTION 3.0 - ACKNOWLEDGEMENTS

By signing this form, employees agree that:1. I have read this site specific Health and Safety Plan (HASP) and understand the information presented therein.2. I will conduct my work activities at this site in accordance with the requirements of the site specific HASP and all applicable health and safety procedures.

By signing this form, non contractors, subcontractors, and visitors agree that:1. I understand that there are recognized hazards associated with this project site.2. I have read this site specific Health and Safety Plan (HASP) and understand the information presented therein.3. I will conduct my work activities at this site, as well as assure the compliance of all employees of my company, in accordance with the requirements of the site specific HASP and all applicable health and safety procedures.

Name / Date / Signature

Add additional signatures as necessary.

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