Health and Safe ty PlanEau Claire Munic ipa l Wel l Field

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deve l oped for Me r ima c Cons t ru c t i on by Twin C i t y Test in g Co r p o r a t i o n

TABLE OF CONTENTSI . I n t r odu c t o ry s ta t emen t/ def in i t ionsT . Haza r d sIII. P l a n n i n g and Organ i za t i o nIV . Tra i n i n gV. Med i c a l Pro g r amVI. Personal Protect ive EquipmentVII. Environmental MonitoringVII I . Decontaminat ionI . . Genera l Safety Pract icesv . Emergency Response Procedures and Cont ingency MeasuresXI. Da i l y j Weekly and Close-out Safety Reports

Introductory Statement / DefinitionsThis Health and Safety Plan addresses the needs of the on-site workersc o n t r a c t e d by Merr imac Cons t ru c t i on at the Eau Cla ire Munic ipa l Wel l F i e ld .The Plan has been deve l oped per requ i r ement s of the Army Corp s of Eng ineer sSpec if icat ion, Sect ion 0 1004 , amendment 0004 (86-B-0001 ) .A comp l e t e descr ip t ion of the s ite may be found in the above s i tedspecif icat ion, section 01004, page 1 .Ner imac cons truc t ion will perform shallow excavat ion on the Eau Cla i re s itefor erect ion of a pump building and concre te pad for instal lat ion ofaeration towers on the site. Several valve splice-ins will also bepe r fo rmed to connec t the pumps to the water sys tem.This Plan and previous proposal pertain to a maximum of 15 workers on-s ite,->r a 20 day period, proceeding on or about August 11, 1986.This Plan was developed with the "Occupat iona l Saf e t y and Hea l th Gu i d a n c eManual for Hazardous Waste Site Activit ies" document as a jointco l laborat ion of N IOSH , OSHA , USCG and the USEPA .DefinitionsUSACE « Un i t ed State s Army Corps of Eng ineers

.T • Twin City Testing Corporat ionGenera l Con t ra c t o r » Merimac Cons t ruc t i onOSHA » Occupat ional Safety and Health Administration

- Permiss ib le exposure limit; the max imum time weighted average toh a worker may be exposed for 8 hours a day, 40 hours per week, withoutexper i enc ing adverse health effec t s

IDLH « Immediately dangerous to life and healthppm - parts per mill ion

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OSHA PEL350 ppm100 ppm

10 ppm100 ppm100 ppm

IDLH; 1000 ppm4000 ppmnot e s t ab l1000 ppm

500 ppmi shed

II. HazardsBased on informat ion prov ided by the USAGE , the princ ipal hazard on-s iteppear s to be inhalat ion and/or dermal exposure to the fo l lowing organ ic

c om p o u n d s pre s en t in the water supply;- 1 , 1 , 1 - tr i ch loroethane- 1,1 - d i c h l o ro e t han e- 1,1 - d i c h l o roe t hy l e n e- t r i c h l o ro e t hy l e n e- t e t r a c h l o r o e t h y l e n eThese mater i a l s have toxic propert ies rang ing from low to modera t e l y high;however , in the maximal amount s repor ted in the USAGE spe c i f i c a t i on , theyshou ld pose a re lat ive ly low degree of hazard to on-s i ce work e r s .F lamenab i l i t y and explos iv i ty potent ia l f rom these di lute mater ia l s in thewat e r s upp l y i s also very low.Cont i n uou s air mon i tor ing will be used as a means of en sur i ng that worker sre not ove r expo s ed to volati le compounds in the g r o u n dwa t e r .

In the event that the Cont ra c to r uncovers an area of s ign if icant soilcon tam inan t s , based on air monitor ing data and visual ob s e rva t i on s , the TCTsite safety off icer will inform all on-site workers to leave the siteimmediate ly. Re-entry of workers will not be permitted until the extent ofcontaminat ion has been properly defined by the USACE.Heat stress monitoring will be performed only if ambient temperatures"arrant such act ions. Workers in level D protect ion (essential ly a work

iform) in above ground work should not encounter heat stress condit ionsgreater than those typical on any construct ion s ite. If level C protect ionbecomes necessary, heat stress monitoring will be performed accord ing toNIOSH recommendat ions.

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III. Planning and OrganizationIn order to define specific author it ies , the following organ izat iona l plan

all be in effect for the duration of Con t r a c t o r ' s on-site work .Pro j e c t Management(A rmy Corp s of Eng ineer s - Doug Ba i r d )Scient if ic Coord i na to r s(TCT - Ronald Pearson - Charles McJi l ton)Site Safety Off icer(TCT - ' Industr ia l Hygiene Techn ic ianTeam Leader(Con t r a c t o r ' s superv i sor on-s ite)

The following responsibil ities will be assigned to each of thesepersonnel /organizat ions as listed below.c ite Safety Off i cer- conduc t air mon i tor ing on a cont inuous bas i s , keep daily safe ty logs andprovide recommendat ions regarding personal protect ive equ ipment- observe workers for potential chemical contaminat ion- evaluate potential heat stress in conjunct ion with recommendat ions of theScient if ic Coord inators- re fer worker s for emergency medical treatment

i n fo rm local and regu la tory author i t ies in the event of s ign i f i cantntaminat ion re lease

- d e t e rm i n e appropr ia te decontaminat ion procedures- advise team leaderTeam Leader- ensure that worke r s are fol lowing prescr ibed procedures regard ing hea l thand safety recommendat ion s of the Site Safe ty Off i c e r

Lj ensure that workers evacuate s i te , i f so recommended by the Si te Safe tyOff i cer- the Team Leader is responsible for general security of the site,including posting of signs requiring visitors to report to the site officeand prohibit ing smoking and open flames on site- en sure that workers fol low accepted safe ty pract i ce guidel ines accord i ngto the USAGE Safe ty and Heal th Requ irements Manua l , EM 385- 1 - 1 , rev i sedOc t o b e r , 1984 , Sect ion 01. A and appendix YScientif ic Coordinators- d i r e c t and coo rd i n a t e act iv i t ies re lated to air mon i tor i ng , ana lys i s ofd a t a , and i n t e rpre ta t i on of results- prov ide gu idance to the Site Safety Officer- interface with the Contractor , USAGE and local & regulatory author i t ies- visit site as deemed necessary by progress of work

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III. Planning and Organization -continued-Project Management- determine if the Contractor and sub-contractors have met requirements forsafe work practice on the site- define extent of contamination and provide information to the Scient if icCoord inators , in the event of discovery of significant soil cont iminat ionIV. TrainingThe fol lowing train ing will be provided to on-s ite workers byScientif ic Coordinators and/or their qualified des ignees:

the

Appl icable OSHA Safety and Health StandardsPhysical and chemical hazards which may be encountered on-siteTypical symptoms for various exposure levels of site contaminantsPersonnel protect ive clothing, its uses and limitationsPersonnel protect ive equipment and decontaminat ion proceduresEmergency response and evacuation proceduresAir monitor ing data interpretat ion and action levels

n addi t ion, prior to commencement of work by the contractor the SiteSafety Off i cer shall inform all on-site workers as to the following:- location of first-aid equipment- location of a list of emergency phone numbers- direct ions to the nearest medical facility

Medical ProgramAt least 5 days prior to commencement of work, the Contractor shall providethe following written certification for each on-site worker by anOccupat ional Health Physician to the USAGE:- each on-site worker has undergone a medical examination- each on-site worker is able to perform their work assignments• each on-site worker has the ability to use respiratory protect ionThe fol lowing items const i tute minimum medical survei l lance requ i r emen t s :- med ica l h i s tory- general physical- pulmonary function (FVC and FEV 1 .0 )- electrocardiogram- blood profile (20 channel)- CBD- urinalysis- chest x-ray (number at discretion of attend ing physician)- visual acuity- otoscopic exam- tetanus

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V. Medical Program -cont inued-Per iod i c medica l surve i l lance shall be requ i red under the fo l lowing

nd i t ions :- before commencement of work and upon complet ion of on-site act ivit ies- after 400 cumu lat ive hours in Leve l C pro te c t i on- fol lowing an acute expo su r e to any tox ic or hazardous mater ia l ( ifneces sary)The per iod ic surve i l lance will be the same as specif ied above , except thatx-ray usage will be at the d i s cre t ion of the a t t end i ng phys i c i an .VI. Personnel Protective EquipmentDuring any disruption to the well field piping system and during plantstart up, the fol lowing Level D protec t i ve equ ipment will be requ ired foral l on-s i te work e r s :- coveralls (water/chemical/fire res istant)steel toe and shank boots (chemical pro te c t i ve )hard hat

- goggles or safety glasses (with side shie lds) or hard hat face sh ie lds- chemical resistant glovesIf organ ic vapor levels at any time exceed 10 parts per million, all sitepersonnel will be evacuated immediate ly unti l the source of contaminat ionhas been def ined . If the Site Safe ty Of f i c e r and Sc ient i f i c Coord i n a t o r s

em re-entry to the site acceptab le , the fol lowing Level C pro t e c t i v e, ^uipment will be required for all on-site workers :- full- face resp irator with approved organ ic vapor car tr idges- chemical res istant clothing- outer , chemical res istant gloves (nitrile neoprene or equ iva lent )- employees using respiratory protection shall employ the 'buddy 1 system atal l t imes and be visible to the Site Safety Off i cer

on-site workers shall be qual i tat ive ly fit- tested by a qual if iedHygien ist prior to work ing on-s i te .

VII. Environmental MonitoringA d i rec t-read ing air monitor ing dev ice sens it ive to ch lor inatedhydrocarbons ( such as those listed on page 2) shall be con t i nuous l yoperated on site by the Site Safety Off i cer , downwind of excavat ion and/orwater piping disruption act iv it ies *The Con t r a c t o r shall prov ide and install a wind-d i rec t ion ind i cator on-site, visible to all on-site workers* The Site Safety Off i cer shall makerecommendat ions to on-site workers regarding appropriate location of workre lat ive to excavat i on and water piping d i s rupt ion .A record of all air mon i tor ing performed on-s i te shall be prov i ded to theContractor upon completion of activit ies.

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VIII. Decontaminationrmal work operat ions decon tam ina t i on should not be nece s sary ,consumpt ion of foods , beverages , or smoking of c igaret te s will notted on site.

• ring noj .ma. i . » .v/* iv wjw eve r , consumpt ionbe permitted on site.Due to the con c e n t r a t i o n s of contaminant s in the wa t e r piping and theirphys ica l charac ter i s t i c s , potent ia l for off-s i te contaminat ion i s r emo t e .Any personnel who come into direct contact with contaminated water shouldimmediately remove contaminated clothing and flush exposed skin withpotab le wa t e r . Al l ow i ng work c loth ing to dry to comp l e t ene s s will resu l tin comple te vo lat i zat ion of organic compound s f rom the water , a l lowingreuse of c loth ing.If extens ive soil contaminat ion is cons idered likely, based on airmoni tor ing and visual obse rva t i on s , al l on site workers will leave the s iteimmediately. All equipment will remain on site until the extent ofcontaminat ion is further defined by the. USAGE. If the situation at thist ime, in the opin ion of the Site Safe ty Off i c e r and Scient i f i cCoo rd i n a t o r s , warrant s decon tam ina t i on , appropr ia t e s tat ions will be set up

t * r further work a s follows:1 . Equ i pmen t drop - depos i t equ ipment used on-s i te on plast ic drop c loths .2. Sc r ub outer boot s , outer gloves and suit with detergent water and r insewith copious amounts of water .3. Remove outer boots and gloves; deposit in container with plastic liner.4. Change resp irator can i s ters - if return ing to s i te , redress in newouter protec t ive clothing

Remove inner boots , splash suit and gloves; deposit in separate-container lined with plast ic .6. Remove facep iece and depos i t on plastic sheet .7. Wash hands & face and shower as soon as poss ible .At complet ion of the ent ire Contrac tor pro jec t , if soil contaminat ion hasbeen de term ined to be present , al l non-wooden tools and heavy equ ipmentshall be washed under high pressure water * Additional decontaminat ion mayke necessary using steam, at the discretion of the Scientific Coordinators ,

^ased on informat ion supplied by the USAGE. Under normal workingcondit ions on-site, that is, contacting well system water at stated maximallevels, no decontamination other than air drying should be necessary.IX. General Safety PracticesThe following general safety practices will be applicable as a minimun forall on-site activities for the duration of the Contractor ' s work:1 . Eat i ng , dr ink ing, chewing gum or tabacco and smoking are proh ib i ted .2. Hands and face should be thoroughly washed upon leaving the work areaand before eating, drinking or other activities.3. No excess ive facial hair, which would interfere with sat i s factoryf i tt ing of resp i rators , is al lowed on workers requir ing resp i ra toryprotect ive equ ipment *A. Storing utensils, food or food containers while on-site is prohib ited.

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X. Energency Response Procedures and Contingency Measures

Cont ingency plans for emergencies are as follows:- Genera l Informat ion

- The Site Safety Officer shall des ignate an appropr iate locat ion for afirst aid/emergency station to be equipped with the following equipment andinformation (suppl ied by the contractor ) :

- 16-un i t first aid kit- emergency deluge shower- class ABC fire extinguisher- list of emergency telephone numbers

- physician or medical facility- Eau Claire Fire Dep t .- Eau Claire Pol ice Dep t .- Local Ambu l an c e- Local Poison Control Center- Region V EPA, ERT, ICDM- Wiscons in State Spill Con t ra c t o r

- full face resp irators with organic vapor car t r idges- chemical res istant clothing- chemical resistant gloves- eye protection

• the Cont ra c to r shall provide the Site Safe ty Off i cer and the Team-reader with portab le air horns . Two long blasts shall signal immediateevacuation of the site, regardless of the reason for evacuat ion .

- the Site Safety Officer shall travel the shortest route to the nearesthospital or medica l faci l ity. A map with d irect ions shall be posted on-site at the first aid s ta t ion , to be made avai lable by the Con t r a c t o r .

- the Scientific Coordinator shall notify appropriate local, State andral emergency agencies of the work to be performed, as well asant ic ipated hazards on the work site.

- Fires and Severe Storms- a class ABC fire extinguisher will be maintained on site at all times- te lephone and/or radio contact will be maintained with the local firedepar tmen t- at least two access routes for emergency vehicles will be maintained by

the contractor throughout the duration of the project- all on-site workers will immediately leave the site, if life-threaten ing cond i t ions ex i s t . Appropr ia te ly trained f iref ightersuti l iz ing se l f-conta ined breath ing apparat i may be necessary forext ingu ish ing major fires

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X. Emergency response procedures and contingency measures -continued-- Toxic Vapor Release

- upon rece iv ing an unsat i s factory air qual i ty read ing from the airn i tor ina device on site (> 10 ppm) , the Site Safety Off i cer will

immediately not ify the Team Leader * The Team Leader will then ensurethat al l workers leave the site.

- the Si te Safe ty Off i c e r shall immediate ly not i fy the Eau Cla ire f ireand police depar tmen t s ! the Wiscons in Divis ion of Health, the Wiscon s i nDepartment of Natural Resouces and the US Environmental Protect ionAgency .- def in i t ion of the source and exten t of contaminat ion will be therespons ib i l i ty of the USAGE, No workers will be allowed reenty to thesite until this information is available.

- Medical Emergenc i e sa medical emergency, the Team Leader will alertThe Site Safety Officer will alert the local

request medical ass i s tance . Telephone and/orshall be made available on-s i te by the Contrac tor

thein the event ofSite Safety Off icer ,medica l fac i l i ty andrad io commun icat ionsall t imes.

- if ev idence of personal contaminat ion exists for the affec ted worker ,al l contaminated c loth ing will be removed by the Site Safe ty Off i c e r(wear ing appropr ia te chemical-res istant gloves) and held for disposal .If the medical emergency warrants more rapid treatment, as determined bymedical or paramedica l response personnel , such procedure may beperformed at the local hospital .

-AJ . . Daily, Weekly and Close-out Safety ReportsDaily safety logs shall be kept by the Site Safety Off icer and shallinclude the following information:- Date- Work area( s ) checked

Employees present in work areas^/Protect ive equ ipment and clothing in use by employees (specif ic to tasks)- Air moni tor ing and heat stress monitoring results- Accidents of breaches of procedure- Signature of Site Safety Officer and dateWeekly safe ty reports shall summarize the work completed dur ing the weekand present any incidents relative to:- Improper usage or non-usage of personnel protect ive equipment (ifrequ ired)- Non-use of the buddy system (if applicable)- Disregard of Health and Safety Plan requirements or prohibit ions- Work-re l a t ed il lnesses and injuries- Copies of medical documentat ion for return to site- Signature of Site Safety Officer and date-Page 8-

XI. Daily, Weekly and Close-out Safety Reports -cont inued-A c lose-out safety repor t shall be comple ted at the end of on-s i te work .

» Contrac tor shall provide final medical documentat ion for all workers ,me S i r e Saf e t y Off i c e r and Scient i f i c Coord i na to r s shall summar ized e con tam i na t i on procedure s used prior to remova l of equ ipmen t as wel l asa l l a ir and heat s t r e s s mon i tor ing re su l t s .

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Slate of MinnesotaDepartment ol Ubor and IndustryWorker*1 Compensation Division444 Lafayette RoadSt. Paul, Minnesota SS101012-2M-6107

FIRST REPORT OF INJURYfSe* instructions on Rever** Side, Type or Print)

1 . Insurer's Claim Norn bar

2 EmployM't Social Security Numbar

<i Dale of Claimed InjuryOlllclal UM Only

4.

5.

6.

"Employee'! N*ma (U»t, Flr»l, Middle) Phone (Include Area Code) S«x a MaleFemaleAddress (Street, Route, P.O. Boi| Data ol Birth MaritalStatus 8 MarriedNot MarriedCity. County. Slate, Zip Job Title

7 Employment Staiua D Full time D Part time U Seaeonal D Volunteer U Other (Specify, irregularlyscheduled, etc.)a Type of Work Program

ApprenticeshipOther (Specify)

8 StraightTima •> Raia Par Hour Hours Par Day Day I Par Weak OvertimeII Paid » Rate Par Hour Average Houri Par Week Average OroaaWeakly WageI part time or irregularly scheduled worker, indicate total amountearned, total days worked, and lolal weeks worked In last 20 weeks. Amount Earned Total Oay> Worked Total Weaka Worked

10. It lurniahed In additionto wagaa, state theweakly value ol *•MealsS

Lodging OtherS Did employee haveother regularem ploy men IT Yes. If yes, where?

NoHours/Week Weakly Wage*

1 * Did claimed injury cause' ' • loss ot time Irom work? Yes. II yesNO

First day ol lost lime Did the employee lose time from workon the day of claimed injury? Yes. II yea iNo

Hour* lost

Has employeereturned to work? Yes II yes <No

Date Were lull or partial wages paidto* first day of lost time? Yes. it yes »>No

SPaKt Mrs. Worked

iployer (It subsidiary, also specify parent's name and address)

14.

15.

16.

Department Location No.

Phone (include Area Code)

Phone (Include Area Coda)

Type ol Ownership

H Individual [J CorporationPartnership L} Government

SICEmployer a Street Address Name and Illla ol Supervisor who first received notice oTcIaimedinjury

Cily. Slate. Zip Date when notice received Time of day thaiinjury occurred a A.M.

P.M.Location where Injury occurred (Identity job site) (Identify city, zip) Did injury occur onemployer's premises? Yes

No. M no, where?17a Total number ol employees at the work tocailon where**• the claimed injury occurred

18.

19.

20.

21 .

22.

23.24.

25.26.27.

Name of traaling doctor or practitioner (Specify MD, DO. DC, etc.) Pnonejlncluae Area Code) IT treated at a hospiuf or hospitalized, name of hospital

Address Hospital Address

City, Slale, Zip City, Slate, Zip

Describe claimed injury or occupallonal Illness In detail

Part ot body affected lame ol object (machine, tool, etc.) or substance (chemical, ale ) involved

Nature ol iriiury (cut, ipidin. burn, etc.) 'ype ol accident (tall, struck by. bodily reaction, etc.)

dealWhal action has been laHen to prevent reoccurrence?

dmes ol co-employees who may have wltneeaed claimed Intury

Name ol workers' compensation insurer, If not on lotm

Sign Here

Name ol na>l-of-klnCom pie I* this section only I (claimed injury c-rlTlnasa resulted In death

Relationship Date ol death

City. Stale, Zip

Signed by (Include official title and phone)

LI20010-02 (H) 1303-2201 11-80 White, Canary — Workers Compensation Division Green — Insurer Blue — Employer

SAFETY AS;D mm PROTEM ON m JOBThe Williams-Steip.er Occupational Safety and Health Act of 1970 provides jobsafety and health pi election for workers. The purpose of the Federal law is to assuresafe and healthful working conditions throughout the Nation.

The U.S. Department of labor has primary responsibility for administering theAct. The Department issues job safety and health standards, and employers andemployees are required to comply with these standards.

BY LAW: SAFETY ON THE JOB IS EVERYBODY'S RESPONSIBILITY!EMPLOYERS: The Williams-Stciecr Act requires that each employer

furnish his employees a place of employment free fromrecognized hazards that might cause serious injury ordeath; and the Act further requires that employerscomply with the specific safety and health standardsissued by the Department of Labor.

EMPLOYEES: The Williams-Steicer Act also requires that each em-ployee comply with safety and health standards, rules,regulations, and orders issued under the Act and appli-cable to his conduct,

COMPLIANCE WITH SAFETY AND HEALTH REQUIREMENTSTo ensure compliance with safety and health requirements, the U.S. Departmentof Labor conducts periodic job-site inspections. The inspections are conductedby trained safety and health compliance officers. The law requires that an author-ized representative of the employer and a representative of the workers be givenan opportunity to accompany the inspector for the purpose of aiding the inspection.Workers also have the right to notify the Department of Labor and request an in-spection if they believe th,jt unsafe and unheaithfu! conditions exist at their work-site. In addition, employees have the right to bring unsafe conditions to theattention of the safety and health compliance officer making the inspection Ifupon inspection the Department of Labor believes that the Act has been violated,a citation of violation and a proposed penalty is issued to the employer.

Citations of violation issued by the Department of Labor must be prominently dis-played at or near the place of violation.

The Act provides for mandatory penalties of up to $1,000 for each serious violationand for optional penalties of up to $1,000 for each non-serious violation. Penaltiesol up to $1 .000 are required for each day during which an employer fails to correcta violation within the period set in the citation. Also, any employer who willfullyor repeatedly violates the Act is to be assessed civil penalties of not more than$10,000 for each violation.

Criminal penalties are also provided for in the Act. Any willful violation resultingin death of an employee, upon conviction, is punishable by a fine of not more than$10,000 or by imprisonment for not more than six months, or by both. Convic-tion of an employer after a first conviction doubles these maximum penalties.

The Act provides that employees may not be discharged or discriminated againstIn any way lor filing safety and health complaints or otherwise exercising theirrights under the Act.

For assistance and information, including copies of the Act and of specific safetyand health standards, contact the employer or the nearest office of the Departmentof Labor.

Ubor