Uploaded by Mike Ryan

WALKER EHASP

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Site Specific EH&S Plan
(Template)
INSTALL NEW DIELECTRIC STORAGE
UNIT FOUNDATION, TANK AND ENCLOSURE
Location
Contracting Company
EHS Representative
Revision # 2 - 9/30/2010
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Contractor Information
Contracting Company
Address
Project Manager (owner)
Office phone#
Cell phone #
E-mail address
Emergency Contact
Office phone#
Cell phone #
Job Site Supervisor
Office phone#
Cell phone #
Site EHS (Safety Officer) Representative
Office phone#
Cell phone #
Con Edison Site Representative
Office phone#
Cell phone #
Site Location Description
Hospital Phone #
Fire Dept Phone #
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Environmental Health and Safety Plan
1) Job Description:
Describe or attach job work scope presented in work package. Include the different
phases of the job (i.e. mobilization, excavation, laying conduit, etc).
Include plates, prints layouts, drawings or photos.
Are permits and/or licenses needed for this work?
Yes
No
If yes, state the licenses/permits
2) Emergency Procedures
Provide emergency evacuation procedures for job location including all emergency
contacts (Fire Dept., Police Dept. Nearest hospital etc.). Provide nearest hospital and
route map. List all applicable emergency equipment.
3) Site Control
Describe site control measures to be taken on the project (access points, security,
barricades, fencing etc.)
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4) Job Hazard Analysis and Control:
Hazard Identification: Identify all the EH&S hazards present during the course of
performing this job activity. Below are general hazard classifications that you are required to
select. Additional hazards should be presented below. A description of how each hazard
will be controlled MUST be attached to this plan.
1.0 Introduction
2.0 Air Resources
3.0 Asbestos Awareness
4.0 BBP/First Aid/CPR
5.0 Chemical Safety/HazCom
6.0 Close Call Program
7.0 Confined Space Program (Permit-Required)
8.0 Drug and Alcohol Program
9.0 Electrical Enclosed Spaces
10.0 Electrical Safety
11.0 Excavating and Trenching
12.0 Fire Protection and Prevention
13.0 Fish, Wildlife and Wetlands
14.0 Gas Enclosed Spaces
15.0 Hearing Conservation
16.0 Heat Stress/Cold Stress
17.0 Insulation Materials (Non-Asbestos)
18.0 Job Briefings
19.0 Lead Management Program
20.0 Management of Change
21.0 Materials Handling
22.0 Mechanical Equipment
23.0 Mercury Management Program
24.0 Noise
25.0 Oil and Dielectric Fluid
26.0 Operator Qualifications
27.0 PCB Management
28.0 Personal Protective Equipment
29.0 Pesticides
30.0 Respiratory Protection Program
31.0 Sampling
32.0 Time Out Program
33.0 Vehicle Management
34.0 Waste Management
35.0 Water Resources
36.0 Welding and Burning
37.0 Work Area Protection
38.0 Working at Elevations
39.0 Rules We Live By
Applicable to Project?
YES
YES
YES
YES
YES
YES
YES
YES
YES
Note: All hazards already answered “yes” are required to be addressed.
Provide a description of other Hazards present:
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5) Hazard Evaluation:
Hazard evaluation involves the process of identifying the hazards associated with the job,
instituting control measures (engineering or administrative) to reduce or remove the hazard,
then identifying the personal protective equipment (PPE) necessary to protect the worker.
See attachment 1 for typical hazards that may be encountered on the job. Describe each
hazard individually using the following set of criteria below:
Hazard
Explain extent of Hazard
Administrative/Engineering Controls
PPE determined
If Respiratory protection is required explain?
Employee Training
General precautions
Note: All chemicals/products brought to a Con Edison facility and will be used on Con
Edison equipment or systems will be approved by Con Edison’s IH section prior to use.
(MSDS sheets not older than 5 yrs shall be submitted to Con Edison for acceptance.) List all
MSDS sheets submitted for this project and attach them to this plan.
6) Housekeeping:
Identify housekeeping procedures that will be utilized throughout the project durations.
Identify techniques to be used for normal operations or when hazardous materials are
involved:
7) Training and Hazard Communication:
Are all your personnel (including sub-contractors) trained to conduct their job responsibilities
in this plan?
Yes
No
Are your employees Haz-Com trained in the hazards they will be confronting for this
project?
Yes
No
Job Briefings will be conducted with employees at the start of the shift?
Yes
No
How often are documented safety talks conducted?
Daily
shift
weekly
Will all visitors be briefed on evacuation/fire/emergency procedures?
Yes
No
Will all Sub-Contractors be covered under this site-specific HASP?
Yes
No
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If Respirators are used, will all employees be medically qualified, clean-shaven and fit-tested
in the respirator?
Yes
No
Comments (explain all negative responses and discuss with site representative.)
8) Environmental Management:
Check off or include any environmental issue that your job presents.
Air Resources
Fish, Wildlife and wetlands
PCB Management
Hazardous Waste Management
Waste Management
Spill Management
Water Resources
Asbestos Management
Other:
Explain in detail all items identified above and control methods to manage or avoid the
concern:
9) Waste Disposal Method
Explain how all waste will be managed, packaged, transported and disposed of for all waste
streams generated:
10) Contractor Employee Acknowledgement
Contractor site supervision is responsible for assuring the contents of this eHASP are
known by all contractor employees and are implemented on site during job performance.
Signature of authorized person: _____________________________________
Name of authorized person: ________________________________________
Title of authorized person: _________________________________________
Date: ___________________________________________________________
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Attachment 1 -- Typical Hazards of Concern
Physical
Heat
Noise
Radiation
Cold
Confined Space
Excavation
Trenching
Welding
Burning
Electrical
Fire Protection
Road Work
Rotating Equipment
Cranes
Work in Elevations
Scaffolding
Rigging
Material Handling
Grinding
Ladders
Hand Tools
Steel Erection
Demolition
Concrete
Power Tools
Mechanical Equipment
Slippery Surfaces
Chemical
Lead
Mercury
Asbestos
Oil
PCBs
Lubricants
Cement
Dielectric fluid
Solvents
Gasoline
Diesel
Other Fuels
Silica
Carbon Monoxide
Pesticides
Dust-Particulates
Hydrogen Sulfide
Isocyanates
Acids
Caustics
Glues
Adhesives
Epoxies
Detergents
Bleach
Ammonia
Heavy Metals
Benzene
VOCs
Lacquers
Solders
Asphalt
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