[XLS] · Web viewWhen BUMED IH performs the exposure monitoring, does he or she incorporate exposure monitoring plan in the industrial hygiene report?

Reference Compliance Requirements Yes No N/A

Note: Disclaimer

Compliance Duties Owed to Each Employee

Workplace Inspections

Workplace inspections are required at least annually by OPNAVINST 5100.23 (Series) and the Code of Federal Regulations (29 CFR 1960.25). This checklist uses line items from the Code of Federal Regulations, National Fire Protection Agency, American National Standards Institute and other agencies regulations. This checklist should be used in conjunction with the Administration and Occupational Safety & Health Management Evaluation (OSHME) Checklist to ensure a complete program is in effect. This checklist DOES NOT identify specific command related requirement via local directives or instructions.

Checklists are used in various applications and inspections. Checklists are designed to ensure that steps are followed and nothing is missed. Checklists are designed to give safety professionals a comprehensive listing of OPNAV requirements, Code of Federal Regulations, National Fire Protection Agency and other references as listed. Checklists are not and should not be considered complete. Checklists are designed to give the a basic “what to look for”. Anything that is considered “out of the ordinary” should be immediately reported to the Safety Officer for further investigation. Prior to using this checklist the individual using it should be properly trained. Checklists are to be used only be used as a guide. Checklists are not all encompassing and proper references should be used to ensure all aspects of the inspection, use and care, etc. are followed and up-to-date. Checklists is only as good as the individual using it. Checklists do not provide any expertise or experience and should be updated as required or at least annually. This should be used with the "administrative" checklist that highlights policy requirements.

29 CFR 1910.9(a)

29 CFR 1910.9(b)

Compliance with OSHA Standards

29 CFR 1960.16

Qualifications of safety and health inspectors and agency inspections

Personal protective equipment . Standards in this part requiring the employer to provide personal protective equipment (PPE), including respirators and other types of PPE, because of hazards to employees impose a separate compliance duty with respect to each employee covered by the requirement. The employer must provide PPE to each employee required to use the PPE, and each failure to provide PPE to an employee may be considered a separate violation.Personal protective equipment . Standards in this part requiring the employer to provide personal protective equipment (PPE), including respirators and other types of PPE, because of hazards to employees impose a separate compliance duty with respect to each employee covered by the requirement. The employer must provide PPE to each employee required to use the PPE, and each failure to provide PPE to an employee may be considered a separate violation. Is this being accomplished by the command?

Training . Standards in this part requiring training on hazards and related matters, such as standards requiring that employees receive training or that the employer train employees, provide training to employees, or institute or implement a training program, impose a separate compliance duty with respect to each employee covered by the requirement. The employer must train each affected employee in the manner required by the standard, and each failure to train an employee may be considered a separate violation. Is this being accomplished by the command?

Each agency head shall comply with all occupational safety and health standards issued under section 6 of the Act, or with alternate standards issued pursuant to this subpart. In complying with section 6 standards, an agency may, upon prior notification to the Secretary, prescribe and enforce more stringent permissible exposure levels or threshold limit values and may require more frequent monitoring of exposures without recourse to the approval procedures for alternate standards described in § 1960.17. In addition, after consultation with employees and safety and health committees and prior notification to the Secretary, an agency may utilize the latest edition of a reference standard if it is more stringent than the section 6 standard. After notification, the Secretary may require the use of the approval procedures for alternate standards for any of the situations described in this paragraph.

Conduct of inspections

29 CFR 1960.25(a) OPNAVINST 5100.23 (Series) Chapter 9

Executive Order 12196 requires that each agency utilize as inspectors “personnel with equipment and competence to recognize hazards.” Inspections shall be conducted by inspectors qualified to recognize and evaluate hazards of the working environment and to suggest general abatement procedures. Safety and health specialists as defined in § 1960.2(s), with experience and/or up-to-date training in occupational safety and health hazard recognition and evaluation are considered as meeting the qualifications of safety and health inspectors. For those working environments where there are less complex hazards, such safety and health specializations as cited above may not be required, but inspectors in such environments shall have sufficient documented training and/or experience in the safety and health hazards of the workplace involved to recognize and evaluate those particular hazards and to suggest general abatement procedures. All inspection personnel must be provided the equipment necessary to conduct a thorough inspection of the workplace involved. Are the inspectors qualified?

29 CFR 1960.25(b) Each agency which has workplaces containing information classified in the interest of national security shall provide access to safety and health inspectors who have obtained the appropriate security clearance. Are ALL workplaces inspected?

29 CFR 1960.25(c) OPNAVINST 5100.23 (Series) Chapter 9

All areas and operations of each workplace, including office operations, shall be inspected at least annually. More frequent inspections shall be conducted in all workplaces where there is an increased risk of accident, injury, or illness due to the nature of the work performed. Sufficient unannounced inspections and unannounced follow-up inspections should be conducted by the agency to ensure the identification and abatement of hazardous conditions.

29 CFR 1960.26(c)

29 CFR 1960.26(b)

Inspection. (1) For the purpose of assuring safe and healthful working conditions for employees of agencies, the head of the agency shall authorize safety and/or health inspectors: To enter without delay, and at reasonable times, any building, installation, facility, construction site, or other area, workplace, or environment where work is performed by employees of the agency; to inspect and investigate during regular working hours and at other reasonable times, and within reasonable limits and in a reasonable manner, any such place of employment and all pertinent conditions, structures, machines, apparatus, devices, equipment, and materials therein, and to question privately any agency employee, and/or any agency supervisory employee, and/or any official in charge of an establishment. Do the employees understand this is not about "finding discrepancies" it's about employees being safe while at work?

29 CFR 1960.26 (3)

When, in the opinion of the inspector, it is necessary to conduct personal monitoring (sampling) of employee's work environments, the inspector may request employees to wear reasonable and necessary personal monitoring devices, e.g., noise dosimeters and air sampling pumps, for periods determined by the inspector to be necessary for complete and effective sampling of the environment. (Industrial Hygiene Survey)

29 CFR 1960.26 (5) OPNAVINST 5100.23 (Series) Chapter 9

Whenever and as soon as it is concluded on the basis of an inspection that a danger exists which could reasonably be expected to cause death or serious physical harm immediately, the inspector shall inform the affected employees and official in charge of the workplace of the danger. The official in charge of the workplace, or a person empowered to act for that official, shall undertake immediate abatement and the withdrawal of employees who are not necessary for abatement of the dangerous conditions. In the event the official in charge of the workplace needs assistance to undertake full abatement, that official shall promptly contact the Designated Agency Safety and Health Official and other responsible agency officials, who shall assist the abatement effort. Safety and health committees shall be informed of all relevant actions and representatives of the employees shall be so informed. Are the discrepancies being identified and documented?

Written reports and notices of unsafe or unhealthful working conditions. (1) The inspector shall, in writing, describe with particularity the procedures followed in the inspection and the findings which form the basis for the issuance of any Notice of Unsafe or Unhealthful Working Conditions. THIS IS THE INSPECTORS REPORT NOT THE EMPLOYEE. Are inspectors reporting these?

Employee reports of unsafe or unhealthful working conditions

Accident investigation

29 CFR 1960.29(a)

Abatement of unsafe or unhealthful working conditions

29 CFR 1960.28 (c ) OPNAVINST 5100.23 (Series) Chapter 10

Any employee or representative of employees, who believes that an unsafe or unhealthful working condition exists in any workplace where such employee is employed, shall have the right and is encouraged to make a report of the unsafe or unhealthful working condition to an appropriate agency safety and health official and request an inspection of such workplace for this purpose. The report shall be reduced to writing either by the individual submitting the report or, in the case of an oral notification, by the above official or other person designated to receive the reports in the workplace. Any such report shall set forth the grounds for the report and shall contain the name of the employee or representative of employees. Upon the request of the individual making such report, no person shall disclose the name of the individual making the report or the names of individual employees referred to in the report, to anyone other than authorized representatives of the Secretary. In the case of imminent danger situations, employees shall make reports by the most expeditious means available. Are forms (5100/11) posted on Safety Board?

While all accidents should be investigated, including accidents involving property damage only, the extent of such investigation shall be reflective of the seriousness of the accident. Are Accidents/mishaps investigated IAW 5100.23 (Series) Chapter 14?

29 CFR 1960.30 (c) OPNAVINST 5100.23 (Series) Chapter 10

The official in charge of the establishment shall promptly prepare an abatement plan with the appropriate participation of the establishment's Safety and Health Official or a designee, if in the judgment of the establishment official the abatement of an unsafe or unhealthful working condition will not be possible within 30 calendar days. Such plan shall contain an explanation of the circumstances of the delay in abatement, a proposed timetable for the abatement, and a summary of steps being taken in the interim to protect employees from being injured as a result of the unsafe or unhealthful working condition. A copy of the plan shall be sent to the safety and health committee, and, if no committee exists, to the representative of the employees. Any changes in an abatement plan will require the preparation of a new plan in accordance with the provisions of this section. Is this information provided to employees?

6 of 172

Reference Chapter 2 Responsibilities Yes No N/A

0205 Policy Formulation and Implementation

0205.b.

206 Specified Support Areas

206.b.

206.c. Has a survey or investigation been requested from COMNAVSAFECEN? 0207 Regional and Activity Programs

0207

0207.b.

0207.b.

0207.b.

0207.b.(2)

0207.b (3)

0207.b (4)0207.b (4) Are clear lines of accountability established?0207.b (5)

0207.b (5) Is the council chaired by the executive officer or equivalent?

Because safety is an inherent responsibility of command, do regions and activities implement all aspects of the Navy Safety and Occupational Health (SOH) and Operational Risk Management program through the chain of command?

Does BUMED provide support services in all aspects of occupational health, which include occupational medicine (medical treatment and surveillance), industrial hygiene, and enviromental health, including field support?

An SOH program is an inherent responsibility of command and therefore, implementation, direction, and control of the program shall be through the chain of command with linemanagers and supervisors being primarily responsible for ensuring safe and healthful operations and working conditions.

Is a policy statement issued adopting and enhancing/expanding the policy established in chapter one (OPNAVINST 5100.23) paragraph 0104 Navy Policy?Is a new policy statement issued within three months after assumption of command, disseminated to all personnel?Do regions and activities accomplish this by posting the policy statement on all official bulletin boards and by other means as appropriate, such as publication in base newspapers, new employee indoctrination, safety videotapes, etc?

Conduct an aggressive, continuing program that is integrated throughout the regions and activities per Navy policy outlined in chapter one (OPNAVINST 5100.23) paragraph 0104 Navy Policy?Are safety function or safety offices organized, staffed and maintained as required by chpater 3? Are regional safety offices established in accordance with paragraph 0304?

Are all personnel fully aware of their obligations and personal responsibilities to the safety program?Are safety councils and committees established at appropriate command levels per chapter 4 of this manual?

7 of 172


0207.b (6)

0207.b (7)

0207.b (7)

0207.b (7) Are all mishaps fully investigated and appropriate corrective action taken?0207.b (7) Are timely reports of findings and actions reported to NAVSAFECEN?

0207.b (8)

0207.b (9) Is a hazard abatement program established as required, per chapter 12?

0207.b (10)

0207.b (10)

0207.b (11)

0207.b (12)

0207.b (12)

0207.b (12) Is recognition of superior performance or conversely deficient performance, included as appropriate?

0207.b (13) Are education and training programs established, per chapter 6?

0207.b (14)

0207.b (15)

0207.b (16) Is a comprehensive self-assessment program for the command established, per chapter 5?

0207.B (17)

Is a liaison between the local safety office and other DoD regions or activities for coordination of specialty functions such as medical, fire, security, etc. established and maintained?

Is there compliance with the mishap investigation reporting procedures in accordance with OPNAVINST 5102.1D/MCOP5102.1B?

Are lost time mishaps reviewed or ensure that they are reviewed as stated in Chapter 14 paragraph 1406?

Are all workplaces inspected at least annually or more frequently based on the level of risk, per chapter 9?

Are procedures established to protect all Navy personnel from coercion, discrimination, or reprisals for participation in the safety program? Are employees aware that they may file, through their appropriate grievance processes, allegations of reprisals for having filed a complaint of unsafe or unhealthy working conditions?

Are employees and their representatives provided with access to exposure and medical records, per chapter 8?Are developed procedures consistent with Office of Personnel Management (OPM), Naval Personnel Command and safety management system guidance to measure and recognize superior and deficient safety performance?

Do performance evaluations include personal accountability consistent with the duties of the position and the SOH Program?

Is occupational health and industrial hygiene field support coordinated with the cognizant medical command, per chapter 8?Is there compliance with applicable Navy regulations and Federal statutes governing the control of classified and sensitive unclassified information (per section 1106)?

Do senior management, middle management and first line supervision support the safety program to the extent of their authority and responsibility by:

8 of 172


0207.b (17)(a) Setting the example for subordinates?0207.b (17)(b) Promptly correcting recognized hazards?0207.b (17)(c) Clearly defining and assigning individual safety responsibilities to subordinates?0207.b (17)(d) Documenting safety performance in evaluation of subordinates?

0207.b (17)(e)

0207.b (17)(f)

0207.b (17)(g) Encouraging safety awareness through incentives and awards programs?0207.b (17)(h) Receiving training appropriate to their level of responsibility and authority, per chapter 6?

0207.b (17)(h)

0207.b (17)(i)

0207.b (17)(j)

0207.b (17)(k) Developing a reward process for outstanding safety contributions?

0207.b (18)

0207.b (19)

0207.b (20)

0207.b (20)

0207.b (21)

Ensuring employees receive appropriate safety training, participating in committees or meetings, and conducting stand up safety meetings where required?Conducting or participating in worksite inspections, including those made by the region or activity safety personnel?

Orientation training does not need to be repeated with subsequent assignments to other levels of management. If significant safety-related changes occur is orientation training repeated?Acquiring, maintaining and requiring the use of approved personal protective equipment, approved safety equipment and other devices necessary to protect employees?

Encouraging a free flow of information and ideas from employees on methods of improving the safety of their workplaces, work practices and work processes?

Are all safety citations and findings from external authorities (i.e., Occupational Safety and Health Administration (OSHA), NAVINSGEN and internal sources), reviewed as warranted, to ensure the underlying causes of the problems are identified and that corrective actions address the underlying causes and not merely the symptoms?

Are cross-reference linkage among employment records, medical records and industrial hygiene surveillance data developed and implemented?Are personnel aware of the formal procedure for processing written reports of unsafe or unhealthy working conditions, per chapter 10?Do commands include provisions to preserve the individual anonymity of those reporting unsafe conditions when requested? Is there support of Field Federal Safety and Health Councils and coordination of mutually beneficial accident prevention and safety programs with local communities to the maximum extent feasible and per applicable laws and regulations?

9 of 172


0207.b (22)

0207.b (23)

0207.b (24)

0207.b (25)

208

0208 Individual Civilian and Military Personnel0208.a. Does each employee:0208.a. Comply with standards and all applicable rules, regulations and orders issued under this manual?

0208.a.

0208.a.

0208.b. Report observed workplace hazards following procedures outlined in chapter 10?

0208.c

Have appropriate officials been designated to consult with representatives of labor organizations recognized under "DON Civilian Human Resources Manual, Subchapter 752" with respect to the safety program?

Have the location(s) been stated where personnel can review copies of the safety standards, records of safety and health committees and their actions and recommendations, the region or activity hazard communication plan, and documentation on the region/command/activity/unit safety program?

Is a copy of the region or activity's annual summary report of occupational injuries and illnesses available for the preceding year and posted no later than 45 days after close of the calendar year, for at least three months?

Is form DD 2272, Department of Defense Occupational Safety and Health Protection Program (Appendix 2-A) posted in prominent locations such as all official bulletin boards?

Are local agreements established to clearly define the respective roles and responsibilities of the BUMED/non-BUMED industrial hygienists, when, where appropriate, due to the nature and complexity of local operations, non-medical activities have established industrial hygiene staffs to assist in implementation of the region or activity's safety program?

Are violators of safety regulations or instructions subject to disciplinary action prescribed in Civilian Personnel Instruction (CPI) 752 (NOTAL) or the Uniform Code of Military Justice?

Does the command also consider such actions in personnel performance evaluations (refer to section 0207.b)?

Immediately report to his/her supervisor injuries or occupational illnesses or property damage resulting from mishaps or any near-mishaps?

10 of 172

Reference Chapter 3 Organization and Staffing Yes No N/A0303 Organization, Functional Responsibilities, and Staffing Criteria for Shore Safety Organizations

303.a. Organization

0303.a.(1)

0303.a.(1)

0303.a.(1)

0303.a.(1) Does the head of the safety organization report directly to the commanding officer of the shore activity?

0301.a.(2)

0303.c. Functional Responsibilities 0303.c.(1)

0303.c.(1)(a)

0303.c.(1)(b)

0303.c.(1)(c)

0303.c.(1)(d)

0303.c.(1)(e)

0303.c.(1)(f)

0303.c.(1)(g)

0303.c.(1)(h)

Does each shore activity, not receiving BOS safety services from their cognizant Naval Region, have a safety organization staffed and organized commensurate with the mission and functions of the command?

Does a safety professional head the safety organization and have the authority, responsibility, and visibility to manage and represent effectively the activity’s safety program?

Is implementation of the safety program considered a command staff level function?

Have shore activities receiving BOS safety services from their cognizant Naval Region established an organizational chart that includes safety as staff function reporting to Commanding Officer?

For Core Programs, as minimum core requirements, do regional organizations and commands with their own safety staffs conduct the following minimum core programs, as applicable:Manage Programs. Plan, direct and administer the program using the components of the process review and measurement system or an equivalent system (e.g., OSH VPP) to focus efforts in those areas which will yield the best overall outcomes for the command's safety and health program?

Conduct Reviews. Perform and document reviews and evaluations to ensure that appropriate requirements and considerations affect all operations, facilities, material and equipment?Conduct Inspections. Plan, conduct and document workplace inspections of all buildings, grounds, facilities, materials, equipment, devices, operations and conditions to ensure compliance with applicable policies, laws, regulations and standards? See Chapters 9 and 11 for detailed program information.

Abate Hazards. Manage the program for the correction of workplace hazards? See Chapters 5 and 12 for detailed program information.Provide Consulting Services. Provide consulting services to all regional and activity organizational elements and all levels of supervision on safety principles and technical aspects and their application to employees and workplaces?

Investigate, Report and Record Mishaps. Coordinate the investigation of all mishaps?

Implement Employee Hazard Reports. Implement requirements and procedures for employee hazard reporting? See Chapter 10 for detailed program information.Analyze Program Effectiveness. Prepare annual self-evaluation(s) of program and program elements following Program Review and Measurement System (PR&MS) Self Assessment Model guidelines contained in Chapter 2, appendix 2-B or equivalent methods?

11 of 172

Reference Chapter 3 Organization and Staffing Yes No N/A0303.c.(1)(i)

0303.c.(1)(j)

0303.c.(1)(k)

0303.c.(1)(l)

0303.c.(1)(m)

NOTE: In addition, do organizations perform core functions in paragraphs 0303.c.(1)(n) through (q), as necessary?0303.c.(1)(n)

0303.c.(1)(o)

0303.c.(1)(p)

0303.c.(1)(q)

0303.c.(1)(r)

0303.c.(1)(s)

0303.c.(1)(t)

0303.c.(1)(t)(1) Weapons and explosive safety0303.c.(1)(t)(2) Fire prevention0303.c.(1)(t)(3) Diving safety0303.c.(1)(t)(4) Mercury control0303.c.(1)(t)(5) Contractor oversight0303.c.(1)(t)(6) Industrial hygiene0303.c.(1)(t)(7) Environmental protection0303.c.(1)(t)(8) Weight handling equipment safety0303.c.(1)(t)(9) Compensation program support

Attend and Conduct Meetings. Attend, conduct or participate in Safety Council and Committee meetings? See Chapter 4 for detailed information.Promote Training and Education. Coordinate training and educational programs? See Chapter 6 for detailed information.Determine Personal Protective Equipment (PPE) Requirements. Evaluate all workplaces and determine PPE requirements? See Chapter 20 for detailed program information.

Coordinate Hazardous Material Control and Management (HMC&M). Coordinate safety aspects of the HMC&M program? See Chapter 7 for detailed program information.

Coordinate Occupational Health. Coordinate all activity aspects of occupational health matters with the cognizant medical command? See Chapter 8 for detailed program information.

Administer the Confined Space Entry/Gas Free Engineering Program. Non-maritime shore safety organizations administer the Confined Space Entry program? See Chapter 27 for detailed program information.

Administer the Asbestos Control Program. Coordinate the development and implementation of the Asbestos Control program? See Chapter 17 for detailed program information.

Administer the Respiratory Protection Program. Administer the Respiratory Protection program? See Chapter 15 for detailed program information.Administer the Radiation Safety Program. Coordinate and/or manage radiation protection and control programs including applicable ionizing and non-ionizing sources (i.e., lasers, radio frequency radiation (RFR), etc.)? See Chapter 22 for detailed program information.

Administer the Motor Vehicle and Traffic Safety Program per OPNAVINST 5100.12 (Series)?

Administer the Recreation and Off-Duty Safety Program per OPNAVINST 5100.25 (Series)?

Manage Certain Other Program Elements. Where applicable, has the activity included the following programs as additive functions requiring additional resources? Activities should determine resource requirements to perform the functions locally or have them performed by commands, based on workload analysis.

12 of 172

Reference Chapter 3 Organization and Staffing Yes No N/A0303.c.(1)(t)(10) Systems safety.0303.c.(1)(t)(11) Anti-Terrorism Force Protection (ATFP) support.0303.c.(1)(u)

0303.c.(1)(u)

0303.c.(1)(u)

0303.c.(1)(u)

0303.c.(2) For indirect (administrative) programs, do safety organizations:0303.c.(2)(a) Supervise personnel, accomplish administrative duties and provide training to personnel supervised?

0303.c.(2)(b) Provide Administrative and Clerical Support including:0303.c.(2)(b)(1) Providing mail, messenger, receptionist, stenographic, typing, duplicating and supply/fiscal services?

0303.c.(2)(b)(2)

0303.c.(2)(b)(3) Processing correspondence?0303.c.(2)(b)(4) Consulting or conferring with individuals?0303.c.(2)(b)(5) Preparing and distributing reports?0303.c.(2)(b)(6) Maintaining publications?0303.c.(2)(c)

0303.c.(2)(d) Attend or conduct meetings, briefings and conferences pertaining to other direct support of the work center?

0303.c.(2)(e)

0303.d. Staffing Criteria:0303.d.

0303.d. Do activities determine the number of professional (non-clerical) personnel needed to perform the primary functions?

0303.e. Position Classification Considerations: 0303.e.

0304 Regional and Consolidated Safety Organizations0304

Is the geography of an activity, the number of locations and the distance between them and sub-units and tenants supported taken into consideration? Does the organization evaluate the degree of support provided to tenants and other personnel on and off base in determining staffing needs? When applicable, perform the additional functions listed in paragraph 0303 c(1)(t), does the activity treat these functions as additives when determining staffing requirements?

Does the activity treat any collateral duties assigned to the safety organization as additives when determining staffing?

Implementing an office automation system to include database management, report generation, word processing and records maintenance?

Manage travel between work centers and to and from safety seminars, training courses or conferences, when essential to the job?

Maintain individual workspaces in a neat, orderly condition and conduct periodic housekeeping (“field days”) as required?

Do activities with more than 400 employees assign, at a minimum, a full time safety manager and adequate clerical support?

Does the safety organization have as its head, a fully qualified and trained safety professional supported by a staff of qualified professionals per NAVEDTRA 10076A?

Does the regional headquaters staff their consolidated safety organizations following the criteria described in section 0303?

13 of 172

Reference Chapter 3 Organization and Staffing Yes No N/A0304.a.

0304.a. Do the agreements specify the services provided and conditions under which they are provided?

0304.a. Does administrative control over the Region safety organization rest with the Region Headquarters Command?

0304.b.

0305 Organization and Staffing of the Occupational Health Function:0305

Do Regions providing safety services and commands that receive those services, establish written agreements as an Intra Service Support Agreement (ISSA) and memorandum of understanding (MOU)?

Do Command/Activities negotiate agreements on a fiscal year or an as needed basis, at which time adjustments shall be made to take into account differences in size or number of activities serviced, services required and cost of operation of the consolidated Regional safety organization?

Do occupational health programs have professional supervision and oversight by qualified occupational health professionals?

Appendix 3-AJob Hazard Categories

Have activity manpower authorization lists been reviewed to identify all jobs by hazard exposure category as listed in Appendix 3-A?

14 of 172

Reference Chapter 4 Councils and Committees Yes No N/A0401 Discussion0401.a

0401.a

0402 Councils and Committees Ashore0402.f. Are safety councils established at all Navy regions and activities that provide their own safety support?0402.f. At the regional level, does the Program Manager responsible for safety chair the council?

0402.f. At the activity level does the CO, XO or equivalent chair the council?0402.f.

0402.f.

0402.f. Are civilian employees represented on the council?0402.f.

0402.f.

0402.f.

0402.f(1)

0402.f(1) Otherwise, does the council meet annually or more frequently as needed?0402.f(1)

0402.f.(2)

0402.f.(2)

0402.f.(2)

0402.g.

Does the region and activity safety committees and councils identify, define and assess issues, problems and needs, and recommend corrective measures?

Are new or revised policies, procedures and practices developed from these recommendations to improve the effectiveness of the Navy Safety and Occupational Health program?

Has Commanding Officer appointed council members in writing, either by letter to an individual or by title or position, in a local instruction?

Does membership include civilian and military personnel representing key organizational elements at the activity, as well as safety and health professionals?

Has the region and activity formally established Region and activity management board or council that addresses safety issues, even if it also addresses other issues, as long as such boards/councils meet the basic intent and criteria of this chapter?

Is participation on the regional council determined by the mission of the command and complexity of its work environment?

Are commands that do not participate in the Regional safety council provided with minutes of the meetings, as necessary?

If the region or activity safety manager attends routinely scheduled department head (staff) meetings or personally brief the CO/XO on a recurring basis, where safety items can be discussed in a timely manner, is only one formal annual meeting required?

Does the activity safety organization retain minutes on file for a minimum of 3 years? Note: Minutes can be maintained electronically.

Does the council develop agendas and action items based on the nature of the Region or activity, its scope of operations and its hazard or mishap experience?Does the subject matter discussed by the council include goals, program improvement plans, mishap prevention experience, requirements and initiatives, compliance issues and hazard abatement?

Does the safety office develop proposed agendas and presentations for the council and ensure meetings are scheduled?When sub level committees are formed, do regions or activities make provisions for their communication with the region or activity council?

15 of 172

Reference Chapter 4 Councils and Committees Yes No N/A0402.h.

0403 Federal Safety and Health Conferences0403

0403

0404.b. Are various activities called to serve as advisors on the Shore Safety Committee as needed?

Do heads of regions or activities that are primarily administrative in nature, or have fewer than 100 employees ensure an open line of communication exists for all employees on safety matters, and use captain's calls, handouts, local newsletters, and other methods, as appropriate, for communication?

Are attendance and participation, by Navy personnel, in regional and national safety conferences strongly encouraged? Where commands sponsor regular seminars or workshops, do commanders or commanding officers consider possible benefits derived from scheduling such meetings in conjunction with a regional Federal Safety and Health Conference?

16 of 172

Reference Chapter 5 Prevention and Control of Workplace Hazards Yes No N/A

0501 Discussion

0501.a.

0501.e.

0501.e.

0501.f.

0501.f. Are they aware of special designs required by OSHA and Navy developed standards to mitigate certain hazards?

0502 Principles of Hazard Control0502.a.

0502.a.

0502.c.

0502.c.

0502.d.

0502.d.

0502.e. Personal Protective Equipment (PPE):

0502.e.

0503 Application of Hazard Control Principles 0503.a. Occupational Safety and Health in the Acquisition Process:

0503.a.

0503.a.

0503.a.

0503.b. Design Reviews:

0503.b.

Have commands established and maintained an effective hazard control program using hazard control principles such as engineering controls (substitution, isolation, ventilation) followed by administrative controls (limited access to high hazard areas, preventive maintenance programs or adjusted work schedules) possibly in conjunction with PPE?

Do commands identify hazardous conditions through workplace inspections, employees hazard reports, and industrial hygiene surveys?Do commands promptly eliminate or control all identified safety and health hazards, subject to priorities based upon the degree of risk posed by the hazards in accordance with guidance of Chapter 12 (Hazard Abatement Programs)?

Are safety professionals and industrial hygienist thoroughly familiar with potential hazards created by various materials, equipment and work processes used in Navy facilities?

Substitution:Do acquisition program managers, regions and activities exercise care in any substitution to ensure that the substitute materials are technically acceptable and they avoid introducing a new or unforeseen hazard?Ventilation:Do regions and activities design, operate and maintain ventilation systems per principles outlined in "ACGIH, Industrial Ventilation, “A Manual of Recommended Practice, American Conference of Governmental Industrial Hygienists”; American National Standards Institute, ANSI/AIHA Z9.2-2006, Fundamentals Governing the Design and Operation of LocalExhaust Ventilation Systems; and Unified Facilities Criteria, UFC 3-410-04N, Industrial Ventilation?

Administrative Controls:

Are all factors taken into consideration in determining whether a hazardous condition exits and whether or not excursions from the limit are permitted?

In instances where adequate levels of risk reduction cannot be achieved through other methods, are personal protective devices used either alone or in conjunction with other protective measure?

Has the Program Manager (PM) established a hazardous material and management program that ensures appropriate considerations are given to eliminating and reducing the use of hazardous material in construction, maintenance, operation, and disposal process?

Does the PM manage the selection, use, and disposal of hazardous material to incur the lowest cost required to protect human health and the environment over the system's facility's or equipment life-cycle?Where use of a hazardous materials cannot be avoided, does the PM develop and implement plans and procedures for identifying, minimizing, tracking, storing, handling and disposing of such materials?

To ensure that appropriate hazard control techniques are applied, do industrial hygienist and safety professionals participate in planning, design, construction and acceptance processes for all facility projects, including both special projects and military construction projects?

17 of 172


0503.b.

0503.b.

0503.c. Operating Procedures:

0503.c.

0503.c.

0503.c.

0503.d. Contracting Procedures:

0503.d.(2)

0503.d.(2) Do SOH personnel:0503.d.(2) Assist in identifying specific safety and health requirements to be included in contracts?0503.d.(2) Participate in pre-performance or pre-construction conferences?0503.d.(2) Participate in review of safety and health issues/concerns with CO regarding all contractors working on the facility?

0503.d.(2)

0503.d.(3)

0503.d.(3) Has the determination been made in consultation with the CO and appropriate legal council?

0503.e. Purchasing Procedures:

0503.e.

0503.f. Interim Hazard Abatement Measures:

0503.f.

0503.g. Permanent Hazard Abatement:

0503.g.

0503.g. Do activities apply two criteria to determine whether engineering controls are feasible?

0503.g.

0503.g.

0504 Development of Hazard Control Recommendations

Do reviewers consider and appropriately influence the design, and engineer safety and occupational health aspects into all facilities that are acquired or constructed for use by Navy personnel?Do design engineers ensure that projects involving potential health hazards, such as toxic material, radiation, noise, or other health hazards, follow established principles of industrial engineering and comply with applicable references?

Do Acquisition PMs, regions and activities include health and safety requirements in standard operation procedures or similar directives that are issued to direct the manner in which work is performed?Do originators of instruction that affect productivity integrate instructions that affect the well being of workers to achieve organization goals in both areas with minimum conflict or confusion?

Do originators of directives that involve work with potential hazards coordinate with cognizant safety and health personnel to ensure that they have considered applicable requirements?

Does safety and occupational health (SOH) office serve as an advisor and provide professional SOH support to the Contracting Officer (CO)?

Review and provide comments to CO on specific submittals such as Accident Prevention Plan, Activity Hazard Analyses, Fire and Flooding Protection Plan, Asbestos Removal Plan, etc.?

Do Navy activities have a clear understanding of who has responsibility, by contract, agreement or practice for the safety and health of all contractor employees?

Where Navy facilities develop specifications for purchase, do the activity's organizations responsible for purchase requests coordinate with cognizant SOH personnel?

Do activities use immediate, temporary hazard abatement measures during the time needed to design and implement hazard control measures?

Do regions and activities use feasible engineering controls to reduce hazardous exposure, even when only partial reduction of exposure is possible through engineering methods?

First: A control of technologically feasible if it is available off-the-the-shelf or if technology exists which can be adapted to the hazard in question? Second: A control is economically feasible if it can be shown that the cost of the control is justified by the benefit introduces?

18 of 172


0504

0504.a. Avoiding, eliminating, or reducing deficiencies by engineering design, material selection or substitution?

0504.b.

0504.c.

0504.d.

0504.e.

0504.f. Providing distinctive markings on hazardous components, equipment or facilities? 0504.g. Requiring use of PPE when other controls effectively reduce the hazards to an acceptable level?0504.h. Monitoring exposure to ensure that engineering controls effectively reduce the hazard? 0504.i. Training employees to recognize hazards and take appropriate precautionary measures?

0504.j

0504.j

0505 Safety and Occupational Health Program Self-Assessment and Improvement Plans

0505

505.a.

0505.b

505.b.

0505.c

0505.d (1) Are commands or unit self assessments completed by 31 December of each calender year using previous fiscal year data?

0505.d (1) Has the command or unit identified the following to the echelon 2 commander (see guidance in ALSAFE 12-054):

0505.d (1)(a)

When recommendations are developed for prevention or reduction of hazards, do acquisition PMs, regions and activities consider:

Isolating hazardous substances, components and operations from other activities, areas, personnel and incompatible materials?Incorporating fail-safe principles to prevent a catastrophic injury to personnel, damage to the equipment, or inadvertent operation of critical equipment?Relocating equipment/components so that personnel access during operation, maintenance, repair or adjustment does not result in exposure to hazards, such as chemical burns, electrical shock, electromagnetic radiation, cutting edges, sharp points or toxic atmospheres?

Providing suitable warning and notes of caution concerning required personnel protection during operation, assembly, maintenance and repair instructions?

Does the region/activity safety council, where established, review and concur with self assessments and improvements plans and review the progress achieved in implementing improvement actions at least annually?

For activities not requiring a council, does the commander, commanding officer or officer in charge review and approve annual self-assessment and improvement plans?

Do regions and field activities perform a self-assessment of the command program at least annually using self assessment guidance developed by their headquarters command or Process Review and Measurement System Self Assessment Model?

Do region or activity self assessments include, as a minimum, incorporation of a review of progress toward implementing the Department of the Navy safety vision, mishap statistics, inspection records, hazard reports and risk assessments, evaluations of compliance posture, and the industrial hygiene exposure assessment reports outlined in chapter 8 of this manual?

Based on the results of the assessment, do regions and activities develop specific improvement strategies for each area identified as needing imporvement? and implement plans of action to address program areas in need of improvement?

For activities not requiring a safety council, the commander, CO, or OIC shall review and approve the annual self-assessment and improvement

Do headquarters commands review subordinate activity self assessments and palns of action to develop improvement plans for their overall chain of command's safety program?

The top five areas of concern (weaknesses) to include difficult to solve problems, specific program areas most in need of improvement?

19 of 172


505.d.(1)(b) Successes (strengths) to include up to five program strenghs such as success stories, design changes of specific hazards, etc?

0505.d (1)(c) Opportunities for program improvement to include up to five itesm which will summarize improvement suggestions etc?

Note:

0505.d(2)

0506 Acquisition Program Assessments and Reviews

0506

0507 Responsibilities0507.c. Do Commanders, Commanding Officers and Officers in Charge:

0507.c.(1)

0507.c.(2)

0507.c.(3)

Activties that possess or are seeking VPP certification and use calandar year evaluation interval shall submit their self assessment packages by 15 February of the following year.Do echelon 3 commands forward review subordinate submission with the consolidated top five areas no later than 15 March of each calender year (see ALSAFE 12-054?

Do SOH professionals familiar with the acquisition system become involved with Integrated Logistics Assessments (ILA) and with direct program support through participation in Integrated Process Teams (IPTs)?

Systematically identify hazards, priortize, and apply controls through data analysis and application of safety management tools?

Apply procedures for control across the design, engineering, installation, operations, maintenance, and disposal interface ensuring the integration of a dynamic hazard control program consistent with operational and SOH requirements?

Encourage safety and occupational health professionals at R&D labs and other acquisition activities to obtain basic acquisition training as described in Chapter 6, appendix 6-A?

20 of 172

Reference Chapter 6 Training Yes No N/A

0601 Discussion0601.b.

0601.b. At a minimum, does the training meet the requirements 29 CFR 1960 Subpart H "Training"?0601.b.

0602 Shore Training Programs0602.a.

0602.a. Does this training include:0602.a.(1) An overview of appropriate statutes?0602.a.(2)

0602.a.(3) Is broad understanding of the material addressed in OPNAVINST 5100.23G considered essential?0602.a.(4)

0602.a.(5) An overview of current safety emphasis programs as defined by higher command?0602.b. Supervisors and Employee Representatives0602.b.(1)

0602.b.(2)

0602.b.(2)

0602.b.(2)

0602.b.(3)

0602.c.(1) Non-Supervisory Personnel0602.c.(1)

0602.c.(1)

Do regions or activities design, provide and tailor training programs to the level of responsibility of the individual so as to instruct individual employees to perform their work in a safe and healthful manner?

Are personnel provided with sufficient knowledge for their effective participation in the region's and activity's safety and occupational health (SOH) program?

Management Personnel. Do commands provide management personnel with sufficient training to enable them to actively and effectively support programs in their specific areas of responsibility?

An in depth examination of management's responsibilities in relation to the Region or activity safety program? (Training topics shall include compliance procedures, mishap costs and prevention strategies, and performance standards and evaluation)

An examination of region or activity program goals and objectives including review of local mishap experience, trends and reduction target areas?

Do regions or activities provide training for supervisory personnel and employee representatives that include introductory and specialized courses to enable them to recognize unsafe and unhealthful working conditions and practices in the workplace?

Do regions or activities provide supervisory personnel with training that includes the development of skills necessary to manage their programs at the work unit level? Do regions or activities ensure that training for supervisory personnel meets the requirements of 29 CFR 1960.55 "training of supervisors"? Does training include safety performance measurement (both in terms of mishap/hazard prevention and individual employee/supervisor performance), hazard identification and analysis, enforcement of standards, mishap investigation, the use and maintenance of personal protective equipment, and HMC&M?

Do regions or activities provide newly appointed supervisors with safety training as soon as possible but no later than 180 days after becoming a supervisor?

Do regions or activities provide training to non-supervisory personnel that includes specialized job safety and health training appropriate to the work performed by the employees?

Do regions or activities provide instructions on employee rights and responsibilities under relevant statutes, regulations, and the safety program?

21 of 172


0602.c.(1)

0602.c.(2) Do safety offices direct specialized training for non-supervisory personnel to the individual's worksite?

0602.c.(3)

0602.c.(3) Does initial training provided for new employees include:0602.c.(3)(a) Command and/or local policy on safety and occupational health?0602.c.(3)(b) Work unit policy on safety and occupational health?0602.c.(3)(c) Individual responsibility for safety and health?0602.c.(3)(d) Employee reporting procedures for hazardous operations/conditions?0602.c.(3)(e) Awareness of hazards common to the individual's worksite, trade, occupation or task?

0602.c.(3)(f) Specific hazards of chemicals/materials used in the workplace and the activity's HAZCOM plan?

0602.c.(3)(g)

0602.c.(3)(h) Personal protective equipment requirements for the job?0602.d. Safety and Occupational Health Personnel. 0602.d.

0602.d.(1) Do managers establish and implement individual development plans (IDPs) for each SOH professional?

0602.d.(1) Is NAVEDTRA Publication 10076A used as guidance in planning training for personnel identified? 0602.d.(2) As a minimum, do managers include the following courses in IDPs for SOH professionals:

0602.d.(2) NAVOSH Assessment Tools and Strategies, A-493-0089? 0602.d.(2) Introduction to NAVOSH (Ashore), A-493-0050? 0602.d.(2) Electrical Safety Standards, A-493-0033?0602.d.(2) Navy Ergonomics Program, A-493-0085?0602.d.(2) Machinery and Machine Guarding Standards, A-493-0073?0602.d.(2) General Industry Standards, A-493-0061? 0602.d.(2) Introduction to Hazardous Materials (Ashore), A-493-0031? 0602.d.(2) Introduction to Industrial Hygiene, A-493-0035?0602.d.(2)

0602.e. Collateral Duty Safety Personnel0602.e.(1)

Does this training include an examination of the relevant standards, an analysis of the material and equipment hazards associated with the worksite and standard operating procedures (SOPs) for specific tasks?

Do regions or activities make arrangements to provide training to all new personnel as close to the time of assuming their responsibilities as possible?

An introduction to the local occupational health program, including how to obtain occupational medical assistance, obtain routine medical evaluations and procedures to follow in case of occupational illness or injury?

Do regions or activities ensure that safety and occupational health personnel are trained through courses, laboratory experience and field study to perform the necessary technical monitoring, consulting, testing, inspecting and other tasks that are required of SOH professionals?

Do managers include in IDPs provisions for completing the core courses listed above?

Do regions or activities provide training to personnel consistent with 29 CFR 1960 Subpart H to enhance the performance of their duties as specified by Navy programs within the nature and scope of the activity's operations?

22 of 172


0602.e.(2)

0602.e.(3)

0602.e.(4)

0602.f. First Aid and Cardiopulmonary Resuscitation (CPR) Training Requirements0602.f.(1)

Does the manager:0602.f.(1)(a) Identify those personnel who require such training?0602.f.(1)(b) Ensure that maintenance of appropriate records or documentation... 0602.f.(1)(c)

0602.f.(2)

0602.f.(2)(a) Emergency Response Team?0602.f.(2)(b) Fire department personnel?0602.f.(2)(c) Security personnel?0602.f.(2)(d) Medical provider(s)?0602.f.(2)(e) Safety and industrial hygiene personnel?0602.f.(2)(f) Electrical power plant, power distribution, electrical and electronics personnel?0602.f.(2)(g) Supervisors of above personnel or of personnel whose jobs pose comparable risks or risk of severe injury?

0602.f.(2)(h) Personnel whose jobs pose comparable risks to above personnel or who work at remote sites?0602.f.(3) Do regions or activities obtain First Aid/CPR training through:0602.f.(3)

0602.f.(3) The American Red Cross, another recognized CPR training certification source?

0602.f.(3)

0602.f.(3)

As a minimum, do military and/or civilian personnel assigned collateral duty responsibilities for safety management satisfactorily complete the NAVOSHENVTRACEN course, Introduction to Navy Occupational Safety and Health (Ashore), A-493-0050?

Do personnel conducting formal safety training complete a formal instructor-training course offered by NETC or equivalent course (as determined or approved by the cognizant Echelon 2 headquaters)?

Do managers prepare individual development plans (IDPs) for collateral duty safety personnel and address training necessary to accomplish assigned duties?

Does the region's or activity's commanding officer provide First Aid and Cardiopulmonary Resuscitation (CPR) Training to those personnel who require it, due to the nature of their work and responsibility?

Coordinate development of procedures and requirements to ensure position descriptions are modified to include the requirement for training and administering CPR as condition of employement where necessary?

Do regions or activities review the following categories of personnel to identify specific individuals or job positions required to administer first aid and/or CPR:

American Heart Association facilitator located at Navy hospitals and clinics? (The American Heart Association course of instruction is provided to Navy personnel through the Navy Military Training Network by the Chief, Bureau of Medicine and Surgery (BUMED)).

First aid training through the BUMED hospitals/clinics or through nationally recognized consensus standards training developed by the American Red Cross for Basic and Advanced First Aid?

Is First aid training provided through the BUMED hospitals/clinics or through nationally recognized consensus standards training developed by the American Red Cross?

23 of 172


0602.f.(4) Do regions or activities obtain refresher training as necessary to maintain current certification of the trained personnel?

0604 Educational and Reference Materials0604 Does the region or activity maintain and subscribe to appropriate materials as an integral element of the program?

0604.a

0604.c

0604.d. Do personnel refer questions on the HM program to: Navy and Marine Corps Public Health Center?

0605 Recordkeeping (Shore Regions and Activities)0605 Do safety offices ensure maintenance of training records for 5 years? 0605 Do safety offices record training of military personnel in the Service Record following applicable regulations? 0605

0605.a

0605.b

0605.c For each training course, does the region or activity implement a means to determine the effectiveness of the training?

0605.d Does the safety office maintain copies of lesson plans used for local training classes?

0606 Professional Certification0606

0607 Responsibilities0607.g. Do Commanders, Commanding Officers, Directors and Officers in Charge:0607.g.(1) Identify local safety training requirements and sources for training appropriate for personnel?0607.g.(2)

0607.g.(3) Maintain local training records?

Does the region or activity maintain a suitable safety and health reference library appropriate to the size and functions of the activity?Does the region or activity use Schedule Title: FSC Group 76, Part 1 to purchase various safety-related publications, posters, periodicals and films?

Do safety offices make the records accessible to authorized personnel involved in safety, occupational health and the management and administration of HM/HW?

Does the minimum required recordkeeping data for individuals trained include: Name, Organization, (code/shop), Job title, Rate/Rank/Series?For each training session or course does an individual complete needed data: Course Date(s), Course Title, Instructor's Name, Description and/or Reference to Lesson Plan?

Do local commands support the efforts (within funding capabilities) for the certification of their staff by providing funding for preparatory courses and attendance at meetings/courses for the purpose of maintaining certification? (NAVOSHENVTRACEN offers CIH, CSP or CHMM computer study programs for those individuals preparing for the certification examinations.)

Accomplish safety training consistent with the region or activity needs and the requirements of chapter 6 as set forth in a local written training plan?

24 of 172

Reference Chapter 7 Hazardous Material Control and Management (HMC&M) Yes No N/A

0702 Responsibilities0702.e.

0702.e.

0702.g. Do commanders, commanding officers and officers in charge of shore facilities:0702.g.(1)

0702.g.(2) Develop, implement, manage, and revise as necessary an activity level HM AUL?0702.g.(2)

0702.g.(2)

0702.g.(2) Does the AUL identify the process(es) for each HM listed? 0702.g.(2) Does the activity maintain this AUL for all HM it allows for use?0702.g.(3)

0702.g.(4)

0702.g.(5)

0702.g.(6)

0702.g.(7) Establish a system to ensure that all hazardous materials are properly labeled?0702.g.(7) Are all HM labeled with:

Does the Navy region commanders coordinate with CNIC, program managers and field activities to which they provide support to implement, manage and maintain HMC&M programs as required by this manual and OPNAVINST 5090.1B; NAVSUP Publication 718; NAVSUP Publication 722; CNO ltr 5090, ser: N4/4u745710 of 4 Feb 04, CHRIMP/Regional HMC&M at Navy Shore Activities; Title 29 CFR Section 1910.1450 and DOD Instruction 6050.5?

Does the Navy region executing centralized HMC&M program functions on behalf of regional shore facilities comply with those provisions applicable to shore activities per this chapter?

Define and assign responsibilities within the facility for the HMC&M program and ensure compliance with this chapter and Title 29 Code of Federal Regulations 1910.1200; OPNAVINST 5090.1B; NAVSUP Publication 718; NAVSUP Publication 722; CNO ltr 5090, ser: N4/4u745710 of 4 Feb 04, CHRIMP/Regional HMC&M at Navy Shore Activities?

Does the AUL include all HM and any materials having components that meet or have potential to meet the definition of HW per 40 CFR 261 during any phase of its existence?

For each HM listed, does the AUL include the stock number and item name for stock numbered items purchased via the stock system, or product name and manufacturer name as they appear on the product label/material safety data sheet (MSDS)/Safety Data Sheet (SDS)?

Ensure that appropriate SOH professionals perform a safety and health review of HM proposed for addition to the activity AUL prior to purchase of the HM and that a periodic review of the AUL is performed to eliminate unnecessary HM, substitute less hazardous HM where feasible and comply with provisions of NAVSUP Publication 718?

Develop, implement, and revise, as necessary, a facility level HM inventory that includes, as a minimum, the identity and quantity (by building) of HM present at the facility, including whether the material is an extremely hazardous substance, hazardous substance, toxic chemical as defined under EPCRA?

Ensure HM is uniquely identified for reference, retrieval, and cross-reference between the label, MSDS/SDS, AUL, and HM inventory?Maintain an MSDS/SDS for all HM issued, received or brought onto the facility or allowed to be brought onto the facility?

25 of 172


0702.g.(7)(a)

0702.g.(7)(b) Standard DOD Hazardous Chemical Warning labels (DD2551 or DD2522)?

0702.g.(7)(c)

NOTE:

NOTE:

0702.g.(8)

0702.g.(9)

0702.g.(9)(a)

0702.g.(9)(a) Does the responsible organization take action or provide guidance in rectifying the problem?

0702.g.(9)(a) Is this accomplished before the HM is used?0702.g.(9)(b)

0702.g.(9)(b) Is HM for which there is no apparent authorized use, returned to the HAZMIN center for proper disposal?

0702.g.(9)(c)

0702.g.(10) Ensure the implementation of a compliant hazard communication program at the facility?

0702.g.(10) In meeting this responsibility, does the facility's responsible organization:0702.g.(10)(a)

0702.g.(10)(b)

NOTE: Do employees have access to MSDS/SDS's prior to beginning work with HM, if they wish to do so?

0702.g.(10)(c)

The original HAZCOM compliant manufacturer's label or an exact copy of the HAZCOM compliant manufacturer's label?

A label developed by the facility that contains the following information for the MSDS: the manufacturer's name, product identity, and hazard warnings?Does the region or activity ensure that manufacturer's HAZCOM labels provide the manufacturer's name, product name and hazard warning?

Are labeling deficiencies reported to the external supply organization, manufacturer or distributor that supplied the material to the activity?Implement and conduct CHRIMP operations as specified in Title 29 Code of Federal Regulations 1910.1200; OPNAVINST 5090.1B; NAVSUP Publication 718; NAVSUP Publication 722; CNO ltr 5090, ser: N4/4u745710 of 4 Feb 04, CHRIMP/Regional HMC&M at Navy Shore Activities?

Do activity managers, such as shop heads, general foremen, and supervisors participate in the HMC&M program by:Notifying the facility's responsible organization if HM not allowed for use is delivered to the shop or work center?

Overseeing their respective areas of responsibility to ensure that personnel use HM only in processes for which it is authorized via the AUL?

Ensuring pipes, tanks, and breakdown containers within their respective areas of responsibility are properly labeled per paragraph 0702.g.(7)(c) and the region's or activity’s written HAZCOM Plan?

Participate in the DoD Hazardous Material Information Resource System (HMIRS) per guidance in appendix 7-A?Establish a system to ensure that current MSDS's are obtained and made readily available to employees during all working hours and that employees have an opportunity to review them prior to working with HM?

Assist in establishing and implementing procedures for preparing MSDS/SDS's for locally developed or manufactured HM, and conducting reviews of all locally prepared MSDS/SDS's?

26 of 172


0702.g.(10)(d)

0702.g.(10)(d) Are MSDS/SDS deficiencies reported to the cognizant manufacturer/ distributor for correction?0702.g.(10)(e)

0702.g.(10)(f)

0702.g.(10)(g) Ensure that compliant written HAZCOM plan is implemented and addresses the key elements of reference 7-1?

0702.g.(10)(h) Establish a program that ensures employees receive required HAZCOM training?

0702.g.(10)(h) Are supervisors and training specialists assisted in conducting HAZCOM training when requested?

NOTE:

NOTE: Introduction to Hazardous Material (Ashore), course A-493-0031?NOTE: Hazardous Material Control and Management Technician, course A-322-2600?0702.g.(10)(i)

0706 Chemical Hygiene Plans0706 Does the region or activity with laboratories develop Chemical Hygiene Plans?0707 Process Safety Management0707

Appendix 7-A Hazardous Material Information Resource System (HMIRS)

2.a.

2.b.2.b.(1)

Establish criteria and procedures for reviewing incoming MSDS/SDS's to ensure they contain the information required by Title 29 Code of Federal Regulations (CFR) Section 1910.1200?

Provide reports and recommendations resulting from the safety and health review to appropriate line supervisors, managers, and the activity HMC&M committee (where established)?

Provide consultation on the identification of HM, the labeling and marking of HM containers for special applications or conditions of use, and for HM produced or manufactured locally by the facility?

Are the following available courses completed by safety professionals or collateral duty personnel assigned the duties or responsibilities for the region or activity HMC&M:

Is a mechanism provided for informing contractors of Navy HM to which their personnel may be exposed, and for informing Navy personnel of contractor's HM to which they may be potentially exposed? Are relevant MSDS/SDSs provided?

Does the region or activity meeting the threshold quantities of Title 29 CFR 1910.119 follow the requirements of that reference?

Do vendors and suppliers selling material to DoD activities submit a fully completed MSDS/SDS to the procuring activity per the procurement contract?Commands and Activities:Do contracting officers for Navy shore activities and ships purchasing HM or consumables through vendors or other federal agencies (e.g., DLA, Government Services Administration (GSA), etc.) require the MSDS/SDS as a line item deliverable in the contract?

27 of 172


2.b.(1)

2.b.(2)

2.b.(3)

2.b.(3) Does the region, activity or ship determine whether the MSDS/SDS is present in the HMIRS?

2.b.(3)

2.b.(4)

Do contracting officers attach a copy of documentation that adequately identifies the product (including National Stock Number (NSN)/Locally (service) - assigned temporary Stock Number (LSN), contract number, applicable military/Federal specification to which the product conforms, date of purchase or requisition and the point of contact to the MSDS/SDS)?

Upon award does the contracting officer forward the MSDS/SDS (and the manufacturer's current hazard communication standard compliant hazard warning label) to the Navy and Marine Corps Public Health Center, which is the Navy (service) focal point for MSDS/SDS submission?

For HM locally acquired (blanket purchases, direct buys or "off-the-shelf" purchases) does the region, activity or ship ensure that it obtains an MSDS/SDS from the vendor and the MSDS/SDS is available at the region, activity or ship?

If it is not, does the region, activity or ship forward the MSDS/SDS to the NEHC, as specified above, for inclusion in the HMIS?Does each region, activity or ship retain either the HMIRS MSDS/SDS or copies of the manufacturer’s MSDS's for all HM received by that activity to fulfill the requirements of Title 29 Code of Federal Regulations (CFR) Section 1910.1200?

28 of 172

Reference Chapter 8 Occupational Health Yes No N/A

0802 Industrial Hygiene0802.b

0802.b.(1) Basic characterization?0802.b.(2) Exposure assessment?0802.b.(3) Further information gathering?0802.b.(4) Communication and documentation?0802.b.(5) Re-assessment?0802.b

0802.b Does BUMED routinely update the exposure assessment? 0802.c.

0802.c.(1) Descriptions of operations, tasks and work practices that take place in the workplace (e.g., welding, spray painting)?

0802.c.(1)

0802.c.(1) Does the IH note the frequency and duration of events taking place within the workplace?

0802.c.(2) Is a list of hazardous materials (HM) that present significant risk used in the workplace?

0802.c.(2) Does the list include a description of use at each workplace?

NOTE: Do IHs have access to a copy of the authorized use list for the workplaces being surveyed?

0802.c.(3)

0802.c.(4) Is there a description of existing controls (e.g., industrial ventilation and personal protective equipment)?

0802.d. Does the BUMED assess exposures using all information available? 0802.d.(1) Does BUMED IH group workers having the same exposure profile? 0802.d.(2) Does the BUMED IH use all quantitative and qualitative data to determine the degree of personnel exposure?0802.d.(3)

0802.d.(3) Does BUMED IH evaluate and determine the adequacy of existing controls?

Does the cognizant industrial hygienist (IH) conduct five major steps of occupational exposure assessment to setup a functional program, including:

Does the Chief, Bureau of Medicine and Surgery (BUMED) provide Navy shore activities with a current, thorough occupational exposure assessment of each workplace?

Does the cognizant industrial hygienist (IH) conduct a survey of each workplace to obtain, as a minimum, the following information:

Does the description include a layout sketch incorporating relevant aspects of the factors listed below, along with the number of persons assigned to the operation/task and the specific work area(s) occupied?

Is there a list of physical hazards (e.g., noise, non-ionizing radiation, etc.) in the workplace that present significant risk (including a brief description of their source(s))?

Does the BUMED IH judge the similar exposure groups (SEG) profile as acceptable, uncertain or unacceptable as defined in Industrial Hygiene Field Operations Manual?

29 of 172


0802.d.(4)

0802.e. Further Information gathering0802.e.

0802.e.(1)

0802.e.(1)(a) Personnel exposures?

0802.e.(1)(b) The need to control exposures?0802.e.(1)(c) The effectiveness of measures directed at reducing or eliminating health hazards?0802.e.(1)(c) Does an IH accomplish assessments using data gathered from representative sampling programs in the workplace?

0802.e(2)

0802.f. Communication and documentation0802.f.

0802.f.(1) Does the cognizant BUMED IH provide an exposure assessment report to the surveyed activity?0802.f.(2) Does cognizant BUMED IH maintain documentation on:0802.f.(2)(a) Workplace basic characterization?0802.f.(2)(b) Exposure profiles?0802.f.(2)(c) Exposure assessment judgments and findings?0802.f.(2)(d) Health hazard controls?0802.f.(2)(e) Recommendations?0802.f.(2)(f) Reassessment frequency?0802.f.(3) Does the cognizant BUMED IH prepare and implement an exposure monitoring plan to:0802.f.(3)(a) Fulfill regulatory sampling requirements?0802.f.(3)(b) Collect sufficient data to allow statistically valid exposure assessments?

Does BUMED IH make appropriate recommendations regarding the workplace, workforce and environmental agents based on results of the exposure assessments by using acceptable industrial hygiene practices?

Are exposure profiles that are not well understood or which acceptability judgments can not be made with high confidence, further characterized by collecting additional information?

Quantitative Exposure Monitoring. Is monitoring the workplace for toxic substances and/or harmful physical agents, the primary means of assessing:

Does an IH determine the appropriate information needed, gather it and evaluate so that an acceptable and unacceptable exposure assessment reached and appropriate controls and recommendations can be implemented?

Are reports and records used to ensure effective communication of workplace findings and successful continuity of industrial hygiene program?

30 of 172


0802.f.(3)(c) Track workplace exposures to determine trends?0802.f.(3)(d) Validate professional judgments of unchanged exposure assessments?0802.f.(3)

0802.f.(3)

0802.f.(3) Does the IH use professional judgment to determine the frequency of monitoring where standards do not exist?

0802.f.(3)

0802.f.(3)

0802.f.(3)

0802.g. Reassessment0802.g.

0802.g.

0802.g. Do any changes in the workplace that could effect exposures prompt reevaluation?0802.g. Has the surveyed activity established procedures to ensure that the cognizant IH is notified of any such changes?0802.g. For operations governed by OSHA regulations, does the cognizant IH comply with the exposure assessment required?

0802.g. Are any changes in the workplace that could affect exposures promptly re-evaluated?0802.g.

0803 Retention and Access Sampling Records (Disposition)0803.a.

0803.b.

Does the IH design IH plan to obtain samples representative of actual exposures and to analyze the data collected to minimize any bias involved in the process?Is the plan based on a sampling strategy, such as the one outlined in AIHA “A Strategy for Occupational Exposure Assessment”?

When BUMED IH performs the exposure monitoring, does he or she incorporate exposure monitoring plan in the industrial hygiene report? Does IH include the following information: what must be sampled, how many samples are needed and how often the sampling should be performed?If the IH does not develop an exposure monitoring plan in the industrial hygiene survey report, is appendix 8-A or a computer generated facsimile (i.e., containing data fields of appendix 8-A) used for developing the exposure monitoring plan, per Industrial Hygiene Field Operations Manual?

Regardless of their activity’s category, does the IH evaluate all administrative workplaces and tasks at the category III periodicity? Regardless of their activity’s category, does the IH evaluate all administrative workplaces and or processes depending upon the IH exposure assessment?

Regardless of any activity's category, does the IH specify more frequent evaluations for specific workspaces or processes depending upon the industrial hygiene exposure assessment?

Does BUMED IH forward individual exposure monitoring information for placement into the individual’s medical record?Does BUMED retain survey, evaluation and sampling records (section 0802) for a minimum of 40 years (except where specific applicable standards require retention for a longer time)?

31 of 172


0803.c.

0804 Occupational Exposure Registry and Data Bank0804

0804.a.

0804.b.

0805 Occupational and Environmental Medicine (OEM) Program 0805.a. Does the comprehensive OEM program include:0805.a.(1) Treatment and referral (as indicated) of work related illnesses and injuries?0805.a.(2) Medical surveillance program management including:0805.a.(2)(a)

0805.a.(2)(b) Medical surveillance examinations? 0805.a.(3) Fitness for duty medical evaluations (e.g., pre-placement, return-to-work, etc.)?0805.a.(4) Job certification examinations?0805.a.(5) Worksites consultation?0805.a.(6)

0805.a.(7) Occupational illness and injury case management to restore workers to optimal health and productivity?

0806 Consultative Assistance Teams0806

0806.a.(1)

0806.a.(2)

Does the supporting medical activity provide employees and their representatives access to records pertinent to their individual exposures, in a reasonable time, place and manner?

The Navy requires standardization of industrial hygiene data. Analysis of this data will allow for the assessment of hazardous operations Navy-wide and reduce personnel exposure to health hazards. To satisfy this requirement, do personnel conducting surveys use:

Sampling survey forms- contained in Industrial Hygiene Field Operations Manual or computerized equivalent (i.e., at a minimum containing the same data fields)?

Does the activity submitting samples to laboratories other than the Consolidated Industrial Hygiene Laboratories (due to special projects or contracted services) submit a copy of analytical results to NEHC?

Validation of personnel assignment identified for medical surveillance programs based on industrial hygiene data?

Epidemiological assessments of available injury and illness data to assist with prevention efforts and reduction of lost work time?

To facilitate OH support, consultative assistance teams (CATs) are available to provide timely, high quality, technical and professional assistance to field activities. CATs are available for all aspects of occupational health programs (e.g., industrial hygiene, OM/nursing, audiology). The three types of CATS are:

Type I. Provides assistance for situations that are beyond the professional capability of local resources and which may threaten or have adverse health affects to naval personnel or their working environment.

Type II. Provides professional and administrative personnel to evaluate programmanagement, effectiveness of program implementation and management of resources.

32 of 172


0806.a.(3)

0806.b. Does the activity requiring CAT assistance submit requests to BUMED M3F4 by letter or message?

0806.b. After receiving a request, does BUMED contact the requesting activity and determine the scope of work?

0806.b. In emergency situations, a request by telephone is acceptable; however, does confirmation by message or letter follow?

0806.c.

0806.c. Are requesting activities ultimately responsible for all required sampling and surveys?

0807 Medical Records0807

0808 Responsibilities0808.b.

0808.b.

Type III. Augments local staff to provide required services beyond the capabilitiesof the requesting activity.

Do CATs not conduct pre-NAVINSGEN OSH program oversight reviews and not conduct complete routine periodic surveys, but assist in evaluating new processes or environments?

Is the maintenance, retention and disposition of personnel medical records in accordance with Title 29 CFR 1910; Title 29 CFR 1915; Title 29 CFR 1926; Title 29 CFR 1910.1020, Subpart Z; NEHC Technical Manual OM 6260; NEHC Technical Manual NEHC 6260 TM96-2 and NAVMED P-117?

Do activity commanders, commanding officers and officers in charge provide a safe and healthful work place for their employees and coordinate with the cognizant BUMED activity for the provision of the OH services? When non-medical activities perform services outlined in this chapter, do they perform those services per, and under the technical oversight of BUMED?

33 of 172

Reference Chapter 9 SOH Inspection Program Yes No N/A

0901 Discussion0901.a0901.a

0901.a Does the activity follow up on accident reports and abatement actions?0901.b Command Evaluations:0901.b

0901.c0901.c(1)

0902 Qualifications for Inspectors0902.a. Do inspectors thoroughly familiarize themselves with the equipment and work practices at the workplace?

0902.a.

0902.b.

0902.c.

0903 Workplace Inspections - Shore Activity Level0903 Does the activity’s commanding officer ensure that:0903 Routine workplace inspections are conducted? 0903 The cognizant medical activities provide occupational health support as necessary?

0903 Line managers/ supervisors are responsible for day-to-day inspections and corrective actions?

Workplace Inspections: Do regional safety service providers and activity commands inspect for hazardous conditions, unsafe work practices and violations of standards?

Do headquarters commands ensure that appropriate evaluations of safety program effectiveness are conducted at subordinate commands and field activities at a minium every three years?

Oversight Evaluations: Does the Naval Inspector General (NAVINSGEN) conduct shore oversight inspections of headquarters and subordinate commands to evaluate compliance with requirements of the program?

Does the Navy base qualifications for inspectors on the degree of hazard and complexity of the inspection areas or operations?Have fully qualified journeyman safety inspectors (e.g., GS-018, 019 or 803 classification series) taken the following classroom courses through the NAVENVTRACEN or equivalent as determined by the cognizant echelon 2 safety program manager: Occupational Safety and Health Assessment Tools and Strategies, A-493-0089; Introduction to Occupational Safety and Health (Ashore), A-493-0050; General Industry Safety Standards, A-493-0061; Introduction to Industrial Hygiene, A-493-0035; Electrical Safety Standards, A-493-0033; Introduction to Hazardous Materials (Ashore), A-493-0031; Navy Ergonomics Program, A-493-0085; Machinery and Machine Guarding, A-493-0073?

0902.b. NOTE:

Do safety managers include in individual development plans (IDPs) provisions for completing the core courses listed above?

Have SOH personnel who inspect high risk operations (i.e. confind space, lock out tag out, fall protection etc) been properly trained? High risk operations fall outside the basic core required training.

34 of 172


0903.a. Do safety and health personnel inspect all workplaces at least annually?

0903.a.

0903.b.

0903.c Do regions and activities provide inspectors with appropriate technical test equipment, where required?

0903.d

0903.d Are inspections consistent with the operational concepts of the Navy and local commands?

0903.e.

0903.f.

0903.g.

0903.g. Do activities initiate immediate abatement action or terminate the operation?0903.h.

0903.h.

0903.h.

0903.h.

0903.i. Do regions and activities correct violations of standards and other deficiencies found during inspection per chapter 12?

0903.j.

0903.j.

Do they inspect high hazard areas more frequently, based upon an assessment of the potential for injuries, occupational illnesses or damage to Navy property? If regions or activities do not have the required expertise, do they make arrangements with the appropriate echelon commander to obtain assistance?

Do regions and activities conduct inspections in a manner to preclude unreasonable disruption of the operations of the workplace?

Do inspectors deny the right of accompaniment to any person whose participation interferes with a fair and orderly inspection or who lacks the required security clearance?

Do inspectors discuss matters affecting safety and health with employees or employee representatives, and offer them the opportunity to identify unsafe or unhealthful working conditions while remaining anonymous?

When an inspector discovers an imminent danger situation during an inspection, does the inspector immediately notify supervisory personnel (in certain cases the commanding officer of the activity)?

Do inspectors provide Deficiency Notices for all risk assessment codes (RAC) 1, 2 and 3 deficiencies to the official in charge of the operation within a reasonable time, but not later than 15 working days after the inspection?

Do inspectors provide a written report of the inspection, including administrative findings, to the official in charge of the operation within 45 days of completion of the inspection?

For notification purposes, do inspectors use OPNAV 5100/12, Deficiency Notice or a computer-generated form that includes all the information of OPNAV 5100/12?

Are inspectors aware that they can group multiple identical deficiencies in the same organization (jurisdiction of the same supervisor) or worksite into a single notice?

Do regions and activities conduct follow-up workplace inspections to verify that completed corrections have been made or that actions addressing specific problem areas are taken?

When deficiency notices have been prepared, do regions or activities use section C of OPNAV 5100/12 to document follow-up inspections?

35 of 172


0903.j.

0903.k. Do regions or activities retain inspection records for a minimum of 5 years?0904 SOH Management Evaluations0904 & 905.a

0904 Whenever possible, are these evaluations part of a Command Inspection?0904.a. Do command evaluations:0904.a.(1) Evaluate the results of mishap prevention efforts?0904.a.(2) Include a quality assessment of the region or activity Self-Assessment Program?

0904.a.(3) Review compliance with program requirements, including this manual?0904.a.(4) Evaluate mishap trends?0905 Oversight Program 0905.a. Are avtivity self assessments being used as a foundation for continuous improvement?

0905.a. Does the NAVINSGEN use SOH professionals and prioritize locations for oversight based on risk?

0905.a. Are NAVINSGEN SOH professionals being used to conduct oversight of echelon 2 commands?

0905.b.

Do regions or activities develop procedures for correcting unsafe or unhealthful working conditions that include a follow-up, to the extent necessary, to determine whether the correction was made?

Do headquarters commands ensure that appropriate evaluations of program effectiveness are conducted at subordinate commands and field activities at a minimum of every 3 years?

Does the NAVINSGEN provide CNO (OPNAV (N09F) with an annual report that identifies safety program areas in need of improvement and recommended actions to enhance the overall Navy-wide safety program?

36 of 172

Reference Chapter 10 Employees Reports of Unsafe/Unhealthful Working Conditions Yes No N/A

1002 Hazard Reporting1002

1002.a.

1002.a. Do supervisors promptly investigate the situation and take appropriate corrective actions?

1002.a. Do supervisors contact the activity occupational safety office for assistance, as necessary?

1002.a. Do supervisors inform the reporting employee of action(s) taken on oral reports?1002.b.

1002.b.

1002.b.

1002.b.

1002.b.

1002.c. Does the safety office maintain records of all hazard reports received? 1002.c.

1002.c.

1002.d.

1002.d.

Do Navy activities use the following procedures for submission of employee reports of unsafe or unhealthful conditions in the workplace:Immediately report unsafe or unhealthful working conditions: Do commanders encourage all Navy employees to orally report unsafe or unhealthful working conditions to their immediate supervisors?

Submit a report of unsafe or unhealthful working condition: Do all Navy employees (or employee representatives) submit a report of an unsafe or unhealthful working condition directly to the activity safety office?

Is OPNAV Form 5100/11 (Navy Employee Report of Unsafe or Unhealthful Working Condition) or other similar form used? Does command post blank form copies of the Navy Employee Report of Unsafe or Unhealthful Working Condition Form or other similar form and the procedures for its use in areas convenient to all employees (e.g., on official bulletin boards, at time clocks, web sites, etc.)?

Does the form include provisions for an employee to indicate his/her desire to remain anonymous, should he/she wish?When an employees makes an oral report to the safety office instead of a written report, does the safety office transcribe the information into a written report?

Do records include: date, time, identifying reference number, location of condition, brief description of condition, hazard classification, and the date and nature of the action taken?

When necessary, does the safety office contact the employee making the report and/or advise the cognizant supervisor that a hazard has been reported?Does the safety office investigate all reports brought to its attention (alleged imminent danger situations within 24 hours, potentially serious situations within 3 days and all other situations must be investigated within 10 days)?

If situation involves a health hazard, does the safety office refer the report to the cognizant medical activity for investigation as necessary?

37 of 172


1002.e.

1002.e. Does the interim response include the expected date for the complete response?1002.e.

1002.e. If no significant hazard is found to exist, does the reply include the basis for the determination?

1002.f.

1002.f.

1002.g.

1002.g.

1003 Appeals1003.a.

1003.a. If the originator remains dissatisfied after such discussion, does he/she appeal up the chain of command? 1003.a. Does the written appeal include:

1003.a.(1)

1003.a.(2) How often, when and to whom the original report of the alleged hazard was submitted?1003.a.(3) What actions, if known, were taken as a result of the original report?1003.a.(4)

1003.b. Does the next level of command respond to the originator of the appeal within 10 working days?1003.b. Does the response contain the office and address of the next higher level of appeal?1003.c.

1003.c.

Does the safety office provide an interim or complete response in writing to the originator within 10 working days of receipt?

If the investigator validates the reported hazard, does a complete response include a summary of the actions taken for abatement?

Does the complete response encourage, but not require, the originator to informally contact the safety office if the originator desires additional information or is dissatisfied with the response?

Do complete responses indicate that formal appeals can be made and shall state or provide reference for procedures for making appeals and appeals levels? In the event that the hazard report also involves a grievance action, does the safety office notify the complainant that the process of the hazard report will be separate form the grievance response?

Did the grievance action delay the safety office response to the report of unsafe or unhealthful working condition?

If the originator of a report is dissatisfied with the assessment made by the region or activity safety office of the alleged hazard or with the action taken to abate a confirmed hazard, does the safety office encourage the employee to discuss the matter further?

A description of the alleged hazard including its location and standards violated, if known? (A copy of the original report shall suffice.)

A statement explaining why the actions taken as a result of the original report were unsatisfactory and are being appealed?

If the employee is still dissatisfied or has not received a response within 20 working days, are they aware that they may appeal to the next higher command level? If the originator is still not satisfied, is he/she aware that they may submit subsequent appeals with the action taken as a result of the previous appeals?

38 of 172


1003.c.

1003.c.

1003.d.

1004 Reports to the Occupational Safety and Health Administration (OSHA)1004

1004

1005 Responsibilities1005 Do region or activity commanders, commanding officers and officers in charge:1005.a.

1005.b.

1005.c.

1005.d. Ensure that standardized hazard reporting forms and procedures are available to all personnel?

1005.e.

1005.f.

Are subsequent appeals identified to the originator as through echelon Four, Three or Two, the Chief of Naval Operations (CNO)(N09F); the Deputy Assistant Secretary of the Navy (Safety) DASN(S); and the Assistant Deputy Under Secretary of Defense (Environment, Safety and Occupational Health) (ADUSD(ESOH))?

Does each appeal include information prescribed in section 1003.a (1)-(4) with emphasis on the actions taken by the reviewing authority on previous appeals and reasons why the originator is still dissatisfied?

Is the originator aware of the final appeal authority for: Military personnel - Deputy Under Secretary of Defense (Installations and Environment) (DUSD(I&E)) and Civilian personnel - DUSD(I&E), then the Office of Federal Agency Safety Programs, U.S. Department of Labor, Washington, DC 20210?

Are civilian employees aware that they, at any time, may submit complaints alleging workplace hazards directly to the Department of Labor OSHA? Are civilian employees aware that they do not have to exhaust their chain of appeal before reporting a hazard to their cognizant safety office?

Publicize (e.g., posting, training) the existence of the employee hazard reporting program and notify personnel regarding their rights and obligations in regard to reporting hazardous situations?

Maintain the anonymity of personnel making a report or named in a report if requested by the reporting or named employees?Encourage the submission of oral reports to supervisors as the quickest and most effective method of hazard identification and correction?

Include safeguards to ensure that the command does not subject Navy employees to restraint, interference, coercion, discrimination or reprisal by virtue of their participation in the region or activity safety program?

Maintain adequate recordkeeping practices and retain records for at least 5 years following the end of the calendar year in which final action on the report was undertaken?

SECNAVINST 5100.10J 7.(8)

Are activties informing new employees the existence of the unsafe/unhealthful working conditions reporting program?

39 of 172


7(11) Do safety committees or councils review unsafe/unhealth reports and necessary?

40 of 172

Reference Yes No N/A

1101 Background and Discussion1101.c.

1101.c.

1101.c. Do contracts provide a method for the liaison as well as requirements to protect Navy personnel?

1102

1102.a.

1102.b.

1102.h.

1102.h.(1) In cases of apparent imminent danger to Navy or contractor employees?

1102.h.(2) When specifically requested by Federal OSHA of State OSHA officials?

1102.i.(1)

1102.i.(2)

1102.i.(3)

1102.i.(3)(a) Verification of the Federal OSHA official's personal security clearance?

Chapter 11 Inspections and Investigations of Workplaces by Federal and State OSH Officials

Does liaison between the contractor and the contracting agent help ensure that all responsibilities and procedures for the inspection of contractor workplaces are clearly understood?

Do some contracts include the provisions of certain Defense Acquisition Regulations for construction contracts to ensure this liaison?

Federal and State Occupations Safety and Health Inspections at Contractor Workplaces on Navy Shore InstallationsDo Navy shore activities grant permission for Federal and certain State safety and health officials, to enter their installations without delay and at reasonable times to conduct inspections of contractor workplaces (routine, or based on reports of unsafe or unhealthful conditions, specific complaints, accidents or illnesses of contractor employees)?

Do Federal and State safety and health officials present appropriate identifying credentials and state the purpose of the visit to the Navy installation commander or the authorized representative and the administrative contracting officer, before conducting an inspection of contractor workplaces situated on Navy installations?

Do installation commanders prohibit advance notification of DoD contractors of OSH inspections by Federal or State OSHA officials, except:

Does the Navy installation commander or the contractor, as appropriate, immediately notify the OSHA official and the Navy region or activity exercising security supervision over the contractor's workplace of the need for a personnel security clearance to enter the closed area?

After verifying the need for a personnel security clearance, does the activity in coordination with the state official, request the cognizant security office to contact the nearest OSHA regional or area office for a cleared Federal OSHA official to conduct the necessary inspection of the closed area?

In the case of Federal OSHA officials, after verifying personnel security clearance, does the Navy security activity contact the appropriate cognizant security office and request:

41 of 172

Reference Yes No N/AChapter 11

Inspections and Investigations of Workplaces by Federal and State OSH Officials

1102.i.(3)(b) Expeditious processing of the visit request?

1102.i.(3)(b)

1102.j.

1102.j. Do Navy personnel or cleared contractor personnel take photos requested by such officials?

1102.j.

1102.j.

1102.j.

1102.k.

1102.k.

1102.l.

1102.l.

1102.m.

If the official's name is not on the list of cleared Federal OSHA personnel, does the Navy security office contact OSHA regional or area office and request an appropriately cleared Federal OSHA official?

Are Federal and State OSHA official or other state safety and health official prohibited to take photographs on any Navy shore installation?

Is the Navy or contractor personnel aware that photographs and film can not be delivered to the requesting official until all film, negatives and photographs have been fully screened and classified by proper Navy authority in the interest of national security?

Do Navy activities forward further requests, by such officials, for documented data, sketches of military installations and equipment, reports or design information (e.g., noise sound levels, profiles, etc.) to appropriate screening official for similar action?

Do screening officials normally complete the screening process within a period of 15 working days from receipt of the material?Do representative of the Navy installation, Regional commander and the ACO, if appropriate, accompany Federal OSHA and State OSHA officials on inspections and investigations?

Do contractor representatives and contractor employees accompany Federal OSHA and State OSHA officials where security clearances are verified?

Are Federal OSHA and State OSHA officials provided access to and provided with, copies of records and reports pertinent to specific Navy contractor accident investigations, upon request unless prohibited by the Privacy Act or exempted from release under the Freedom of Information Act?

When the cognizant engineering field division or the Naval Facilities Engineering Command has defined the boundaries, does the Navy shore installation command advise the applicable state OSHA office of any areas on the installation that are located within an area of exclusive Federal jurisdiction?

Do Navy shore installation commanders and/or Regional commanders refer all information regarding situations and notices issued to Navy contractors for violations for OSHA, state OSHA or other State safety and health standards involving DoD-furnished equipment, facilities or other property to the responsible ACO for appropriate action?

42 of 172



1102.o.

1102.o.

1104 Federal Occupational Safety and Health Inspections of Navy Civilian Workplaces

1104.c.

1104.c. Do Regional Safety offices designate representatives for all activities to which they provide safety services?

1104.d.

1104.d.

1104.d. Do all requests identify the exclusion under consideration?1104.d.

1104.e.

1104.e. Do Navy personnel take photographs that these individuals request in these areas?

1104.e.

1104.f.

1104.g.

Do shore installation commanders and/or regional commanders send a copy to CNO (N09F) with a copy to COMNAVSAFECCEN?Do Regional commanders and/or activity commanders advise CNO (N09F) with copy to COMNAVSAFECEN, via the chain of command of any situation resulting from compliance with these procedures that could impair the Navy's ability to properly carry out its mission in support of national defense or adversely effect national security?

Do Navy regions and/or activities employing civilians designate a coordinator with whom OSHA officials may interface for inspection purposes?

Do regional and/or installation commanders admit these officials to conduct inspections of authorized Navy workplaces without delay, at reasonable times and in a reasonable manner?

Do installation commanders withhold permission for immediate access and forward a request to CNO (N09F) and COMNAVSAFECEN with copies of the appropriate chain of command having management cognizance? Note: This applies to areas of exclusion only.

Does the CNO (N09F) furnish an expeditious reply upon receipt of the message, as well as other pertinent details regarding the inspection that must be performed?Do commanders require Federal OSHA inspectors to show appropriate security clearances if they require entry into closed areas?

Do the Navy regional and/or installation tentatively classify such photographs as CONFIDENTIAL and not deliver photographs to Federal officials until higher authority have screened and classified all film, negatives and photographs as appropriate in the interest of national security?

Do representatives of Navy regional and/or activity commander accompany Federal OSHA inspectors at all times?Upon request, do the Navy regional and/or installation commanders grant Federal OSHA officials access to available safety and health information related to Navy civilian employees?

43 of 172



1104.g.

1104.g.

1104.g.(1) Refer requests for copies of Judge Advocate General (JAG) investigative reports to the JAG (Code35)?

1104.g.(2)

1104.i.

1104.i.

1104.i.

1104.j.

1104.j.

1104.j.(1)

1104.j.(2)

1105 OSHA Targeted Inspections:1105 Does the targeting plan identify the high injury frequency work areas?1105 Does the targeting plan specify actions to reduce mishap experiences? 1105

Do Navy regional and/or installation commanders grant Federal OSHA officials access to and release copies of records and reports pertinent to specific accident investigations involving Navy civilian employees, provided such release is consistent with the Privacy Act and other applicable laws and regulations?

With respect to the release of records pertinent to specific accident investigations involving Navy civilian employees, do Navy installation commanders:

Refer requests for copies of accident investigation reports to Commander, Naval Safety Center, (COMNAVSAFECEN) per reference 11-4 ?If Federal OSHA officials issue reports or notices of unsafe or unhealthful working conditions discovered during their inspections, does the commander of the inspected Navy activity or regional commander on behalf of the inspected activity, forward a summary report with a copy of such notices immediately to the CNO (N09F) and COMNAVSAFECEN?

Does the commanding officer provide information copies to the chain of command having management cognizance?Does the commanding officer treat deficiencies noted during such inspections in the same manner as deficiencies noted during internal Navy inspections?If reports of inspections by Federal OSHA officials require a response, does the commander of the inspected Navy activity provide such responses?Does the activity commander provide copies of such responses to CNO (N09F) and to the Navy chain of command having management cognizance? Are replies to OSHA violation notices within assigned time frames, specifically state abatement action include appropriate backup information? When the command can not resolve deficiency or abatement actions at the local level, does it refer them up the chain of command for resolution?

If targeted, do the activities forward copies of the plans to the chain of command, CNO (N09F), and COMNAVSAFECEN?

44 of 172



1105

Does the targeted activity notify the chain of command and CNO (N09F) and COMNAVSAFECEN of inspection dates and provide copies of reports and replies?

45 of 172

Reference Chapter 12 Hazard Abatement Program Yes No N/A


1201.c1201.c.(1) Government-owned contractor-operated (GOCO) facilities? 1201.c.(2)

1201.c.(3)

1202 Hazard Abatement Processing and Tracking1202.a.

1202.a.(3) Is the final RAC assigned as? I – Catastrophic, II – Critical, III– Marginal, IV – Negligible1202.b.

1202.b. If an electronic DN version is used, does it have the elements of OPNAV 5100/12? 1202.b. Does the safety office forward a copy of the DN to the official in charge of the operation where the hazard exists?1202.b. Does the workplace supervisor post a copy of the notice in the hazard area(s) until the hazard has been corrected?

1202.b.

Does the official in charge complete Section B of the DN and return a copy to the activity SOH office?

Does the HAP include the following standard data for each hazard (or logical grouping of similar hazards):1202.c.(1) Dates of hazard identification?1202.c.(2) Location of the hazard(s)?1202.c.(3) Description of the hazard(s) including reference to applicable standards?

Does the region and/or activity utilize the policy guidance discussed in this chapter (12) to develop hazard abatement (HA) programs? Does the the HA program exclude:

The correction of deficiencies associated with design or operation of uniquely military workplaces, aircraft engineering changes proposals or ship alterations?Are deficiencies involving other Department of Defense (DoD) components or other Federal agencies brought to the attention of the appropriate party for corrective action?

Does the region/activity assign each identified/validated hazard, that cannot be corrected immediately, a risk assessment code (RAC) which combines elements of hazard severity and mishap probability?

Does the activity safety office describe workplace hazards with a RAC of 1, 2, or 3 that cannot be corrected immediately, in Section A of a Deficiency Notice (DN), OPNAV 5100/12 (Appendix 9-B)?

Does the SOH office update the posted notice, as necessary, to accurately reflect the status of the abatement action and required interim controls?

1202.b. NOTES: Does the activity safety office transcribe RAC 1, 2 and 3 hazards reported by higher echelon SOH personnel (Oversight Inspections and Command Inspections) or the Occupational Safety and Health Administration (OSHA) to Deficiency Notices?

1202.b. NOTES: Does the official in charge of the operation take prompt action to correct the hazard and within 30 days of the date of the notice?

1202.b. NOTES:

1202.b. NOTES: Do regions and/or activities implement interim protective measures pending permanent abatement and list interim corrections on the notice?

1202.b. NOTES: Does the DN indicate the status of the hazard including whether or not the hazard has been corrected and specific abatement action taken?

1202.b. NOTES: Does the safety office record hazards open greater than 30 days and assigned RACs 1, 2, or 3 in a formal Hazard Abatement Plan (HAP)?

1202.b. NOTES:

46 of 172


1202.c.(4)

1202.c.(5) Interim control measures in effect?1202.c.(6) Description of the abatement action, including estimated cost and completion date?1202.c.(7) Abatement priority? 1202.c.(8)

1202.c.(8)

NOTE:

1203 Interim Controls1203 Are appropriate interim controls established as soon as deficiencies are identified? 1203 Does the safety office document such controls on the DN?1203

1204 Hazard Abatement Project Development1204

1204.a

1204.b

1204.b

1204.b.(1)1204.b.(1)(a)1. Funds are for non-Navy Working Capital Fund (non-NWCF) activities only?1204.b.(1)(a)2. Ranges for centrally managed HA funds are as follows: 1204.b.(1)(a)2.a. Minor construction: $50,000 to $1,000,000?

NOTE: Are funds up to $1,000,000 intended solely to correct a deficiency that is life-threatening?

1204.b.(1)(a)2.b. Repair: $50,000 to $1,000,000?

1204.b.(1)(a)2.c. Ergonomics: equal to or more than $10,000?

1204.b.(1)(c) Are projects submitted for the protection of safety and health vice protection of property?

Calculated RAC or estimated RAC (with hazard severity, probability of single occurrence and annual personnel exposure cited separately)?

Close-out statement, indicating: completed abatement action and cost, with date of completed action; or process discontinued or worksite vacated?Does the safety office make the HAP available for review by locally recognized employee organizations, where applicable?Does the activity, having more than 50 deficiencies or projects annually, (that will take more than 30 days to correct) develop a formal HAP and establish priorities for each project listed?

Does the safety office review and approve interim protective measures in effect for more than 30 days and revise, as appropriate?

Do regions or activities obtain specific engineering assistance from the cognizant Naval Facilities Engineering Command (NAVFACENGCOMS) Engineering Field Division or Activity (EFD/A) via an Engineering Service Request?Do the region and/or activity budgets include items for correction of OSH deficiencies within the local commanding officer's funding authority? Does the activity submit projects to correct hazards that are beyond the funding capability of the local commander?Does the region and/or activity submit projects to COMNAVFACENGCOM and their major claimant in coordination with their budget submitting office and/or Regional Engineer utilizing the web-based Hazard Abatement Program?

Project Acceptance Criteria: To be considered for central funding, do projects meet the following requirements:

47 of 172


1204.b.(1)(d)

1204.b.(2)1204.b.(2)(a)

1204.b.(3)

1204.b.(3)(a)1204.b.(3)(b) Does the safety office consult with both the Echelon 2 safety director and the facilities manager prior to project submittal?

1204.b.(3)(b) Does the safety office coordinate the submission of projects with local activity facilities managers?1204.b.(3)(b)

1204.b.(3)(c)

1204.b.(3)(c)

1205 Prioritization of Hazard Abatement Projects1205.a1205.a

1205.a

1205.a

1206 Responsibilities

1206.a.(1)

1206.a.(1)

1206.a.(2) Are projects forwarded via the prescribed submission chain for hazards that cannot be corrected through local resources?

1206.a.(3) Are current active projects reviewed, prioritized and maintained?

Are asbestos projects submitted for HA funding if asbestos is friable, accessible and damaged or is in the location where it is subject to frequent damage? Unauthorized Projects:Do regions and/or activities fund the abatement of hazards developed due to wear and tear of facilities and equipment from appropriate region/activity or claimaint funds?

Project Submissions:

Does the region or activity safety office request project funding via the Internet, using the on line HA

Does the safety manager consult with facilities personnel to determine such issues as existing construction, repair or demolition plans that would abate the hazard?

Does the safety manager fully describe and document the problem, and provide all information necessary for prioritization? Does the safety manager show a clear violation of OSH standards in their project descriptions and cite the standards violated?

Locally Funded Projects:Does the regional or activity safety office prioritize projects that do not meet the criteria for centrally managed funding under HA program based on the RAC assigned to each identified hazard? If several projects for correction of hazards with identical RACs exist, does the safety office assign priorities based on the number of persons potentially exposed to the hazard and the total cost?Do NAVFACENGCOMS, commanding officers, and activity facility engineers ensure that health and safety projects receive full consideration and projects are appropriately prioritized for execution with other local activity special projects?

Do regional commanders or shore activity commanders, identify and correct hazards and maintain a current HA Plan with priorities established for each project listed?If the HA plan maintained by the regional safety office, is it done in such a manner that specific activity information (or plan) is readily available?

48 of 172

Reference Chapter 13 Fall Protection Program Yes No N/A

1302 Background1302.c. Is effective mishap prevention incorporated into the job planning process? 1303 Policy1303

1303

1303 Does this program include identification and elimination/control of fall hazards?1303 Is Navy activity responsible for: 1303 Assigning responsibilities?1303 Surveying and assessing fall hazards?1303 Providing prevention and control measures?1303 Training of personnel?1303 Inspecting the equipment?1303 Auditing and evaluation?1303 Proper installation and use of fall protection systems?1303 Availability of rescue equipment with accompanying rescue procedures?1303

1304 Basic Program Requirements1304

1304 Is a managed FP program in writing and approved by activity's safety office?1304

1304 Does the program include:1304a An Activity Policy?1304b Duties and Responsibilities?1304c Workplace Assessment and Surveys of Fall Hazards?1304d Fall-Hazard Prevention and Control including Preparation of Fall Protection and Prevention Plans?

Does the command and work-center(s) have a safety culture with management commitment that promotes a safe work environment for personnel working at heights?

Has the Regional Commander, Commander/Director of the Navy activity or Officer-in-Charge established and implemented a fall protection program?

Is fall protection provided to all Navy civilians and military personnel exposed to fall hazards on any elevated walking working surface with unprotected sides or edges from which there is a possibility of falling 4 feet (5 feet for Shipyard Operations) or more to a lower level or where there is a possibility of a fall from any height onto dangerous equipment, into a hazardous environment, or onto an impalement hazard?

Has the activity which has personnel exposed to fall hazards established a managed fall protection (FP) program?

As an alternative to this requirement, a Navy shore activity, in lieu of a separate written program with safety office review and approval, may state in writing that is is using the Department of the Navy-Fall Protection Guide for Ashore Facilities.

49 of 172


1304e Training?1304f Inspection, Storage, Care and Maintenance of Fall Protection Equipment?1304g Rescue Procedures?1304h Audits and Evaluations?1305 Activity Policy1305

1306 Duties and Responsibilities1306

1306

1306

1306.a. Has command authorized a person to be responsible for the development and implementation of the program?

1306.a.

NOTE:

1306.b.

1306.b. Does competent person understand the application and use of related equipment?1306.b. Does this person have the authority to take prompt corrective measures to eliminate the hazards of falling?

1306.c. Does the qualified person hold a recognized engineering degree or professional certificate?

1306.c.

1306.d.

1306.d.

1306.d. Are end users trained by competent person who is qualified as a fall protection trainer?

Does the activity prescribe any supplementary requirement for special conditions above and beyond the fall protection policy set out in this instruction?

Has the activity delineated duties and assigned responsibilities in the implementation of a managed fall protection program?Has the activity ensured that assigned personnel have the necessary skills, knowledge, training and expertise to manage, administer and implement the fall protection program?

Do personnel assigned to the fall protection program have the following qualifications and responsibilities as described below?

Does the manager ensure that personnel exposed to fall hazards and other personnel involved in the program receive adequate training as outlined in appendix 13-A?Is the fall protection program manager who has been adequately trained, educated and experienced also function as a qualified person or competent person?

Is competent person capable of identifying hazardous or dangerous conditions in the personal fall arrest system or any component thereof?

Does this person have extensive knowledge, training and experienced in the field of fall protection and capable of performing design, analysis and evaluation of fall protection systems and equipment?Has this person been trained in the use of assigned fall protection equipment including hands-on training in a typical fall hazard situation?

Has this person used personal fall arrest or fall restraint/positioning device equipment while performing work assignments?

50 of 172


1307 Workplace Surveys and Assessment of Fall Hazards1307.a.

1307.a.

1307.a.

1307.a.

1307.b. Is a fall hazard survey/assessment conducted annually for comparison purposes?1307.c.

1308 Fall-Hazard Prevention and Control Measures1308.a. The hierarchy or preferred order of control measures for fall hazards are:1308.a.(1)1308.a.(2)1308.a.(3)

1308.a.(4)1308.a.(5)

NOTE:

1308.b. Are fall protection measures selected to be compatible with the type of work being performed?1308.b.(1)

1308.b.(1)

1308.b.(2)

1308.b.(3) Safety Net System

1308.b.(3) Are safety nets installed as close as possible?1308.b.(3) Under the walking working surface with an unprotected side or edge?

Does the activity survey the workplace to identify potential fall hazards in accordance with Chapter 5 of this instruction?Do Navy activities determine if the walking or working surfaces on which employees are to work, have the strength and structure integrity to safety support the workers?Is determination made that the surfaces have the requisite strength and structural integrity to support the workers and equipment related to their tasks before employees are permitted to work on those surfaces?

Once it has been determined that the surface is safe for employees to work on, is it then determined if a fall hazard exists at the work location?

Is a fall-hazard analysis performed after the survey has been conducted to determine the risk assessment, hazard severity and fall mishap probability in accordance with Chapter 12 of this instruction?

Elimination: Has the activity removed the hazard from the workplace?Prevention: Has the activity isolated or separated the hazard from the general work area?Engineering Controls: If unable to eliminate, isolate or separate the hazard, does the activity go to engineering controls, the next-preferred measure to control the risk?

Administrative Controls: Are new work practices introduced that reduce the risk of a person falling?Personnel Protective Systems and Equipment: Are PPE used only after all other control measures are determined not to be practical, or when a secondary system is needed?Control measures are not mutually exclusive. There may be situations when more than one control measure should be used to reduce the risk of a fall.

Guardrail Systems: Are guardrails built with top and mid-rails, posts and toe-boards as applicable?

Are guardrails used on walking working surfaces with unprotected sides or edges to protect personnel from reaching a fall hazard?Work Platforms: Are elevated work platforms, four feet (five feet for Shipyard Operations) or higher equipped with a standard guardrail or other fall protection systems?

51 of 172


1308.b.(3)

1308.b.(4)

1308.b.(4) Does it consist of the following:1308.b.(4) An anchorage system?1308.b.(4) A connecting means?1308.b.(4) A full body harness?1308.b.(4) Does it also include a lanyard, deceleration device, lifeline or suitable combination of these?1308.b.(4)

1308.b.(4) Are safety belts NOT used in a personal fall arrest system?1308.b.(5)

1308.b.(6)

1308.b.(7) Ladder-climbing safety devices

1308.b.(7)

1308.b.(7)

When working over water or other surfaces where the use of ladders, scaffolds, catch platforms, temporary floors, safety lines, safety harnesses, or restraint/positioning belts are impractical?

Personal Fall Arrest System: Is a system used to arrest personnel in a fall from a working level?

Is the personal fall arrest system rigged so that employees will not free-fall more than 6 feet nor will not contact a lower level?

Work Positioning System: Is a combination of equipment that permits an employee to be supported on an elevated surface such as a wall, and work with both hands free while leaning backward used?

Fall Restraint System: Is a system consisting of equipment and components which are connected together designed to restrain a person from reaching an exposed fall hazard used?

Is a device or climbing sleeve, which is connected to the front D-ring on the climber's full-body harness, that slides up or down a rigid rail or cable used?Do ladder-climbing safety devices permit the worker to ascend or descend without continually having to hold, push, or pull any part of the device, leaving both hands free for climbing?

52 of 172


1308.b.(7) Do these safety devices get activated within 2 feet after a fall occurs?1308.b.(7) Are ladder-climbing safety devices attached to a frontal D-ring on the climber's full-body harness?1308.b.(8) Covers1308.b.(8)

1308.b.(8) When covers are removed, is a guardrail, attendant or other system provided to protect floor holes or openings?

NOTE:

1309 Fall Arrest Equipment Selection Criteria1309

1309

1310 Training1310.a. Are civilians and military personnel trained to recognize fall hazards?1310.a.

1310.b. Retraining1310.b. Is retraining is provided to the end user when:

1310.b.(1) The end user has been observed using fall protection in an unsafe manner?1310.b.(2) The end user has been involved in a mishap or a near-miss incident?1310.b.(3)

1310.b.(4) The end user has been assigned a different type of fall protection equipment?

1310.b.(5)

1310.c.

1311

Are covers for floor holes or floor openings capable of supporting, without failure, at least twice the weight of employee(s), equipment, and materials that may be imposed on the cover at any one time?

Fall protection solutions to specific work situations or unique military work applications are covered under reference 13-1.

Does the activity use fall arrest equipment where the manufacturer can substantiate through third party certification that the equipment meets the requirements and or the fall arrest equipment is designed, selected and approved by a Qualified Person for fall protection?

Is the activity aware that any equipment that has previously met ANSI A10.14 Standards, and is in proper working condition, will be deemed to be usable until January 1, 2007? After January 1, 2007 requirements of reference 13-5 are recommended.

Are civilians and military personnel who use fall protection equipment trained to use this equipment per appendix 13-A?

The end user has received an evaluation that reveals that he or she is not using the fall protection equipment properly?

A condition in the workplace changes in a manner that could affect the safe use of the fall protection equipment that the end user is to utilize?Refresher Training: Do personnel that are exposed to fall hazards, receive refresher training on the safe use of fall protection equipment at an interval determined by the activity?

Anchorages for Fall Arrest Equipment: Fall arrest and restraint/positioning anchorages criteria.

53 of 172


1311.a.(1)

1311.a.(1) Are fall arrest anchorages maintain safety factor of at least two?1311.a.(2)

1311.a.(3)

1311.a.(4)

1311.b. Fall arrest anchorages in new facilities, buildings and structures.

1311.b.

1311.b. Are certified and labeled anchorages are included in design when elimination of fall hazards is not feasible?

1312 Rescue and Evacuation Procedures1312

1312 Has activity prepared a written Rescue Plan for an employee suspended in a body harness after a fall?

1312 Does this plan include a detailed discussion of the following:1312 Methods of rescue?1312 Methods of self-rescue?1312 Equipment used?1312 Training requirements?1312 Specialized training for the rescuers?1312 Procedures for requesting rescue and medical assistance?1312 Transportation routes to a medical facility?1312 Pre-incident planning with jurisdictional public and Government emergency agencies?1312 Is the Rescue Plan site specific?1313 Inspection, Storage, Care and Maintenance of Fall Protection Equipment1313

Are fall arrest anchorages capable of withstanding a minimum force of 5,000 pounds per person attached or designed, installed, and used under supervision of qualified person?

Work positioning anchorages: Are work positioning anchorages capable of supporting at least twice the potential impact loading of employee's fall?

Restraint anchorages: Do restraint anchorages have a capacity to withstand at least twice the maximum expected force that needed to restrain a person from exposure to the fall hazard?

Horizontal lifeline anchorages: Are horizontal lifeline anchorages designed, prior to use, by a registered professional engineer with experience in designing horizontal lifeline systems or designed by a fall protection qualified person with appropriate training and experience?

Are fall hazards are considered and eliminated, whenever possible, during design of new facilities, buildings and structures?

Is the activity ensuring that when personal fall arrest systems are used, mishap victims can self-rescue or can be rescued promptly should a fall occur?

Does the user carefully inspect the equipment following the inspection steps recommended by the fall protection equipment manufacturer to ensure that it is in good working condition, before each use of fall protection equipment?

54 of 172


1313 Does the fall protection competent person, other than the user inspect fall protection equipment at least annually?

1313 Is inspection of fall protection equipment by competent person documented?1314 Falls from Heights Mishap Reporting1314 Are falls from heights mishaps reported in accordance with reference 13-6?1314

If fall arrest equipment is impacted or activated during a fall, does it get reported as near miss per reference 13-6?1315 Audits and Evaluations1315 Are fall protection programs evaluated in accordance with Chapter 2 of this instruction?

55 of 172

Reference Chapter 14 Mishap Investigation, Reporting and Recordkeeping Yes No N/A

1401 Discussion1401b

1401c

1401c

1402 Types of Mishap Investigations1402.a. Are mishap investigations and reporting procedures followed in accordance with OPNAVINST 5102.1 (series)?

1402.b Are the safety investigator(s) and the JAG Manual investigator(s) not be the same person(s)?

1402.b Is the JAG Manual investigation conducted independently and separately from the safety investigations? 1402.b Are reports of these safety investigations not made a part of JAG investigations?1402.c

1402.c When notified, does NCIS investigate the circumstances until criminal causality can reasonably be excluded?

1402.c Do the investigations noted above not compromise nor otherwise impede the NCIS investigation?

1403 Mishap Investigation Requirements1403.a.

1403.a.

1403.a.

1403.a. Does the safety office ensure proper investigation of all mishaps and review all investigation reports?

1403.a.

1403.b.

Are all non-aviation mishap investigations and reporting follow the procedures outlined in OPNAVINST 5102.1D/ MCO P5102.1B?

Is recording of occupational illnesses and injuries in accordance with the requirements in OPNAVINST 5102.1D/ MCO P5102.1B? Are illness and injury logs for civilian nd military personnel, and civilian Annual Reports of work related illnesses and injuries maintained using WESS?

Does the Naval Criminal Investigative Service (NCIS) investigate any death occurring on a Navy installation, per SECNAVINST 5520.3B, except when the cause of death is medically attributable to disease or natural causes?

Do shore activities conduct a safety investigation of every mishap, major or minor, and handle the investigation as a search for facts as outlined in OPNAVINST 5102.1D/ MCO P5102.1B? Does the region or activity establish guidelines delineating roles and responsibilities for reporting and investigating all classes of mishaps? Do military or civilian safety and occupational health (SOH) professionals trained per Section 1405 conduct mishap investigations of Class A and B mishaps?

Do activities not use information they obtain through the safety investigation for administrative or disciplinary action?

Do safety departments notify the Injury Compensation Program Administrator (ICPA), medical and/or industrial hygienists as needed, including a request for specific support?

56 of 172


1403.b. Do safety departments document the notification and specific results or any support needed?

1403.c.

1403.c.(1)

1403.c.(1)

1403.c.(2)

1403.d.

1403.e.

1403.f.

1403.g.

1404

1404.a.

1404.a.

1404.b.

1405 Mishap Investigation Training1405

Does the investigator complete a written report with firm, factual findings and recommendations for specific corrective action to be taken to prevent recurrence?

For mishaps involving civilian personnel, does the mishap investigator release to the ICPA all factual information regarding mishap?

Does the mishap investigator NOT release any privileged safety information, including the analysis, findings, and recommendations of the investigator or mishap investigation board?

Do safety departments forward safety recommendations to appropriate department heads and/or supervisors, follow up to verify progress in implementing the corrective action, and notify command personnel of the department's progress in implementing recommendations for corrective action?

Do safety departments prepare and maintain a log of current status information on all recommendations for corrective actions in safety and mishap prevention matters?

Do Regions and activities electronically report all mishaps meeting the criteria in OPNAVINST 5102.1D/ MCO P5102.1B directly to COMNAVSAFECEN using WESS or appropriate format from OPNAVINST 5102.1D/ MCO P5102.1B if internet connectivity is not feasible?

Is the guidance provided in OPNAVINST 5102.1D/ MCO P5102.1B for protection, dissemination, and release of mishap information and the concept of privileged safety information used?

Is the guidance provided in OPNAVINST 5102.1D/ MCO P5102.1B for the assignment and conduct of Safety Investigation Boards, handling witness statements, and report submission and endorsements followed?

Requirements to Ensure Reporting of All Mishaps: Do regions and activities take the following actions to ensure that they report all mishaps and applicable hazards: Indoctrinate all subordinates, especially new arrivals, to report all mishaps no matter how small, as well as the "near misses" where only chance prevented a mishap?

Ensure that personnel fully appreciate that activities cannot correct hazardous conditions unless personnel conscientiously report them? Do supervisors report all mishaps to the region or activity safety office immediately so the safety office can initiate the appropriate action for the investigation?

Do personnel who conduct Class A, B, C and other mishap investigations complete formal training in mishap investigation procedures and techniques?

57 of 172


1405

1405

1406 Commanding Officer Review1406

1406 Does the region or activity head or his or her designee with the safety manager decide which mishaps to review?

1406

1406

1406 Does the review involve safety, medical, compensation, and other management personnel as appropriate?1406

1408 Mishap Analyses1408 Do regions and activities conduct detailed analyses of their mishap experiences?1408 Do they develop annual fiscal year (FY) or calendar year (CY) mishap reduction goals?

1408

1408 Are these goals included in command goals and specific strategies and measurement standards?

1408 Are actions for goal attainment developed?1409 Records Disposition1409.a. Are records and reports retained for 5 years following the end of the fiscal year to which they relate?

1409.b.

Do safety professionals responsible for investigating region or activity level mishaps or Class A and B mishaps attend the Naval Occupational Safety and Health and Environmental Training Center (NAVOSHENVTRACEN) course, Mishap Investigation and Prevention (Ashore), course A-493-0078, or an equivalent course (as determined by the cognizant Echelon 2 headquarters)?

Do safety professionals with formal mishap investigation training provide formal classroom training to others in the region or activity that may perform class C and other mishap investigations?

Do all commanders, commanding officers and officers in charge, or their respective deputies, chiefs of staff, or executive officers review lost time mishaps?

At a minimum, do regions and activities review any mishap that requires submission of a Safety Investigation Report per OPNAVINST 5102.1D/ MCO P5102.1B?

Does this review include the cognizant first-line supervisor and/or next level of management, and the injured employee if needed for amplifying information?

Is the object of the review to determine compliance with and adequacy of established standards and procedures, identify the underlying cause(s) of the mishap and take corrective action to prevent recurrence?

Does the safety department analyze mishap data, including "near miss" data, on an annual basis to identify significant trends and to adjust training requirements and command personnel as well as to identify goals, accountability issues, and potential failures of command infrastructure?

Do regions and activities destroy general correspondence and records they accumulate in connection with the routine administration and operation of mishap investigation and reporting after 2 years?

58 of 172


1409.c.

1410 Injury/Illness Treatment (Civilian Employees Only)1410.a.

1410.a. Do employees report immediately to their supervisor any occupational injury or illness?

1410.a.

1410.a.

1410.b.

1410.c.

1410.c.(1) The supervisor completes the upper half of the Dispensary Permit in duplicate?1410.c.(2) The injured employee takes both copies of the form to the MTF?1410.c.(3) The "Occupational-No" box is checked for personal illness cases only?1410.c.(4) The use of case number is optional within activity?1410.c.(5)

1410.c.(6)

OPNAVINST 5102.1D/P5102.1B8.a Are all mishaps reported on the OSHA 300 and injuries on the OSHA 300A?

1001.3. Does the command identify casual factors and develop appropriate corrective actions?1003 Does the command report, investigate, and maintain records of all mishap as per OPNAVINST 5102.1D?

1005.j. Are all investigations reported via the Web Enabled Safety System (WESS)?

1005.2.

1005.2.c Does the Navy Safety Center make non-privilege information available upon request?

1005.2.e.

Are records NOT destroyed if they address corrective actions that are not yet complete?

Reporting Procedures.

If the civilian employee elects evaluation at the activity medical service, does supervisor furnish OPNAV 5100/9, Medical Referral Form or equivalent?Do activities NOT permit employees to visit the Navy medical treatment facility (MTF) without having obtained the form, except where necessary to avoid delay in treatment to the detriment of the employee?

Does the safety office use appendix 14-A as one means of control to ensure the prompt receipt of information they need to investigate mishaps and to complete appropriate mishap reports for civilian personnel?

Preparation Procedure: Personnel shall observe the following instructions regarding the preparation and disposition of Medical Referral Form:

MTF makes every effort to determine whether or not an injury or physical disability is occupational before checking the "Questionable" block?

The supervisor notifies the MTF and the cognizant safety manager of the reported occupational injury/illness for administrative purposes?

Does the inspector general (USN or USMC) provide oversight inspections for compliance with mishap investigations?

Does the Navy Safety Center conduct final review, analysis and closing endorsement of Navy SIREPS within 14 days?

59 of 172


1005.2.k.

1005.2.l.(1) Is the Navy Safety Center notified within 8 hours of all military and DoN Civilian and off-duty fatalities?1005.2.n. Is OSHA notified with 120 days of a mishap resulting in death or three or more personnel hospitized?2002 Are all mishap classified in accordance with this chapter?3003 Are safety records including mishap records maintained as required by this chapter? 3004 Are all reportable mishap investigated and recorded? 3005.8. 3007 Is WESS used to report recordable and reportable mishaps?3009.2.

3009.2 Does the commander, commanding officer, officer in charge sign the OSHA 300 report?3009.3 Is the OSHA 300 report posted as required?4000 Are hazardous conditions reported when discovered to prevent re-occurrences at other locations? 4003.2 Are HAZREPS reported via WESS?4004 Do Commanders, commanding officers and officers in charge investigate HAZREPS and near misses?

Does the Navy Safety Center provide a qualified safety investigation advisor for all Class A mishap requiring an SIB?

Are attacks and assaults (that occurred with not on duty) NOT reported?

Has the commander, commanding officer or officer in charge certify that he or she has examined the Log or Work Related injuries and illnesses?

60 of 172

Reference Chapter 15 Respirator Protection Yes No N/A


1502 Applicability1502.a.

1502.b Does the activity Respiratory Protection Program exempt:1502.b.(1) Contractors responsible for providing their own respiratory protection programs and respiratory protective equipment?

1502.b.(2)

1503 General Requirements1503.a. Does the activity establish and maintain a respiratory protection program per this chapter and 29 CFR 1910.134?

1503.a.

1503.b.

1503.b. Do these personnel use this equipment regardless of stay time?1503.c. Does activity fit test, issue, and train personnel and ensure that personnel are medically qualified?

1503.c.

1503.c.

1503.d. Does the RPPM maintain a listing of employees that require respiratory protection?1503.d. Does the RPPM authorize those employees to wear respiratory protective equipment?1503.d.

1503.e. Does the employer prohibit respirators with tight-fitting face pieces to be worn by employees who have:

1503.e.(1) Facial hair that comes between the sealing surface of the face piece and the face or that interferes with valve function?

1503.e.(2) Any condition that interferes with the face-to-face piece seal or valve function?1503.e.(3) Wear corrective glasses or goggles or other eye and face protection?

Do activity work-center personnel use respirators where neither elimination of the air contaminant nor use of engineering controls is effective?

Are the provisions of this chapter followed where employees are required to wear respiratory protection equipment due to the nature of their work or job?

Personnel wearing respiratory protection for the sole purpose of protection against airborne radioactive contamination associated with the Naval Nuclear Propulsion Program?

Has the commanding officer or officer in charge appointed in writing a trained, qualified respiratory protection program manager (RPPM) who shall implement program requirements?

Does the activity provide appropriate equipment to personnel, such as employees, inspectors and visitors who must enter an area where the use of respiratory protection is required?

Are visitors and personnel not assigned to the work areas (escape-only respirators for potential emergencies) briefed in the use of the escape respirator?Are these personnel escorted at all times by activity personnel who are trained in the use of the respirator and who can guide and assist them in emergencies?

Does the activity provide appropriate respiratory protection equipment to these individuals and additional PPE if warranted by the operation?

61 of 172


1503.e.(3)

1503.f. Does the activity program only permit the issuance of respiratory protection for workers:1503.f.(1)

1503.f.(2)

1503.f.(3)

1503.f.(4) Performing operations for which the Occupational Safety and Health Administration (OSHA) requires respiratory protection?

1503.f.(5) Performing operations where OSHA permits the employee to choose to use a respirator (i.e., lead)?

1503.f.(6)

1503.g. Does the RPPM issue and control the use of voluntary respiratory protection (when not required)? 1503.g.(1) Are NIOSH approved filtering face pieces (dust masks) issued without medical screening and fit testing?1503.g.(1)

1503.g.(1) Are personnel authorized to supply their own respirators?1503.g.(2) When elastomeric face piece respirators are issued, are all elements of the respiratory protection program met?

1503.g.(2) Are NIOSH or NIOSH/MSHA approved respirators selected appropriately for the perceived hazard?

1503.g.(3) Is issuance of voluntary use respirators NOT used as a justification for avoiding further evaluation of health hazards?

1504 Types of Respirators1504.a Do personnel an air purifying respirator only where adequate oxygen (19.5 to 23.5 percent by volume) is available? NOTE: Does the activity have authorization for military gas masks (MCU-2A/P)?NOTE:

1504.b Do personnel use supplied-air respirators in place of chemical cartridge, air purifying respirators when:

1504.b.(1) A cartridge change out schedule has not been established and implemented?1504.b.(2) There are no appropriate end-of-service life indicator respirators?

Does the employer ensure that such equipment is worn in a manner that does not interfere with the seal of the face piece to the face of the user?

In areas known to have contaminant levels requiring the use of respiratory protection or in which contaminant levels requiring the use of respiratory protection may create a hazard without warning (e.g., emergency purposes such as hazardous material spill responses)?

Performing operations documented as an inhalation hazard and workers in the immediate vicinity where operations generate hazardous levels of contaminants?In suspect areas or performing operations suspected of being health hazardous but for which adequate sampling data does not exist?

For whom the use of respiratory protection is deemed appropriate by the RPPM for humanitarian or morale use (voluntary respirator use).

Is information contained in Appendix D of reference 15-3 and the limitations stated on the respirator approval label are provided annually to users?

If so, is the MCU-2A/P only used for chemical, biological, and radiological (CBR) warfare, CBR warfare training, and nuclear accidents when used according to DoD 3150.8M of 1 December 1999?

62 of 172


1504.b.(3) The contaminant is of such high concentration or toxicity that an air-purifying respirator is inadequate?1505 Respirator Cartridges and Gas Mask Canisters1505.a.(1)

1505.a.(1) Has the activity describe this data, along with the logic for relying on the change schedule, in their respirator programs?

1505.a.(1) Has the change schedule been included in the written standard operating procedures (SOPs)?

1505.a.(2)

1505.a.(3)

1505.a.(4)

1506 Breathing Air Requirements1506.a

1506.b Does the activity conduct monitoring of the breathing air quality at least quarterly?1506.b Are test results provided to the safety office?1506.b Does the safety office maintain records of air quality monitoring for 5 years?1506.c

1506.c

1506.c Has the activity equipped all new and/or upgraded air compressor systems with continuous CO monitor and alarm systems?

1506.c

1507 Respirator Selection Considerations1507.a.

NOTE:

Has the activity implemented a change schedule for chemical canisters/cartridges based on objective information or data that will ensure that canisters and cartridges are changed before the end of their service life?

Are chemical canisters/cartridges changed out according to manufacturer’s directions, or based on objective data obtained as indicated in OPNAVINST 5102.1D/ MCO P5102.1B?

Is a chemical cartridge/canister change out schedule developed and implemented for protection against substances without good warning properties, including isocyanates?

Is the information provided on the approval labels as well as the color-coding required by reference 15-6 used to identify respirator cartridges, canisters and filters?

Does breathing air or sources of breathing air for supplied air respirators or SCBA’s meet the minimum Grade D breathing air requirements?

In addition to quarterly air quality monitoring, to ensure Grade D breathing air, has the activity equipped air compressor systems with either high temperature or continuous carbon monoxide monitors, alarm systems or both to monitor carbon monoxide levels?

If only high temperature alarms are used, does the activity monitor the air supply at intervals sufficient to prevent CO in the breathing air from exceeding 10 ppm?

Are compressor air alarm systems (used for breathing air) calibrated and monitored, according to the manufacturers instructions?

Does the activity only use respirators that are currently approved by the National Institute for Occupational Safety and Health (NIOSH) or NIOSH/Mine Safety and Health Administration (MSHA)?

Where foreign legislation applies, does the activity issue respiratory protection to the employees that meet the host nation criteria?

63 of 172


1507.b. Does the activity ensure respirators are ordered using the national stock numbers (NSNs)?

1507.c.

1507.c.

1507.c.(1) The current workplace evaluation conducted by the cognizant industrial hygienist?

1507.c.(2) The chemical, physical, and toxicological properties of the contaminant?

1507.c.(2)(a) Warning properties of the contaminant gas or vapor (smell, taste, eye irritation or respiratory irritation)?

1507.c.(2)(b) Whether employees can absorb the contaminant through the skin?1507.c.(2)(c)

1507.c.(3)

1507.c.(4) Occupational exposure limit (OEL) for the contaminant(s)?1507.c.(5) Whether an oxygen-deficient or oxygen-rich atmosphere exists or may be created?1507.c.(6) Whether toxic, flammable or explosive by-products are present or may be produced?1507.c.(7) The nature, extent and frequency of the duties personnel will be performing (e.g., welding, painting, etc.) in the work area?

1507.c.(8) Sorbent efficiency and service life of cartridge or canister?1507.c.(9) Any possibilities of high heat reaction with sorbent material in the cartridge or canister?1507.c.(10) Any possibility of shock sensitivity (explosion hazard) of the substances absorbed on the cartridge or canister sorbent?

1507.c.(11) The assigned protection factor or degree of protection provided?

1507.d.

1507.d.(1) Full facepiece, open circuit; pressure-demand SCBA with an air cylinder rated for at least 30 minutes?

1507.d.(2) Full facepiece, closed circuit; pressure-demand SCBA (the lowest rated service life of these devices is 60 minutes)?

1507.d.(3)

1507.d.(3) Do personnel only use the auxiliary self-contained air supply for egress purposes?

Does RPPM select respiratory protection equipment using the assigned protection factors listed in chapter 9 of Industrial Hygiene Field Operations Manual?

To correctly assess the nature of the hazard requiring respiratory protection and the type of respirator to be used, does the RPPM consider the following factors:

Whether any of the contaminants are immediately dangerous to life or health (IDLH) or whether the contaminant would produce injurious effects after prolonged exposure?

Does the activity consider the atmosphere to be IDLH, when concentration of the contaminant in the atmosphere can not identified, or the employee's exposure can not be reasonably estimated?

Do personnel only use the below types of respirators for entry into oxygen deficient atmospheres (<19.5 percent oxygen) or an IDLH atmosphere?

Full facepiece combination pressure-demand supplied-air respirator equipped with an auxiliary self-contained air supply of 15 minutes to ensure escape from the IDLH area?

64 of 172


1507.d.(3) Do personnel use a SCBA, if the self-contained air supply (15 minute supply) is insufficient to ensure escape?

1507.e.

1508 Medical Evaluations1508

1508

1509 Respirator Fit Testing1509.a.

1509.a.

1509.b

1509.b

1509.c Does the RPPM document respirator fit testing?1509.c

1510 Inspection and Cleaning of Respirators1510

1511 Respiratory Protection Training1511

1511

1511 Does the activity document that training occurs in a manner that is understandable to the respirator wearer?

1511 Do respirator wearers demonstrate knowledge of the following respiratory protection program aspects:

Do firefighters use a full facepiece, pressure demand SCBA approved by NIOSH and meeting National Fire Protection Association (NFPA) requirements with air cylinder rated for at least 30 minutes?

Do activities NOT fit test personnel or assign them to work in, or permit them to enter, areas requiring respiratory protection unless they have been medically evaluated per the Medical Surveillance Procedures Manual/Medical Matrix NEHC Technical Manual OM 6260?

Are military personnel who have been confirmed by their region or activity as "Fit for Full Duty" based on their current periodic military physicals are qualified to wear any type of type of respiratory protection?

When a respirator with a tight-fitting face piece is used, does the activity conduct individual fit testing initially and annually thereafter? Does the activity perform fit testing according to 29 CFR 1910.134 Respiratory Protection and American National Standards Institute (ANSI), Z88.10-2001 American National Standard for Respirator Fit Testing Methods?

Are all tight-fitting positive and negative pressure respirators either qualitatively or quantitatively fit tested initially and annually?To wear full face, negative pressure, air purifying respirators in atmospheres up to their assigned protection factor of 50, are personnel quantitatively fit tested with the respirator achieving a fit factor of at least 500 (equates to a safety factor of 10)?

Does the documentation include: make, model, style and size, method of test, test results, strip chart recording or other recording of test results for quantitative fit test, test date and the name of the instructor/fit tester?

Does the RPPM provide training to personnel assigned to cleaning, inspecting and maintaining respiratory protective equipment?

Does the activity and supervisors ensure proper respirator use by providing all employees required to use respirators with training per 29 CFR 1910.134?Does the activity train supervisors, persons issuing respirators and emergency rescue teams per American National Standards Institute (ANSI), Z88.2-1992?

65 of 172


1511.a. The nature and degree of respiratory hazards?

1511.b. Respirator selection based on specific hazards?1511.c.

1511.d. The limitations and capabilities of the respirator?1511.e. How to use the respirator effectively in emergency situations, including situations in which the respirator malfunctions?

1511.f. How to inspect, put on, use, check respirator seals and remove?1511.g. The procedures for maintenance and storage of the respirator?1511.h. How to recognize medical signs and symptoms that may limit or prevent the effective use of respirators?

1511.i. Wearing of contact lenses in contaminated atmospheres with respiratory protection is permitted?

1511.j. Know when to change chemical cartridges/canisters according to the established change out schedule?

1511.k. The general requirements of the respiratory standard?1512 Training1512.b Has the RPPM passed one of the following training courses before activities appoint them as the RPPM:

1512.b.(1) The OSHA Training Institute Course 2220 or 2225?1512.b.(2) The NIOSH Course 593?1512.b.(3) The Navy RPPM course, Respiratory Protection Program Management (A-493-0072)?1512.b.(4) Any respiratory protection course that has at least 32 hours of training including, but not limited to, the topics listed below:

1512.b.(4).a Respiratory hazards.

1512.b.(4).b Federal standards applicable to respirators.1512.b.(4).c Minimum respiratory protection program requirements and administration.1512.b.(4).d Respirator types, selection, certification, and limitations.1512.b.(4).e Respirator cleaning, maintenance, and inspection.

1512.b.(4).f Qualitative and quantitative fit testing of respirators, including actual laboratory fit testing.

1512.b.(4).g Breathing air quality.1512.b.(4).h Medical considerations.1512.b.(4).i Respiratory training1512.b.(4).j Confined spaces/IDLH atmospheres.

1512.b.(4).k Special problems in program administration (facial hair, lens fogging, and communication).

Why the respirator is necessary and how improper fit, usage or maintenance can compromise the protective effect of the respirator?

66 of 172


1512.b.(4).l Standard operating procedures.

1512.b.(4).m Cartridge change out schedules.

1512.d. Does the RPPM hold a course certificate from the OSHA, NIOSH or Navy course as proof of training?

1512.d.

1512.e.

1513 Responsibilities1513.a.

1513.a. Has the commanding officer ensured that the respiratory protection program, provides:1513.a.(1)

1513.a.(1) Does the program provide one or more centrally located facilities at an activity depending on its nature and size?

1513.a.(1) Do facility personnel:1513.a.(1)(a) Ensure activities only issue respirators approved by NIOSH or jointly by NIOSH/MSHA?1513.a.(1)(b) Maintain all respiratory protection equipment in a sanitary and serviceable condition?1513.a.(1)(c) Store all respiratory protection equipment in a designated clean area?1513.a.(2)

1513.a.(2) Does the activity develop and post worksite SOPs in the general area? 1513.a.(2) Do the SOPs include emergency and rescue guidance, as necessary?1513.a.(2) Do the SOPs include cartridge change out schedules as appropriate?1513.a.(3)

1513.a.(4)

1513.a.(5)

1513.a.(6) Is fit testing conducted as required per section 1509?1513.a.(7) Are procedures in place to ensure that all sources of breathing air meet the requirements of section 1506?

1513.a.(8) Is an annual program audit conducted by the RPPM?1513.a.(10) Has the RPPM successfully completed the required training?1513.a.(11) Has cartridge change out schedules been established and implemented?

If another course was attended, does the RPPM hold the course certificate and a course syllabus specifying training topics and number of hours as proof of training?Does the RPPM ensure personnel assisting with respirator program training, fit testing or other program implementation receive training appropriate to perform the tasks assigned by RPPM?

Has the Commanders, Commanding Officers and Officers in Charge established a comprehensive respiratory protection program and appointed a qualified RPPM in writing?

A centrally located facility staffed to maintain and issue respiratory protection equipment:

Written SOPs governing the selection, care, issue and use of respirators:

Does the respirator program provide for respirator protection training for all respirators users and their supervisors and personnel who use/or maintain respirators?Are procedures in place to ensure that all employees assigned to work requiring a respirator have received required medical evaluations required by section 1508? Is a “Respirator Use Questionnaire” (appendix 15-A) for each employee requiring a medical examination for respirator use completed?

67 of 172


1513.a.(11) Has description of the objective information or data on which they are based included in the written respirator program?

1513.c. Do employees obtain the respiratory protection equipment selected by the RPPM?1513.c. Do employees inspect, use and maintain such equipment per the instructions and training received?

1513.c. As a minimum, do employees:1513.c.(1) Inspect the respiratory protection equipment before and after each use per 29 CFR 1910.134 Respiratory Protection?1513.c.(1) Is equipment returned to the central respirator facility when its use is no longer required or when any malfunction is noted?

1513.c.(2) Perform user seal checks per manufacturer's instruction or per 29 CFR 1910.134 Respiratory Protection?1513.c.(2) If a successful user seal check cannot be performed, will the employee NOT wear the respirator?

1513.c.(3) Report any malfunctions of a respirator to their immediate supervisor?1513.c.(3) If the respirator requires repair or replacement, is it returned to the respirator facility?1513.c.(4) Guard against damage to or loss of respiratory protection equipment?1513.c.(5) Change respirator cartridges/canisters according to established change out schedule?

68 of 172

Reference Chapter 16 Occupational Safety and Health Standards Yes No N/A

1602 OSH StandardsNOTE:

1602.c.(3)

1602.c.(3)

1602f

1603 Alternate Standard Approval1603 Does the proposed alternate standard provide protection at least equivalent to the OSH standard it replaces?

1603a

1604 Application1604 Does the region or activity apply OSH standards in Navy workplaces, worldwide, with the following exceptions:

1604.a

1604.d

Do regions or activities use the more stringent of the two standards, when both the Navy and OSHA have standards applicable to a given situation?

When there is no OSHA Permissible Exposure Limit (PEL) or Navy developed standard, is the American Conference of Governmental Industrial Hygienists (ACGIH) threshold limit value (TLV) used as the Navy Occupational Exposure Limit (OEL)?

When the OEL is based on a limit derived from the OSHA Z-1, Z-2 or Z-3 Tables, do reports of data include the ACGIH TLV as additional guidance?Are nationally recognized sources of OSH guidance (such as the ACGIH, the American National Standards Institute (ANSI) and the National Fire Protection Association (NFPA)) will be used when there is no OPNAV instruction or OSHA standard?

Does the headquarters command submit the proposed alternate standard to CNO (N09F), who in turn, shall submit the alternate standard to DUSD(ES) for approval, through the Deputy Assistant Secretary of the Navy (Safety) (DASN(S)?

In the case of uniquely military equipment, systems and operations, do regions or activities apply Navy rules and regulations consisting of specialized standards, specifications and procedures to minimize hazards and prevent mishaps?

Where personnel of different DoD components, or of DoD components and other Federal agencies work in the same installations, does the host-agency standards govern the DoD components and other Federal agencies involved?

69 of 172

Reference Chapter 17 Asbestos Control Yes No N/A

1701 Applicability1701.b Are shore activities conducting shipboard work per this chapter and 29 CFR 1915.1001 (reference 17-3)? 1701.c

1702 Discussion1702.b

1702.b

1702.b

1702.b Do personnel strictly enforce and adhere to the standards and controls discussed in this chapter?

1703 Permissible Exposure Limit (PEL) and Excursion Limit (EL)1703.b. Do personnel using the PEL also consider the EL?1703.c.

1704 Control of Asbestos in the Workplace Environment1704

1704

1704.a. General Workplace Control Practices:1704.a.(1)1704.a.(2)

1704.a.(2)

1704.a.(2) When wetting decreases its usefulness, are enclosures or ventilation to reduce the emission of airborne fibers used?

1704.a.(2) Are spray methods to apply asbestos containing materials prohibited, under any circumstances?1704.a.(3)

1704.a.(3)

1704.a.(4) Are procedures established to minimize the accumulation of asbestos-laden waste, dust, and scrap materials?

Is there a process in place for the activity to ensure assistance from legal counsel in determining applicability of state and local OSH or Clean Air Act requirements?

Does the command prohibit the removal of installed asbestos containing materials, which are in good condition, for the sole purpose of eliminating asbestos?Does the Command use only suitable asbestos substitute materials approved through identification and testing? Does the command prohibit the use existing supplies of Abestos Containing Material (ACM) whenever there are acceptable substitutes?

Do affected employees receive a written notice of exposure per 29 CFR 1910.1001. 1926.1101 and/or 1915.1001 (references 17-1, 17-2, and 17-3)?

Does the command prepare a written asbestos control procedures that set forth appropriate engineering and work practice controls and review and update them as necessary?Do commands train project personnel per reference 17-5 and prohibit administrative controls, such as employee rotations, as a means of keeping the exposure below the PEL?

Does cognizant headquarters activity approve non-asbestos-containing substitute materials that will replace ACM?Whenever practicable, do commands handle, mix, apply, remove, cut, score, or otherwise work asbestos in a wet state sufficient to prevent the emission of airborne fibers in excess of the PEL? Is asbestos cement, mortar, coating, grout, or similar material containing asbestos removed from its container (e.g., bag, box, etc.) wet, enclosed or ventilated to prevent any airborne release of asbestos before removal?

Are regulated areas established as required by 29 CFR 1910.1001. 1926.1101 and/or 1915.1001 (reference,17-1, 17-2, and 17-3)?Is eating, drinking, smoking, chewing tobacco or gum, or applying cosmetics prohibited when involved in asbestos related work activities in the regulated area?

70 of 172


1704.a.(4)

1704.a.(4) Are wastes and debris contaminated with asbestos promptly cleaned up and placed in leak-tight containers for disposal?1704.a.(4)

1704.a.(4) Is dry sweeping, shoveling, or other dry cleanup of asbestos-containing dust and debris prohibited at all times?1704.a.(5)

1704.a.(5) Are containers color coded to ensure easy recognition?1704.a.(5) Is this asbestos waste double bagged and disposed of per procedures outlined in paragraph 1706?1704.a.(6)

1704.a.(7)

1704.a.(8)

1704.a.(8) Are visual inspections always conducted after clean-up?1704.a.(8)

1704.a.(9) Does a “Qualified” or “Competent” person supervise all asbestos work performed in a regulated area?1704.b.1704.c. Is local exhaust ventilation used to ensure that atmospheric levels of asbestos do not exceed the PEL?

1704.c.(1)(a)

1704.c.(1)(a)

1704.c.(1)(a) Are duct transport velocities high enough to prevent accumulation of fibers in the duct?

1704.c.(1)(a) Are clean out points provided for necessary periodic maintenance? 1704.c.(1)(a)

1704.c.(1)(a)

1704.c.(1)(a) Is each work site ventilation set up approved by the competent or qualified person?

Are specific procedures instituted for the containment of asbestos dust and handling of ACM to minimize the possibility of secondary air contamination?

Are materials adequately wet and high efficiency particulate air (HEPA) filtered vacuum used for removal, clean up and disposal of debris?

Is the collection and disposal of asbestos waste, scrap, debris, bags, containers, equipment, and asbestos-contaminated clothing (consigned for disposal) and which may produce airborne concentrations of asbestos fibers placed in sealed, impermeable double bags, or other impermeable labeled, per references 17-1, 17-2, and/or 17-3?

Is the spread or increase of airborne concentrations of asbestos controlled by minimizing the effects of environmental conditions, such as wind, ventilation systems, or high traffic conditions?

Is potential exposure minimized by performing asbestos removal operations, to the extent feasible, during the second or third shifts or on weekends and holidays? Are good housekeeping procedures and dust control measures to minimize the release of asbestos fibers during removal/rip-out of ACM strictly adhered to?

Are work areas thoroughly cleaned and inspected prior to air sampling and releasing asbestos-controlled areas for unrestricted access?

Lunch Areas: Are lunch areas provided and maintained as applicable to the work being performed?

Is fixed local exhaust ventilation provided? Is it equipped with pre-filters and HEPA filters provided, at the point of airborne fiber generation?

Are capture velocities high enough, under the specific environmental conditions, to move any generated asbestos fibers to the air collection/filtration device?

Are HEPA filters used if the exhaust ventilation system, (which is used to control asbestos exposures or emissions), directly vents in to another regulated area or outside environment?

Is each ventilation unit (e.g., fixed system, air mover or vacuum cleaner) to be used for asbestos work approved by the cognizant industrial hygienist?

71 of 172


1704.c.(1)(a) Is routine re-circulation of filtered air from asbestos operations prohibited? 1704.c.(1)(b)

1704.c.(1)(b)

1704.c.(1)(c)

1704.c.(1)(d)1704.c.(1)(d) Is such maintenance work performed under the provisions of this chapter?1704.c.(1)(e)

1704.c.(1)(e) Are a minimum of four air changes per hour maintained as required? 1704.c.(1)(e)

1704.c.(2)(a)

1704.c.(2)(a) Are test records maintained indefinitely? 1704.c.(2)(a)

1704.c.(2)(b)

1704.c.(2)(b) Is each system component evaluated, including hoods, ductwork, clean-out hatches, exhaust fans and APCD? 1704.c.(2)(b) Are the exhaust fan and APCD located in a protected or restricted room? 1704.c.(2)(b) Is this room treated as a regulated area? 1704.c.(2)(b) Is bag-in bag-out housing used on all filtration systems?

1704.d.(1)

1704.d.(1)(a)

1704.d.(1)(b) Hoods (head covering) that extend beyond the collar of the coverall, completely protecting the neck area?1704.d.(1)(c) Medium weight rubber gloves and a thin cotton under-glove to absorb perspiration?1704.d.(1)(d)

Are local exhaust ventilation, and dust collection systems designed, constructed, installed and maintained per references 17-7 and 17-8? Is local exhaust ventilation positioned in a regulated area to move contaminated air away from the breathing zone of employees and toward a filtration or collection device equipped with a HEPA filter?

Is a HEPA-filtered local exhaust ventilation system provided for all hand-operated and power-operated tools that may release asbestos fibers in excess of the PEL?

Are exhaust filtration systems maintained to prevent performance degradation of the ventilation systems as a whole?Where negative pressure enclosures are required: Is a minimum negative pressure of 0.02 inches water gauge within an enclosure maintained?

Is air movement, in a negative pressure enclosure (NPE), directed away from employees performing asbestos work within the enclosure, and toward a HEPA filtration or a collection device?

Are permanent ventilation systems tested every 3 months or within 5 days of a process or control change that may result in changes to employee exposure?

In cases where ventilation systems are equipped with continuous monitoring devices such as pressure taps, manometers, or pilot tubes are the gauge readings logged each day the system is used and are all non-use days noted? Is the system designed for ease of maintenance and accessibility per references 17-7 and 17-8. Locate the exhaust fan after the air pollution control devices (APCD)?

Do personnel handling ACM during abatement actions, or where the concentration of airborne fibers is likely to exceed the PEL wear, as a minimum, the protective clothing listed below:

Full body, one-piece disposable coveralls (use of breathable coveralls is permitted in cases where employees will need to shower)?

Slip-resistant plastic shoe covers, or heavy polyethylene shoe covers with slip resistant soles, or lightweight rubber boots?

72 of 172


1704.d.(1)(e)

NOTE: Are all openings closed and garments fitted snugly about the neck, wrists, and ankles for proper use of protective clothing?

NOTE:

NOTE: Do employees not wear personal clothing under the coveralls?1704.d(2)

1704.d(2) Do decontamination areas consist of an equipment room, shower area, and clean room in series?1704.d(2)

1704.d(2)

1704.d(2) Do employees then proceed to a remote shower and clean room to complete the decontamination process?

1704.d(3)

1704.d(3)

1704.d(3)

1704.d(3) Do employees proceed to a shower and clean room that may be remote from the regulated area?1704.d(4) Do activities launder asbestos-contaminated clothing to prevent release of airborne asbestos fibers in excess of the PEL?

1704.d(4)

1704.d(4)

1704.d(4)

1704.e.1704.e.(1)(a)

1704.e.(1)(a)

Face shields, vented goggles, or other appropriate protective equipment, whenever the possibility of eye irritation exists?

Accordingly, are the wrist and ankle junctions, as well as the collar opening on the outer disposable coveralls tapped to prevent contamination of skin and underclothing without restricting physical movement?

Are decontamination areas established adjacent and connected to the regulated area, for Class I work (as defined in the glossary) involving more than 25 linear or 10 square feet of Thermal System Insulation (TSI) or surfacing ACM or presumed asbestos containing material (PACM)?

Is a remote shower and clean room used where it is not feasible to locate the shower between the equipment room and the clean room, where the work is performed outdoors or shipboard?

When using remote facilities, do employees remove contamination from their work suits with a HEPA vacuum and don clean suits in the equipment room?

Are decontamination areas established adjacent to the regulated area for Class I work involving less than 25 linear or 10 square feet of TSI or surfacing ACM or PACM and for Class II and Class III asbestos work operations where exposures exceed the PEL, or where no negative exposure assessment has been produced?

Does the decontamination area consist of an equipment room or area that is covered by an impermeable drop cloth on the floor/deck or horizontal working surface?Is this area of sufficient size that equipment can be cleaned and personnel may remove their protective equipment without spreading contamination beyond the area?

Do contracts governing the laundering of asbestos contaminated clothing specifically require that contractors comply with the precautions specified in references 17-1 through 17-3 as applicable?Do NOT contracts include specific notice of the asbestos-related hazards and require that the contractor notify his/her personnel of the associated hazards?Do contracts require sealing asbestos-contaminated clothing in impermeable bags and transport in containers that have the required warning labels?Respiratory Protection; General Guidance:Are engineering control measures and work practices employed to control and contain airborne asbestos fibers to the lowest feasible level? Is compliance achieved with the PEL by employee rotation? This should be a "NO"

73 of 172


1704.e.(1)(a)During the time period necessary are engineering control measures commenced?

During emergencies? Is a respiratory protection program established per chapter 15 of this manual?1704.e.(2)

1704.e.(2)

1704.e.(2)(a) Are disposable respirators used for protection against airborne asbestos fibers prohibited? 1704.e.(2)(a)

1704.e.(2)(b)

1704.e.(2)(b) Does the use of this respirator for Class I work comply with paragraph 1704e(3)(a)1?1704.e.(2)(c)

1704.e.(2)(c) Does this respirator used for Class I work comply with paragraph 1704.e.(3).(a).1? 1704.e.(2)(c) Is paragraph 1704.f.(2) for fit testing requirements used as a reference?NOTE:

1704.e.(2)(d)

1704.e.(2)(d) Does the use of this respirator for Class I work comply with paragraph 1704.e.(3)(a).1?1704.e.(2)(e)

1704.e.(2)(e) Does the use of this respirator for Class I work comply with paragraph 1704.e.(3)(a).1?

DO NOT achieve compliance with the PEL by the use of respirators alone except under the following conditions:1704.e.(1)(a)11704.e.(1)(a)2 In work situations in which the feasible control methods are not sufficient to maintain the airborne

concentration of asbestos fibers below the PEL?1704.e.(1)(a)3 In work situations where engineering and workplace controls have been implemented, but no industrial

hygiene monitoring data exists to verify that such controls have reduced exposure levels below the PEL?1704.e.(1)(a)4(b)

Are respirators selected that are approved for protection against exposure to asbestos by the National Institute for Occupational Safety and Health (NIOSH)?Is asbestos air sampling data collected under section 1709b to determine the level of respiratory protection per references 17-1, 17-2, and 17-3?

Is the minimum respirator authorized a half face piece, air-purifying respirator with high efficiency particulate air filter(s) (P100 filters)?For 8-hour Time Weighted Average (TWA) exposures of up to 10 times the PEL, is a half face air-purifying respirator with high efficiency particulate air filter(s) (P100 filters) used to reduce the concentration of respirable airborne asbestos fibers below the PEL?

For 8-hour TWA exposures greater than 10 but not exceeding 50 times the PEL, is a full facepiece air-purifying respirator with high efficiency particulate air filter(s) (P100 filters) used to reduce the concentration of respirable airborne asbestos fibers in the respirator below the PEL?

Are personnel provided with a tight fitting powered air-purifying respirator in lieu of any negative pressure respirator if it is requested and provides adequate protection?For 8-hour TWA concentrations greater than 50, but not exceeding 100 times the PEL, is a tight fitting powered air purifying respirator equipped with high efficiency particulate air filter(s) or a supplied air respirator operated in a continuous flow mode to reduce the concentration of respirable airborne asbestos fibers in the respirator below the PEL used?

For 8-hour TWA concentrations of greater than 100, but not exceeding 1000 times the PEL, is a full facepiece supplied air respirator operated in a pressure demand mode to reduce the concentration of respirable airborne asbestos fibers in the respirator below the PEL used?

74 of 172


1704.e.(2)(f)

1704.e.(3) Respirator Requirements:1704.e.(3)(a) In addition to selecting respirators per references 17-1, 17-2 and 17-3, are respirators worn during the following:

Is respirator approved for asbestos used for Class I work below 0.1 f/cc as an 8-hour TWA?

Are the appropriate sections of 17-2 and 17-3 referred to when performing roofing work?

Do all workers performing Class IV work wear the same respiratory protection as other workers in the regulated area?1704.e.(3)(b)

1704.e.(3)(c)

1704.f.(1)

1704.f.(2) Is either quantitative or qualitative fit testing performed at the time of initial fitting and at least annually thereafter?

1704.f.(2) Is fit testing conducted per Chapter 15?1704.g.(1)

1704.g.(2) Is all asbestos waste labeled per the National Emission Standards for Hazardous Air Pollutants (NESHAP) regulations?

1704.g.(2)

1705 Asbestos Clearance Level Criteria1705

1705 Are all asbestos abatement projects undergo a thorough visual inspection?1705 Is any visible dust or debris cleaned up per reference 17-6?

If the 8-hour TWA concentration exceeds 1000 times the PEL, or is unknown, is a full face piece supplied air respirator operated in pressure demand mode equipped with an auxiliary positive pressure, self-contained breathing apparatus (SCBA) used to reduce the concentration of respirable airborne asbestos fibers in the respirator below the PEL?

1704.e.(3)(a).1 All Class I asbestos work? Is a full face, pressure-demand supplied air respirator, equipped with either an auxiliary self-contained air supply or HEPA egress cartridges, used in all Class I work above 1 f/cc as an 8-hour TWA?

1704.e.(3)(a).1 Is a tight-fitting powered air-purifying respirator, equipped with HEPA filters used for all Class I work between 0.1 and 1 f/cc as an 8-hour TWA?

1704.e.(3)(a).11704.e.(3)(a).2 Is a half-mask air purifying respirator, other than a disposable respirator, equipped with a high efficiency particulate air filter(s)

(P100 filters) used in Class II and III asbestos work?

1704.e.(3)(a).2

1704.e.(3)(a).3Are employees allowed to leave the regulated area to wash their faces and respirator face pieces whenever necessary to prevent skin irritation associated with respirator use?

Are personnel NOT assigned tasks requiring the use of respirators based upon his/her most recent medical evaluation that the employee will be unable to function normally while wearing a respirator or that the safety or health of the employee or other personnel will be impaired by his/her use of a respirator?

Are all Navy personnel issued respirators, equipped with tightly fitting facepieces (including pressure demand respirators) for protection against airborne asbestos fibers in the negative mode fit tested per Chapter 15?

Does the command communicate the asbestos hazard with warning signs and labels to all potentially exposed personnel per reference 17-1,17-2, and 17-3?

Does all asbestos waste disposed of off-site have the name of the waste generator and location where the waste was generated as specified in reference 17-9?

Is strict adherence to good housekeeping procedures and adequate control measures to minimize, to the greatest extent feasible, the release of asbestos fibers to the environment required?

75 of 172


1705 Are clearance air samples taken on all regulated areas for which a negative exposure assessment has not been made?1705 As a minimum, is air sampling performed as described below:1705.a. A sample of air inside the regulated area to determine if airborne fibers are less than 0.01 f/cc using the NIOSH 7400 method?

1705.a. Is the minimum sample volume 1200 liters?1705.a. Is aggressive air sampling used where required by law, to perform clearance air sampling?1705.a. Is necessary number of air samples determined locally on a case-by-case basis?1705.a. Is the following criteria used to determine if the abatement project complete for both buildings and ships:1705.a.(1) All samples collected in a building are less than 0.01 f/cc?

1705.a.(2)

1705.a.(2).(a) Are references 17-10 and NIOSH 7400 method used to provide technical guidance for sampling and analysis?1705.a.(2).(b)

1705.a.(2).b. Is on the job training (OJT) provided under the direction of the cognizant IH?1705.a.(2).b. Does the cognizant IH certify in writing those individuals who successfully completed the OJT as competent?1706 Disposal Procedures1706 In preparation for disposal, is asbestos waste adequately wet?1706

1706 Are all bags or containers marked with the standard asbestos warnings?1706 Is a distinctive color code asbestos waste container, such as bags, trash cans and dumpsters used for easy recognition?

1706 Are all dumpsters labeled ASBESTOS WASTE ONLY or otherwise marked per reference 1704.g?1706

1707 Asbestos Management Program Ashore1707

1707.a. Does the program contain three key elements below:1707.a. Survey and material evaluation? 1707.b. Operations and Maintenance (O&M) program? 1707.c. Design and abatement? 1707.c. Are the centrally managed Hazard Abatement funds used to design and abate high priority asbestos projects?1707.c.

All samples collected on a ship are less than 0.01 f/cc or background, whichever is greater, as measured prior to starting the non-emergency asbestos abatement but never greater than 0.1 f/cc?

Are personnel who are not industrial hygienists (IH), industrial hygiene technicians or certified exposure monitors completing a formal course per appendix 17-B, prior to performing asbestos sampling?

Is this wet asbestos waste double bagged in heavy duty plastic bags of at least 6 mils thick or other suitable impermeable containers?

Is care exercised to prevent bags and other containers from rupturing when being moved to a dumpster or other suitable vehicle for transport to a proper disposal site?

Does Command have program in place which provides a long-term solution that will eliminate personnel exposure to airborne asbestos fibers in occupied Navy buildings and workspaces through cost effective management of ACM?

Is the asbestos program manager (APM) appointed in writing by the activity commanding officer to implement the activity's Asbestos Management Program?

76 of 172


1707.c. Is the APM located in the public works department, safety and health department or the environmental department?1707.c.

1707.c. When such a written agreement exists, are the training requirements for the activity representative mutually agreed upon?

1707.c. Are the program elements in appendix 17-C used for the protection of employees met? 1707.c. Is appendix 17-C referred to for details of the program and division of responsibilities?1708 Training1708 Are the training and certification requirements of appendix 17-B followed?1708 Are training records maintained per chapter 6?1708

17091709.a.

1709.a. Are both personal (employee) air sampling and environmental (area) monitoring performed?1709.a. Are personal air samples in the breathing zone of the employee collected?1709.a. Are employees or the designated employee representative given an opportunity to observe sampling or monitoring?1709.a.

1709.a.

1709.a.

1709.a.

1709.a. Is OJT being performed under the direction of the cognizant IH?1709.a. Is the cognizant IH certifying in writing those individuals who successfully complete the OJT as competent?1709.b.1709.b.1709.b.

1709.b.

1709.c.1709.c. Are asbestos air samples analyzed by personnel who have successfully completed the NIOSH 582 or an equivalent course?

Is the building manager or facilities representative used to act as the liaison with the host, when a written agreement exists specifying that the host is responsible for carrying out the APM's duties?

Are copies of references 17-1,17-2 and 17-3 and other handout type training materials made available for employees upon request at no charge?Industrial Hygiene; Exposure Monitoring Plan:

Is exposure monitoring plan established to characterize exposures for every employee with occupational exposure to asbestos?

Within a class or category of similar operations, is sampling conducted with a frequency and pattern to accurately and reproducibly represent the airborne levels produced by a typical operation within the class or category?Is the cognizant IH using their discretion in sampling all areas where repetitious asbestos work is performed, per reference 17-1, 17-2, and 17-3?Are non-repetitious asbestos removal operations sampled at least once to determine the maximum exposure potential of that operation?Are personnel performing personal air sampling to determine exposure to airborne asbestos, who are not IH's, IH tech's or certified exposure monitors completing a formal course in asbestos sampling per appendix 17-B?

Method of Sampling:Are breathing zone air samples collected which are representative of the 8-hour TWA exposure of each employee for comparison to the PEL per appendix A of references 17-1, 17-2, and 17-3?Are breathing zone air samples collected which are representative of the 30-minute short term exposure for comparison to the EL per appendix A of references 17-1, 17-2, and 17-3?Are environmental air samples collected using the current revision of the NIOSH 7400 method along with any additional guidance from local requirements?Method of Measurement:

77 of 172


1709.c. Are samples analyzed by the appropriate method, ORM or NIOSH and are the laboratory results specified?1709.d.1709.d. Is the Industrial Hygiene Air Sampling Survey form (NEHC 5100/13) or computerized equivalent completed?1709.d. Are records and exposure data retained as indicated in Chapter 8?1710 Asbestos Medical Surveillance Program (AMSP); 1710.b.1710.b. Are personnel who meet the exposure criteria defined in references 17-1, 17-2, and 17-3 included in the AMSP?1710.b. Do these persons remain in the program for the duration of their current exposure?1710.c.

1710.c.(1)

1710.c.(1)

1710.c.(2)

1710.c.(3)

1710.c.(3)

1710.c.(3)

1710.c.(4)

1710.c.(4).(a).

1710.c.(4).(b).

1710.c.(4).(b). Are references 17-12 and 17-13 used for guidelines and protocols for entry in the AMSP based on past exposure?1710.d.

1710.d. Are medical evaluations performed by or under the supervisor of a credentialed physician?

Monitoring Records and Retention:

Criteria for Inclusion of Personnel in the AMSP:

Criteria for Removal of Personnel from the AMSP:

When employees in the AMSP change to a job either without asbestos exposure, or at a level below the current exposure criteria, are they given a termination evaluation to meet requirements per references 17-1, 17-2, and 17-3?

Are employees enrolled in the Chief, Bureau of Medicine and Surgery (BUMED) program for persons previously in the AMSP, or with significant past exposure, continue receiving medical evaluations on a voluntary basis as per reference 17-12 and 17-13?

Are the health records documented when the employee is removed from the AMSP and the employee's name and SSN forwarded to the Navy Environmental Health Center (NEHC) stating the employee never met the applicable exposure criteria?

Are employees inappropriately enrolled in the AMSP removed administratively by the responsible occupational health care professional (with occupational medical physician consultation as needed)?

Are employees removed from the program if review of the records indicate the employee did not meet the OSHA criteria for inclusion in the program, and there is no medical evidence (based on AMSP medical parameters) to warrant inclusion in the AMSP?

Is the employees HR clearly documented with the reason(s) for removal, and the employee's name and social security number to the NEHC stating the employee should not have been placed in the AMSP?

Are employees provided information and counseling on the value of continuing medical evaluations upon termination of employment?

Upon termination of Navy employment, are civilian personnel who are no longer eligible for health care in Navy clinics and cannot be followed up in the Navy AMSP system, encouraged to obtain a copy of their health record for follow-up with their private physician?

Are retired military personnel seen on a continual basis in Navy clinics for AMSP evaluations, subject to the conditions listed in reference 17-14?

Medical Personnel Performing Medical Surveillance Evaluations:

78 of 172


1710.d.

1710.d. Does the health care provider have a copy of this chapter, including references 17-1, 17-2, and 17-3?1710.e.

1710.e. Are situational evaluations conducted in response to a specific incident for which a hazardous overexposure is suspected?

1710.e.

1710.e.

1710.f. Is reference 17-12 used for the medical protocols for the AMSP employees?1710.f.(1)

1710.f.(2) Is reference 17-13 requirements for spirometry testing followed?1710.f.(3)

1710.f.(3)

1710.f.(4) Are all personnel on the AMSP counseled regarding the results of the medical evaluation?

1710.f.(4) Is information from the local radiologist's official interpretation of the chest X-ray included as part of the medical evaluation?

1710.f.(4) If the B reading results received subsequently provide new information, is the employee informed of those findings?

1710.g. Is reference 17-16 used to document and maintain AMSP medical data in the HR?1710.g. Is the exterior of the HR and X-ray jacket prominently marked ASBESTOS as described in reference 17-15?1710.h.

1710.h.(1)

1710.h.(1) Is the medical clinic maintaining original chest X-rays as a permanent part of the HR per references 17-1, 17-2 and 17-3?1710.h.(1)

1710.h.(2)

1710.h.(3) Is the Navy's mechanism for reporting occupational diseases via the safety chain of command to the Naval Safety Center?

Are AMSP medical evaluations provided by nurse practitioners, physician assistants, independent duty corpsmen and occupational health nurses authorized to provide health assessments under the BUMED Quality Assessment and Improvement Program using approved medical protocols?

Situational Medical Evaluations:

If the criteria of references 17-1, 17-2 and 17-3 are met, are personnel enrolled in the AMSP on the basis of a one-time exposure to asbestos or a one-time medical evaluation for actual or potential asbestos exposures?Are the AMSP HR forms used to document situational evaluations for asbestos exposures and is the outside marked ASBESTOS per reference 17-15 when the exposure does not meet the criteria for enrollment in the AMSP?

Is reference 17-13 used for the list of forms required for documenting the review and update of medical and occupational history and evaluation?

Is the local radiologist following procedures in references 17-1, 17-2, 17-3 and 17-13 for reading the posterior/anterior chest x-ray?Is the chest X-ray forwarded for a reading using the International Labor Organization (ILO) 1980 Classification for Pneumoconiosis (generally known as B readings)?

Is all medical information collected for occupational health purposes, including all AMSP medical data maintained in the HR per reference 17-17?When the active duty member or civilian employee transfers to another location or retires, are their HR's forwarded per reference 17-15?

Is the Navy medical clinic maintaining the chest film and retiring them per current directives when the civilian transfers to an agency outside the Navy?Is chapter 8 and references 17-15 and 17-18 used to implement the Federal regulations relating to the access and privacy of medical data?

79 of 172


1710.h.(3)

1710.h.(3)

1711 Work Performed by Private Contractors1711

1711 Is reference 17-19 used to design asbestos actions in Navy facilities?1711

1712 Environmental Protection1712.a.(1) Are all Federal, State and local requirements, including emission standards and the provisions of this chapter met?1712.a.(1) Is the cognizant IH and the activity environmental coordinator contacted for additional information?1712.a.(2) Is technical assistance for air pollution control requested from the COMNAVFACENGCOM Engineering Field Division (EFDs)?

1712.b. Are asbestos materials properly contained and disposed of in an approved landfill?NOTE:

NOTE:

NOTE:

1712.c.(1)

1712.c.(1).a.

1712.c.(1).b.

1712.c.(1).c. Are specific requirements being met for fabrication, installation, and disposal of waste asbestos?1712.c.(1).c. Are references 17-1, 17-2 and 17-3 procedures for the handling, transporting and disposing of asbestos waste used?1712.c.(1).c.

1712.c.(1).c. Are the containers labeled as prescribed in this chapter?1712.c.(1).c. Is the transport vehicle labeled during loading and unloading in conformance to reference 17-9?

Does NEHC maintain a central database registry containing selected information related to persons in the Asbestos Medical Surveillance Program?

Is it used to track the number of persons routinely being evaluated for potential asbestos-related disease and health record information related to asbestos medical evaluations for program management purposes?

Is each contract for work to be performed by a private contractor in Navy facilities and ships in the United States and abroad written to comply with appropriate OSHA and EPA regulations?

Is reference 17-20 invoked in contracts for the control of asbestos operations on board Navy ships undergoing construction and/or repair?

Some States may require asbestos materials to be disposed of in specially designated landfills. Is the activity environmental coordinator consulted prior to any disposal?Where State or local agencies regulate asbestos as a hazardous waste (HW), is the Navy responsible for the management of all administrative and disposal requirements as the generator of the waste.

Does the landfill operator record specific locations within landfills used for the disposal of asbestos materials and the cognizant naval facility retain a copy per reference 17-1, 17-2, 17-3 and 17-9?

The National Emission Standards for Asbestos are contained in references 17-9 and 17-21. Are the following standards followed:

Is a thorough re-inspection for ACM by an asbestos inspector qualified by appendix 17-B, performed prior to renovation or demolition of facilities?

Does command prohibit spray application of materials containing 1 percent or more asbestos for buildings, structural members, pipes and conduits?

Is waste asbestos or asbestos-contaminated material wet down and placed in impermeable containers prior to transporting for disposal?

80 of 172


1712.c.(2)

1712.c.(2) Is appendix 17-D used for guidance on notification requirements?1713 Responsibilities1713e Does the commanding officers of the shore activitie:1713.e.(1)

1713.e.(2) Comply with the National Emission Standard for Asbestos per Section 1712?1713.e.(3) Budget resources in order to meet asbestos control requirements?1713.e.(4) Appoint an APM in writing to implement the requirements of section 1707 and appendix 17-C?1713.e.(5) Maintain copies of current applicable State and local asbestos requirements?

Does the activity ensure that written notification to the EPA and/or cognizant State or local agencies is done per reference 17-9 and State and location regulations?

Apply control measures, monitoring procedures and O&M plans prescribed in this chapter to processes using asbestos or ACMs?

81 of 172

Reference Chapter 18 Hearing Conservation and Noise Abatement Yes No N/A

1802 Hearing Conservation Program Introduction1802.a

1802.b.

1802.c

1802.d

1802.d Are necessary follow-up evaluation conducted to ensure appropriate referral, treatment and early return to duty?

1802.e

1802.e

1803 Navy Occupational Exposure Limit (NOEL)1803.d.

NOTE:

1804 Noise Measurements and Exposure Assessments1804.a. Are noise measurements taken as part of the industrial hygiene survey? 1804.a.(1)

1804.a.(2) Do sound level meters conform, as a minimum, to the Type II requirements cited in reference 18-2? 1804.a.(2)

1804.a.(2)(a)

1804.a.(2)(b)

1804.a.(3)

1804.a.(3) Do personal noise dosimeters meet the requirements in reference 18-2?1804.a.(3)

Noise Measure and Analysis: Are work environments surveyed to identify potentially hazardous noise levels and personnel at risk?Engineering Control: Whenever it is technologically and economically feasible, are environments that contain or equipment that produces potentially hazardous noise modified to reduce the noise level to acceptable levels as established by this chapter? Hearing Protective Devices: Where engineering controls are not feasible, do activities employ administrative controls and/or the use of hearing protective devices?Does the cognizant medical treatment facility conduct periodic hearing tests that will allow regions or activities to monitor the effectiveness of the hearing conservation program?

Do individuals exposed to hazardous noise, their supervisors, and people providing hearing conservation services (i.e., training, monitoring, hearing protection, etc.) receive training?

Do regions or activities encourage all Navy employees to use hearing protective devices when exposed to hazardous noise during off-duty activities?

When TWA exposures are greater than 84 dB(A), do the regions or activities include personnel in the Navy's Hearing Conservation Program?When two or more periods of noise exposure of different levels comprise the daily noise exposure, is their combined effect considered?

Is an IH, industrial hygiene technician, exposure monitor, occupational audiologist or other individual suitably trained by an IH authorized to take noise measurements?

Do suitably trained personnel use an acoustical calibrator, accurate to within plus or minus one decibel to calibrate the instrument before each survey and to revalidate the calibration at the conclusion of the survey? Do suitably trained personnel calibrate sound level meters and sound level calibrators electro-acoustically annually?Do suitably trained personnel measure impact or impulse noise as dB peak sound pressure level with an impact noise analyzer?In cases where circumstances such as high worker mobility, significant variations in sound levels, or a significant component of impulse noise make area monitoring generally inappropriate; Do suitably trained personnel use personal dosimeters for measurements?

Do work environments where ultrasound is produced and hearing protection is not already used conform to the ultrasound exposure limits set forth in reference 18-2?

82 of 172


1804.a.(4)

1804.a.(4)

1804.a.(5)

1804.a.(6)

1804.a.(6)(a) The number, type and location of the noise sources?1804.a.(6)(b) Number and identification of personnel in the work area and their daily noise exposure and duration?

1804.a.(6)( c) Type, model, serial number of test equipment and calibration data?1804.a.(6)(d) Location, date and time of noise measurements?1804.a.(6)(e) Noise levels measured and hazard radius?1804.a.(6)(f) The name and signature of the person(s) who conducted the study?1804.a.(7) Do personnel record noise survey data on NEHC Forms 5100/17 and 5100/18?1804.b.

1804.b. Are these assessment tasks performed by an IH or other person that an IH or audiologist judges to be competent?

Do exposure assessments:1804.b. Identify which work areas, processes, and equipment produce hazardous levels of noise?

1804.b. Determine the type of hearing protection necessary? 1804.b. Identify personnel at risk so they can be included in the hearing conservation program?1804.b.(2) Are hazardous noise areas designated based on the following criteria:1804.b.(2)(a)

1804.b.(2)(b)

1804.b.(3)

1804.b.(3) Are individuals identified on a roster or equivalent database for inclusion in the hearing conservation program? 1804.b.(3) Do regions or activities require visitors to a hazardous noise area to wear protection? 1804.b.(3) Do regions or activities document decisions to waive the use of hearing protective devices?

1804.b.(3)

Are these work environments found to have noise levels greater than 84 dB(A) (continuous or intermittent), or 140 dB peak sound pressure level for impact or impulse noise, analyzed to determine the potential hazard?

Are these work environments resurveyed within 30 days of any significant modifications or changes in work routine which could impact/alter the noise intensity/exposure level?

Do suitably trained personnel conduct all noise measurements to determine an individual's exposure with the microphone of the measuring instrument placed at a height that most closely approximates the position/location of the worker's ear during normal working conditions? Is the record of noise measurements retained per the requirements of Chapter 8 of this manual and include, as a minimum:

Are TWA noise exposure assessments determined for all personnel routinely working in hazardous noise areas and performing hazardous noise operations?

Any work area where the A-weighted sound level (continuous or intermittent) is or is reasonably expected to be greater than 84 dB(A)?Any work area where the peak sound pressure level (impulse or impact noise) exceeds or is reasonably expected to exceed 140 dB peak?In the absence of a qualified professional's assessment and documentation to the contrary, do activities consider personnel at risk if routinely exposed to sound levels greater than 84 dB(A), or for impact or impulse noise, 140 dB peak sound pressure level?

Are such professional judgments rendered by an IH or other qualified professionals, using approved instrumentation and considering all relevant factors?

83 of 172


1804.b.(4)

1804.b.(4)

1804.b.(4)

1804.b.(5) Do region's or activity's follow-up of exposure assessments include, as a minimum, the following elements:1804.b.(5)(a)

1804.b.(5)(b) Identification of individuals exposed to hazardous levels of noise and updating the roster at least semi-annually?1804.b.(5)(c) Identification of the medical facility responsible for audiometric monitoring?1804.b.(5)(d) Identification of those responsible for training personnel in the elements of the hearing conservation program?

1804.b.(6)

1805 Labeling of Hazardous Noise Areas and Equipment1805

1805.a

1805.b

1805.c Do activities have the option of using additional means to alert employees to noise hazard operations?1806 Hearing Testing and Medical Evaluation1806

1806

1806.a (Baseline) Hearing Tests1806.a.(1)

1806.a.(1) Are hearing tests performed at Military Entrance Processing Stations NOT used as reference audiograms?

Are determinations to exclude individuals who are already included in a hearing conservation program made only by professionals qualified to provide or evaluate noise exposure assessments?

Do regions or activities prohibit excluding individuals already included in a program based upon exposure assessment alone without concurrence from an audiologist or physician trained in occupational hearing loss?

Do personnel who use hearing aids not use them in place of approved hearing protective devices except when approved by an audiologist or otolorigologist?

Identification of those responsible for designating work areas or equipment as noise hazardous?

Do regions and activities notify each employee exposed to an 8-hour TWA of greater than 84 decibels of the results of the exposure assessment?

Do regions and activities label designated hazardous noise areas and equipment that produce sound levels greater than 84 dB(A) or 140 dB peak sound pressure level. NAVMED 6260/2, Hazardous Noise Warning Decal, 8"x10.5" - NSN: 0105-LF-004-7200, and the NAVMED 6260/2A, Hazardous Noise Labels (displayed on hand tools), 1"x1.5"- NSN: 0105-LF-004-7800, are the approved decals and labels for marking hazardous noise areas or equipment?

Do regions and activities refrain from posting an entire building as a hazardous noise environment unless nearly all areas within the building are designated hazardous noise areas?Are personnel operating and maintaining combat equipment made fully aware of hazardous noise exposure conditions? (Military combatant equipment is excluded from labeling requirement)

Do regions and activities enter all Navy personnel, military and civilian, except those specifically excluded under paragraph 1804b, who are required to work in designated hazardous noise areas or with equipment which produces or is reasonably expected to produce exposure levels at or above an 8-hour TWA of greater than 84 dB(A) or with impulse exposures exceeding 140 dB peak sound pressure levels, into a hearing conservation program? Are hearing conservation measures and medical evaluations of hearing tests per the detailed procedures set forth in reference 18-3?

Do all military personnel receive a reference-hearing test, recorded on a DD 2215, upon entry into naval service?

84 of 172


1806.a.(1)

1806.a.(1)

1806.a.(2)

1806.b. Monitoring Hearing Tests1806.b.(1)

1806.b.(1)

1806.b.(1)

1806.b.(1) Are follow-up evaluation provided to assure appropriate referral, treatment and early return to duty?1806.b.(2)

1806.c. Exclusion From Future Noise Exposure1806.c.

1806.c. Accordingly, are such personnel given special consideration under the hearing conservation program?

1806.c.(1)

1806.c.(2)

1806.d. Disposition Following Monitoring Hearing Tests

1806.d.

1806.d. Are individuals and their supervisors notified when STS or OSHA recordable STS occurs?

1806.d.

1806.e. Termination Hearing Test

Do all civilian personnel being considered for employment in an occupational specialty or area that involves routine exposure to hazardous noise receive a reference- hearing test?

Are all reference hearing tests preceded by at least 14 hours without exposure to hazardous noise? NOTE: This requirement may not be met by wearing the appropriate hearing protective device.

Do Navy employees presently in service who do not have a reference audiogram filed in their health record NOT assigned to duty in a designated hazardous noise area involving exposure to hazardous noise until a reference- hearing test has been performed?

Are all personnel routinely exposed to noise in excess of the NOEL, and others determined to be at risk, included in the hearing conservation program, have a reference (DD 2215) hearing test in their record and receive periodic monitoring hearing tests?

Are hearing tests conducted at least annually thereafter for as long as the employee remains in a noise hazardous environment? Are monitoring hearing tests also conducted when there are individual complaints of hearing difficulties, e.g., difficulties in understanding conversational speech or a sensation of ringing or fullness in the ear(s)?

Is the monitoring audiogram compared with the reference audiogram to determine if a significant threshold shift (STS) has occurred relative to the reference audiogram?

Do regions or activities shall consider individuals who exhibit a progressive series of permanent threshold shifts to be at high risk for further hearing deterioration?

Do individuals monitored under the hearing conservation program who have their reference audiogram redefined due to worsening hearing on three separate occasions, or have hearing loss in both ears in which the sum of thresholds at the frequencies of 3000, 4000 and 6000 Hz exceeds a total of 270 dB, obtain clearance from an audiologist, otologist or occupational medicine physician before returning to duties involving hazardous noise?

If such clearance is inappropriate, does the audiologist or medical officer in charge of the hearing conservation program make specific recommendations to the individual's command?

Is a change in hearing of an average of 15 dB or more at 2000, 3000 and 4000 Hz in either ear considered a significant threshold shift relative to the current Reference Audiogram?

Are STSs considered OSHA recordable when an audiologist, otologist, or occupational medicine physician confirms the shift is toward deteriorated hearing, is permanent, and is consistent with an occupational origin and exceeds and average of 25 dB or more above audiometric zero, the same ear at 2000, 3000 and 4000 Hz?

85 of 172


1806.e. Do military personnel receive a hearing test upon termination of Navy service? 1806.e.

1806.e.

1807 Personal Hearing Protective Devices1807.a. Are hearing protective devices worn by all personnel when they enter or work in an area where the operations generate:

1807.a.(1) Sound levels greater than 84 dB(A)?1807.a.(2) 140 dB peak sound pressure level or greater?1807.b.

1807.c.

1807.d. Is every effort made to issue personal hearing protective devices suited to the location and duration of usage?

1807.d.

1807.d.

1807.d.

1807.e.

1807.f. Do regions/activities provide preformed or custom molded musician's earplugs to service band members?

1807.f.

1808 Training1808.a.

1808.a.

1808.a. Is refresher training is given by local medical personnel at the time of annual audiogram?1808.a.

1808.a. Does the region or activity safety office maintain records of such training per chapter 6?

Do civilian personnel who have been routinely exposed to hazardous noise or have previously demonstrated a significant threshold shift, receive a hearing test upon termination of employment?

Do all personnel that are dropped from the hearing testing program due to removal from hazardous noise duties have a termination test to document auditory status at the time of reassignment?

Is a combination of insert type and circumaural types of personal hearing protectors (double protection) worn when sound levels exceed 104 dB(A) or 165 dB unless an occupational audiologists, IH, or occupational medicine physician has determined that single protection is adequate for the anticipated duration of exposure?

Do all personnel exposed to gunfire in a training situation or to artillery or missile firing, under any circumstances, wear hearing protective devices.

The Navy Environmental Health Center (NEHC) website (currently at http://www-nehc.med.navy.mil) identifies additional hearing protectors that have been tested by DoD activities, and are approved for open purchase.

Do regions or activities desiring to use hearing protective devices not specified in appendix 18-A or cited by NEHC submit a sample of the device with a request for evaluation to the Chief, Bureau of Medicine and Surgery (BUMED)?

Does BUMED review manufacturers’ test data and conduct additional evaluation as necessary to determine suitability for use?In cases where hearing protection devices alone do not provide sufficient attenuation to reduce the employee's effective exposure at or below an 8-hour TWA of 84 dB(A), is administrative control of exposure time instituted?

Only audiologists, otolaryngologists or trained medical technicians may take impressions of the ear necessary to make custom earplugs.

Do personnel identified for inclusion in the hearing conservation program receive initial and refresher training per appendix 6-A? Is initial training provided before assignment to duty in a designated noise hazardous area involving exposure to hazardous noise?

Does the cognizant medical activity document the training in the medical record with appropriate notification to the safety office?

86 of 172


1808.b. Do all Navy personnel included in the hearing conservation program receive appropriate instruction in:1808.b.(1) The elements of and rationale for a hearing conservation program?1808.b.(2) Proper wearing and maintenance of hearing protection devices?1808.b.(3) The command program and individual responsibilities?1808.b.(4) Off-duty practices which will aid in protecting their hearing?1808.b.(5) Individuals responsibility in protecting their own hearing?1808.b.(6) How hearing loss affects employability, retention, job performance and career progression?1808.c.1809 Recordkeeping1809.a

1809.a Do these records become a permanent part of an employee's health record? 1809.a

1809.a

NOTE:

NOTE:

1809.b

1810 Noise Abatement Program Introduction1810 Is the primary means of protecting Navy personnel from hazardous noise through the application of engineering controls?

1810

1810

1811 Preventive Measures1811

1812 Abatement of Existing Noise Hazards1812.a

1812.a(1)

Do regions or activities provide instruction to all personnel upon reassignment to a new job that is noise hazardous?Do regions or activities record results of hearing tests performed for hearing conservation purposes, as well as exposure documentation?

Does the medical department retain the original reference audiogram as a permanent part of an employee's health record along with all disposition results and referral notations? Does the medical department record all hearing test results on DD 2215, Reference Audiogram, or DD 2216, Hearing Conservation Data, as appropriate? Those few medical departments that do not have DOHRS equipment should contact NEHC for guidance. NEHC will no longer accept hard copy forms.Does the medical department place the original in the health record and upload a digitized copy to the Defense Occupational Environment and Health Readiness System-Hearing Data Repository (DOEHRS-DR)?

Does the medical department retain all noise measurement data, as well as audiometric records and information in an employee's health record per the provisions of Chapter 8, and record the results of noise exposure assessments in the work location block on the DD 2215s and 2216s?

Administrative controls used? (i.e., the adjustment of work schedules to limit exposure) are also effective but often result in some loss in productivity.

Are personal protective equipment (PPE) (ear plugs, muffs, etc.) the permanent solution only when activities determine engineering or administrative controls infeasible?

Are potential noise problems eliminated in the design or procurement stage for new processes, equipment, and facilities rather than making retrofits or modifications after the fact?

Does the region or activity undertake the abatement of hazardous noise levels, to the extent possible or practicable, by one or more of the following methods:By engineering design to eliminate or reduce the noise levels of machinery, equipment and other operating devices/facilities to acceptable levels?

87 of 172


1812.a(2)

1812.a(3) By acoustical enclosure of the noise producer?1812.a(4) By isolation of the noise producer to a point where the noise will affect fewer personnel?1812.a(5) By substitution of a less hazardous process?1812.a(6) By administrative controls which limit exposure (i.e., control of work schedules)?1812.b

1812.b

1812.b

1812.b

18131813.c.(1)

1813.c.(2)

1813.c.(3)

1813.c.(4) Are hazardous noise levels eliminated or reduced through the use of engineering controls?1813.c.(5)

1813.c.(6)

1813.c.(7) Is emphasis placed upon leadership by example regarding the wearing of hearing protective devices?

1813.c.(7)

By damping the noise by means of lamination, mufflers, mountings, couplings, supports, insulation or application of acoustic materials?

Engineering control feasibility studies:

Do regions or activities initiate studies for those areas where continuous noise levels exceed 100 dB(A) and personnel are exposed for 4 hours or more even though protected by hearing protective devices?

Do regions or activities consider the utilization of personal hearing protective devices as a permanent means of control only when it is determined that the methods outlined above are infeasible?

Do regions or activities support such determinations by appropriate documentation signed by the cognizant IH and the cognizant engineer and maintain records of such determinations?

Responsibilities; Regional Commanders and or Commanding OfficersAre all Navy areas, worksites, and equipment under their cognizance, identified as noise hazardous are labeled and where necessary, suitably trained personnel shall conduct surveys and assessments?

Is a hearing conservation program instituted where a potential noise hazard has been identified per section 1804 and maintain a roster of personnel placed in the program?In cooperation with the cognizant medical treatment facility, is hearing conservation program effectiveness evaluated annually as specified in 18-2?

Do regions or activities provide personal hearing protective devices, and ensure proper usage by personnel where administrative or engineering controls are infeasible or ineffective?

Do all military and civilian personnel, whose duties entail exposure to potentially hazardous noise, receive instruction per this chapter?

Do regions or activities enforce policy, including the initiation of disciplinary measures for repeated failure to comply with the requirements of the hearing conservation program?

88 of 172

Reference Chapter 19 Sight Conservation Yes No N/A

1901 Does the region/activity sight conservation program include, but not be limited to, the following program elements:

1901.a. Identification and evaluation of eye hazardous areas, processes, and occupations?1901.b. Prescription protection eyewear program?1901.c. Provision and maintenance of appropriate personal protective equipment (PPE) at government expense?

1901.d. An employee training, promotion and emphasis program?1901.e. Effective program enforcement?1902 Basic Program Requirements:1902

1902 Are all such emergency facilities located where they are easily accessible to those in need? 1902

1902

1902 Does periodic maintenance include cleaning of the unit, replacement of water, and checking for proper operation?

1902

1902 Do work centers maintain written, dated and signed maintenance records for a period of one year?

1902

1902 Do regions and activities prohibit the use of personal eyewash units for work with corrosives?

1903 Occupational Eye Care Services and Equipment1903

1903

Do regions or activities provide emergency eyewash facilities meeting the requirements of reference 19-1 in all areas where the employees’ eyes may be exposed to corrosive materials?

Do work centers activate plumbed eyewash units weekly for a period long enough to verify operation and to flush the line? Do regions/activities service pressurized and non-pressurized self-contained eyewash units quarterly or per the manufacturer's recommendations, whichever is more frequent?

Where an additive is used in a self-contained eyewash unit, do regions or activities use additives specified by the manufacturer, and change fluid at an interval recommended by the manufacturer of the additive?

Do regions and activities only use self-contained eyewash units on a temporary basis until permanent emergency eyewash facilities are installed or at remote locations where water is not readily available?

Does the regions or activity safety office consult with supply officers and the cognizant medical activity to determine the most suitable procurement procedures when prescription protective eyewear is required? Do regional and/or activity commanding officers establish procedures for obtaining prescription safety eyewear through contracts, reimbursement, cognizant medical activity or other methods compliant with provisions of Labor Management Relations under 5 USC Chapter 71?

89 of 172

Reference Chapter 19 Sight Conservation Yes No N/A

1903

1903

1904 Temporary Protective Eyewear:1904

1904 In addition, do they provide planos or goggles to employees awaiting delivery of corrective-protective eyewear?

Emergency Eyewash and Shower Equipment - ANSI Z358.1-2004

4.5.2 & 5.4.2 In accessible locations that require no more than 10 seconds to reach?4.5.2 & 5.4.2 On the same level as the hazard and path of travel is free of obstructions?4.5.5 & 5.4.5 Protected from freezing or use freeze-protected equipment?4.5.3 & 5.4.3 Located in a well-lit area identified with a highly visible sign?4.6.2 & 5.5.2 Are plumbed stations inspected and water activated weekly for three minutes then documented? 4.6.4 & 5.5.4

4.6.5 & 5.5.5 Are plumbed stations inspected annually to assure conformance with this standard?5.4.1 & 6.4.4

5.3.2.(1) Is the discharge fluid collected?5.3.2(2) Does the valve open in one second and stay open?5.3.2.(3) Is the unit capable of delivering a minimum of 1.5 liters per minute (0.4 gpm) through 15 minute test?6.1.1

6.1.2 Are units designed and positioned as not to pose as hazard to the user?6.1.3 Are the nozzles protected from airborne contaminants?6.1.3

Is visual screening provided to evaluate whether employees (or employee applicants) meet essential job elements?When Navy medicine provides these services, are all medical forms and evaluations documented according to the Bureau of Medicine and Surgery Manual of Medical Department, NAVMED P117?

Where protective corrective eyewear is necessary, do regions or activities provide planos or goggles to visitors, instructors and others who must enter or pass through eye hazardous areas?

Are employees that are exposed to hazardous materials instructed in the location and proper use of showers and eyewash stations?

Is unit positioned with the nozzle(s) not less than 33 in and no greater than 45 in from the level on which the user stands?

Is the flow controlled provided to both eyes simultaneously at the a velocity low enough to be non-injurious to the user?

Can means used for nozzle protection be removed without a requirement for separate motion by the operator when activating the unit?

90 of 172

Reference Chapter 20 Personal Protective Equipment Yes No N/A

2001 Discussion and Policy2001.a.

2001.a.

2001.b.

2001.b.

2001.b. Does the activity take responsibility for PPE procurement and enforcement of proper use and maintenance?

2001.c. Do activities recognize that personal protective devices do nothing to reduce or eliminate the hazard itself?

2001.c.

2001.c.

2001.c.

2002 Basic Program Requirements2002

2002 If such hazards are present, or likely to be present, do activities accomplish the following actions:

2002.a.

2002.b. Communicate selection decisions to each affected employee?

Is the use of hazard elimination or engineering controls used in the workplace as the best means of protecting personnel from hazards? When neither of these methods can be employed, do activities implement a personal protective equipment (PPE) program to reduce or eliminate personnel exposure to hazards?

Do activities, per Navy policy, provide, use and maintain PPE when competent authority determines that its use is necessary and that such use will lessen the likelihood of occupational injuries and/or illnesses?

Do activities provide necessary protective equipment where there is a reasonable probability that the use of the equipment will prevent or reduce the severity of injuries or illnesses?

Is it recognized that personal protective devices merely establish a last line of defense, and any equipment breakdown, failure or misuse immediately exposes the worker to the hazard?

Is it recognized that many protective devices, through misapplication or improper maintenance, can become ineffective without the knowledge of the wearer and can have potentially serious consequences?

Is it recognized that proper equipment selection, maintenance, employee training (including equipment limitations) and mandatory enforcement of equipment use are the key elements of an effective PPE program?

Does each activity ensure that an assessment of all workplaces is conducted to determine if hazards are present that necessitate the use of PPE? (i.e. IH Survey, Base Operating Safety Services (BOS) Assessment or a competent person defined by OSHA requirements.

Select, and have each affected employee use, the types of PPE that will protect the affected employee from the hazards identified in the hazard assessment?

91 of 172


2002.c.

2002.c. Do activities retain this document as proof of hazard assessment?2003 Equipment Specifications and Requirements2003

2003 Do activities only use those items that have been recognized and approved? 2003.a. Meeting Federal specifications?2003.b. Meeting the American National Standards Institute (ANSI) specifications?2003.c.

2004 Eye and Face Protection2004

2004 Do they use eye protection at all times in a designated eye hazard area?2004

2004

2007 Head Protection2007

2007 Do employees wear head protection at all times in a designated hard hat area?

2008 Foot Protection2008.a Do employees wear foot and toe protection at all times in a designated foot hazard area?2008.b.(1)

2008.b.(1)

2008.b.(2) Do employees wear the following special-purpose safety footwear, furnished for special hazards:

Document that the required workplace hazard assessment has taken place with a written certification, identifying the workplace evaluated, the person performing the evaluation and the date(s) of the hazard assessment?

Are all personal protective clothing and equipment of safe design and construction for the work to be performed?

Recognized approval authority, such as Underwriter's Laboratories (UL), Factory Mutual (FM), or American Society of Testing and Materials (ASTM)?

Do employees wear approved eye and/or face protection when there is a reasonable probability that wearing such equipment will prevent injury?

Are employees aware that flying particles and chips; splashes from liquids such as acids, caustics and solvents; and operations that generate hot slag or molten metal, welding glare, etc., can cause eye and/or face injury.

Does the activity provide the required approved protective equipment and enforce usage as recommended by hazard assessment?

Do helmets and hats for the protection of Navy employees from the impact of falling and flying objects and from limited electric shock and burn meet the specifications of reference 20-3?

Do safety shoes, with a built-in protective toe box conform to the requirements of reference 20-4, and are appropriately labeled per reference 20-4?In cases where standard stock general-purpose safety shoes do not properly fit the employee, does the activity, authorize procurement from commercial sources?

92 of 172


2008.b.(2)(a)

2008.b.(2)(a) Do these shoes conform to Specification CID-A-A-50359 (Shoe, Conductive Series)?

2008.b.(2)(b) Are Molder's "Congress" style safety shoes worn for protection while handling molten metal?

2008.b.(2)(c)

2008.b.(2)(c)

2008.b.(2)(c) Do all personnel working on energized circuits insulate themselves from the ground?2008.b.(3)

2008.c. The following procedures apply to the issue of protective footwear for military and civilian employees:

2008.c.(1) Do activities provide military personnel with standard stock safety shoes when required by their work? 2008.c.(1)

2008.c.(2)

2008.c.(2)

2008.c.(2)

2008.c.(2)

2008.c.(2)

2008.c.(2)

To be effective, do employees use the Semi-conductive safety shoes on conductive surfaces, such as wet concrete, metal decks, carbon-impregnated surfaces, wet terrain, conductive linoleum and conductive tiles?

Are electrical hazard safety shoes, with a built-in protective toe box, to guard against electrical shock hazards worn when performing electrical work on live circuits not exceeding 600 volts?

Do employees know that these shoes only provide partial protection and should not ignore additional protective measures normally employed in these environments?

Does the activity, per the Navy, disapprove safety boots for use in areas where hazardous chemicals are used?

When safety shoes exhibit wear, such that safety protection is no longer afforded, does the command provide replacement standard stock safety shoes as organizational clothing (similar to coveralls or foul weather gear)?

Is the primary method for providing safety shoes to civilians by issuing of standard stock or reimbursement to individuals who buy their own shoes?

Is the secondary method of providing safety shoes for activities to obtain safety shoes under a local purchasing contract?Do activities absorb the cost of safety shoes within local operating funds (Defense Capital Working Fund (DCWF), research development, test, and evaluation (RDT&E), operation and maintenance, Navy (O&M,N)?

Do activities purchasing safety shoes under either local reimbursement or local contracting procedures ensure that they are appropriately labeled, and meet the requirements of reference 20-4?

Do activities determine the amount of the reimbursement by taking into consideration the usual cost in the local area for shoes of the type and quality specified in paragraph 2008b?

Do activities document cases where medical considerations require specialized safety shoes (orthopedic safety shoes) with a written statement from a physician who treats foot disorders?

93 of 172


2008.c.(2)(a)

2008.c.(2)(b)

2009 Hand Protection2009.a.

2009.b.

2010 Electrical Protective Devices2010

2010

2010 Specification for Rubber Insulating Matting ASTM D 178-88? 2010 Specification for Rubber Insulating Blankets ASTM D 1048-88? 2010 Specification for Rubber Insulating Covers ASTM D 1049-88? 2010 Specification for Rubber Insulating Line Hose ASTM D 1050-90?2010 Specification for Rubber Insulating Sleeves ASTM 1051-87?2011 Safety Clothing2011.a.

2011.b.

2013 Training

Are foreign national indirect hires, being provided with safety shoes under an existing labor agreement, continue to use the reimbursement procedures contained in the applicable agreement?

Do activities provide non-appropriated funded civilian employees with safety shoes under provisions of this policy except that the funding and paying sources for required safety shoes will be non-appropriated?

Do activities select, provide and require appropriate hand protection whenever employees’ hands are exposed to, or are likely to be exposed to, such hazards as those from skin absorption of harmful substances; severe cuts or lacerations; severe abrasion; punctures; chemical irritants; thermal burns; and harmful temperature extremes?

Do activities base selection of hand protection on an evaluation of the performance characteristics of the hand protection relative to the task(s) to be performed, conditions present, duration of use and the hazards and potential hazards identified?

Do Navy activities provide appropriate rubber protective equipment for electrical workers who perform work on energized or potentially energized electrical systems?

Does equipment conform to the American Society for Testing and Materials (ASTM) D 120-87 Specifications for Rubber Insulating Gloves:

Do activities base selection of special protective clothing on an evaluation of the performance characteristics of the clothing relative to the task(s) to be performed, conditions present, duration of use and the hazards and potential hazards identified by safety office?

Do activities provide appropriate special protective clothing whenever employees’ hands are exposed to, or are likely to be exposed to, such hazards as those from skin absorption of harmful substances; chemical irritants; thermal burns; and harmful temperature extremes?

94 of 172


2013.a. Do activities provide training to each employee who is required to use PPE to include at least the following:

2013.a.(1) When PPE is necessary?2013.a.(2) What PPE is necessary?2013.a.(3) How to properly don, doff, adjust and wear PPE?2013.a.(4) The limitations of the PPE?2013.a.(5) The proper care, maintenance, useful life, storage and disposal of the PPE?

2013.a.(6) Ability to recognize that defective or damaged PPE shall not be used?

2013.b.

2013.c.

2013.c. Is retraining required for circumstances including but not limited to:

2013.c.(1) Changes in the workplace render previous training obsolete?2013.c.(2) Changes in the types of PPE to be used render previous training obsolete?2013.c.(3)

2013.d

2013.d Is documentation in accordance with paragraph 0605 of chapter 6?2014 Responsibilities2014

2014.a.

2014.a. Do qualified safety and occupational health personnel perform these evaluations?

2014.a.

2014.a. Does the command establish effective means of communicating these PPE requirements to employees?

Does each affected employee demonstrate an understanding of the training specified in paragraph 2013a and the ability to use PPE properly before being allowed to perform work requiring the use of PPE?

When a supervisor has reason to believe that any affected employee who has already been trained does not have the understanding and skill required by paragraph 2013b above, does the supervisor ensure retraining is accomplished for each such employee?

Inadequacies in an affected employee's knowledge or use of assigned PPE indicate that the employee has not retained the requisite understanding or skill?

Do activities maintain documentation verifying that each affected employee has received and understands the required training?

Do Commanders, Commanding Officers, and Officers in Charge include and enforce the following provisions concerning PPE:Ensure the evaluation of workplaces, including applicable hazardous material data and industrial hygiene survey reports, to determine PPE requirements?

Do commands use the results of these evaluations to designate appropriate work conditions and work areas as requiring PPE?

95 of 172


2014.b. Ensure that PPE conforms to OSHA standards and Navy safety policy?2014.c.

2014.d.

2014.e. Ensure protective equipment worn by personnel fits properly?2014.f

2014.g.

2014.h. Ensure compliance with the prescribed use of PPE?2014.i.

Arrange for appropriate medical evaluations to determine worker capability to perform assigned tasks using the prescribed PPE?Train personnel in the selection, use, inspection and care of PPE required for their work situations and maintain records of such training?

Ensure designated personnel perform periodic equipment inspection, cleaning, disinfection and maintenance?Provide proper equipment storage to protect against environmental conditions that might degrade the effectiveness of the equipment or result in contamination during storage?

Identify non-use, misuse or malfunction of PPE that results, or may result, in injury or occupational illness to Navy personnel?

96 of 172

Reference Chapter 21 Lead Yes No N/A

2102 Discussion2102.e

2102.e Do Navy regions and regions/activities apply standards and controls discussed in this chapter to all personnel ashore?

2102.e

2103 Permissible Exposure Limit (PEL) and Action Level Triggering Requirements2103.a.

2103.a.

2103.a.

2103.a.

2103.a. Does the employer supplement engineering controls by use of respiratory protection?

2103.a.

2103.a.

2103.b.

2103.b.

2104 Control of Lead in the Workplace Environment2104.a.(1)

2104.a.(2)

2104.a.(2)

In recognition of the serious health hazards associated with and the numerous sources of potential lead exposure, has the Navy established strict controls to limit both occupational and environmental exposures?

For the work which falls under the OSHA construction standards, i.e., construction, demolition, renovation, or repair of structures, are requirements of reference 21-2 followed?

The PEL for an 8-hour time-weighted average (TWA) exposure to airborne lead is 50 micrograms per cubic meter (µg/m3) of air.

For employee exposure of more than 8 hours in a work day, is the PEL determined by the following formula: PEL( gm) = 400/ No. Hours Worked Per Day?

Do regions/activities implement engineering and administrative controls to the extent feasible to reduce the exposure to below the PEL when an employee's exposure exceeds the PEL for more than 30 days per year?

Wherever the engineering and work practice controls that regions/activities institute are not sufficient to reduce employee exposure to or below the permissible exposure limit, does the employer nonetheless use engineering controls to reduce exposure to the lowest feasible level?

Where an employee is exposed to lead above the PEL for 30 days or less per year, do regions/activities use engineering controls to reduce exposures at least to 200 µg/m3?

Thereafter, is any combination of engineering, work practice, and respiratory protection controls used to reduce employee exposure to or below 50 µg/m3?

The Action Level (AL) for an 8-hour TWA exposure to airborne lead is 30 µg/m3 (without regard to respirator use).

Does exposure to airborne lead at or above the AL, for more than 30 days per year, trigger biological monitoring and medical surveillance?

Does the Navy refrain from using paints containing more than 0.06 percent lead by dry weight unless the cognizant headquarters command specifically approves higher lead content paint?Before proceeding with work involving paint, does the region/activity determine if the paint contains sufficient lead to warrant applying lead controls for the work to be performed? Is this determination based on the lead content of the involved paints, the work methods to be employed, and observation, calculations, or previous measurements relevant to the employee exposure potential of the work in question?

97 of 172


2104.a.(2)

2104.a.(3)

2104.a.(4) Do regions/activities establish procedures to maintain work surfaces as free of lead dust as is practical?

2104.a.(4) Do regions/activities clean up lead dust with high efficiency particulate air (HEPA) filtered vacuum cleaners?

2104.a.(4) Do regions/activities refrain from using compressed air to clean work surfaces or work floors?2104.a.(5)

2104.a.(6)

2104.b Ventilation:2104.b Does the cognizant industrial hygienist provide specific guidance for each lead operation?

2104.b.(1)

2104.b.(2)

2104.b.(3)

2104.b.(3)

2104.b.(3) Do employees immediately contact their safety office if the measuring devices indicate a malfunction?

2104.b.(3)

2104.b.(4)

2104.b.(4) Do regions/activities prevent re-circulating air from operations generating lead?2104.b.(4)

2104.b.(5)

Does the cognizant safety professional or industrial hygienist (IH) determine the lead monitoring and controls required for the work? When feasible, do regions/activities minimize the heating of lead and leaded materials through the use of thermostatically controlled heating or the removal of lead containing surface coatings or contaminants prior to heating?

Do regions/activities that have lead containing waste, scrap, debris, containers, equipment, and clothing consigned for disposal collect it, seal it in impermeable containers, and label waste per paragraph 2105?

To minimize exposure potential, do regions/activities isolate hot work on lead and abrasive lead removal operations to the extent feasible, from other operations?

Does the cognizant industrial hygienist provide recommendations regarding specific equipment design parameters and system servicing procedures for each operation?Do regions/activities design, construct and maintain local exhaust ventilation and dust collection systems per references 21-4 through 21-7?Do regions/activities test ventilation systems used to control lead exposures or emissions using qualified engineering or industrial hygiene personnel at least every 3 months and within 5 days of any production, process, or control change which may result in a change in employee exposure?

Where devices such as manometers, pitot tubes, etc. are installed to continuously monitor the effectiveness of ventilation systems, do regions/activities instruct employees who use the system on the meaning and importance of the measurements?

Where such devices are in place, do industrial hygiene or engineering personnel inspect the ventilation systems annually?

Do regions/activities using ventilation system to control occupational exposures or emissions ensure that it does not directly exhaust into any work-space or to the atmosphere?

Does the region/activity environmental manager approve the air pollution control system after consulting with the cognizant air pollution regulatory agency?Does the industrial hygienist review the ventilation design for ease of maintenance and accessibility, as well as design errors?

98 of 172


2104.b.(5)

2104.b.(5)

2104.b.(5)

2104.c

2104.c.(1)

2104.c.(1) Do employees use waterproof clothing when handling wet lead? 2104.c.(1)(a) Is a full body, one-piece coveralls used?2104.c.(1)(b) Do personnel use durable gloves and head covering? 2104.c.(1)(b) Are hoods extended beyond the collar of the coverall, completely protecting the neck area?

2104.c.(1)(c)

2104.c.(1)(d)

NOTE:

2104.c.(2) Do regions/activities provide clean protective clothing at least weekly? 2104.c.(2)

2104.c.(3)

2104.c.(3) Do they maintain change rooms under positive pressure with respect to adjacent lead work areas?

2104.c.(3)

2104.c.(3) Is removal of lead particles from clothing by blowing or shaking prohibited?2104.c.(4)

2104.c.(4)

2104.c.(4) Do change rooms have two separate clothing lockers for each employee to prevent contamination of street clothes?

2104.c.(4) Are employees prohibited leaving while wearing any clothing or equipment worn during their work shift?

Does the industrial hygienist pay special attention to hoods, duct work, clean out hatches, exhaust fans and air pollution control devices?Do regions/activities install the exhaust fan, after the air pollution control system, in a protected and restricted room or shed?If a HEPA filter is required and the filter and pre-filter housing is located outdoors, do they use a bag-in, bag-out style access housing?Personal Protective Clothing and Related Control Facilities:Do personnel engaged in operations where the concentration of airborne lead particulates is likely to exceed the PEL or where the possibility of skin or eye irritation exists, remove clothing worn to and from work and wear the protective clothing provided by the Navy?

Do regions/activities provide slip-resistant shoe covers or lightweight rubber boots and may also provide disposable shoe covers?Do regions/activities provide face shields, vented goggles, or other appropriate protective equipment for use whenever the possibility of eye hazard exists?Do employees tape the wrist and ankle junctions, as well as the collar opening on coveralls as necessary, to prevent contamination of skin and underclothing without restricting physical movement?

Is clean protective clothing provided daily when the 8-hour TWA airborne concentration exceeds 200 µg/m3?

Do regions/activities provide change rooms as close as practical to the lead work area(s) for employees who work where the airborne lead exposure is above the PEL (without regard to the use of respirators)?

Do they post protective clothing removal procedures in the change room and include vacuuming of clothing (before removal and while still wearing a respirator, if one was required for the task) using a HEPA filter vacuum?

Do employees exposed to airborne lead concentrations above the PEL (without regard to respirator use) shower at the end of the work shift prior to entering the clean change room?

Do regions/activities provide clean change rooms incorporating showers within or adjacent to them for employees who work in areas where their airborne exposure to lead is above the PEL?

99 of 172


2104.c.(4) Do supervisors ensure that employees shower at the end of their work shift?2104.c.(5) Do employees refrain from taking lead contaminated clothing home to be laundered? 2104.c.(5) Do regions/activities launder lead-contaminated clothing in a manner to prevent release of lead dust in excess of the AL?

2104.c.(5)

2104.c.(6)

2104.c.(6)

2104.d.

2104.d.(a)

During the time period necessary to implement engineering control measures?

During emergencies?2104.d.(b)

2104.d.(c)

2104.d.(d)

2104.e.2104.e.(1)

2104.e.(1)

2104.e.(1) Are signs cleaned and illuminated as required by this paragraph as necessary so that the legend is readily visible?

2104.e.(1) Are signs, in compliance with reference 21-1, contain a listing of required protective equipment?

2104.e.(1)

Do contracts governing laundering of lead-contaminated clothing specifically require that contractors comply with the precautions specified in reference 21-1?Do regions/activities transport lead-contaminated clothing in sealed containers to which are affixed the standard "caution label" (see paragraph 2104e)? Do regions/activities notify persons who clean or launder protective clothing or equipment in writing of the potentially harmful effects of exposure to lead?Respiratory Protection:Do regions/activities use engineering control measures per paragraph 2104 and refrain from achieving compliance with PELs solely by the use of respirators except under the following conditions:

2104.d.(a).12104.d.(a).2 In work situations in which the control methods prescribed are not technically feasible or are not sufficient

to reduce the airborne concentration of lead particulates below the PEL?2104.d.(a).3

Where respirators are required to control exposure to lead, do regions/activities select respirators per appendix 21-A, and comply with the respirator program per chapter 15 of this manual and reference 21-8?Do regions/activities supply a powered air purifying respirator with a HEPA filter in lieu of a half or full-face piece respirator, if the employee chooses to use this respirator and it provides adequate protection?Do regions/activities provide a respirator to employees who work with lead, upon request and enter the employee into the respiratory protection program?Warning Signs and Caution Labels:Do regions/activities provide and display warning signs at each location where airborne lead concentrations may exceed the PEL?Do regions/activities conspicuously post signs so personnel may read them and take necessary precautions before entering the area?

Do signs state, as a minimum, the following: WARNING LEAD WORK AREA POISON NO SMOKING, EATING OR DRINKING?

100 of 172


2104.e.(2)

2104.e.(2)

2104.f.

2104.f.(1)

2104.f.(2)

2104.f.(3) Do employees remove protective clothing and equipment before entering lunchroom facilities?2104.f.(4)

2104.f.(5) Do lead workers wash their hands and face prior to eating, drinking, using tobacco products or applying cosmetics?

2105 Environmental Protection and Waste Disposal Procedures2105.a.

2105.b.

2105.b. Do personnel label lead waste containers such as bags, trash cans, dumpsters, etc., "LEAD WASTE ONLY"?

2105.b.

2105.c.

2105.c. Does the cognizant environmental manager determine environmental requirements relating to lead emissions/disposal?

2105.d.

2106 Training2106

Do regions/activities affix caution labels to containers of contaminated clothing, equipment, raw materials, waste, debris, or other products containing lead if, in any foreseeable way, these products could produce levels of airborne lead which might constitute a threat to health?

Do these caution labels state: CAUTION CLOTHING CONTAMINATED WITH LEAD DO NOT REMOVE DUST BY BLOWING OR SHAKING DISPOSE OF LEAD-CONTAMINATED WASH WATER IN ACCORDANCE WITH APPLICABLE LOCAL, STATE OR FEDERAL REGULATIONS?

Lunch Rooms and Personal Hygiene:

Do regions/activities provide lunchroom facilities for employees who work in areas where their airborne lead exposure is above the PEL (without regard to the use of respirators)?

When regions/activities locate lunch facilities adjacent to the lead work area, such facilities does it have a positive pressure, filtered air supply and be readily accessible to employees?

Do regions/activities prohibit eating, drinking, chewing or the use of tobacco products, the application of makeup and storage of food and tobacco products in lead work areas?

Do Navy regions/activities ensure that measures have been taken to meet local and national environmental standards are compatible with the requirements of this chapter?Do regions/activities require, prior to disposing of hazardous lead waste, bagging in heavy duty plastic bags or other impermeable containers and labeling with caution labels described in paragraph 2104e(2)? vehicle for transport to a hazardous waste disposal site?

Do personnel exercise care to prevent bags and other containers from rupturing when being moved to a dumpster or other suitable vehicle for transport to a hazardous waste disposal site?

Do regions/activities dispose of lead containing materials per applicable Federal, State and local environmental requirements?

Is technical assistance for air pollution control available upon request from the Naval Facilities Engineering Command (COMNAVFACENGCOM) Engineering Field Divisions (EFDs)?

Do all Navy personnel who work in areas where the potential exists for lead exposure at or above the action level, or for whom the possibility of skin or eye irritation exists receive initial training prior to or at time of assignment and at least annually thereafter?

101 of 172


2106 Does the training, per reference 21-1, include, as a minimum, the following:2106.a. The specific nature of the operations during which exposure is possible?2106.b. The purpose, proper selection, fit testing, use, and limitations of respirators?2106.c. The adverse health effects of lead with particular attention to the reproductive effects upon both males and females?

2106.d.

2106.e.

2106.f The contents of the command's compliance plan?NOTE:

NOTE:

2107 Industrial Hygiene Surveillance2107

2107 Do qualified persons conduct initial and periodic monitoring?2107 Are persons qualified to perform exposure monitoring in accordance with chapter 8 of this manual?

2108 Employee Notification2108

2108

21092109.a.(1) Pre-placement medical evaluation?2109.a.(2) Semi-annual blood lead monitoring?2109.a.(3) Follow-up medical evaluations based on the results of blood lead analysis and physician opinion? 2109.a.

2109.a.

2109.b.

The purpose and description of the medical surveillance program, including the use of chelating agents and medical removal protection benefits?The engineering controls and work practices to be applied and used in the employee's job, including PPE and personal hygiene measures?

Are all employees in a workplace in which there is a potential for exposure to airborne lead at any level informed of the contents of appendices A and B of reference 21-1, and to any related documents, all of which are available at no charge from the Department of Labor (DOL)?

In addition, do employees receive, upon request, any other handout type materials in use or related to the training program?

Is an exposure monitoring plan established for any lead operation with the potential to cause employee exposure at or above the action level?

Within 5 working days after the receipt of monitoring results, does the command notify each employee in writing of his/her exposure monitoring results?Whenever the results indicate that the employee was exposed above the PEL, without regard to respirator use, does the written statement include that fact and a description of the corrective action(s) taken to reduce the individual's exposure?

Medical Surveillance Program; Does this program consists of three basic elements:

Do regions/activities include personnel in this program when industrial hygiene surveillance indicates that they perform work or are likely to be in the vicinity of an operation which generates airborne lead concentrations at or above the AL for more than 30 days per year?

Do regions/activities base inclusion into this program on airborne concentration measurements without regard to respirator use and, therefore, inclusion does not indicate that an individual is overexposed to lead?Program Elements:

102 of 172


2109.b.(1)

2109.b.(2)

2109.b.(2)

2109.b.(3)

If the employee's blood lead concentration equals or exceeds 60 µg/100g?If the average of his/her last three blood lead measurements equals or exceeds 50 µg/100g?

If the employee has signs or symptoms of lead toxicity? 2109.b.(3)

2109.b.(3)(b)

2109.c.

2109.c.(1)

2109.c.(1)(a) His/her blood lead concentration level, as reported?2109.c.(1)(b)

2109.c.(2) Does the physician counsel personnel regarding any abnormalities detected during any screening test?

Do all Navy personnel receive a pre-placement evaluation as described in reference 21-9 prior to assignment to a position involving potential exposures to lead that equal or exceed the AL?Do Navy regions/activities make blood lead analysis and zinc protoporphyrin (ZPP) available every 6 months for all personnel who are or may be exposed to lead above the AL for more than 30 days per year? Do supporting medical facilities perform analysis every 2 months when the blood lead level exceeds 30 µg/100g of whole blood?Follow-up Medical Surveillance: Is an employee reassigned to non-lead work:

2109.b.(3)(a)1.2109.b.(3)(a)1.2109.b.(3)(a)2. If the average of his/her last three blood lead measurements equals or exceeds 50 µg/100g; however, individuals need not

be removed if their last blood test indicates a blood lead level at or below 40 µg/100 g?2109.b.(3)(a)3.

Do regions/activities reassign pregnant women exposed to lead at or above 50 µg/m3 or with a blood lead level of 30 µg/100g blood to a job without lead exposure, with medical removal benefits?Do regions/activities perform follow-up lead monitoring within 2 weeks of the receipt of an initial or routine monitoring result with a blood lead concentration at or above 30 µg/100g of whole blood, and periodically thereafter according to the following criteria:

2109.b.(3)(b)1. During medical removal (to non-lead work region/activity), do regions/activities monitor the employee's blood lead concentration monthly until the employee's last two consecutive test results are at or below 40 µg/100g, at which time the employee may be returned to his/her regular work region/activity?

2109.b.(3)(b)2. When an employee's blood lead concentration is between 30 and 40 µg/100g, does the region/activity monitor it every 2 months until the last two consecutive blood lead test results are less than 30 µg/100g?

2109.b.(3)(c)1. Do regions/activities conduct a medical evaluation identical to the pre-placement evaluation, with the exception of chest x-rays, annually for each person found to have a blood lead concentration at or above 30 µg/100g at any time during the prior year?

2109.b.(3)(c)2. Do regions/activities conduct a medical evaluation identical to the pre-placement evaluation just prior to the reassignment or termination of an employee from a job requiring medical surveillance?

2109.b.(3)(c)4. Was the cognizant industrial hygienist notified of, and has performed an investigation to determine the cause of, each blood lead concentration at or above 30 µg/100g which has been verified by follow-up blood lead monitoring?

Administrative Procedures:

Does the region/activity notify the employee of the following, in writing, within 5 working days after receipt of results, when his/her blood lead level is at or above 30 µg/100g whole blood:

That the regulations require temporary medical removal with Medical Remove Protection benefits when, and if, the employee's blood lead level exceeds the current numerical criterion for medical removal under reference 21-1?

103 of 172


2109.c.(2) Does the physician make an entry into the employee's medical record that describes the counseling given?2109.c.(2) Does the employee countersign this entry?2109.d.2109.d.(1)(a) Name?, (b) Social security number?, (c) Date of birth?, (d) Dates of examinations?2109.d.(1)(e) Job titles, job codes, and/ or primary and secondary Navy Enlisted Classification Code (NEC)?2109.d.(2)

2109.d.(2)

2109.d.(3)

2109.d.(4)

2109.d.(5)

2109.d.(5) Does the Navy provide to the initial and consulting (second) physician the following:2109.d.(5)(a) Copy of reference 21-1 and this chapter?2109.d.(5)(b) Description of employee's duties?2109.d.(5)(c) Employee's exposure level?2109.d.(5)(d) Description of PPE?2109.d.(5)(e) Blood lead determinations?2109.d.(5)(f) All prior written medical opinions?2109.d.(6) Does the cognizant medical region/activity maintain these medical records?2109.d.(7)

2110 Work Performed by Private Contractors2110.b

2110.b.(1) The contractor aware of the potential hazard to his/her employees and Navy personnel?2110.b.(2)

2110.b.(3)2110.b.(3) The contractor performs sufficient monitoring to confirm that this level of control is maintained? 2110.b.(3) The controlled work area(s) meet this criteria prior to release for unrestricted access?

Medical Records: Does each employee record include the following identifying information:

Are all records of examinations, possible lead-related conditions, related laboratory results, and all forms and correspondence related to the employee's medical history become a permanent part of the health record? Does the cognizant region/activity retain such records for the period of employment plus 20 years, or 40 years, whichever is longer?Do medical facilities enter the judgment of the occupational health physician concerning the adequacy of the diagnostic information to support the impression of lead-related disease in the medical record? Do regions/activities make available copies of any examinations, laboratory results, or special studies in an employee's health record or compensation folder to a physician of the employee's choice after execution of a proper release of information form?Should the Navy select the initial physician, does the employee designate a second physician to review any findings and conduct independent examinations and tests as may be deemed necessary?

Does each individual currently or previously employed by Department of the Navy (DON) or any other person he/she may designate have access to the records, as paragraph 2109d(2) defines, within 15 days of the request?

Do contract administrators insure that each contract, for work performed by an independent contractor in the United States which may involve the release of lead dust, incorporate the appropriate references and clauses to ensure that:

The contractor complies with references 21-1, 21-2, 21-3, and 21-12 to protect his/her employees, as well as Navy personnel?The contractor controls lead dust outside of the work boundary to less than 30 µg/m3 at all times?

104 of 172


2110.b.(3) The contractors provide copies of their monitoring results to the cognizant industrial hygienist?

2111 Responsibilities2111.d. Do Commanding Officers of shore regions/activities:2111.d.(1)

2111.d.(2) Budget resources in order to meet these lead control requirements?

Apply control measures and monitoring procedures prescribed in this chapter to processes using lead or lead containing materials?

105 of 172

Reference Chapter 22 Non-Ionizing Radiation Yes No N/A

2202 Policy:2202

2202.a. Limiting personnel exposures to levels that are within permissible exposure guidelines?2202.b.

2202.c. Controlling areas in which harmful exposure to unprotected personnel could occur?2202.d.

2202.e. Investigating and documenting overexposure incidents?

2203 Applicability:

2203

2206 Laser Permissible Exposure Limits (PELs):2206.a.

2206.b. Are operators of lasers aware of secondary laser safety concerns?2207 Laser Classification, Labeling, Technical Assistance and Exposure Incidents:2207.b.

2208 Military Exempt Lasers:2208

2208

2208

The Department of the Navy (DON) policy is to preserve and maintain the health of its personnel by adopting practices that eliminate or control potentially hazardous radiation exposures. Does this policy encompass?

Identifying, attenuating or controlling through engineering design, administrative actions or protective equipment, hazardous exposure levels and other dangers associated with non-ionizing radiation sources?

Ensuring personnel are aware of potential exposures in their work places and duty assignments and the control measures imposed to limit their exposures to levels that are within the permissible guidelines?

Do all Navy activities employing sources of non-ionizing radiation which may affect the safety and health of personnel observe radiation protection requirements, exposure standards and safety guidelines?

Do only trained and technically qualified personnel apply these exposure limits in determining laser safe viewing conditions, since an improperly conducted laser hazard evaluation may pose serious risks to a person's eyes?

Are laser measurements or laser safety calculations usually required only for lasers operating on outdoor ranges or in open areas when it is necessary to define a laser nominal hazard zone (NHZ)?

To obtain military exemption status, does the contractor get written authorization from the military contracting activity? Has the laser product been certified to conform with requirements in reference 22-5 and approved by the Navy Laser Safety Review Board (LSRB)?

Do commands maintain a current inventory of all military exempt lasers for submission to the administrative lead agent as requested?

106 of 172

Reference Chapter 22 Non-Ionizing Radiation Yes No N/A2208

2210 Laser Safety Hazard Control Program:2210

2210

2210

NOTE:

2211 Medical Surveillance Procedures:2211

2211.a.

2211.a. Are laser workers required to have a pre-placement and termination laser eye examination per reference 22-7?

2211.b. Are the following personnel in a medical surveillance program?

2211.b.(1)

2211.b.(2) Maintenance personnel who routinely repair or align Class III or Class IV laser systems?

2211.b.(3)

2211.b.(4)

2212 Laser Safety Training:

Do commands wishing to dispose of lasers obtain approval from BUMED following guidance in references 22-1 and paragraph 2205?

Are commands operating Class III or IV commercial or military exempt lasers establishing a laser safety program?

Are commands operating Class III or IV commercial or military exempt lasers designating a laser system safety officer (LSSO) per reference 22-6? Does the laser safety program include an inventory of all commercial Class IIIb, Class IV and all classes of military exempt lasers that are assigned to the command lasers for submission to the administrative lead agent as requested?

Class IIIa laser pointers: Does the user recognize that care must be exercised to control its accessibility (kept out of the hands of children or others who are unaware of the hazardous nature of lasers), and to avoid directing the pointer at those in the audience?

Does the command LSSO determine which personnel should be enrolled in the surveillance program using the following guidance?

Laser workers requiring medical surveillance are those individuals who routinely work with Class IIIb or Class IV lasers under conditions where there is a likely potential for accidental exposures to excessive levels.

Research and development (R&D) and laboratory personnel who routinely work with unenclosed Class III and Class IV laser beams?

Operators (personnel behind the laser) and down-range personnel who routinely work with Class III or Class IV engineering laser transits, geodimeters and alignment laser devices?

Operators who routinely work with Class IIIb and Class IV industrial lasers where access to an unenclosed beam path is possible?

107 of 172

Reference Chapter 22 Non-Ionizing Radiation Yes No N/A2212.a.

2212.a.

2212.a.

2212.a.(1) The ALSO is qualified to:

2212.a.(1)(a) Establish and manage a unit level laser safety program?2212.a.(1)(b) Approve, disapprove, or submit for safety approval to higher authority all local laser uses, both portable and fixed?

2212.a.(1)(c) Instruct employees and supervisors on the safe use of lasers?2212.a.(1)(d) Supervise laser operations and maintenance?2212.a.(1)(e) Manage laser incident investigations as appropriate? 2212.a.(1)(e) Is technical assistance of a LSS or a RLSS available as required?2212.a.(1)(f) Maintain a laser medical surveillance program?2212.a.(1)(g) Maintain an inventory of military-exempt and class IIIb and class IV lasers?2212.a.(1)(h) Post laser warning signs and devices?2212.a.(1)(i)

2212.a.(1)(j) Provide safety briefs/pre-mission briefs to laser range users?2212.a.(1)(k)

2212.a.(1)(l) Perform laser eye protection inspections?2212.a.(2) The TLSO is qualified to:2212.a.(2)(a)

2212.a.(2)(b)

2212.a.(2)(c) Understand classification of lasers and laser systems?

Do commands provide LSSO laser safety training through the completion of a Laser System Safety Officer Course approved by BUMED and the Lead Technical Laboratory at the Naval Surface Warfare Center, Dalhgren Division?

Is re-testing at the LSSO's highest certification level conducted as required to maintain certification for all categories of LSSO every 4 years?If the LSSO fails the re-certification examination, does the LSSO get re-certified by attending the appropriate course?

Ensure that laser operators have the appropriate knowledge to safely operate their specific lasers (supervisor safety briefs, factory training school, instructional materials, etc.)?

Prior to use of a laser range, ensure/confirm that warning signs have been posted, the area is clear of specular reflectors, personnel have required LEP, and all other safety conditions for range laser use outlined in the range regulations or range standard operating procedures (SOPs) are met?

Understand the calculations and measurements of laser safety parameters such as Nominal Ocular hazard Distances (NOHDs) and required optical densities for laser eyewear?

Train ALSOs using the administrative lead agent (ALA) approved course curriculum (Qualifications of TLSOs as instructions requires ALA/lead Navy technical laboratory (LNTL) approval)?

108 of 172

Reference Chapter 22 Non-Ionizing Radiation Yes No N/A2212.a.(2)(d)

2212.a.(2)(e) Ensure range regulations/SOPs are provided to commands requesting unsafe of the laser range?

2212.a.(2)(f)

2212.a.(2)(g) Perform the same duties as an ALSO?2212.a.(3) The LSS is qualified to:2212.a.(3)(a)

2212.a.(3)(b)

2212.a.(3)(c) Classify lasers and laser systems?2212.a.(3)(d) Conduct technical aspects of laser incident investigations?2212.a.(3)(e) Perform the same tasks as a TLSO?2212.a.(4) The RLSS is qualified to:2212.a.(4)(a) Conduct laser radiation hazard surveys and evaluations for commanding officer certification?

2212.a.(4)(b) Perform the calculations and measurements required to certify a laser range?2212.a.(4)(c)

2212.a.(4)(d) Conduct technical aspects of laser range incident investigations?2212.a.(4)(e) Perform the same tasks as a TLSO?2212.b.

2212.c.

2212.c. Is the vulnerability of the eyes to being damaged by lasers emphasized? 2212.c. Do commands conduct annual refresher training per reference 22-6?

Perform the duties of a laboratory, installation, base, research facility, or RLSO that includes establishing and managing a base or installation laser range safety program; approving/disapproving the use of laser systems and laser operations on their range that fall within the guidelines of the range certification; and performing annual range safety compliance inspections; and ensuring laser ranges under their cognizance are certified/re-certified by RLSS at least every 3 years or when changes to the range fall outside the current certification?

Review training plan (to include laser type(s) and proposed employment tactics) of each command requesting access to the laser range certification?

Perform the calculations and measurements of laser safety parameters such as NOHDs and required optical densities for laser eyewear?Train ALSOs, TLSOs, RLSOs, and LSSs using the ALA-approved course curriculum? (Qualification of instructors requires ALA/LNTL approval)

Train ALSOs and RLSSs using the ALA-approved course curriculum? (Qualification of instructors requires ALA/LNTL approval)

Have laser range safety officers, laser maintenance personnel and industrial laser supervisors completed a formal command laser safety training course as outlined in reference 22-6?

Do commands provide formal classroom training on the potential hazards associated with accidental exposure to laser radiation to all personnel in areas operating Class IIIb (and Class IIIa with danger logo) or Class IV lasers?

109 of 172

Reference Chapter 22 Non-Ionizing Radiation Yes No N/A2216 RF Permissible Exposure Limits (PELs) and Maximum Permissible Exposures (MPEs)2216.a.

2217 RF Measurement and Evaluation2217.a.

2217.a.

2217.a.

2217.b.

2218 Safety Certification2218.a.

2218.b.

2218.b. Does the activity with the original site certification maintain this provisional certification?2218.c. Do all shore facilities having RF emitters obtain baseline certification? 2218.c. For most facilities, do certifications/re-certifications require an instrumented site survey or desktop analysis? 2218.c. Are recertification's scheduled as follows:2218.c.(1)

2218.c.(2)

2218.c.(3)

Has reference 22-10 been amended to reflect the current RF PELs listed in reference 22-11 for the frequency range of 3 kilohertz to 300 Gigahertz?

Do facilities determine RF levels for all areas in which personnel could receive exposures in excess of the exposure limits? Do shore facilities determine RF field levels where locations of RF emitting antennas may be expected to raise concerns among personnel or generate public inquiries regarding levels of RF emissions beyond the base perimeter?

Do facilities use proper RF measurement techniques and application of the RF exposure limits to avoid imposing unnecessary restrictions on operations or establishing overly restrictive protective boundaries?

Is comprehensive RF hazard evaluation conducted for major platforms, such as warships or communication stations, where multiple RF emitters exist in close proximity to each other, using a considerable technical familiarity with electromagnetic fields?

Do activities identified in paragraph 2218(c) obtain survey certification from the technical activities listed in appendix 22-B to ensure all RF sources have been evaluated, safe separation distances have been determined, warning signs posted and any other safety measures, such as protective fences, have been defined?

To maintain certification, does the site forward information on new RF sources that are installed to the technical activity listed in appendix 22-B to obtain a theoretical or calculated safety evaluation?

Three-Year Resurvey Re-certification. Are major COMNAVCOMTELCOM transmitter facilities included within this group?Five-Year Resurvey Re-certification. Are sites with large numbers or frequent additions/ changes of RF emitters or a site located in populated areas where public exposure to RF emissions may be an environmental concern included?

Ten-Year Resurvey Re-certification. Are sites having a moderate and stable number of RF microwave emitters included?

110 of 172

Reference Chapter 22 Non-Ionizing Radiation Yes No N/A2219 Warning Signs, Labels and Devices2219.b.

2219.b.

2219.d.

2219.d.

2220 Research, Development and Acquisition:2220.a.

2220.a.

2220.b.

2221 RF Safety Training2221

2221 Do activities conduct training before assignment to such work areas? 2221

2222 Protective Clothing2222 The Navy does not authorize RF-shielded protective clothing for routine use as a means of protecting personnel.

Do activities post RF hazard warning signs at all access points to areas in which levels exceed the exposure limits for controlled environments?Do activities post RF hazard warning signs in appropriate areas in which RF levels exceed the exposure limits for uncontrolled environment as determined by cognizant engineering or safety and health professional?

In areas where access to levels greater than 10 times the exposure limits for controlled environments may exist, is it noted that warning signs alone do not provide sufficient protection?

Do activities provide other warning devices and controls, such as flashing lights, audible signals, barriers or interlocks, as determined by the certification authority, depending upon the potential for exposure?

Do activities performing research, development, testing and evaluation (RDT&E) and acquisition of RF systems, including non-developmental items and commercial off-the-shelf items, identify RF control requirements by incorporating adequate protection measures or identifying appropriate operational restrictions to maintain personnel exposures within the exposure limit?

Do system safety studies under reference 22-13 use the exposure limits given in reference 22-11 to define restrictions necessary to limit personnel exposures?Do activities include safety information, operational restrictions, and safe exposure distances for systems being fielded in appropriate fielding documents and technical manuals to limit RF exposure of personnel engaged in operation, maintenance and repair of the system?

Do activities provide RF safety training to personnel who routinely work directly with RF equipment or whose work environments contain RF equipment that routinely emits RF levels in excess of the exposure limits for controlled environments?

Do activities focus on awareness of the potential hazards of RF fields, established procedures and restrictions to control RF exposures, and personnel responsibility to limit their own exposures?

111 of 172

Reference Chapter 22 Non-Ionizing Radiation Yes No N/A2222

22252225.e.(1) Establish a laser safety program per reference 22-6 to protect personnel?2225.e.(2)

2225.e.(3)

2225.e.(4) Obtain safety certification for non-ionizing radiation sources? 2225.e.(4) Update these certifications when new items are added? 2225.e.(4)

2225.e.(5) Ensure laser or RF surveys are conducted by technically competent personnel? 2225.e.(6) Investigate, document and report results of laser or RF exposure incidents per chapter 14 of this document?

2225.e.(7) Ensure that the use and disposal of military exempt lasers are per reference 22-1?2225.e.(8)

Appendix 22-B - Reporting of RF Exposure Incidents

a.

b. Do commands report exposure incidents and investigate exposure levels for the following situations:b.(1)

b.(2)

b.(3)

b.(4)

Does this NOT preclude use of other protective equipment, such as electrically insulated gloves and shoes for protection against electrical shock or RF burn, or for insulation from the ground plane? Is this PPE used when necessary?

Responsibilities: Do commanders, commanding officers, and officers in charge:

Ensure personnel are trained to be familiar with potential laser or RF exposure hazards and appropriate protective measures?Allow laser operation only at installations and ranges that have been certified and approved by an appropriate LSSO as safe for each specific laser and tactic to be used?

Obtain provisional certification whenever new lasers or RF systems are installed, existing RF radiating antennas are modified or relocated or new construction occurs in the vicinity of an RF radiating antenna, when such changes may affect restrictions or boundaries imposed for limiting personnel exposures to RF fields?

Prepare an annual inventory of all Class IIIb, Class IV, and all classes of military exempt lasers per references 22-1 and 22-6?

Do commands investigate and document all suspected RF incidents or mishaps involving personnel exposure to excessive RF levels in accordance with reference 22-6 of this manual?

Personnel injury has been sustained or physical symptoms are experienced by the individual(s) that are believed to be associated with RF Exposure? Personnel exposure has been determined to have exceeded the appropriate PEL in terms of power density by a factor of five or more?Inadvertent exposure occurred to members of the general public or to other non-involved personnel as a result of naval operations which have exceeded the appropriate PEL?Exposure circumstances or the severity of the incident or mishap are such that inquires from news media are anticipated or are deemed to be of interest to the chain of command?

112 of 172

Reference Chapter 22 Non-Ionizing Radiation Yes No N/Ac.

d.

f.

f.

Do commands refer personnel reporting physical symptoms or suspected of having been exposed to levels in excess of five time the PEL, for a medical evaluation or follow-up?Do commands make initial notification for the occurrence of an RF incident by telephone, fax, or e-mail to the appropriate technical assistance point listed in this appendix with a copy to the Bureau of Medicine and Surgery (MED 3F7).

Does the command submit a final report on the RF incident to the Commander, Naval Safety Center and to the Bureau of Medicine and Surgery (MED 3F7) with copies to appropriate headquarters and systems commands?

Does the command include in the report to BUMED pertinent medical records and identification data for personnel who were exposed?

113 of 172


2302 Management Commitment2302

2302

2303 Employee Involvement2303

2303.a.

2304 Process Review and Measurement2304.a.

2304.b.

2305 Job Task Analysis2305.a.

2305.a.

2305.b.

2305.c. Do activities use appendix 23-A or 23-B for the following situations:2305.c.(1) Analysis of a task or operation attributable to a WMSD?2305.c.(2) Analysis of a task or operation identified as causing muscular pain or joint pain?2305.c.(3) Analysis of a task or operation identified as causing numbness or tingling of any body part?2305.c.(4)

2305.c.(5) Analysis of repetitive motion tasks and operations considered significant by the activity?

Chapter 23 Ergonomics Program

Are the commanding officers or officer in charge committed to resource and support worker and staff efforts to control ergonomic risk factors and reduce associated injury? Are there aggressive, visible, and coordinated management actions to prevent work-related musculoskeletal disorders (WMSDs), control costs related to these injuries, and improve mission readiness?

Does the command ergonomic program include worker involvement to assist in ergonomic hazard identification?If the command has a safety and health committee, does the committee review and analyze ergonomic problem areas and recommend corrective actions?

Does each activity include a self-assessment of its ergonomic program as part of the Process Review and Measurement System (PR&MS) or equivalent management system?

Does activity conduct an analysis of WMSD reportable and recordable injury and illness data from reference 23-1 or an equivalent database or log at least annually?

Do activities identify ergonomic risk factors as part of, or in conjunction with, workplace inspections required by chapter 9 and industrial hygiene surveys required per 0803?Are risk factors to consider include awkward posture, sustained positions, excessive force, excessive repetition, contact stress, segmental or whole body vibration, unsafe bending, twisting, over-reaching, overhead work, excessive pinch gripping and overexertion?Does activity review the identified risk factors using appendix 23-A or 23-B to determine what action is required to eliminate or reduce the risk factor?

Analysis of a task or operation identified as causing extreme discomfort or muscular fatigue that is not relieved by rest?

114 of 172

Reference Yes No N/AChapter 23 Ergonomics Program

2305.c.(6) As the initial analysis conducted by a worker-based team?

2305.c.(7) New analysis of jobs, tasks, operations or workstations modified due to ergonomic concerns?2305.d Do ergonomic assessments get assigned Risk Assessment Codes (RAC) consistent with chapters 9 and 12?

2307 Hazard Prevention and Control2307.b.

2307.b.

2307.g.

2307.g.

2307.g.(1) High contact forces and static loading?2307.g.(2) Extreme or awkward joint positions?2307.g.(3) Repetitive action of the fingers, wrist and arm?2307.g.(4) Tool vibration (see reference 23-9 and 23-10)?2307.g.(5) Excessive force or grip strength requirements?2307.h.

2307.h. Do administrative controls include:2307.h.(1) Rotating employees to jobs with dissimilar physical requirements?2307.h.(2) Establishing adequate work/ rest schedules?2307.h.(3)

2307.h.(4)

2307.h.(5) Label the actual weight of any object that a worker needs to lift or carry?2307.h.(6) Ensure that material in storage is stacked off the floor and placed at no less than knuckle height?

2307.I.

Do activities prevent the use of back support belts or wrist splints as safety protective equipment? (These devices are considered medical appliances) This should be answered NoIf Yes, Are these devices prescribed by a credentialed health care provider who assumes responsibility for proper fit of the device, treatment, monitoring and supervision of the wearer?

Do activities pay proper attention to the selection and design of tools and workstation layouts to minimize ergonomic stressors and back injuries? Do activities select or design tools and handles to minimize or eliminate the following risk factors for both male and female workers?

Do activities only consider administrative controls if unable to alter the job or workplace to reduce the physical stressors?

Where heavy objects must be handled, activities calculate a recommended weight limit using the methods contained in references 23-2 and 23-7 to specify the maximum lift an unassisted individual should attempt for one or two handed lifts?

In situations where heavy lifts cannot be avoided, establish a policy to include the assistance of other personnel in the lift?

When activities develop plans for new or modified facilities, processes, jobs, tasks, materials and equipment, do they analyze such plans for opportunities to eliminate or reduce ergonomic hazards?

115 of 172

Reference Yes No N/AChapter 23 Ergonomics Program

2308 Ergonomic Training2308.a.

2308.b

2309 Medical Program2309.a.

2309.a.

2309.e.

2310 Responsibilities2310.h. Do Commanders, Commanding Officers and Officers in Charge:2310.h.(1)

2310.h.(2)

2310.h.(3)

2310.h.(4)

Is general ergonomics training provided to all employees as applicable to the employee's role in the workplace? Do the SOH professional staff responsible for conducting the ergonomics program receive NAVOSHENVTRACEN Ergonomics Program course (A-493-0085) or its equivalent?

Do the cognizant medical commands support line activity initiatives to reduce WMSDs by providing occupational medicine services as described in section 0807? Do occupational medicine professionals collaborate with commands, for the purpose of conducting work place visits to obtain knowledge of operations, work practices and transitional-duty jobs to provide ergonomics assessments, and facilitate recovery of individuals with WMSDs?

Do health care professionals periodically, e.g., monthly, review occupationally related acute care visits to monitor WMSD trends?

Annually, analyze injury and illness records and other pertinent information to determine the need for ergonomic improvements and corrective actions within the activity?

Identify and budget resources to administer an effective ergonomics program consistent with the guidance in this chapter?Consider shift-work related stressors when determining scheduling policies? (Refer to appendix 23-E, Ergonomic Considerations for Shift Workers)Where rehabilitation services are not available from the cognizant medical command, activities may contract for such services, provided the cognizant medical command has an opportunity to review the procurement specification prior to solicitation and provide professional medical oversight of the contract?

116 of 172



2402 General Policy2402

2402.a.

2402.b.

2402.c. Do shore commands, where feasible, use lockout/tagout (preferred method of energy control)?2402.c. Do regions/activities refrain from using combination locks for lockout? 2402.c. Do separate lockout devices (locks) have the different keys? 2402.c. Does each lock have no more than two keys? 2402.c.

2402.d. Do both lockout and tagout devices indicate the identity of the employee applying the device(s)?2402.d. Are lockout/tagout devices strandardized throughout a region or within each shore activity?2402.e. Do commands ensure that all training complies with Title 29 Code of Federal Regulations (CFR) 1910.147?

2402.e. Is training specific to the region/activity? 2403 Requirements for Contractors or Other Outside Agencies2403.a.

2403.b.

24042404.d.(1)

2404.d.(2)

Chapter 24 Energy Control Program (Lockout/Tagout)

Do requirements of this chapter apply during servicing and maintenance of machinery and equipment ashore only applied when the unexpected energizing or movement of machinery/equipment or the release of energy during the maintaining or servicing of such equipment/machinery could cause injury to personnel and/or property damage?

Do all shore activities comply with the lockout/tagout requirements of Title 29 Code of Federal Regulations (CFR) 1910.147?

Do commands discipline any person(s), other than the original person(s) who installed the lockout/tagout device(s) or that person's supervisor, who removes a lockout/tagout device?

When similar machines and/or equipment are covered with a single generic written procedure, does the procedure list the types of equipment to which the operating procedure applies?

Does the worker maintain one key and the supervisor maintain the other key in a location readily accessible in the event of an emergency?

Does the region/activity provide the contractor or agency with a copy of the lockout/tagout program instruction of the region/activity where the work is to be performed?

Do contractors comply with the requirements of EM385-1-1, U.S. Army Corps of Engineers Safety and Health Requirements Manual?Responsibilities; (Commander, Commanding Officers, OIC's)Develop and implement written plans and procedures for a lockout/tagout program that meet the policy of this chapter and the direction of Title 29 Code of Federal Regulations (CFR) 1910.147?

Initiate actions to identify and resolve deficiencies in the lockout/tagout budget and allocation of resources to bring about effective local program implementation?

117 of 172

Reference Yes No N/AChapter 24 Energy Control Program (Lockout/Tagout)

2404.d.(3)

2404.d.(4) Ensure affected employees receive training about the energy control programs?2404.e. Do region/activity safety offices:2404.e.(1)

2404.e.(2)

2404.e.(3)

2404.e.(3)

2404.e.(4)

2404.e.(4)

29 CFR 1910.147 - The Control of Hazardous Energy (Lockout / Tagout)147(c)(2) Lockout/Tagout147(c)(2)(i)

147(c)(2)(ii)

147(c)(2)(iii)

147(c)(3) Full Employee Protection147(c)(3)(i)

Ensure a current roster of trained and qualified employees who are authorized to work on hazardous energy systems and equipment is maintained?

Approve the equipment or applications where tagout may be used in place of lockout (and maintain a list of approvals) unless this responsibility is delegated to someone else by the commanding officer?Annually review compliance with the provisions of this chapter and any specific procedures developed as a result?Where lockout is not feasible, tagout may be used, do regions/activities maintain a list of the type of equipment and applications?Does the official authorizing tagout ensure compliance with the requirements of this chapter for use of tagouts to achieve equivalent protection to lockout systems?Ensure periodic inspections are performed by an authorized employee other than the one utilizing the procedures? Document and certify periodic inspection as being performed in accordance with Title 29 Code of Federal Regulations (CFR) 1910.147?

If an energy isolating device is not capable of being locked out, does the employer's energy control program utilize a tagout system?If an energy isolating device is capable of being locked out, does the employer's energy control program utilize lockout, unless the employer can demonstrate that the utilization of a tagout system will provide full employee protection?

After January 2, 1990, whenever replacement or major repair, renovation or modification of a machine or equipment is performed, and whenever new machines or equipment are installed, are energy isolating devices for such machine or equipment designed to accept a lockout device?

When a tagout device is used on an energy isolating device which is capable of being locked out, is the tagout device attached at the same location that the lockout device would have been attached?

Does the employer demonstrate that the tagout program provides a level of safety equivalent to that obtained by using a lockout program?

118 of 172


147(c)(3)(ii)

147(c)(4) Energy Control Procedure147(c)(4)(i)

Note: Exception

147(c)(4)(ii)

147(c)(4)(ii)(A) A specific statement of the intended use of the procedure?

147(c)(4)(ii)(B)

147(c)(4)(ii)(C)

147(c)(4)(ii)(D)

147(c)(5) Protective Materials and Hardware

In demonstrating that a level of safety is achieved in the tagout program which is equivalent to the level of safety obtained by using a lockout program, does the employer demonstrate full compliance with all tagout-related provisions of this standard together with such additional elements as are necessary to provide the equivalent safety available from the use of a lockout device?

Do additional means considered as part of the demonstration of full employee protection include the implementation of additional safety measures such as the removal of an isolating circuit element, blocking of a controlling switch, opening of an extra disconnecting device, or the removal of a valve handle to reduce the likelihood of inadvertent energization?

Are procedures developed, documented and utilized for the control of potentially hazardous energy when employees are engaged in the activities covered by this section?The employer need not document the required procedure for a particular machine or equipment, when all of the following elements exist: (1) The machine or equipment has no potential for stored or residual energy or reaccumulation of stored energy after shut down which could endanger employees; (2) the machine or equipment has a single energy source which can be readily identified and isolated; (3) the isolation and locking out of that energy source will completely deenergize and deactivate the machine or equipment; (4) the machine or equipment is isolated from that energy source and locked out during servicing or maintenance; (5) a single lockout device will achieve a locker-out condition; (6) the lockout device is under the exclusive control of the authorized employee performing the servicing or maintenance; (7) the servicing or maintenance does not create hazards for other employees; and (8) the employer, in utilizing this exception, has had no accidents involving the unexpected activation or reenergization of the machine or equipment during servicing or maintenance.

Do the procedures clearly and specifically outline the scope, purpose, authorization, rules, and techniques to be utilized for the control of hazardous energy, and the means to enforce compliance including, but not limited to, the following:

Specific procedural steps for shutting down, isolating, blocking and securing machines or equipment to control hazardous energy?Specific procedural steps for the placement, removal and transfer of lockout devices or tagout devices and the responsibility for them?Specific requirements for testing a machine or equipment to determine and verify the effectiveness of lockout devices, tagout devices, and other energy control measures?

119 of 172


147(c)(5)(i)

147(c)(5)(ii) Are lockout devices and tagout devices singularly identified? Are they the only devices(s) used for controlling energy? Are not used for other purposes?Do they meet the following requirements:

147(c)(5)(ii)(A)147(c)(5)(ii)(A)(1)

147(c)(5)(ii)(A)(2)

147(c)(5)(ii)(A)(3)

147(c)(5)(ii)(B)

In the case of tagout devices, is print and format standardized?

147(c)(5)(ii)(c)

147(c)(5)(ii)(C)(2)(1)

147(c)(5)(ii)(C)(2)

147(c)(5)(iii) Do tagout devices warn against hazardous conditions if the machine or equipment is energized?

147(c)(6) Periodic Inspection147(c)(6)(i)

Are locks, tags, chains, wedges, key blocks, adapter pins, self-locking fasteners, or other hardware provided by the employer for isolating, securing or blocking of machines or equipment from energy sources?

Durable:Are lockout and tagout devices capable of withstanding the environment to which they are exposed for the maximum period of time that exposure is expected?Are tagout devices constructed and printed so that exposure to weather conditions or wet and damp locations will not cause the tag to deteriorate or the message on the tag to become illegible?When tags are used in corrosive environments such as areas where acid and alkali chemicals are handled and stored, will they not deteriorate?Standardized:Are lockout and tagout devices standardized within the facility in at least one of the following criteria: Color; shape; or size?

Substantial:

Are lockout devices substantial enough to prevent removal without the use of excessive force or unusual techniques, such as with the use of bolt cutters or other metal cutting tools?Are tagout devices, including their means of attachment, substantial enough to prevent inadvertent or accidental removal. Are tagout device attachment means of a non-reusable type, attachable by hand, self-locking, and non-releasable with a minimum unlocking strength of no less than 50 pounds and having the general design and basic characteristics of being at least equivalent to a one-piece, all environment-tolerant nylon cable tie?

Do tagout devices include a legend such as the following: Do Not Start. Do Not Open. Do Not Close. Do Not Energize. Do Not Operate?

Does the employer conduct a periodic inspection of the energy control procedure at least annually to ensure that the procedure and the requirements of this standard are being followed?

120 of 172


147(c)(6)(i)(B) Is the periodic inspection conducted to correct any deviations or inadequacies identified?147(c)(6)(i)(C)

147(c)(6)(i)(D)

147(c)(6)(ii) Does the employer certify that the periodic inspections have been performed?

147(c)(7) Training and Communication147(c)(7)(i)

147(c)(7)(i)(A)

147(c)(7)(i)(B) Does each affected employee instructed in the purpose and use of the energy control procedure?147(c)(7)(i)(C)

147(c)(7)(ii) When tagout systems are used, are employees also trained in the following limitations of tags:147(c)(7)(ii)(A)

147(c)(7)(ii)(B)

147(c)(7)(ii)(C)

147(c)(7)(ii)(D)

147(c)(7)(ii)(E)

147(c)(7)(ii)(F)

Where lockout is used for energy control, does the periodic inspection include a review, between the inspector and each authorized employee, of that employee's responsibilities under the energy control procedure being inspected?

Where tagout is used for energy control, does the periodic inspection include a review, between the inspector and each authorized and affected employee, of that employee's responsibilities under the energy control procedure being inspected?

Does the certification identify the machine or equipment on which the energy control procedure was being utilized, the date of the inspection, the employees included in the inspection, and the person performing the inspection?

Does the employer provide training to ensure that the purpose and function of the energy control program are understood by employees and that the knowledge and skills required for the safe application, usage, and removal of the energy controls are acquired by employees?

Does each authorized employee receive training in the recognition of applicable hazardous energy sources, the type and magnitude of the energy available in the workplace, and the methods and means necessary for energy isolation and control?

Are all other employees whose work operations are or may be in an area where energy control procedures may be utilized, instructed about the procedure, and about the prohibition relating to attempts to restart or reenergize machines or equipment which are locked out or tagged out?

Tags are essentially warning devices affixed to energy isolating devices, and do not provide the physical restraint on those devices that is provided by a lock?When a tag is attached to an energy isolating means, it is not to be removed without authorization of the authorized person responsible for it, and it is never to be bypassed, ignored, or otherwise defeated?

Tags must be legible and understandable by all authorized employees, affected employees, and all other employees whose work operations are or may be in the area, in order to be effective?Tags and their means of attachment must be made of materials which will withstand the environmental conditions encountered in the workplace?Tags must not evoke a false sense of security and their meaning needs to be understood as part of the overall energy control program?Tags must be securely attached to energy isolating devices so that they cannot be inadvertently or accidentally detached during use?

121 of 172


147(c)(7)(iii) Employee Re-training147(c)(7)(iii)(A)

147(c)(7)(iii)(B)

147(c)(7)(iii)(C)

147(c)(7)(iv) Does the employer certify that employee training has been accomplished and is being kept up to date?

Does the certification contain each employee's name and dates of training?147(c)(8)

147(c)(9)

147(d) Application of Control

147(d)(1)

147(d)(2)

147(d)(3)

147(d)(4) Lockout or Tagout Device Application:147(d)(4)(i) Are lockout or tagout devices affixed to each energy isolating device by authorized employees?147(d)(4)(ii)

Is retraining provided for all authorized and affected employees whenever there is a change in their job assignments, a change in machines, equipment or processes that present a new hazard, or when there is a change in the energy control procedures?

Is additional retraining conducted whenever a periodic inspection reveals, or whenever the employer has reason to believe that there are deviations from or inadequacies in the employee's knowledge or use of the energy control procedures?

Does the retraining reestablish employee proficiency and introduce new or revised control methods and procedures, as necessary?

Energy isolation. Is lockout or tagout performed only by the authorized employees who are performing the servicing or maintenance?Notification of employees. Are affected employees notified by the employer or authorized employee of the application and removal of lockout devices or tagout devices?Is notification given before the controls are applied, and after they are removed from the machine or equipment?

Do the established procedures for the application of energy control (the lockout or tagout procedures) cover the following elements and actions and are the lockout or tagout procedures done in the following sequence:?

Preparation for shutdown. Before an authorized or affected employee turns off a machine or equipment, does the authorized employee have knowledge of the type and magnitude of the energy, the hazards of the energy to be controlled, and the method or means to control the energy?

Machine or equipment shutdown. Is the machine or equipment turned off or shut down using the procedures established for the machine or equipment? Is an orderly shutdown utilized to avoid any additional or increased hazard(s) to employees as a result of the equipment stoppage?Machine or equipment isolation: Are all energy isolating devices that are needed to control the energy to the machine or equipment physically located and operated in such a manner as to isolate the machine or equipment from the energy source(s)?

Are lockout devices, where used, affixed in a manner to that will hold the energy isolating devices in a "safe" or "off" position?

122 of 172


147(d)(4)(iii)

147(d)(4)(iii)(A)

147(d)(4)(iii)(B)

147(d)(5) Stored Energy:147(d)(5)(i)

147(d)(5)(ii)

147(d)(6)

147(e)

147(e)(1)

147(e)(2)(i) Is the work area checked to ensure that all employees have been safely positioned or removed?147(e)(2)(ii)

147(e)(3)

Does the specific procedure include at least the following elements:147(e)(3)(i) Verification by the employer that the authorized employee who applied the device is not at the facility?

Are tagout devices, where used, affixed in such a manner as will clearly indicate that the operation or movement of energy isolating devices from the "safe" or "off" position is prohibited?Where tagout devices are used with energy isolating devices designed with the capability of being locked, is the tag attachment fastened at the same point at which the lock would have been attached?Where a tag cannot be affixed directly to the energy isolating device, is the tag located as close as safely possible to the device, in a position that will be immediately obvious to anyone attempting to operate the device?

Following the application of lockout or tagout devices to energy isolating devices, is all potentially hazardous stored or residual energy relieved, disconnected, restrained, and otherwise rendered safe?

If there is a possibility of reaccumulation of stored energy to a hazardous level, is verification of isolation continued until the servicing or maintenance is completed, or until the possibility of such accumulation no longer exists?

Verification of isolation: Prior to starting work on machines or equipment that have been locked out or tagged out, does the authorized employee verify that isolation and deenergization of the machine or equipment have been accomplished?

Release from Lockout or Tagout: Before lockout or tagout devices are removed and energy is restored to the machine or equipment, are procedures followed and actions taken by the authorized employee(s) to ensure the following:

The machine or equipment. Is the work area inspected to ensure that nonessential items have been removed and to ensure that machine or equipment components are operationally intact?

After lockout or tagout devices have been removed and before a machine or equipment is started, are affected employees notified that the lockout or tagout device(s) have been removed?Lockout or Tagout Devices Removal:Is each lockout or tagout device removed from each energy isolating device by the employee who applied the device?Exception to paragraph (e)(3): When the authorized employee who applied the lockout or tagout device is not available to remove it, is the device removed under the direction of the employer, provided that specific procedures and training for such removal have been developed, documented and incorporated into the employer's energy control programs?

Does the employer demonstrate that the specific procedure provides equivalent safety to the removal of the device by the authorized employee who applied it?

123 of 172


147(e)(3)(ii)

147(e)(3)(iii) Ensuring that the authorized employee has this knowledge before he/she resumes work at that facility?

147(f)(1)

147(f)(1)(i)

147(f)(1)(ii) Remove employees from the machine or equipment area in accordance with paragraph (e)(2)?147(f)(1)(iii) Remove the lockout or tagout devices as specified in paragraph (e)(3)?147(f)(1)(iv) Energize the machine or equipment and proceed the process with testing or positioning?147(f)(1)(v)

147(f)(2)(i)

147(f)(2)(ii)

147(f)(3)(i)

147(f)(3)(ii)

147(f)(3)(ii)(A)

147(f)(3)(ii)(B)

147(f)(3)(ii)(C)

147(f)(3)(ii)(D)

Making all reasonable efforts to contact the authorized employee to inform him/her that his/her lockout or tagout device has been removed?

Testing or positioning of machines, equipment or components thereof: In situations in which lockout or tagout devices must be temporarily removed from the energy isolating device and the machine or equipment energized to test or position the machine, equipment or component thereof, the following sequence of actions shall be followed:

Is the machine or equipment cleared of tools and materials in accordance with paragraph (e)(1) of this section?

Deenergize all systems and reapply energy control measures in accordance with paragraph (d) to continue the servicing and/or maintenance?Whenever outside servicing personnel are to be engaged in activities covered by the scope and application of this standard, does the on-site employer and the outside employer inform each other of their respective lockout or tagout procedures?

Does the on-site employer ensure that his/her employees understand and comply with the restrictions and prohibitions of the outside employer's energy control program?

When servicing and/or maintenance is performed by a crew, craft, department or other group, do they utilize a procedure which affords the employees a level of protection equivalent to that provided by the implementation of a personal lockout or tagout device?

Are group lockout or tagout devices used in accordance with the procedures required by paragraph (c)(4) of this section including, but not necessarily limited to, the following specific requirements:Is the primary responsibility vested in an authorized employee for a set number of employees working under the protection of a group lockout or tagout device (such as an operations lock)?Are provision made for the authorized employee to ascertain the exposure status of individual group members with regard to the lockout or tagout of the machine or equipment?When more than one crew, craft, department, etc. is involved, is assignment of overall job-associated lockout or tagout control responsibility to an authorized employee designated to coordinate affected work forces and ensure continuity of protection?

Does each authorized employee affix a personal lockout or tagout device to the group lockout device, group lockbox, or comparable mechanism when he or she begins work?

124 of 172


147(f)(4) Shift or Personnel Changes

Does each authorized employee remove those devices when he or she stops working on the machine or equipment being serviced or maintained?

Are specific procedures utilized during shift or personnel changes to ensure the continuity of lockout or tagout protection, including provision for the orderly transfer of lockout or tagout device protection between off-going and oncoming employees, to minimize exposure to hazards from the unexpected energization or start-up of the machine or equipment, or the release of stored energy?

125 of 172


2503 Permissible Exposure Limits, Skin Designation2503.b.

2504 Control of PCB Exposure in the Workplace Environment2504.a.

2504.a.(1)

2504.a.(2)

2504.a.(3)

2504.a.(4) Do personnel refrain from performing hot work in the immediate area when work is performed with PCB material?

2504.b.(1)

2504.b.(1)(a) Full-body, one-piece disposable coveralls constructed of Tyvek® material or comparable substitute material?

2504.b.(1)(b) Nitrile or Viton® gloves?

2504.b.(1)(c) Nitrile or neoprene foot coverings if the work involves the probability of foot contamination by any means?2504.b.(1)(d)

2504.b.(2)

2504.c.(1)

2504.c.(1) Does the cognizant industrial hygienist determine the need to perform air sampling for PCBs?2504.c.(2)

2504.c.(3) Does the use of respirators comply with the requirements of chapter 15?

Chapter 25 Polychlorinated Biphenyls (PCB's)

Do activities prevent or reduce skin exposure to PCBs to the extent necessary through the use of substitution, engineering controls, work practices or PPE, such as gloves, coveralls, goggles or other appropriate PPE?

For situations not exceeding the PELs and not involving unprotected PCB skin contact, do activities employ routine work and personal hygiene measures appropriate for any occupational setting?When working with PCB-impregnated materials, such as insulating felts, or with articles that contain liquid PCB solutions, do personnel strictly observe good housekeeping procedures to avoid the possibility of secondary surface contamination?Do employees involved in PCB- related work activities refrain from eating, drinking, smoking, chewing tobacco or gum or applying cosmetics in the work area?Do activities collect and dispose of PCB-containing waste, scrap and debris, and PCB-contaminated clothing (consigned for disposal) in sealed impermeable bags or other impermeable containers labeled per applicable Federal, State or local environmental regulations?

Do personnel engaged in handling PCB-contaminated or PCB-impregnated material (such as "rip out" or "stripping" operations), during which skin contact with PCBs is considered probable, wear the following PPE:

Face shields and vented goggles or other appropriate eye protective equipment wherever the possibility of eye contact exists?If work situations exist where it is likely that workers' clothing will become saturated with PCB-containing liquids, do personnel use protective clothing materials having "greater than 24 hours" breakthrough times against PCBs, as listed in ACGIH (American Conference of Governmental Industrial Hygienists)?

Under most conditions, do activity safety offices use air-sampling data to determine the necessity for wearing respiratory protection?

If air sampling results indicate that the PELs for PCBs have been exceeded, do personnel use a supplied air respirator that has a full face piece and is operated in the pressure demand or other positive-pressure mode?

126 of 172

Reference Yes No N/AChapter 25 Polychlorinated Biphenyls (PCB's)

2505 Medical Surveillance Program:2505 Do activities include personnel who meet the exposure criteria outlined in NEHC Technical Manual, Industrial

Hygiene Field Operations Manual, and as determined by an industrial hygienist, in the appropriate medical surveillance program?

127 of 172

Reference Chapter 26 Chemical-Biological-Radiological-Nuclear-Explosive Events Yes No N/A

26022602.a.

2602.a.(1)(a) Participates in planning for selection of personal protection equipment?2602.a.(1)(b) Participates in planning for emergency equipment acquisition and review?2602.a.(1)(c) Assists in integrating safety into training plans (formal and exercise)?2602.a.(1)(d) Participates in preparing hazard and risk communication plans?2602.a.(1)(e) Participates in vulnerability assessments?

2602.a.(1)(f) Participates in preparing plans for notification/recall of essential personnel?2602.a.(1)(g) Participates in communication of emergency plans?

2602.a.(1)(h) Participates in development of Navy policy and doctrine, for Tactics, Techniques, and Procedures (TTP)?

2602.a.(1)(i) Participates in risk analysis and threat assessments?2602.a.(1)(j)

2602.a.(2) Participation in Emergency Response, whereby the designated safety representative:

2602.a.(2)(a) Participates in development of site-specific Health and Safety Plans (HASP)?2602.a.(2)(b)

2602.b.(1)(b)

Participates in monitoring collective protective shelter systems?

Roles and Responsibilities; Safety Support: Working as part of an emergency response team in accordance with this instruction, do Navy shore installations provide the following safety support capability:

Ensures employees who respond to CBRNE incidents are appropriately enrolled in medical surveillance and respiratory protection programs?

Serves as Incident Command System, Regional Operations Center (ROC) representative and Emergency Operating Center (EOC) safety representative?

Where technical industrial hygiene support exists on the installation, does the existing industrial hygiene support include the following capabilities:

2602.b.(1)(b)1 Provides consultation before and during an incident on the capabilities and limitations of chemical and biological detection methods and the interpretation of monitoring data?

2602.b.(1)(b)2 Participates in the interpretation and communication of sampling and monitoring information provided by detection equipment?

2602.b.(1)(b)3 Provides technical expertise in the emergency operations center where coordination with the Incident Command Safety Officer will help to ensure a comprehensive health and safety plan is developed and that health risk is well communicated to the Incident Commander (IC)?

2602.b.(1)(b)4

128 of 172


2602.b. NOTE:

2602.b. NOTE:

2603 Personal Protective Equipment2603.a.

2603.a. Does the activity procure and enforce the proper use and maintenance of PPE?

2603.a. Are workers aware that equipment breakdown, failure or misuse immediately exposes them to the hazard?

2603.a.

2603.a.

2603.b.

2603.b.(1)

2603.b.(1) Is MOPP specified for all military operations during wartime operations?NOTE:

2603.b.(2)

2603.b.(2) Are only NIOSH approved respirators used?2603.c.2603.c. Does command know the key factors involved in the selection process:2603.c. Identification of the hazards or suspected hazards?

Are those military personnel, who have been confirmed by their region or activity as having no deployment limiting medical conditions based on their current periodic military physicals and their annual Preventive Health Assessment considered qualified to wear any type of respiratory protection?

Are shipboard personnel undergoing shore firefighting training required to obtain medical qualification or respirator fit testing for SCBA's, including the OBA, prior to reporting for training? This should be No.

Do activities (in accordance with Navy policy) provide, use and maintain personal or individual protective equipment (PPE) when competent authority determines that its use is necessary and will lessen the likelihood of injuries and/or illnesses?

Does the worker know that many protective devices, through misapplication or improper maintenance, can become ineffective without the knowledge of the wearer and can have potentially serious consequences?

Does the activity support proper equipment selection, maintenance, employee training (including equipment limitations) and mandatory enforcement of equipment as key elements of an effective PPE program?

Does the responder know that the level of respiratory and personal protection that is required is based primarily on the nature of the task that the responder is assigned to complete during the incident?

Do active duty and reserve military personnel utilize Mission Oriented Protective Posture (MOPP) gear for all military operations during wartime operations?

MOPP IV is not equivalent of Level C because the Joint Service Light-Weight Integrated Suit Technology (JSLIST) will not pass penetration testing of NFPA 1992.

Do Navy military and civilian personnel use protective ensembles that are compliant with this manual, 29 CFR 1910.120, and NFPA 1994?

Selection of PPE:

129 of 172


2603.c. Potential routes of exposure to employees (inhalation, skin absorption, ingestion, eye or skin contact)?

2603.c. Does command know how well the materials will perform in providing a barrier to these hazards?2603.c. Does command know that the amount of protection provided is material-hazard specific?

2603.c.

2603.c.

2603.c.

2603.c.(1) Are all SCBA purchased for first responders NIOSH CBRN approved? 2603.c.(1)

2603.d.

2603.d.

2603.d. Does the activity only use those items that have been recognized and approved?2603.e.2603.e.(1)

2603.e.(1)

2604 Heat Stress2604

2604.b

2604.c.(1)

2604.c.(2)

Is command aware that protective equipment materials will protect well against some hazardous substances and poorly, or not al all, against others?

Does command know that in many instances, protective equipment materials which will provide continuous protection from the particular hazardous substances cannot be found?

Does command know that in these cases the breakthrough time of the protective material should exceed the work durations?

Once activities are fully equipped with NIOSH CBRN approved SCBA, are these respirators the only respirators allowed for use with Level A and Level B protective ensembles?Does the activity ensure that all personal protective clothing and equipment as well as respiratory protective equipment are sized to fit the individual?Does the activity ensure that the clothing and equipment be of safe design and construction for the work to be performed?

Notable Exemptions:Does command know that the contractor is responsible directly to OSHA or appropriate State office where OSHA has approved State Plan?Does command know that contractors are responsible for providing their respiratory protection programs and respiratory protective equipment?

Is command aware of the mandatory levels of protection for first responders if full or partially encapsulating ensembles of PPE?Is command aware that there are only two effective methods of preventing heat stress related illness - limited stay time and cooling equipment?

Do incident command (IC) officers consider the establishment of rehabilitation areas during the initial planning stages of an emergency response?

Is command aware that water and electrolytes must be replaced during work periods and at emergency incidents?

130 of 172


2604.c.(3)2604.c.(4)2604.c.(4) Does the RO determine the duration of rest intervals?2604.c.(4)

2604.c.(5)

2604.d.(1)

2604.d.(1)

2605 Confined Space Entry2605 Does command prevent entry into a confined space during a CBRNE incident without the order of the IC?

2606 CBRNE Respiratory Protection Program (RPP)2606.b.

2606.b.

2606.b.

2606.c.NOTE:

2606.c.(1) Respirator Selection2606.c.(1)(a)

2606.c.(1)(b)

Does the IC provide food at the scene of an extended incident when units are engaged for three or more hours?Does the Rehabilitation Officer perform an objective evaluation of a members' fatigue level as the criteria for rehabilitation time?

Are fresh crews, or crews released from the Rehabilitation Sector/Group, available in the staging area to ensure that fatigued members are not required to return to duty before they are rested, evaluated, and released by the Rehabilitation Officer?

Is extreme caution exercised if the member has taken antihistamines, diuretics or stimulants that may impair the body's ability to sweat? Does the Medical Response Group provide qualified personnel that evaluate vital signs, examine members, and make proper disposition (return to duty, continued reconstitution, or medical treatment and transport to medical facility)?

Are Emergency Management Specialists (EMS) assertive in an effort to find potential medical problems early?

Has the command Respiratory Protection Program Manager (RPPM) having cognizance over the first responders also been assigned as the CBRNE RPPM?At facilities where there is no RPPM, has command assigned in writing an RPPM to manage the CBRNE RPP?Are all the prerequisite requirements for wearing respiratory protection including medical evaluation, respirator selection, fit testing, and training completed prior to responding to a CBRNE incident?CBRNE-Specific Respiratory Protection Program Elements:Does command ensure that SCBA operated in the "demand mode" and respirators receiving only NIOSH approval as pressure demand respirators are not to be worn for level A or B protection?

Is command aware that level A - NIOSH CBRN agent approved SCBA are the first choice of respiratory protection?Is command aware that level B - SCBA is selected on a case-by-case basis depending on the presence of liquid chemical warfare agent?

131 of 172


2606.c.(1)(c)

2606.c.(1)(d)

2606.c.(1)(d)

2606.c.(2)(a)

2606.c.(2)(b)

2606.c.(2)(b)

2606.c.(2)(b) Does command forbid the respirator to be used for more than 2 hours after liquid exposure is encountered?

2606.c.(3)(a)

2606.c.(3)(a) Are these respirators inspected monthly?2606.c.(3)(a) Is a written inspection record maintained for the life of the respirator?2606.c.(3)(a) Do employees inspect their respirators for serviceability prior to donning them?2606.c.(3)(a) Do employees ensure that cartridges are inserted correctly into the respirator?2606.c.(3)(a) Are defective or dirty respirators NOT used?2606.c.(3)(b) Are respirators which have been exposed to contaminants properly decontaminated?2606.c.(4)

2606.c.(5)

2606.c.(5)

2606.c.(5)

Is command aware that level C - NIOSH CBRN agent approved air-purifying respirators are to be selected for level C protection?Is command aware that personnel assigned to secondary decontamination stations at medical treatment facilities and military security personnel stationed at the decontamination corridor will wear full face rubber, powered air purifying respirators (PAPR's) equipped with combination organic vapor, acid gas and HEPA filters?

Once NIOSH CBRN agents approved PAPR's are available, is command aware that these respirators are the only ones permitted for use?Does command forbid the use of NIOSH CBRN agent approved SCBA beyond 6 hours after initial exposure to chemical warfare agents?Does command forbid NIOSH CBRN agent approved air-purifying respirators to be worn into IDLH atmospheres or atmospheres containing less than 19.5% oxygen?Does command forbid NIOSH CBRN agent approved air-purifying respirators to be used beyond 8 hours after initial exposure to chemical warfare agents?

Are manufacturer's instructions used for inspecting full facepiece air purifying respirators, powered air purifying respirators and SCBA?

Are training requirements for first responders, supervisors, and respirator issuers followed in accordance with section 1511 of reference 26-6?Are personnel, who wear tight-fitting respirators quantitatively fit tested by activities initially and annually thereafter in accordance with Appendix A of reference 26-13?Are positive pressure respirators fit tested in the negative pressure mode by either converting the facepiece into a negative pressure air-purifying respirator?Are they fit tested using a surrogate negative-pressure air-purifying respirator made by the same manufacturer and having identical sealing surfaces and face piece materials?

132 of 172


2606.c.(5) Are employees who have not been medically evaluated not permitted to be fit tested?

2606.c.(6)(a) Does the Incident Safety Officer (ISO) conduct frequent inspections of the incident site to ensure that:2606.c.(6)(a) Correct respirators are being used?

2606.c.(6)(a) Being properly worn?2606.c.(6)(a) Are in good working condition?2606.c.(6)(a) Does the ISO convey this information to the CBRN RPPM?2606.c.(6)(a) Does the CBRN RPPM maintain a record of inspection dates and findings?2606.c.(7) Respirator Cartridge Change-Out Schedules2606.c.(7)(b)

2606.c.(7)(b)

2606.c.(7)(b)

2607 Training2607 Are training requirements in reference 26-2 being followed?2608 Decontamination2608 Are decontamination requirements specified in reference 26-2 and 26-14 are being followed?2609 Risk Communication2609 Are risk communication requirements specified in references 26-2 and 26-15 are being followed?

In the absence of industrial hygiene air sampling data, are respirator cartridges used by civilian security guards changed after every 8-hour shift?Are cartridges used by personnel assigned to secondary decontamination stations at medical treatment facilities and by military security guards stationed at the decontamination corridor changed every 2.5 hours?

Are C2A1 cartridges, when military gas masks are allowed to be worn by the Theatre Combatant Commander, changed according to reference 26-4?

133 of 172

Reference Yes No N/A2701 Discussion2701

2702 Applicability2702.c.

2702.c. Exception: Is a certified NFPA Marine Chemist or Board certified Navy GFE used as required by reference 27-1?

2702.c.

2702.d. Do Navy shore non-maritime commands performing ship repair operations comply with reference 27-1? 2702.d.

2702.d. Have personnel performing Navy Competent Person duties completed the training and OJT specified in reference 27-1?

2702.d.

2702.d. Is a certified NFPA Marine Chemist or Board Certified Navy GFE used as required by reference 27-1?2703 Program Management 2703.a.

2703.a.

2703.a. Do they appoint, in writing, a qualified CSPM?2703.b.

2703.b. Does the CSPM have full authority to make necessary decisions to ensure the program’s continued success? 2703.b. Is the CSPM the only person authorized to amend an installation’s confined space program?

2703.c.

2703.c. Does the cognizant headquarters command safety manager approve equivalent training?

2703.c. Does the command safety office keep verification of such training on file along with the written appointment to the position?

Chapter 27 Confined Space Entry (CSE) Program (Non-Maritime)

Has the installation developed a written program that explains the processes, means and methods used for recognizing, evaluating and controlling potential confined space hazards, and for communicating information concerning those hazards to employees?

Do Navy shore non-maritime commands (e.g., PWC or FISC) performing facilities-related confined space work ashore within a facility identified in subparagraph 2702.b comply with this chapter?

For those situations where non-maritime commands perform confined space work at naval maritime facilities and occupy the same confined space with naval maritime facility employees, are entry procedures developed and managed by the cognizant Navy GFE?

Exception: Does the Confined Space Program Manager (CSPM) provide management of the applicable reference 27-1 requirements, and perform or designate other personnel to perform duties limited to those of a Navy Competent Person (formerly known as Gas Free Technician)?

Exception: Is the amount of experience in a maritime facility and the amount of OJT limited to the appropriate types of confined space operations performed by the activity as determined by the CSPM?

Are regional commanders, commanding officers, or officers in charge ultimately responsible for all safety and health issues at their installations?In cooperation with other members of their management team, do regional commanders, commanding officers, or officers in charge provide continuing support, both motivational and financial, to ensure that an installation’s confined space entry program remains effective?

Does the CSPM, in cooperation with line managers, supervisors, and employees, manage all facets of the installations confined space entry program?

Has the CSPM successfully complete course number A-493-0030, Confined Space Safety, (formally OSH 245E Gas Free Engineering for Non-Maritime Operations) conducted by the Naval Occupational Safety and Health and Environmental Training Center or equivalent?

134 of 172

Reference Yes No N/AChapter 27 Confined Space Entry (CSE) Program (Non-Maritime)

2703.c.

2703.d. Does the CSPM use additional personnel to perform duties in support of the confined space program?2703.d.(1) Is the Assistant CSPM authorized to perform duties equivalent to those of the CSPM and meet the same qualifying criteria?

2703.d.(1) Does the CSPM designate the ACSPM in writing?2703.d.(2)

2703.d.(2)

2703.d.(2) If the space contains hazards that cannot be eliminated, does the classification will remain “permit required”?

2703.d.(2) Does the QP contact the CSPM or ACSPM to inspect and provide an entry permit?2703.d.(2)

2703.d.(2)

2703.d.(2) Does training include the proper use, maintenance, calibration, and operational check of equipment being used?

2703.d.(2)

2703.e.

2703.f.

2704 Duties and Responsibilities 2704.a.(1) Ensuring, to the extent feasible, that surveys of the installation are conducted to identify existing and potential confined spaces?

2704.a.(2)

2704.a.(3) Reviewing and approving the purchase of equipment required for confined space entry?2704.a.(4)

2704.a.(5)

2704.a.(6)

In addition to formal classroom training, does the command establish a proficiency program to ensure that CSPMs possess the understanding, knowledge, and skill necessary for the safe performance of their duties?

Are Qualified Person (QP) duties limited to performing atmospheric testing in confined spaces and inspecting for physical hazards? If the space does not contain, or have the potential to contain, any atmospheric or serious physical hazard, does the QP reclassify the space as “non-permit required”?

If authorized, does the QP also conduct follow-up inspections and atmospheric testing on permit required spaces after initial permits were issued by the CSPM/ASCPM? Does the CSPM or ACSPM conduct/coordinate the formal classroom/ proficiency training for personnel assigned duties as a QP and appoint the QP in writing?

Does training include requirements and provision of this chapter as it relates to the QP responsibilities, procedures for testing atmospheric hazards, recognition and control of hazards related to confined spaces, responsibilities of personnel entering and working in confined spaces and emergency procedures?

Do tenant commands and/or shore installations participating in a regional SOH program have the regional CSPM manage and administer the program through a written agreement signed by both parties?

Are individual employees responsible for fully understanding the installation’s confined space program and for complying with its procedures and policies?

Ensuring, to the extent feasible, that the hazards associated with each identified confined space are characterized to the extent necessary to minimize losses?

Auditing the training of employees involved in confined space entry to assure that they are able to demonstrate proficiency in the requirements of the installation’s confined space program?Auditing line managers, supervisors and designated QPs to verify that they continue to demonstrate proficiency in the discharge of their duties and responsibilities related to confined space entry?

Ensuring, to the extent feasible, that effective procedures for managing confined space entry work performed by independent contractors are in place?

135 of 172


2704.a.(7)

2704.a.(8) Determining when it is necessary to obtain the assistance of outside professional resources?2704.b. Do supervisor's duties and responsibilities include, but are not limited to:2704.b.(1)

2704.b.(2) Ensuring that all special equipment required for entry is available and in proper working order?2704.b.(3)

2704.b.(4)

2704.b.(5)

2704.c. Do individual employees’ duties and responsibilities include, but are not limited to:2704.c.(1) Participating in the development of the installation’s site specific confined space program?2704.c.(2) Minimizing their exposure to potentially hazardous conditions?2704.c.(3) Notifying their supervisors of any recognized uncontrolled hazards?2704.c.(4) Interceding with coworkers to stop inappropriate or hazardous behaviors that may result in injury or property damage?

2704.c.(5) Not using defective equipment, and reporting defects to their supervisors?2704.c.(6)

2704.c.(7) Using equipment and conducting themselves in a manner consistent with the training they have received?

2705 Entry Options2705 Are three options below available with respect to entry into permit-required confined spaces:

2705.a. Reclassifying a permit-space as a non-permit space by eliminating all entry-related hazards as explained in section 2723?

2705.b.

2705.c. Is establishing a permit-entry procedure, as explained in section 2725, include provisions for:2705.c.(1) Designating authorized entrants, authorized attendants, and authorized entry supervisors as described in section 2726?2705.c.(2) Implementing a process for issuing, canceling, reviewing and archiving written entry permits as described in section 2726?

2705.c.(3) Providing for emergency rescue services as described in section 2728?

Ensuring, to the extent feasible, that entry permits/entry certificates are reviewed on a periodic basis sufficient to allow identification of problems that could compromise the confined space entry program, and to assure that identified deficiencies are investigated and corrected prior to subsequent entry into the installation’s confined spaces?

Ensuring that workers under their control who enter confined spaces are informed of the hazards to which they may be exposed and have demonstrated proficiency in the skills necessary to protect themselves from those hazards?

Determining that training in both confined space procedures and the use of any specialized equipment has been provided, and that employees under their control who enter confined spaces, have demonstrated proficiency in the application of those procedures specialized equipment?

Auditing the work performed by employees under their control who enter confined spaces to assure that it conforms to this program as well as those programs integrated into it, such as lock-out/tag-out, respiratory protection, bloodborne pathogens, etc?

Informing the CSPM of any unauthorized digressions from the installation’s confined space program or any problems that arise during confined space entry?

Inquiring about the potential hazards to which they may be exposed to ensure that they know and understand the precautions they must take to protect themselves from those hazards?

Implementing alternative entry procedures that require continuous forced mechanical ventilation and continuous air monitoring in situations where the only hazard posed is an atmospheric hazard which can be controlled by ventilation, as explained in section 2724?

136 of 172


2705.c.(4)

2706 Administrative Policy:2706.a

2706.b

2706.b

NOTE: Do locally generated confined space entry permits contain, at minimum, the required items found in 29 CFR 1910.146 (f)?

2706.c

2707 Program Content2707

2707

2708 Identification of Confined Spaces2708

2708 Does the process ensure that both permit and non-permit spaces are identified? 2708

2709 Hazard Analysis and Risk Communication2709 Does the written program describe the process, means, and methods the installation uses to inform affected employees of the:

2709.a. Existence and location of confined spaces and poorly ventilated enclosed spaces?2709.b. Nature of the potential hazards posed by confined spaces and poorly ventilated enclosed spaces?

2709.c.

2710 Preventing Unauthorized Entry2710

2710 Do these methods include any combination of the following:

Implementing, if necessary, procedures for entry into atmospheres that are immediately dangerous to life or health (IDLH), as described in section 2729?

As a matter of administrative policy, are all shore-side confined spaces, other than those associated with new construction activities, tunneling operations, trenching and excavating, telecommunications, and electrical generation, distribution, and transmission permit-required confined spaces?

Do personnel enter permit-spaces only per the provisions of a written confined space program that explains the processes, means, and methods used to achieve compliance with this instruction?

However, does the ACSPM or QP declassify a permit-space per the provisions of section 2723 or allow entry into a permit-space under the alternative entry procedures described in section 2724?

Is every entry into a permit-required confined space documented on a confined space permit/ entry certificate like that in appendix B, or on an equivalent permit/certificate that is designed and formatted to addresses site-specific issues, conditions or concerns?

Does the CSPM, or other designated qualified person responsible for confined space program management, consult with affected employees and their authorized representatives on the development of a written confined space program?

Does the program describe with reasonable specificity the processes, means and methods by which the installation manages its entries into confined spaces?

Does the written program describe the process the installation employs to identify on-site confined spaces and poorly ventilated enclosed spaces?

Does this include mobile, portable and transient confined spaces such as those imparted by aircraft, pollution control equipment, rail tank cars, highway tank trucks, and similar shipping containers?

Prohibition against entering confined spaces and poorly ventilated enclosed spaces unless special precautions are taken and an entry permit is completed?

Does the written program describe the site-specific processes, means and methods that are used to prohibit unauthorized entrants from entering confined spaces?

137 of 172


2710.a. Verbal notification?2710.b. Posting warning signs?2710.c. Stickers or labels?2710.d.

2711 Pre-Entry Precautions2711.a.

2711.a. At a minimum, does the program address the following, if applicable to the installation’s operations:

2711.a.(1) Conducting a job-specific hazard analysis?2711.a.(2) Limiting access to the work area?2711.a.(3) Controlling hazardous energy?2711.a.(4) Providing effective isolation?2711.a.(5) Draining, flushing and cleaning?2711.a.(6) Testing and monitoring?2711.a.(7) Controlling atmospheric hazards?2711.a.(8) Controlling physical hazards?2711.a.(9) Assessing protective equipment needs?2711.a.(10) Emergency response planning?2711.a.(11) Determining if entry conditions are acceptable?2711.b. Does the written program identify any specialized equipment necessary to accomplish the tasks specified above? 2711.b.

2712 Job-Specific Hazard Analysis2712 Are all hazards associated with entry identified and noted on the permit before a space is entered?

2712

2713 Limiting Unauthorized Access2713 Is access to a confined space work zone limited to authorized employees?

2713 Does the written program describe the means and methods used to achieve this objective?

2714 Controlling of Hazardous Energy2714

Limiting access through the use of key cards, cipher locks, cylinder locks, tack welding the edges of the cover to the body of the enclosure, the need for a special tool, or any other equally effective means used in lieu of signs, stickers and/or labels?

Does the written program explain the site-specific process used to identify any precautions, work practices, or controls that need to be implemented before entry?

Does it also include provisions that the region or activity provide this equipment to employees at no cost and maintain the equipment to ensure its continued effectiveness?

Does the written program describe the process for conducting a job specific hazard analysis used to achieve this objective, and a requirement that any hazards, including those that have been controlled or eliminated, be identified on the permit so that the hazard information may be communicated to affected employees?

Is energy that poses a hazard to authorized entrants controlled to the extent feasible through disconnecting, blocking or otherwise disabling equipment whose unexpected start up could cause injury, or alternatively, by implementing a lock-out/tag-out program, that at a minimum meets the requirements of 29 CFR 1910.147?

138 of 172


2714

2715 Providing Effective Isolation2715.b. Does the written program either describe the process used to achieve isolation, or refer to the facilities general isolation program?

2715.b.

2716 Draining, Flushing and Cleaning2716.a. Spaces may contain residue that is flammable, corrosive, toxic or otherwise hazardous to entrants. 2716.a.

2716.b.

2716.b.

2717 Testing and Monitoring2717.a.

2717.a. At a minimum, does the written program address:2717.a.(1) Testing and monitoring of non-atmospheric hazards?2717.a.(2) Testing and monitoring of atmospheric hazards?2717.a.(3) Identifying factors affecting instrument selection?2717.a.(4) Sampling strategies, methods and techniques?2717.a.(5) Establishing instrument alarm set points?2717.a.(6) Interpreting testing and monitoring results?2717.a.(7) Establishing acceptable entry conditions?2717.a.(8) Establishing maintenance and calibration protocols?2717.a.(9) Requiring continuous monitoring when feasible?2717.a.(10) Appropriate selection and proper calibration of instruments?2717.b.

2718 Control of Atmospheric Hazards2718.a.

2718.a.

If reference is made to the facilities lockout/tag-out program, does the CSPM ensure that the lockout/tagout procedures are incorporated in the procedures used for confined space entry?

If reference is made to the installation’s program, does the CSPM evaluate that program to determine if it meets the requirements necessary to allow it to be used for confined space entry?

Does the written program describe the process used to identify these hazards and explain how they may be eliminated or controlled prior to entry?Does the written program incorporate a provision that the installation’s cognizant environmental representative shall be notified to evaluate any space that is to be drained, flushed, or rinsed?

Does this evaluation identify any specific Federal, State, and/or local environmental codes, standards, rules, regulations, or statutes that apply to the draining, flushing rinsing, and waste disposal processes?

Does this program explain the installation’s process for identifying hazards that may require testing and monitoring, and describe the means and methods by which this testing and monitoring is to be conducted?

Does the written program, also describe the process by which authorized entrants or their authorized representatives are provided with the opportunity to observe the pre-entry and any subsequent testing or monitoring of permit spaces?

Does the written confined space programs stipulate that atmospheric hazards be controlled to the extent feasible through forced, mechanical ventilation?If the CSPM or other designated qualified person determines that ventilation is not effective for controlling atmosphere hazards, does he/she require respiratory protection?

139 of 172


2718.a.

2718.b. Is the minimum standard followed when evaluating for atmospheric hazards:2718.b.(1) Is a flammable gas, vapor, or mist lower than 10 percent of its lower explosive limit (LEL)?

2718.b.(1)

NOTE:

2718.b.(2) Is the atmospheric oxygen concentration not below 19.5 percent or above 22 percent?2718.b.(3) Is the Permissible Exposure Limit of any substance not exceeded?2719 Control of Physical Hazards2719

2720 Assessing Protective Equipment

2720

2720 Does the CSPM/ACSPM list required clothing and equipment on the entry certificate? 2720

2720

2721 Emergency Response Planning2721

2722 Determining If Entry Conditions Are Acceptable2722 Are variety of variable parameters used to establish whether or not conditions are suitable for entry?

2722 Does the written program describe the process for identifying what conditions are deemed to be acceptable for entry?

2723 Reclassification Procedures2723

2723 If it is necessary to enter the permit space to eliminate hazards, is that entry performed per section 2724?

Do personnel entering the space use air-supplied respirators unless the CSPM or other designated qualified person determines that air-purifying devices are acceptable?

Is hot work only performed if the source of the gas, vapor, or mist has been determined and adequately controlled below 10% of the LEL?Even though the atmosphere is controlled to concentrations lower than 10% LEL, does the CSPM or designated qualified person ensure the measured LEL of a particular gas, vapor, or mist does not also exceed the PEL?

Does the written program describe the process used to manage entrants’ exposure to physical hazards? (Physical hazards associated with confined space entry include environmental hazards such as heat and cold stress, ionizing and non-ionizing radiation and noise; equipment-related hazards such as unguarded machinery and exposed energized conductors; and task-related hazards such splash with corrosive materials, contusions from impacts, and lacerations from sharp edges)?

Does the CSPM/ACSPM, in coordination with a safety specialist and/or industrial hygienist, determine the requirements for appropriate personal protective clothing and equipment?

Does the written program either describe the process used to assess the need for personal protective equipment, or refer to the installation’s personal protective equipment program?If reference is made to the installation’s program, does the CSPM or other designated qualified person evaluate that program to determine if it meets the requirements necessary to allow it to be used for confined space entry?

Does the written program explain the process for developing an emergency response plan that addresses the unique nature of each entry?

If a permit space poses no actual or potential atmospheric hazards, and if all the other hazards within the space are eliminated without entry into the space, is the permit space reclassified as a non-permit confined space for as long as the non-atmospheric hazards remain eliminated?

140 of 172


2723

2723 At a minimum does this process include provisions for:2723.a.

2723.b.

2723.c.

2723.d. Evacuating the space if hazards arise, and reevaluating the space to determine if it must be reclassified as a permit space?

2723.e. The entry certificate is only valid for a period of time as determined by the CSPM?2723.f.

2724 Alternative Entry Procedures:2724

2724

2724 At a minimum, does this process include provisions for ensuring that:

2724.a. An explanation of the basis for determining that the permit space poses only an atmospheric hazard provided?

2724.b. An explanation of the basis for determining that the hazard can be controlled though continuous forced ventilation provided?

2724.c. Any conditions that make it hazardous to remove an entrance cover are eliminated before the cover is removed?

2724.d.

2724.e.

2724.f.

2724.g. A hazardous atmosphere does not exist in the space whenever it is occupied?2724.h. Continuous forced ventilation is provided and used?2724.i. Employees do not enter the space until the ventilation has eliminated any hazardous atmosphere?

2724.j. The ventilation air is provided by a clean source and does not increase the hazards in the space?2724.k. The air is delivered in a manner that ventilates the immediate areas where employees are present within the space?

2724.l. The ventilation is continued until all employees have left the space?

Is the written program for any installation that decides to reclassify a permit space describe the process used for reclassification?

Explaining the basis for determining that the permit space poses no actual or potential atmospheric hazards and that all other hazards can be eliminated without the need to enter?Issuing an “entry certificate” that contains the date, the location of the space, atmospheric test results, and the signature of the person making the determinations described above?Making sure an “entry certificate” is made available and posting it at the site so that each employee entering the space or the employee's authorized representative can be informed of the hazards and conditions of the space?

Canceled entry certificates are retained for at least 1 year to facilitate the review of the permit-required confined space program required by section 2735?

Are less stringent entry procedures that do not require a permit, an attendant, an entry supervisor, or rescue provisions, used in situations where the only hazard posed is an atmospheric hazard that can be controlled through continuous, forced, mechanical ventilation?

Does the written program for any installation that decides to enter permit spaces under the alternate entry procedure describe the process for implementing that procedure?

When entrance covers are removed, railing, temporary cover, or other temporary barrier that prevents an accidental fall through the opening and protects employees from foreign objects entering the space promptly guard openings?

Before employees enter the space, is the internal atmosphere to be tested, with a calibrated, direct-reading instrument, for oxygen content, flammable gases and vapors, and potential air contaminants?

Any employee who enters the space, or that employee's authorized representative, is provided an opportunity to observe the pre-entry testing?

141 of 172


2724.m.

2724.m. Are atmospheric testing results documented with the date and time of test?2724.m. Are test results kept with the entry certificate?2724.n.

2724.n. Is the certification made before entry? 2724.n. Is the certification made available to each employee entering the space, or to that employee's authorized representative?

2724.o.

2724.p. If a hazardous atmosphere is detected during entry, employees immediately evacuate?2724.p. Is the space evaluated to determine how the hazardous atmosphere developed? 2724.p. Are procedures implemented to protect employees from the hazardous atmosphere before any subsequent entry takes place?

2724.q.

2725 Permit-Required Program Elements2725

2725.a. Issuing, canceling, reviewing and archiving entry permits?2725.b.

2725.c. Rescue response planning, including the process used to identify, evaluate, and select a rescue service provider?2725.d. Establishing procedures for entry into atmospheres that are immediately dangerous to life or health?2726 Permit System2726

2726 Does the process include provisions requiring that:2726.a.

2726.b.

2726.c.

The atmosphere within the space is monitored continuously with a direct reading instrument to ensure that the continuous forced air ventilation is preventing the accumulation of a hazardous atmosphere, unless the CSPM or other designated qualified person determines that such monitoring is unnecessary?

A written entry certificate is issued that contains the date, the location of the space, and the signature of the person providing the certification?

When there are changes in the use or configuration of a non-permit space that might increase the hazards to entrants, the space is re-evaluated and if necessary, re-classified as a permit-space?

Canceled entry certificates are retained for at least 1 year to facilitate the review of the permit-required confined space program required by section 2735?

If a permit-space cannot be reclassified as explained in section 2723, or cannot be entered under the alternate entry procedures described in 2724, is it entered under the auspices of a written, site-specific, entry permit procedure, which at a minimum, will it describes the process for:

Designating employees authorized to participate in the entry, including entrants, attendants, and entry supervisors?

Does the written program include an explanation of the process used for issuing, canceling, reviewing and archiving entry permits?

The supervisor signs the permit indicating that all specified precautions have been taken, that conditions are acceptable for entry as explained in section 2722 and that authorized entrants may proceed into the space?

The duration of the permit does not exceed one shift or the time required to complete the assigned task or job identified on the permit, whichever is less?Completed permits are available at the time of entry to all authorized entrants or their authorized representatives, by posting at the entry portal or by any other equally effective means, so that the entrants can confirm that pre-entry hazards have been controlled?

142 of 172


2726.c.

2726.d.

2726.d.

2727 Designation of Employees2727 Does the written program describe the process used to designate confined space entrants, attendants, supervisors, and entry?

2728 Rescue Procedures2728 Does the written, site-specific plan describe the process used to:2728.a. Identify credible scenarios that may require rescue?2728.b. Identify potential providers of rescue services?2728.c.

2728.d. Develop procedures for summoning rescue services?2728.e. Provide necessary aid to rescued employees?2729 Procedures For Entry Into IDLH Atmospheres2729

2729

2729 Do these procedures include provisions for ensuring that:2729.a.

2729.b. One employee or, when needed, more than one employee, is located outside the IDLH atmosphere during entry?2729.c.

2729.d. The employees located outside the IDLH atmosphere are trained and equipped to provide effective emergency rescue?

2729.e. Are employees located outside the IDLH atmospheres equipped with:2729.e.(1)

2729.e.(2)

2729.f. In the case of a potentially flammable atmosphere, are all ignition sources prohibited?

Any problems encountered during an entry are noted on the permit so that appropriate revisions to the confined space program can be made?Canceled permits are retained for at least 1 year to facilitate the review of the permit required confined space program required by section 2735? Permits that contain atmospheric testing information that constitutes an employee exposure record are maintained for the employee’s duration of employment plus 30 years as stipulated by 29 1910.1020?

Evaluate the capabilities of potential rescue service providers to assure that they are capable of providing timely rescue services consistent with the nature of the anticipated emergencies, and are in fact able to rescue incapacitated entrants from the space?

Is entry into, work in, or on a confined space that is immediately dangerous to life and health (IDLH) not permitted under normal operations and only authorized in cases of rescue efforts and extreme emergencies?

Does the written program describe the site-specific procedures that are followed when entry must be made into spaces that are immediately dangerous to life and health (IDLH)?

Installation commanders or their designees are notified, specifically to authorize the entry into the IDLH atmosphere and provide necessary assistance appropriate to the situation?

Visual, voice, or signal line communication are maintained between the employees in the IDLH atmosphere and those located outside the IDLH atmosphere?

Pressure demand or other positive pressure SCBAs, or a pressure demand or other positive pressure supplied-air respirator with auxiliary SCBA?Appropriate retrieval equipment for removing the employees who enter these hazardous atmospheres where retrieval equipment would contribute to the rescue of the employees and would not increase the overall risk resulting from entry; or provide equivalent means for rescue where retrieval equipment is not feasible?

143 of 172


2730 Hot Work2730

2730

2730 Minimum work practices that the hot work program shall address are described in chapter 5 of reference 27-1.

2731 Special Processes2731

2732 Employee Training2732

2732

2733 Contractor Management Provisions2733.a.

2733.a. Does the written program describe the process for managing work contractors perform in the installation’s confined spaces?

2733.a. Is contractor personnel prohibited from entering a confined space under the installation’s permit or certification?

2733.a.

2733.b.

2733.b. Does the written program also describe the installation’s process for:2733.b.(1) Informing the contractor that the installation contains permit spaces?2733.b.(2) Explaining to the contractor why a space is considered to be a permit-space?2733.b.(3) Sharing knowledge of the hazards that have been identified through experience with the space?2733.b.(4)

2733.b.(5)

2733.b.(6)

Does the written program either describe the process used to control hazards associated with hot work, or refer to the installation’s hot work program?If reference is made to the installation’s hot work program, does the CSPM evaluate the program to determine if it meets the requirements necessary to allow it to be used for confined space entry?

Does the installation that performs processes such as, but not limited to, spray application of flammable or combustible materials, abrasive blasting, and pressure-washing pose special hazards develop a job-specific hazard analysis that addresses the unique hazards posed by each of these processes?

Do employees who enter confined spaces possess the understanding, knowledge, and skill necessary for the performance of their duties? Does the written program explain the process the installation uses to ensure that employees are trained and have demonstrated proficiency in confined space entry?

Whenever contractors perform work in an installation’s confined spaces, is the job coordinated so that neither the contractor nor the installation’s employees jeopardize each other’s safety?

If contractor personnel and Navy personnel occupy the same space certification, is the certification for Navy personnel only and stated so on the permit or certificate?At a minimum, does the written program include provisions that stipulate that the party responsible for requesting that the contract work be performed is personably responsible for ensuring that the work is carried out per the contract provisions?

Informing the contractor that their personnel may only enter permit-spaces under the provisions of the installations written program?Apprising the contractor of any precautions or procedures that the installation has implemented for the protection of employees in or near permit spaces where contractor personnel will be working (for example draining, flushing, isolating, etc.)?

Coordinating entry operations with the contractor, so that contractor and installation employees do not compromise each other's safety?

144 of 172


2733.b.(7) Debriefing the contractor at the conclusion of the entry relative to any hazards confronted or created during entry operations?

2733.c.

2733.c.(1) Conducting a job-specific hazard analysis?2733.c.(2) Limiting access to the work area?2733.c.(3) Controlling hazardous energy?2733.c.(4) Providing effective isolation?2733.c.(5) Draining, flushing and cleaning?2733.c.(6) Testing and monitoring?2733.c.(7) Controlling atmospheric hazards?2733.c.(8) Controlling physical hazards?2733.c.(9) Assessing protective equipment needs?2733.c.(10) Determining if entry conditions are acceptable?2733.c.(11) Issuing, canceling, reviewing and archiving entry permits?2733.c.(12) Designating of employees authorized to participate in the entry including entrants, attendants and entry supervisors?2733.c.(13) Emergency planning, including identifying, evaluating and selecting rescue services?2733.c.(14) Establishing procedures for entry into atmospheres that are immediately dangerous to life or health?

2733.d.

2733.d. Does the contractor correct deficiency before the installation allows work to proceed?2734 Precautions for Specific Operations2734.b.2734.b.(1)

2734.b.(1)

2734.b.(2)

2734.b.(2)

2734.b.(2)

2734.c

Does the written program include a provision that describes the installation’s process for determining if the contractor’s written program addresses at least the following elements as applicable to the specific job to be performed:

Does the written program also describe the process that will be followed in the event that the CSPM or other designated qualified person determines that the contractor’s program does not address one of the elements listed above?

Construction Operations:Even though the OSHA permit-required confined space standard does not apply to construction work, do construction contractors comply with generally accepted industry procedures, practices and standards covering entry into confined spaces?

Do construction contractors who enter confined spaces at naval facilities have a written confined space program that meets the minimum requirements prescribed by this instruction?Do construction contractors use its existing generalized confined space entry program, provided that it is supplemented by other documentation that describes how it intends to manage the job-specific hazards?

Does each construction contractor have a designated competent person as defined by 29 CFR 1926.32(f) who is responsible for making regular and frequent inspections of the job sites?

For all ROICC contracts, military construction contracts, do contractors follow guidelines provided in EM-385-1 U.S. Army Corps Of Engineers Safety and Health Requirements Manual for working in confined spaces as well as 29 CFR 1926 Construction Standards?

Since trenches and excavation hazards posed are similar to those associated with confined space entry, do procedures exist that address such things as atmospheric testing, ventilation, and emergency response planning?

145 of 172


2734.e.(1)

2734.e.(1) Are all elements of this instruction applied to ACFT confined space entry?2734.e.(2)

2734.e.(2) Does this only apply to rubber fuel cells that have been removed (not installed rubber fuel cells or drop tanks) from the ACFT?

2734.e.(3)

2734.f.

2734.g.

2734.g.(1)

2734.g.(2)

2735 Program Evaluation2735

2735

2735 Is the purpose of this evaluation to identify program deficiencies and correct them before authorizing subsequent entries?

2735

Appendix 27-C Designation of Employees

1 Supervisors:

Consequently, do they either remain at the space for the duration of entry, or do they transfer that authority to a new attendant?

Do installations acquaint personnel with the fuel cell associated with each type, model, and series and ACFT or fuel cell configuration on which they will be providing confined space services?

Is there a provision for a previously certified rubber fuel cell, which has been removed from the aircraft, reclassifying as requiring no certificate if testing and inspection demonstrate that the hazards within the fuel cell have been eliminated?

Are only the Naval Air Systems Command (NAVAIRSYSCOM) (PMA 260) approved gas detectors used to obtain required test readings of the atmosphere in a fuel cell?Are telecommunication, electrical generation, distribution and transmission operations conducted in manholes, un-vented vaults or any other confined space follow requirements covered under 29 CFR 1910.268 and 269?

Confined space operations conducted on a Naval Maritime Facility or ship repair operations at any location

Are the requirements of subparagraphs 2702.c and 2702.d followed, except that if a space contains or has contained liquids, gases, or solids that are toxic, corrosive, or irritant and cannot be ventilated to within the PELs or is IDLH, a certified NFPA Marine Chemist, a Board-Certified Navy GFE, or Certified Industrial Hygienist must re-test the space until the space can be certified SAFE FOR ENTRY or SAFE FOR ENTRY WITH PPE?

In situations that apply to paragraph 2702.c, is the CSPM or designated representative trained and knowledgeable of reference 27-1 procedures that are applicable to the operations being performed?

Does the CSPM or other designated qualified person evaluate the effectiveness of the installation’s confined space program at least annually?Does the CSPM or other designated qualified person evaluate the effectiveness of the installation’s confined space program whenever there is reason to believe that the program may not providing adequate protection to employees?

Does the site-specific written program describe the process used for conducting and reviewing the installation’s confined space program?

Do Supervisors cancel permits if a condition not allowed under the permit arises in or near the permit space and remove unauthorized individuals who enter or who attempt to enter the permit space during entry operations?

Is the latter possible only if the new attendant possesses the requisite knowledge and skill toact as the supervisor under conditions present at the time of the entry?

146 of 172


Do the supervisors’ duties and responsibilities include:1.a.

1.b.

1.c.

1.d. Verifying that rescue services are available, and that the means for summoning them are operable?1.e. Removing unauthorized individuals who enter or who attempt to enter the permit space during entry operations?1.f.

2 Authorized Attendants: Do authorized confined space attendants:

2.a.

2.b. Aware of possible behavioral effects in authorized entrants?2.c.

2.d. Remain outside the permit space during entry operations until relieved by another attendant?2.e.

2.f. Monitor activities inside and outside the space to determine if it is acceptable for entrants to remain in the space?2.g. Order entrants to immediately evacuate the space under any of the following conditions:2.g.(1) A prohibited condition is detected?2.g.(2) Behavioral effects associated with potential hazards to which entrants may be exposed are observed?2.g.(3) A situation develops outside the space that could endanger the entrants?2.g.(4) The attendant cannot effectively and safely perform all the required duties?2.h.

2.i. Take the following actions when unauthorized persons approach or enter a permit space while entry is underway:2.i.(1) Warn the unauthorized persons that they must stay away from the permit space?2.i.(2) Advise the unauthorized persons that they must exit immediately if they have entered the permit space?2.i.(3) Inform the authorized entrants and the entry supervisor if unauthorized persons have entered the permit space?

Knowing the hazards that may be faced during entry, including information on the mode, signs or symptoms, and consequences of the exposures?Verifying, by checking the permit, that all tests the permit specifies have been conducted and that all procedures and equipment the permit specifies are in place before endorsingthe permit and allowing entry to begin?

Terminating the entry and canceling the permit when the entry operations covered by the permit have been completed, or when a condition that is not allowed under the entry permitarises in or near the permit space?

Determining, whenever responsibility for a permit space entry operation is transferred, and at intervals dictated by the hazards and operations performed within the space, that entryoperations remain consistent with terms of the entry permit and that acceptable entry conditionsare maintained?

Know the hazards that entrants may face during entry, including information on the mode, signs or symptoms, and consequences of exposure?

Keep an accurate count of authorized entrants in the permit space and ensure that any means used to identify authorized entrants such as a badge-in/ badge-out board is accuratelymaintained?

Communicate with authorized entrants as necessary to monitor their status and to alert entrants of the need to evacuate the space?

Summon rescue and other emergency services as soon as the attendant determines that authorized entrants may need assistance to escape from permit space hazards?

147 of 172


2.j. Perform non-entry rescues as specified by the rescue procedure?2.k.

3 Authorized Entrants: Do authorized confined space entrants:

3.a.

3.b.

3.c.

3.d. Alert the attendant whenever:3.d.(1) The entrant recognizes any warning sign or symptom of exposure to a dangerous situation?3.d.(2) The entrant detects a prohibited condition?3.e. Does the entrant exit the space as quickly as possible whenever:3.e.(1) An order to evacuate is given by the attendant or the entry supervisor?3.e.(2) The entrant recognizes any warning sign or symptom of exposure to a dangerous situation?3.e.(3) The entrant detects a prohibited condition?3.e.(4) An evacuation alarm is activated?

Does the confined space entry permit/certificate minimally contain the following information per 29 CFR 1910.146:

The permit/confined space entered?.(2) The purpose of the entry?.(3) The date and the authorized duration of the entry permit/certificate?.(4) The authorized entrants within the permit space, by name or by such other means?.(5) The personnel, by name, currently serving as attendants?.(6)

.(7) The hazards of the permit space to be entered?

.(8)

.(9) The acceptable entry conditions?

.(10)

Perform no duties that might interfere with their primary duty to monitor and protect theauthorized entrants?

Know the hazards they may face during entry, including information on the mode, signs or symptoms, and consequences of the exposure?Able to demonstrate proficiency with any equipment they are expected to use, including under emergency conditions such as equipment failure?Communicate with the attendant as necessary to enable the attendant to monitor their status, and to enable the attendant to alert them of the need to evacuate the space if necessary?

Appendix 27-BEntry Permit/Certificate Minimum Requirements

.(1)

The individual, by name, currently serving as entry supervisor, with a space for the signatureor initials of the entry supervisor who originally authorized entry?

The measures used to isolate the permit space and to eliminate or control permit spacehazards before entry?

The results of initial and periodic tests performed, accompanied by the names or initials of the testers and by an indication of when the tests were performed?

148 of 172


.(11)

.(12)

.(13)

.(14)

.(15)

.(16)

The rescue and emergency services that can be summoned and the means (such as theequipment to use and the numbers to call) for summoning those services?The communication procedures used by authorized entrants and attendants to maintaincontact during the entry?Equipment, such as personal protective equipment, testing equipment, communicationsequipment, alarm systems, and rescue equipment, to be provided for compliance with this section?

Any other information which inclusion is necessary, given the circumstances of the particular confined space, in order to ensure employee safety?Any additional permits, such as for hot work that have been issued to authorize work in thepermit space?Include section for reclassification/or alternative entry procedure to allow for explanation for basis of downgrading the permit for personnel entry?

149 of 172


2802 Applicability2802

2803 Exposure Determination2803

2803 Do facilities follow reference 28-1 for exposure determination procedures? 2804 Hazard Prevention and Control2804 Do facilities conduct hazard prevention and control procedures per references 28-1 and 28-2? 2805 Responsibilities2805.a

2805.c. Does BUMED:

2805.c.(1)

2805.c.(2) Provide guidance for the review of medical records for bloodborne pathogen information and trends?

29 CFR 1910.1030 - Bloodborne Pathogens (Reference 28-1)

(c)(1)(c)(1)(i)

(c)(1)(ii) Does the Exposure Control Plan contain the elements described in paragraphs (c)(1)(ii)(A), (B), and (C)?

(c)(1)(iii)

(c)(1)(iv) Is the Exposure Control Plan reviewed and updated at least annually?

Chapter 28 Bloodborne Pathogens

Do hospitals, medical treatment facilities, emergency rescue personnel, enforcement personnel, laboratories working with potential bloodborne pathogens, and all other personnel who can reasonably anticipate to have occupational exposure to bloodborne pathogens meet the requirements of reference 28-1?

Do personnel who perform "Good Samaritan" acts that result in potential exposure receive the same prompt medical evaluations and follow-up that covered employees receive?

Do Echelon 2 and other Headquarters Commanders provide guidance and assistance to subordinate commands to ensure the effectiveness of this program, including assistance in determining the job classifications of covered employees?

Review and provide technical and administrative guidance on the medical aspects of the bloodborne pathogens program?

Exposure Control Plan:.Does each employer having an employee(s) with occupational exposure as defined by paragraph (b) of this section establish a written Exposure Control Plan designed to eliminate or minimize employee exposure?

Does each employer ensure that a copy of the Exposure Control Plan is accessible to employees in accordance with 29 CFR 1910.1020(e)?

150 of 172

Reference Yes No N/AChapter 28 Bloodborne Pathogens

(c)(1)(iv)(A) Reflect changes in technology that eliminate or reduce exposure to bloodborne pathogens?

(c)(1)(iv)(B)

(c)(1)(v)

(c)(1)(vi)

(c)(2) Exposure Determination:(c)(2)(i)

Does this exposure determination contain the following:(c)(2)(i)(A) A list of all job classifications in which all employees in those job classifications have occupational exposure?

(c)(2)(i)(B) A list of job classifications in which some employees have occupational exposure?

(c)(2)(i)(C)

(c)(2)(ii) Is this exposure determination made without regard to the use of personal protective equipment?

(d) Methods of Compliance:(d)(1)

(d)(2) Engineering and Work Practice Controls:(d)(2)(i) Are engineering and work practice controls used to eliminate or minimize employee exposure?

Is the Exposure Control Plan reviewed and updated whenever necessary to reflect new or modified tasks and procedures which affect occupational exposure and to reflect new or revised employee positions with occupational exposure?

Document annually consideration and implementation of appropriate commercially available and effective safer medical devices designed to eliminate or minimize occupational exposure?

Does an employer, who is required to establish an Exposure Control Plan solicit input from non-managerial employees responsible for direct patient care who are potentially exposed to injuries from contaminated sharps in the identification, evaluation, and selection of effective engineering and work practice controls and document the solicitation in the Exposure Control Plan?

Is the Exposure Control Plan made available to the Assistant Secretary and the Director upon request for examination and copying?

Does each employer who has an employee(s) with occupational exposure as defined by paragraph (b) of this section prepare an exposure determination?

A list of all tasks and procedures or groups of closely related task and procedures in which occupational exposure occurs and that are performed by employees in job classifications listed in accordance with the provisions of paragraph (c)(2)(i)(B) of this standard?

General: Are universal precautions observed to prevent contact with blood or other potentially infectious materials?Under circumstances in which differentiation between body fluid types is difficult or impossible, are all body fluids considered potentially infectious materials?

151 of 172


(d)(2)(ii)

(d)(2)(iii) Do employers provide hand washing facilities which are readily accessible to employees?

(d)(2)(iv)

(d)(2)(v)

(d)(2)(vi)

(d)(2)(vii)

Is the shearing or breaking of contaminated needles prohibited?(d)(2)(vii)(A)

(d)(2)(vii)(B)

(d)(2)(viii)

Are these containers:(d)(2)(viii)(A) Puncture resistant?(d)(2)(viii)(B) Labeled or color-coded in accordance with this standard?(d)(2)(viii)(C) Leak proof on the sides and bottom?(d)(2)(viii)(D) In accordance with the requirements set forth in paragraph (d)(4)(ii)(E) for reusable sharps:

(d)(2)(ix)

Where occupational exposure remains after institution of these controls, is personal protective equipment used?Are engineering controls examined and maintained or replaced on a regular schedule to ensure their effectiveness?

When provision of hand washing facilities is not feasible, does the employer provide either an appropriate antiseptic hand cleanser in conjunction with clean cloth/paper towels or antiseptic towelettes?

When antiseptic hand cleansers or towelettes are used, are hands washed with soap and running water as soon as feasible?Do employers ensure that employees wash their hands immediately or as soon as feasible after removal of gloves or other personal protective equipment?Do employers ensure that employees wash hands and any other skin with soap and water, or flush mucous membranes with water immediately or as soon as feasible following contact of such body areas with blood or other potentially infectious materials?

Are contaminated needles and other contaminated sharps not bent, recapped, or removed except as noted in paragraphs (d)(2)(vii)(A) and (d)(2)(vii)(B) below?

Are contaminated needles and other contaminated sharps not bent, recapped or removed unless the employer can demonstrate that no alternative is feasible or that such action is required by a specific medical or dental procedure?

Is such bending, recapping or needle removal accomplished through the use of a mechanical device or a one-handed technique?Immediately or as soon as possible after use, are contaminated reusable sharps placed in appropriate containers until properly reprocessed?

Is eating, drinking, smoking, applying cosmetics or lip balm, and handling contact lenses prohibited in work areas where there is a reasonable likelihood of occupational exposure?

152 of 172


(d)(2)(x)

(d)(2)(xi)

(d)(2)(xii)

(d)(2)(xiii)

(d)(2)(xiii)(A)

NOTE:

(d)(2)(xiii)(B)

(d)(2)(xiii)(C)

(d)(2)(xiv)

(d)(2)(xiv)(A)

(d)(2)(xiv)(B)

(d)(3) Personal Protective Equipment:

Are food and drinks NOT kept in refrigerators, freezers, shelves, cabinets or on countertops or bench tops where blood or other potentially infectious materials are not present?

Are all procedures involving blood or other potentially infectious materials performed in such a manner as to minimize splashing, spraying, spattering, and generation of droplets of these substances?

Is mouth pipetting/suctioning of blood or other potentially infectious materials prohibited?

Are specimens of blood or other potentially infectious materials placed in a container which prevents leakage during collection, handling, processing, storage, transport, or shipping?

Is the container for storage, transport, or shipping labeled or color-coded according to paragraph (g)(1)(i) and closed prior to being stored, transported, or shipped?When a facility utilizes Universal Precautions in the handling of all specimens, the labeling/color-coding of specimens is not necessary provided that containers be recognizable as containing specimens. This exemption only applies while such specimens/containers remain within the facility.

Is labeling or color-coding in accordance with paragraph (g)(1)(i) required when such specimens/containers leave the facility?If outside contamination of the primary container occurs, is the primary container placed within a second container which prevents leakage during handling, processing, storage, transport, or shipping and is it labeled or color-coded according to the requirements of this standard?

If the specimen could puncture the primary container, is the primary container placed within a secondary container which is puncture-resistant in addition to the above characteristics?

Is equipment which may become contaminated with blood or other potentially infectious materials examined prior to servicing or shipping and decontaminated as necessary, unless the employer can demonstrate that decontamination of such equipment or portions of such equipment is not feasible?

Is a readily observable label in accordance with paragraph (g)(1)(i)(H) attached to the equipment stating which portions remain contaminated?Does the employer ensure that this information is conveyed to all affected employees, the servicing representative, and/or the manufacturer, as appropriate, prior to handling, servicing, or shipping so that appropriate precautions will be taken?

153 of 172


(d)(3)(i)

(d)(3)(ii)

(d)(3)(iii)

(d)(3)(iv)

(d)(3)(v)

(d)(3)(vi)

(d)(3)(vii) Are all personal protective equipment removed prior to leaving the work area?(d)(3)(viii)

(d)(3)(ix)

When there is occupational exposure, does the employer provide, at no cost to the employee, appropriate personal protective equipment such as, but not limited to, gloves, gowns, laboratory coats, face shields or masks and eye protection, and mouthpieces, resuscitation bags, pocket masks, or other ventilation devices?

Is personal protective equipment considered "appropriate" only if it does not permit blood or other potentially infectious materials to pass through to or reach the employee's work clothes, street clothes, undergarments, skin, eyes, mouth, or other mucous membranes under normal conditions of use and for the duration of time which the protective equipment will be used?

Does the employer ensure that the employee uses appropriate personal protective equipment unless the employer shows that the employee temporarily and briefly declined to use personal protective equipment when, under rare and extraordinary circumstances, it was the employee's professional judgment that in the specific instance its use would have prevented the delivery of health care or public safety services or would have posed an increased hazard to the safety of the worker or co-worker?

When the employee makes this judgment, are the circumstances investigated and documented in order to determine whether changes can be instituted to prevent such occurrences in the future?

Does the employer ensure that appropriate personal protective equipment in the appropriate sizes is readily accessible at the worksite or is issued to employees? Are hypoallergenic gloves, glove liners, powderless gloves, or other similar alternatives readily accessible to those employees who are allergic to the gloves normally provided?

Does the employer clean, launder, and dispose of personal protective equipment required by paragraphs (d) and (e) of this standard, at no cost to the employee?Does the employer repair or replace personal protective equipment as needed to maintain its effectiveness, at no cost to the employee?If a garment(s) is penetrated by blood or other potentially infectious materials, is the garment(s) removed immediately or as soon as feasible?

When personal protective equipment is removed, is it placed in an appropriately designated area or container for storage, washing, decontamination or disposal?Are gloves worn when it can be reasonably anticipated that the employee may have hand contact with blood, other potentially infectious materials, mucous membranes, and non-intact skin; when performing vascular access procedures except as specified in paragraph (d)(3)(ix)(D); and when handling or touching contaminated items or surfaces?

154 of 172


(d)(3)(ix)(A)

(d)(3)(ix)(B) Is washing or decontamination of disposable (single use) gloves prohibited for re-use ?

(d)(3)(ix)(C) Are utility gloves decontaminated for re-use if the integrity of the glove is not compromised?

(d)(3)(ix)(D)

(d)(3)(ix)(D)(1) Periodically reevaluate this policy?(d)(3)(ix)(D)(2) Make gloves available to all employees who wish to use them for phlebotomy?(d)(3)(ix)(D)(3) Not discourage the use of gloves for phlebotomy?(d)(3)(ix)(D)(4) Require that gloves be used for phlebotomy in the following circumstances:(d)(3)(ix)(D)(4)(i) When the employee has cuts, scratches, or other breaks in his or her skin?(d)(3)(ix)(D)(4)(ii)

(d)(3)(ix)(D)(4)(iii) When the employee is receiving training in phlebotomy?

(d)(3)(x)

(d)(3)(xi)

Are the types and characteristics dependent upon the task and degree of exposure anticipated?

(d)(3)(xii)

(d)(4) Housekeeping:(d)(4)(i) General. Do employers ensure that the worksite is maintained in a clean and sanitary condition?

Are disposable (single use) gloves such as surgical or examination gloves, replaced as soon as practical when contaminated or as soon as feasible if they are torn, punctured, or when their ability to function as a barrier is compromised?

Are utility gloves discarded if they are cracked, peeling, torn, punctured, or exhibit other signs of deterioration or when their ability to function as a barrier is compromised?

If an employer in a volunteer blood donation center judges that routine gloving for all phlebotomies is not necessary then does the employer:

When the employee judges that hand contamination with blood may occur, for example, when performing phlebotomy on an uncooperative source individual?

Are masks in combination with eye protection devices, such as goggles or glasses with solid side shields, or chin-length face shields, worn whenever splashes, spray, spatter, or droplets of blood or other potentially infectious materials may be generated and eye, nose, or mouth contamination can be reasonably anticipated?

Are gowns, aprons, and other protective body clothing, such as, but not limited to, lab coats, clinic jackets, or similar outer garments worn in occupational exposure situations?

Are surgical caps or hoods and/or shoe covers or boots worn in instances when gross contamination can reasonably be anticipated (e.g., autopsies, orthopedic surgery)?

Does the employer determine and implement an appropriate written schedule for cleaning and method of decontamination based upon the location within the facility, type of surface to be cleaned, type of soil present, and tasks or procedures being performed in the area?

155 of 172


(d)(4)(ii)

(d)(4)(ii)(A)

(d)(4)(ii)(B)

(d)(4)(ii)(C)

(d)(4)(ii)(D) Is broken glassware which may be contaminated NOT picked up directly with the hands?

Is it cleaned up using mechanical means, such as a brush and dust pan, tongs, or forceps?

(d)(4)(ii)(E)

(d)(4)(iii)(B) Other Regulated Waste Containment: (d)(4)(iii)(B)(1) Is regulated waste placed in containers which are:(d)(4)(iii)(B)(1)(i) Closable?(d)(4)(iii)(B)(1)(ii)

(d)(4)(iii)(B)(1)(iii) Labeled or color-coded in accordance with paragraph (g)(1)(i) this standard?(d)(4)(iii)(B)(1)(iv)

(d)(4)(iii)(B)(2) If outside contamination of the regulated waste container occurs, is it placed in a second container?

Is the second container:(d)(4)(iii)(B)(2)(i) Closable?(d)(4)(iii)(B)(2)(ii)

Are all equipment and environmental and working surfaces cleaned and decontaminated after contact with blood or other potentially infectious materials?Are contaminated work surfaces decontaminated with an appropriate disinfectant after completion of procedures; immediately or as soon as feasible when surfaces are overtly contaminated or after any spill of blood or other potentially infectious materials; and at the end of the work shift if the surface may have become contaminated since the last cleaning?

Are protective coverings, such as plastic wrap, aluminum foil, or imperviously-backed absorbent paper used to cover equipment and environmental surfaces, removed and replaced as soon as feasible when they become overtly contaminated or at the end of the work shift if they may have become contaminated during the shift?

Are all bins, pails, cans, and similar receptacles intended for reuse which have a reasonable likelihood for becoming contaminated with blood or other potentially infectious materials inspected and decontaminated on a regularly scheduled basis and cleaned and decontaminated immediately or as soon as feasible upon visible contamination?

Are reusable sharps that are contaminated with blood or other potentially infectious materials stored or processed in a manner that does not require employees to reach by hand into the containers where these sharps have been placed?

Constructed to contain all contents and prevent leakage of fluids during handling, storage, transport or shipping?

Closed prior to removal to prevent spillage or protrusion of contents during handling, storage, transport, or shipping?

Constructed to contain all contents and prevent leakage of fluids during handling, storage, transport or shipping?

156 of 172


(d)(4)(iii)(B)(2)(iii) Labeled or color-coded in accordance with paragraph (g)(1)(i) of this standard?(d)(4)(iii)(B)(2)(iv)

(f) Hepatitis B Vaccination and Post-exposure Evaluation and Follow-up: (f)(1) General:(f)(1)(i) Does the employer make available:

The hepatitis B vaccine and vaccination series to all employees who have occupational exposure?Post-exposure evaluation?Follow-up to all employees who have had an exposure incident?

(f)(1)(ii)(A) Is this made available at no cost to the employee?(f)(1)(ii)(B) Is this made available to the employee at a reasonable time and place?(f)(1)(ii)(C)

(f)(1)(ii)(C)

(f)(2) Hepatitis B Vaccination:(f)(2)(i)

(f)(2)(ii)

(f)(2)(iii)

(f)(2)(iv)

(f)(3) Post-exposure Evaluation and Follow-up:

(f)(3)(i)

Closed prior to removal to prevent spillage or protrusion of contents during handling, storage, transport, or shipping?

Is this performed by or under the supervision of a licensed physician or by or under the supervision of another licensed healthcare professional?Is this provided according to recommendations of the U.S. Public Health Service current at the time these evaluations and procedures take place, except as specified by this paragraph (f)?

Is Hepatitis B vaccination made available after the employee has received the training required in paragraph (g)(2)(vii)(I) and within 10 working days of initial assignment to all employees who have occupational exposure?

Does the employer not make participation in a prescreening program a prerequisite for receiving hepatitis B vaccination?If the employee initially declines hepatitis B vaccination but at a later date while still covered under the standard decides to accept the vaccination, does the employer make hepatitis B vaccination available at that time?

Does the employer assure that employees who decline to accept hepatitis B vaccination offered by the employer sign the statement in Appendix A of this standard?

Following a report of an exposure incident, does the employer make immediately available to the exposed employee a confidential medical evaluation and follow-up including at least the following elements:

Documentation of the route(s) of exposure, and the circumstances under which the exposure incident occurred?

157 of 172


(f)(3)(ii)

(f)(3)(ii)(A)

(f)(3)(ii)(B)

(f)(3)(ii)(C) Are the results of the source individual's testing made available to the exposed employee?

(f)(3)(iii) Collection and testing of blood for HBV and HIV serological status:(f)(3)(iii)(A) Is the exposed employee's blood collected as soon as feasible and tested after consent is obtained?(f)(3)(iii)(B)

(f)(4) Information Provided to the Healthcare Professional:(f)(4)(i)

(f)(4)(ii)

(f)(4)(ii)(A) A copy of this regulation?(f)(4)(ii)(B) A description of the exposed employee's duties as they relate to the exposure incident?

(f)(4)(ii)(C) Documentation of the route(s) of exposure and circumstances under which exposure occurred?

(f)(4)(ii)(D) Results of the source individual's blood testing, if available?(f)(4)(ii)(E)

(f)(5) Healthcare Professional's Written Opinion:

Identification and documentation of the source individual, unless the employer can establish that identification is infeasible or prohibited by state or local law?Is the source individual's blood tested as soon as feasible and after consent is obtained in order to determine HBV and HIV infectivity?If consent is not obtained, does the employer establish that legally required consent cannot be obtained when the source individual's consent is not required by law, the source individual's blood, if available, shall be tested and the results documented?

When the source individual's consent is not required by law, is the source individual's blood, if available, tested and the results documented?When the source individual is already known to be infected with HBV or HIV, is testing for the source individual's known HBV or HIV not be repeated?

Is the employee informed of applicable laws and regulations concerning disclosure of the identity and infectious status of the source individual?

If the employee consents to baseline blood collection, but does not give consent at that time for HIV serologic testing, is the sample preserved for at least 90 days? If, within 90 days of the exposure incident, the employee elects to have the baseline sample tested, is such testing done as soon as feasible?

Does the employer ensure that the healthcare professional responsible for the employee's Hepatitis B vaccination is provided a copy of this regulation?Does the employer ensure that the healthcare professional evaluating an employee after an exposure incident is provided the following information:

All medical records relevant to the appropriate treatment of the employee including vaccination status which are the employer's responsibility to maintain?

158 of 172


(f)(5)(i)

(f)(5)(ii)

(f)(5)(ii)(A) That the employee has been informed of the results of the evaluation?(f)(5)(ii)(B)

(f)(5)(iii) Do all other findings or diagnoses remain confidential and not included in the written report?

(f)(6) Medical Recordkeeping:

(g) Communication of Hazards to Employees:(g)(1)(i)(A) Labels:(g)(1)(i)(A)

(g)(1)(i)(B) Do labels required by this section include the BIOHAZARD legend?(g)(1)(i)(C)

(g)(1)(i)(D)

(g)(1)(i)(H)

(g)(2) Signs:(g)(1)(ii)(B)

(g)(2) Information and Training:(g)(2)(i) Do employers ensure that all employees with occupational exposure participate in a training program?

Is this training provided at no cost to the employee and during working hours?(g)(2)(ii) Is training provided as follows:

Does the employer obtain and provide the employee with a copy of the evaluating healthcare professional's written opinion within 15 days of the completion of the evaluation?

Is the healthcare professional's written opinion for Hepatitis B vaccination limited to whether Hepatitis B vaccination is indicated for an employee, and if the employee has received such vaccination?

Is the healthcare professional's written opinion for post-exposure evaluation and follow-up limited to the following information:

That the employee has been told about any medical conditions resulting from exposure to blood or other potentially infectious materials which require further evaluation or treatment?

Are medical records required by this standard maintained in accordance with paragraph (h)(1) of this section?

Are warning labels affixed to containers of regulated waste, refrigerators and freezers containing blood or other potentially infectious material; and other containers used to store, transport or ship blood or other potentially infectious materials, except as provided in paragraph (g)(1)(i)(E), (F) and (G)?

Are these labels fluorescent orange or orange-red or predominantly so, with lettering and symbols in a contrasting color?Are labels affixed as close as feasible to the container by string, wire, adhesive, or other method that prevents their loss or unintentional removal?Are labels required for contaminated equipment in accordance with this paragraph and state which portions of the equipment remain contaminated?

Are BIOHAZARD signs fluorescent orange-red or predominantly so, with lettering and symbols in a contrasting color?

159 of 172


(g)(2)(ii)(A) At the time of initial assignment to tasks where occupational exposure may take place?

(g)(2)(ii)(B) At least annually thereafter?(g)(2)(iv) Is annual training for all employees provided within one year of their previous training?(g)(2)(v)

(g)(2)(vi)

(g)(2)(vii) Does the training program contain at a minimum the following elements:(g)(2)(vii)(A) An accessible copy of the regulatory text of this standard and an explanation of its contents?

(g)(2)(vii)(B) A general explanation of the epidemiology and symptoms of bloodborne diseases?(g)(2)(vii)(C) An explanation of the modes of transmission of bloodborne pathogens?(g)(2)(vii)(D)

(g)(2)(vii)(E)

(g)(2)(vii)(F)

(g)(2)(vii)(G)

(g)(2)(vii)(H) An explanation of the basis for selection of personal protective equipment?(g)(2)(vii)(I)

(g)(2)(vii)(J)

(g)(2)(vii)(K)

(g)(2)(vii)(L)

(g)(2)(vii)(M) An explanation of the signs and labels and/or color coding required by paragraph (g)(1)?(g)(2)(vii)(N) An opportunity for interactive questions and answers with the person conducting the training session?

Do employers provide additional training when changes such as modification of tasks or procedures or institution of new tasks or procedures affect the employee's occupational exposure?

Is material appropriate in content and vocabulary to educational level, literacy, and language of employees used?

An explanation of the employer's exposure control plan and the means by which the employee can obtain a copy of the written plan?An explanation of the appropriate methods for recognizing tasks and other activities that may involve exposure to blood and other potentially infectious materials?

An explanation of the use and limitations of methods that will prevent or reduce exposure including appropriate engineering controls, work practices, and personal protective equipment?

Information on the types, proper use, location, removal, handling, decontamination and disposal of personal protective equipment?

Information on the hepatitis B vaccine, including information on its efficacy, safety, method of administration, the benefits of being vaccinated, and that the vaccine and vaccination will be offered free of charge?

Information on the appropriate actions to take and persons to contact in an emergency involving blood or other potentially infectious materials?An explanation of the procedure to follow if an exposure incident occurs, including the method of reporting the incident and the medical follow-up that will be made available?

Information on the post-exposure evaluation and follow-up that the employer is required to provide for the employee following an exposure incident?

160 of 172


(g)(2)(viii)

(h) Recordkeeping:(h)(1) Medical Records:(h)(1)(i)

(h)(1)(ii) Does this record include:(h)(1)(ii)(A) The name and social security number of the employee?(h)(1)(ii)(B)

(h)(1)(ii)(C)

(h)(1)(ii)(D) The employer's copy of the healthcare professional's written opinion as required by paragraph (f)(5)?

(h)(1)(ii)(E)

(h)(1)(iii) Does the employer ensure that employee medical records required by paragraph (h)(1) are:

(h)(1)(iii)(A) Kept confidential?(h)(1)(iii)(B)

(h)(1)(iv)

(h)(2) Training Records:(h)(2)(i) Do training records include the following information:(h)(2)(i)(A) The dates of the training sessions?(h)(2)(i)(B) The contents or a summary of the training sessions?(h)(2)(i)(C) The names and qualifications of persons conducting the training?(h)(2)(i)(D) The names and job titles of all persons attending the training sessions?(h)(2)(ii) Are training records maintained for 3 years from the date on which the training occurred?(h)(3) Availability:(h)(3)(i)

Is the person conducting the training knowledgeable in the subject matter covered by the elements contained in the training program as it relates to the workplace that the training will address?

Does the employer establish and maintain an accurate record for each employee with occupational exposure, in accordance with 29 CFR 1910.1020?

A copy of the employee's hepatitis B vaccination status including the dates of all the hepatitis B vaccinations and any medical records relative to the employee's ability to receive vaccination as required by paragraph (f)(2)?

A copy of all results of examinations, medical testing, and follow-up procedures as required by paragraph (f)(3)?

A copy of the information provided to the healthcare professional as required by paragraphs (f)(4)(ii)(B)(C) and (D)?

Not disclosed or reported without the employee's express written consent to any person within or outside the workplace except as required by this section or as may be required by law?

Does the employer maintain the records required by paragraph (h) for at least the duration of employment plus 30 years in accordance with 29 CFR 1910.1020?

Does the employer ensure that all records required to be maintained by this section made available upon request to the Assistant Secretary and the Director for examination and copying?

161 of 172


(h)(3)(ii)

(h)(3)(iii)

(h)(4) Transfer of Records:(h)(4)(i)

(h)(4)(ii)

Are employee training records required by this paragraph provided upon request for examination and copying to employees, to employee representatives, to the Director, and to the Assistant Secretary?

Are employee medical records required by this paragraph provided upon request for examination and copying to the subject employee, to anyone having written consent of the subject employee, to the Director, and to the Assistant Secretary in accordance with 29 CFR 1910.1020?

Does the employer comply with the requirements involving transfer of records set forth in 29 CFR 1910.1020(h)?If the employer ceases to do business and there is no successor employer to receive and retain the records for the prescribed period, does the employer notify the Director, at least three months prior to their disposal and transmit them to the Director, if required by the Director to do so, within that three month period?

162 of 172


2902 Policy2902.b.

2902.b.

2902.c.

2902.c.

2902.d.

2903 Control of Reproductive Hazards in the Workplace2903.a.(1) Do safety personnel routinely look for reproductive hazards during inspections or visits?2903.a.(2)

2903.a.(3)

2903.a.(4)

2903.a.(4)

2903.a.(4) Does an IH and an occupational physician review the results of sampling? 2903.a.(4)

2903.a.(5)

2903.b. Hazard Abatement

Do regions/activities document efforts to achieve the goal to keep the utilization of known reproductive stressors as low as reasonably possible per paragraph 2903? Are the primary methods of achieving this goal through use of engineering controls, and the judicious use of personal protective equipment?Do regions/activities use the potential for exposure to reproductive hazards to deny employment or promotion? This should be No.If, as a last resort, job removal is necessary based upon operational requirements coupled with an inability to control workplace reproductive hazards, do regions/activities not deny any individual pay or promotion because of activities enacting measures to protect their reproductive health and/or that of their developing fetus?

Does the safety office refer all employee questions regarding pregnancy employment issues to the human resources office?

Do industrial hygiene personnel identify reproductive stressors that are listed in reference 29-7 during surveys of all Navy workplaces, as section 0802 of this instruction requires?

Do industrial hygienists (IH) clearly annotate (highlight, asterisk, etc.) reproductive stressors on the list (that paragraph 0803b requires) of materials and harmful physical agents found in each workplace?

Where stressor-specific exposure standards developed with the intent to protect the reproductive system exist, do regions/activities quantify the degree of exposure using conventional means, and then compare the results to those exposure standards (i.e., PELs, threshold limit values (TLVs), etc.)?

Where stressor specific standards either do not exist, or were developed without consideration of reproductive health risk, do regions/activities still determine the quantitative evaluation of the exposure if possible?

Does IH determine the significance of any potential reproductive risk to male and female employees or developing fetuses at this time and incorporate the findings into the report along with recommended mitigation procedures, if necessary?

Does the IH specifically address a reproductive hazard assessment (including negative determinations) as part of the routine evaluation in industrial hygiene survey reports they submit to the cognizant line activity per paragraph 0803 of this instruction?

163 of 172


2903.b.(1)

2903.b.(1)(a)

2903.b.(1)(b)

2903.b.(1)(c)

2903.b.(1)(d)

2903.b.(2) Is the use of PPE, including respirators, considered the last resort method for hazard abatement?

2903.b.(2)

2903.c. Training2903.c.(2)

2903.d. Counseling Section2903.d.(1)

2903.d.(2)

2903.d.(3) Do servicewomen who become pregnant notify their command?

2903.d.(3)

2903.d.(3) Upon notification, does the command perform the following evaluation:2903.d.(3).(a) Is a woman given the Developmental Hazard questionnaire in appendix from reference 29-7?

2903.d.(3).(a)

Do regions/activities consider the routine prolonged removal of an individual (or subpopulation) from a particular worksite an appropriate administrative control? This should be No.For chemicals that are known reproductive hazards, is substitution with a less hazardous substance the abatement method of choice?Do regions/activities consider all products that they currently use containing more than trace amounts of any of the chemicals?Do regions/activities consider products containing chemicals in reference 29-7 for elimination/ reduction via the Environmental and Natural Resources Program Manual in reference 29-8?

Do regions/activities consider chemicals in reference 29-7 for substitution issues in the development of hazardous material inventories and authorized use lists that chapter 7 of this instruction prescribes?

If activities use PPE, do they exercise caution to ensure that the PPE does not pose a heat stress, heavy lifting, or other hazard in itself?

Do regions/activities specifically address reproductive hazards in safety training programs for personnel responsible for or working with reproductive stressors (e.g., management personnel, civilian personnel officers, supervisors, employee representatives, and non-supervisory personnel) per chapter 6 of this instruction?

Do regions/activities afford all employees who have potential exposure to occupational reproductive hazards counseling by a credentialed occupational medicine provider, if requested?Do medical activities including contract facilities, question all patients, especially pregnant women, seen at the facility regarding their, and their spouses’ potential exposure to developmental hazards?

Does the command strongly encourage civilian employees who become pregnant to notify their commands immediately?

If the potential for exposure to a developmental hazard is present in the workplace, or if activities have not determined the possibility of such potential, do regions/activities arrange for an occupational health physician to evaluate the woman as soon as possible?

164 of 172


2903.d.(3)(c)

2903.d.(4)

29042904.a.(1) Ensure that all safety officers are cognizant of all items in reference 29-7 utilized at the command?

2904.a.(1) Do medical commands and commands with hospital units utilize the list in reference 29-7?

2904.a.(2)

2904.a.(2)

2904.a.(3)

Is a copy of the appropriate sections of the completed evaluation placed in the employee's medical record and in the employee's command safety office?Do regions/activities encourage all male employees anticipating conceiving children within 120 days or whose partner is currently pregnant to notify their commanding officer so that regions/activities can conduct a reproductive/developmental hazard evaluation?

Responsibilities: Do commanding officers:

Are all employees trained concerning the importance of occupational reproductive hazards, and specifically concerning the hazards present at the command, and the importance of command notification of pregnancy as routine hazard awareness?

Upon notification of pregnancy, do female military and civilian employees complete the questionnaire in reference 29-7 and made aware of availability of evaluation by an occupational physician?

Maintain exposures of all personnel to reproductive hazards below applicable standards where available or below limits that occupational health professionals recommend where no standards are yet established?

165 of 172


3002 Indoor Air Quality (IAQ) Investigation Approach3002.a. Do individuals working in buildings with indications of poor IAQ report the problem(s) to their immediate supervisors?

3002.a.

3002.a.

3002.b.

3003 Environmental Tobacco Smoke3003.b.(1) Is smoking prohibited in all Department of the Navy (DON) vehicles, aircraft and work buildings? 3003.b.(1)

3003.b.(2)

3003.b.(3)

3003.b.(4) Are outdoor areas designated for smoking away form areas commonly used by nonsmokers?

3003.b.(4)

3004 Building Design and Maintenance3004.b.

3004.c.

3004.c.(1) Are fresh air intakes not placed above loading docks? 3004.c.(1) Are fresh air intake ducts placed on the prevailing wind side of the building?3004.c.(2) Are exhaust vents placed on the opposite side of the building from fresh air intakes? 3004.c.(2) Are intakes and exhaust vents not placed in close proximity to each other?3004.c.(3) Are all exhaust stacks or chimneys extended beyond the roof line of the building?

If the Navy maintains the building, does the appropriate supervisor coordinate all contact with the designated facilities maintenance region or activity and the activity safety manager?

If the region or activity is unable to determine the cause of the problem, does the safety manager request the cognizant industrial hygiene service to initiate an IAQ investigation?Does BUMED determine whether the problem is primarily health-related or engineering-related, or both and will request assistance from appropriate sources as needed?

Does this apply to all Navy and Marine Corps (USMC) active duty, civilian personnel, their dependents and visitors in DON-controlled locations?Is smoking permitted only in individually assigned family and bachelor living quarters and in Navy lodge and USMC hostess house rooms designated for smoking except when a common HVAC system serves individual housing units?

Is smoking prohibited in common spaces of multiple housing units (e.g., family housing apartment complexes, bachelor quarters, Navy lodges, USMC hostess houses, etc.)?

Are smoking areas away from supply air intakes and building entryways/egresses to prevent ETS entering the building?

Do regions/activities design and construct new and renovated buildings to meet the latest American Society of Heating, Refrigerating, and Air-Conditioning Engineers (ASHRAE) standards,American Society of Heating, Refrigerating, and Air-Conditioning Engineers Standard ASHRAE 55-1992 and American Society of Heating, Refrigerating, and Air-Conditioning Engineers Standard ANSI/ASHRAE 62-2001?

Do regions/activities ensure that building designs properly locate air intakes and exhaust vents or stacks during new and renovated building construction?

166 of 172


3004.c.(4) Are caps not placed over exhaust stacks or chimneys? 3004.c.(4) Are bird and debris screens used over all HVAC in-take and exhaust openings?3004.d

3004.d Does the designer not reduce airflow where there are fewer than seven people?3004.d

3004.e

3004.f

3004.g

3004.h

3005 Responsibilities3005.a.

3005.d. Do commanders, commanding officers and officers in charge:3005.d.(1) Establish smoke-free buildings and zones?3005.d.(2) Ensure that IAQ issues are considered in the design of new buildings?3005.d.(3)

3005.d.(4)

3005.d.(5) Ensure that employee concerns or complaints of IAQ problems are investigated and resolved in a timely manner?

3005.d.(6) Ensure HVAC systems meet requirements?SECNAVINST 5100.13 (Series) Navy and Marine Corps Tobacco Policy

para 6.b. Are military members prohibited from smoking while walking from point to point?

During the design and purchasing process, are modular office systems determined compatible with the airflow patterns proposed by the HVAC engineers?

Does the designer increase airflow per the ASHRAE standard if the occupancy is greater than seven people/1,000 square feet?

Are new and renovated buildings designed to ensure HVAC systems are accessible for maintenance actions, especially preventive maintenance?

Do personnel not make unauthorized modifications to the HVAC systems (e.g., by blocking off vents, cutting into duct work to create new vents, removing inspection panels and ceiling tiles, etc.)?

Are HVAC systems not modified for energy conservation in such a way as to affect adequate air quality (e.g., sealing outdoor air intakes)?

To help maintain good IAQ, do commanding officers develop and implement effective programs of routine inspection and preventive maintenance of all HVAC systems and spaces?

Do the Echelon 2 and other headquarters commanders provide guidance and assistance to subordinate commands to ensure the effectiveness of this program?

Coordinate with COMNAVFACENGCOM to ensure that new building design adheres to the ASHRAE standards contained in American Society of Heating, Refrigerating, and Air-Conditioning Engineers Standard ASHRAE 55-1992 and American Society of Heating, Refrigerating, and Air-Conditioning Engineers Standard ANSI/ASHRAE 62-2001?

Develop and implement an effective program of routine inspections and preventive maintenance of all HVAC systems and spaces?

167 of 172


6.c Are breaks for tobacco users the same as non-tobacco users?6.e Are tobacco warning signs displayed in smoking areas to warn non-tobacco users?6.e.(1)(b) Has the Commanding Officer designated tobacco use and non-tobacco use quarters? 6.e.(2)(c) Is tabacco use prohibited in common use areas of multiple housing units? 6.e.(3).(d) At MWR facilties is the tobacco use are NOT based on the convenience of tobacco users?

168 of 172


3102 Program Requirements3102.c.

3102.d.

3102.d. Does the Navy Crane Center, Naval Facilities Engineering Command perform the certification?

3102.d.(2)

3102.e. Is investigation and reporting of WH accidents conducted per NAVFAC P-307?3103 Responsibilities3103.d.

3103.e.

NAVFAC P-307

Forward Are deviations from the manual approved by the Navy Crane Center?1.4.f. Is the "Certifying Official" designated by the activity Commanding Officer? 1.5

1.7.2.2.b Does the contracting officer notify the host activity of any WHE accidents upon notification by a contractor?1.8 Does WHE equipment at joint bases operated by Navy personnel follow the NAVFAC P-307?1.8 Are personnel from other services who operate Navy WHE certified as per the NAVFAC P-307?3.4 Are all cranes in service have a valid dertification?3.7 Are load tests performed in accordance with procedures set forth in appendix E of NAVFAC P-307? 6.1 Are all personnel, except contractor personnel, qualified and licenced to operate based on crane category? 6.3

Has the commanding officer designated in writing the official responsibe for instructing, testing and licensing of operators? 7.1.1 Have operators passed a physical examination by a licensed health care professional?

Chapter 31 Weight Handling Safety

Is the commanding officer or officer in charge responsible for ensuring safety of the activity’s weight handling (WH) program which includes certification of equipment, training and qualification of personnel?

Do activities use NAVFAC P-307 as an alternate standard to the certification requirements for Navy-owned equipment (cranes, derricks)?

For contractor-owned equipment operated on Navy installations, does a private OSHA-accredited certification agency provide the third party certification?

Do Commanders, Commanding Officers and Officers in Charge develop and implement WH and rigging programs per SECNAVINST 11260.2 and NAVFAC P-307 and adequately budget to ensure compliance?Do cognizant safety offices provide oversight of the safety program, including safety inspection, evaluations, assessments and audits, risk assessments and mishap investigation?

Management of Weight Handling Equipment is the responsibility of the Navy Crane Center. Specific requirements for weight handling should come from the NAVFAC P-307.

Are personnel involved in the maintenace, alteration, repair inspection, testing and operation of WHE trained and qualified to perform their duties?

169 of 172


3205 Action

3205

3205

Does the safety awards program address each of the following (see Appendix 32-A below):

Award Categoriesa. Region or Activitya.(2).

a.(2).(c) Large - activities with military and civilian working population of 2,001 and aboved.(5) Fleet Operational/Support Unit Ashore:

b. Individual The CNO Individual Award: Presented to one military officer, one military enlisted and one Navy civilian for a total of three awards.

Eligibilitya. Region/Activity Awardsa.(1)

Did inspection occur within the past three fiscal years?

b. Individual Awards

Have region/activity commanders, commanding officers, or officers in charge develop and implement region/activity safety awards program applicable to the mission and operations of the individual activity?

Do Echelon 2 and 3 headquarters commands encouraged to establish “in-house”safety awards of their own in line with the CNO award criteria to recognize respective activitiesand individuals within each claimancy?

Appendix 32-AAwards Selection Criteria

Non-Industrial – Activities such as naval stations, air stations, supply depots,training centers, and medical centers in the 50 United States will compete in this category.

-one award for those commands located ashore with sea or shore duty unit identification codes that are designated as fleet operating or fleet support units and not eligible for the surface ship award. The safety program must be based on the shore safety requirements of OPNAVINST 5100.23G.

Are industrial and non-industrial shore activities and fleet operational/support units ashore nominated for the award received a rating of satisfactory or better as a result of the most recent inspection(s) by the Naval Inspector General (IG) or the major command safety office?

Is documentation (copy of inspection cover letter with score results) of this inspection included in the nomination package?

170 of 172


b.(1) CNO Safety Award

b.(2)

Do nominees make a significant contributions to either the individual command program or the overall Navy safety program?Activities and units that have experienced a military off duty or PMV fatality or permanent total disability, or on duty Class A mishap are not eligible to compete for the award.

REFERENCE NAVOSH PROGRAM ELEMENT Name/Letter Date Yes No N/A

Letters of Designation

Confined Space Program Manager (CSPM)

Explosive Safety Officer (ESO)

Laser System Safety Office (LSSO)

Radiation Safety Officer (RSO)

Recreational Off-Duty Safety Officer (RODS)

Respiratory Protection Program Manager (RPPM)

Traffic Safety Coordinator

Weight Handling Equipment Certifying Official

Safety Management System

What safety management system is being used?

Developed their own

Are the following letters of designation on file with the NAVOSH Office

OPNAVINST 5100.23 (Series) Asbestos Program Manager (APM) (The APM may

be from the Installation Safety Office or NAVFAC as determined by the Commanding Officer)

OPNAVINST 5100.23 (Series)

NAVSEA OP 5 Vol 1 Sec 1-4.4.1

SPARAWAR INST 5100.12B Encl (7) 1.b.

NAVSEA S0420-AA-RAD-010 Sec 1.3.8


OPNAVINST 5100.23G, Sec. 1513 a


NAVFAC P-307 Sept 2000, Sec 3.1

OPNAVINST 5100.23G, para 104.a

Process Review and Measurement System (PR&MS)

American National Standard for Occupational Health and Safety Management Systems, American National Standards Institute (ANSI) Z10


Have staffing resourse requirements been determined by a workload analysis? Provide latest IPT manning sheet

Documents

[XLS] · Web viewWhen BUMED IH performs the exposure monitoring, does he or she incorporate exposure monitoring plan in the industrial hygiene report?