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Notice to Bidders - Burke Road Landfill
BID #: 16
ISSUED: 1/31/2023
DUE: 5/3/2023
VALUE: TBD
90
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Executive Summary
The Township of Freehold is seeking bids for the Burke Road Landfill Closure Plan, Contract No. 23-2. The project includes grading, earthwork, and fencing work associated with the closure plan. Key requirements include relocation of stockpiles, grading of the landfill surface, installation of a final cover with certified clean soil and topsoil, installation of monitoring wells, chain link fencing, erosion control measures, and establishment of permanent vegetative cover. The work is located at the terminus of Burke Road and must be completed within 120 calendar days of the Contractor's receipt of written Notice to Proceed.
Bids must be submitted in writing on the forms provided, accompanied by bid security of 10% of the total bid amount (not exceeding $20,000). A Certificate of Surety is also required. Bids should be enclosed in a sealed envelope addressed to the Purchasing Agent at Freehold Township, marked with the contract number and project name. No bids will be received after the specified time and date, nor will they be received by mail. Sealed bids must be received by courier service (date and time recorded) or shall be hand delivered. The original submission deadline was January 26, 2023, but Addendum 2 extended the deadline to May 2, 2023.
The contract documents can be reviewed online; to obtain them otherwise requires a $110.00 non-refundable fee for each set of full-sized drawings with specifications.
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Bid Postings • Notice to Bidders - Burke Road Landfill Skip to Main Content Create a Website Account - Manage notification subscriptions, save form progress and more. Website Sign In Township Services Residents Business How Do I... Search Home Bid Postings Print Sign up to receive a text message or email when new bids are added! Print Bid Title: Notice to Bidders - Burke Road Landfill Category: Bidding Opportunities Status: Closed Publication Date/Time: 1/31/2023 12:00 AM Closing Date/Time: 5/3/2023 12:00 AM Related Documents: Notice To Bidders - Burke Road Landfilll Final - Freehold Burke Road Landfill - Addendum 1 Final - Freehold Burke Road Landfill - Addendum 2 Final - Freehold Burke Road Landfill - Addendum 3 Return To Main Bid Postings Page Live Edit Agendas & Minutes Department Directory Construction Department Online Bill Pay Submit a Request/Concern Contact Us Freehold Township One Municipal Plaza Freehold, NJ 07728 Phone: 732-294-2000 Contact Us Quick Links Senior Center Township Committee Water / Sewer Utility Tax Collector Marriage License Recycling /QuickLinks.aspx Helpful Links Home Site Map Contact Us Emergency Alerts (Powered by Everbridge) Privacy Policy Stormwater Regulations /QuickLinks.aspx Government Websites by CivicPlus® Loading Loading Do Not Show Again Close Arrow Left Arrow Right [] Slideshow Left Arrow Slideshow Right Arrow
Document Text
--- Document: Notice To Bidders - Burke Road Landfilll ---
NB-1
TOWNSHIP OF FREEHOLD
MONMOUTH COUNTY, NEW JERSEY
BURKE ROAD LANDFILL
CLOSURE PLAN
CONTRACT NO. 23-2
NOTICE TO BIDDERS
NOTICE is hereby given that sealed bids will be received by the Township of Freehold (hereinafter
called the "Owner") for:
BURKE ROAD LANDFILL
CLOSURE PLAN
CONTRACT NO. 23-2
Sealed bids for the above-named Contract, which includes grading, earthwork, and fencing
associated with a landfill closure plan, within the Township of Freehold, Monmouth County, New
Jersey (“Owner"), will be received at the Freehold Township, Town Hall, Room 114, 1 Municipal
Plaza, Freehold, New Jersey 07728 on Thursday, January 26, 2023, at 10:00 a.m. prevailing time, at
which time they will be publicly unsealed and the contents publicly announced.
The work includes the furnishing of all labor, materials, and equipment necessary to complete the
work as shown on the Drawings and as described in the Specifications. The work consists of the
relocation of existing stockpiles; the grading of the existing landfill surface to a minimum grade of two
percent (2.00%); the installation of a final cover of at least eighteen (18) inches of certified clean soil
overlain by six (6) inches of clean topsoil; installation of three (3) monitoring wells; installation of 3,015
linear feet of 8’ high chain link fencing with two (2) swing gates; temporary soil erosion and sediment
control measures; 54,045 square yards of erosion control matting; watering; and the establishment of
final permanent vegetative cover. The work is located at the terminus of Burke Road on Lots 39 and
40 in Block 92 within the Township of Freehold and includes: the importing, spreading, and
compaction of 11,950 tons of certified clean fill; the importing and spreading of 7,360 tons of certified
clean topsoil; site work for the landfill area of approximately 11.17 acres; and general construction.
The work shall be completed within 90 calendar days of the Contractor's receipt of written Notice to
Proceed.
No bid will be received unless in writing on the forms furnished, and unless accompanied by bid
security in the form of a bid bond, cashier's check, or a certified check made payable to the Township
of Freehold in an amount equal to 10% of the amount of the total bid, but not exceeding $20,000.
The bid shall be accompanied by a Certificate of Surety on the form included in the Contract Docu-
ments, from a surety company licensed to do business in the State of New Jersey, which shall
represent that the surety company will provide the Contractor with the required bonds in the sums
required in the Contract Documents and in a form satisfactory to the Owner's Attorney and in
compliance with the requirements of law.
Bidders must use the prepared bid form which is contained in the Contract Documents. Each
individual proposal must be separately enclosed in a sealed envelope addressed to the Purchasing
Agent at Freehold Township, 1 Municipal Plaza, Freehold, New Jersey 07728 marked on the outside
with the number of the contract(s) and name of the project being bid on.
No bids will be received after the time and date specified, and no bids will be received by mail. Bids
NB-2
shall be received by courier service (date and time recorded) or shall be hand delivered. The Owner
shall award the Contract or reject all bids within 60 days of bid opening, except that the bids of any
bidders who consent thereto may, at the request of the Owner, be held for consideration for such
longer period as may be agreed.
The Owner will tabulate the bids and any award will be made to the lowest, responsible bidder in
accordance with N.J.S.A. 40A:11-4. The Owner reserves the right to reject all bids pursuant to
N.J.S.A. 40A:11-13.2.
All bid security except the security of the three apparent lowest responsible bidders shall be returned,
unless otherwise requested by the bidder, within ten (10) days after the opening of the bids, Sundays
and holidays excepted, and the bids of the bidders whose bid security is returned shall be considered
withdrawn.
Each bidder must submit with his bid a signed certificate stating that he owns, leases or controls all
the necessary equipment required to accomplish the work shown and described in the Contract
Documents. Should the bidder not be the actual owner or leasee of such equipment, his certificate
shall state the source from which the equipment will be obtained and, in addition, shall be
accompanied by a signed certificate from the owner or person in control of the equipment definitely
granting to the bidder the control of the equipment required during such time as may be necessary for
the completion of that portion of the Contract for which it is necessary. The bidder shall comply with
the documentation requirements set forth in the Article of the Information for Bidders, entitled, "Bidder
Submissions".
The successful bidder will be required to submit bonds and proof of insurance on or before execution
of their respective Contracts as explained in the Contract Documents.
Bidders are required to comply with all relevant Federal and State Statutes, Rules and Regulations
including but not limited to the applicable provisions of Title VI of the Civil Rights Act of 1964, as
amended (42 USC 2000d-2000D-4A), the discrimination and affirmative action provisions of N.J.S.A.
10:2-1 through 10:2-4, the New Jersey Law against Discrimination, N.J.S.A. 10:5-1, et seq., the rules
and regulations promulgated pursuant thereto, the State requirement for bidders to supply statements
of ownership (N.J.S.A. 52:25-24.2) and the State requirement for submission of the names and
addresses of certain subcontractors (N.J.S.A. 40A:11-16).
The Contract Documents may be reviewed online at no cost at www.bidset.com/mott.
The Contract Documents may be obtained by any prospective bidder upon payment of a $110.00
fee for each set of full-sized drawings with specifications by calling 1-877-424-3738 or by online
request. Shipping charges are additional and variable depending upon the pick-up or delivery
option selected by the purchaser. Bid documents cannot be obtained at the Freehold Township
Municipal Building or at Mott MacDonald’s office. The printing cost is not refundable.
Pursuant to N.J.S.A. 10:5-31 et seq., bidders are required to comply with the requirements of N.J.A.C.
17:27.
Each Bidder must submit with his bid an "Ownership Disclosure Statement" and is requested to
submit with his bid the "Non-Collusion Affidavit" on the forms included in the Contract Documents.
Bidders and their subcontractors of any tier must comply with all applicable provisions of the Public
Works Contractor Registration Act (N.J.S.A. 34:11-56.48) and the New Jersey Prevailing Wage Act
(N.J.S.A. 34:11-56.25). P.L. 2021, c. 301 requires that if a Contract is subject to the Prevailing Wage
Act and the contractor submitting the lowest bid for a Contract is 10 percent (or more) lower than the
next lowest bid, the bidder must certify to the public body that the prevailing wage rates required by
the Act shall be paid. If the Bidder does not provide the certification prior to the award of the contract,
the public body will award the Contract to the next lowest responsible and responsive Bidder. Further,
NB-3
P.L. 2021, c. 301 also amended N.J.S.A. 34:11-56.27 to require that any Contract for public work
expressly stipulate that workers performing work under the contract shall not be paid less than the
required prevailing wage rate. Contractors and their sureties shall be liable to the public body, any
lessee to whom the public body is leasing a property or premises or to any lessor from whom the
public body is leasing or will be leasing a property or premises, for any excess costs occasioned by
the termination of their right to proceed with the work, or such part of the work as to which there has
been a failure to pay required wages.
Pursuant to N.J.S.A. 52:32-44, all business organizations that conduct business with a New Jersey
government agency are required to be registered with the State of New Jersey. Bidders and their
subcontractors must submit proof that they are registered with the New Jersey Department of
Treasury, Division of Revenue by submitting a copy of their Business Registration Certificate prior to
Contract award.
It is the purpose of this Notice to Bidders to summarize some of the more important provisions of the
Contract Documents. Prospective bidders are cautioned not to rely solely on this summary, but to
read the Contract Documents in their entirety.
By Order of Mayor and Township of Freehold
_____________________________________
Township of Freehold
--- Document: Final - Freehold Burke Road Landfill - Addendum 1 ---
Burke Road Landfill Closure Plan
Township of Freehold
Addendum No. 1
Page 1 of 7
Township of Freehold
Burke Road Landfill Closure Plan
Contract No. 23-2
Monmouth County, New Jersey
ADDENDUM NO. 1
January 11, 2023
To all Bidders:
This Addendum No. 1 for the Township of Freehold, Burke Road Landfill Closure Plan, Contract No. 23-2,
dated August 2022 makes revisions to the Contract Documents and/or provides responses to inquiries
submitted as Requests for Information from potential bidders. Bidders are advised that it is the Township’s
policy not to respond to questions and comments which bidders can readily resolve through reading the
Contract Documents. The Addendum shall become part of the Contract, and the Contractor must confirm
receipt of this addendum on the “Acknowledgement of Receipt of Changes to Bid Document Form”, page B-
6, of the bid proposal section. The Bid Documents for this project, dated August 2022, are amended and/or
clarified as follows:
INQUIRIES AND RESPONSES:
1. Question 1 – Will a Pre-Bid Meeting/Site Walk be conducted at the site? The bidders will need an
opportunity to visit and inspect the site.
Response 1 – A non-mandatory Pre-Bid Meeting will be held at the subject site (Block 92, Lot
40) at 10:00 am on Wednesday, January 18, 2023.
2. Question 2 – Item 3 – Rough Grading – Lump Sum: Is this item relocating 17,482 CY from Lot
40 to Lot 39 and relocating 3,642 CY from Lot 39 to Lot 40?
Response 2 – The scope of work for Item 3 – Rough Grading and Stockpile Relocation Under
Phases 1A and 1B of the Bid includes the relocation of 17,482 cubic yards of on-site soil
stockpiles from Lot 40 to Stockpile #1 location on Lot 39 under Phase 1A; the moving,
spreading, grading, and compaction of existing soil berms on Lot 40 to Lot 39 for Phase 1B
earthwork; and all the rough grading, earthwork, and compaction on Lots 39 and 40 under
Phase 1B as shown on the Phase 1B Grading Plan, Sheet 5 of 9, of the Contract Drawings, for
all material encountered.
3. Question 3 – Item 4B (11950 ton Fill) & Item 4D (7360 ton Topsoil) – Does the contractor have to
provide tests results (NJDEP requirements TCL+TICs/TAL, Hex Ch., PHC, pH) for the actual
soils to be delivered to the site per the testing frequencies (without justification) specified in
NJDEP’s Fill Material Guidance for SRP Sites, October 2021, Ver. 4.0. See Below:
Burke Road Landfill Closure Plan
Township of Freehold
Addendum No. 1
Page 2 of 7
Response 3 – Certification(s) from a quarry for clean earthen material from a virgin source,
free of contamination and complies with the New Jersey Residential Direct Contact Soil
Remediation Standards shall be provided for all imported clean fill and topsoil. If a quarry or
any other source of material cannot provide the necessary clean fill certification to document
that the material is clean, free of contaminates, and from a virgin source and compliances
with the New Jersey Residential Direct Contact Soil Remediation Standards, then the supplier
shall provide test results in accordance with the frequency required for Default Sampling as
identified in the above Table 1 from the NJDEP’s Fill Material Guidance for SRP Sites, October
2021, Ver. 4.0, which would be 24 samples for the proposed 10,900 cubic yards of imported
clean topsoil and 22 samples for the proposed 8,850 cubic yards of imported clean fill.
4. Question 4 – Item 4G – 54,045 SY of Erosion Control Matting – Does this item also include seeding
or is it only providing and installing the matting only?
Response 4 – The scope of work for Item 4g – Erosion Control Matting of the Bid includes the
Burke Road Landfill Closure Plan
Township of Freehold
Addendum No. 1
Page 3 of 7
purchasing and installation of the erosion control matting, including all labor, equipment,
submittals, materials, and all else as described and stipulated in section 1.2 of technical
specification 312500 – Erosion and Sedimentation Controls on page 312500 - 1 of the
Contract. Seeding of areas to receive erosion control matting shall be paid for under Item 4e
of the Bid.
5. Question 5 – How does the quantity in 4G (ECM) relate to the quantity in 4E (seed/fert./mulch)?
Response 5 – All areas of disturbance shall be seeded and fertilized and paid for under Item
4e – Permanent Vegetative Grass Cover with Seeding, Fertilizer, and Straw Mulch. Please see
Response 8 below for the differentiation for areas to be stabilized with straw mulch and with
erosion control matting.
6. Question 6 – Specification section 329200-2, 1.5.D.b.4:
a. Does the Contractor have to provide 1 test series for every 50 CY of Clean Fill (Item 4B)
and of Topsoil (Item 4D) for the tests specified in Engineering Level 1 and Level 4 ?
Response 6 – Please see Response 3 above for sampling frequency for imported clean
earthen material. Level 1 Soil Testing criteria for permeability in section 1.5.D.2.a of technical
specification 329200 – Lawns and Grasses on page 329200 – 3 can be omitted from the
Contract Specifications, and Level 4 Soil Testing Criteria for ecological in section 1.5.D.2.b of
technical specification 329200 – Lawns and Grasses on page 329200 – 3 shall be revised to a
frequency of one (1) test per every five hundred (500) cubic yards of clean topsoil imported to
the site. However, the Contractor shall be responsible to ensure and create a healthy, high-
quality topsoil to ensure proper permanent vegetative cover regardless of the amount of
topsoil testing performed or required for ecological research.
7. Question 7 – Specification Section 0.34 Allowances indicates there is and “Allowance Item A1
Unforeseen Subsurface Condition $50,000.00 (see attached); There is no line item A1 on the
proposal. Please add to proposal
Response 7 – The Allowance Item A1 is included in the Bid section on page B-4.
8. Question 8 – Line item #4e indicates the use of Straw Mulch; why do we need straw mulch if we
are using Erosion control Matting (line 4g)
Response 8 – In accordance with the NJDEP Landfill Closure Plan Permit in Appendix A of the
Contract Specifications, the erosion control matting is required for installation on the limits of
the landfill cap, and straw mulch shall be applied on areas within the proposed limits of
disturbance but outside the limits of the landfill cap. The Phase 2 Grading Plan, Sheet 6 of 9,
of the Contract Drawing indicates that erosion control matting shall be installed for the limits
of the landfill cap. The Phase 2 Grading Plan, Sheet 6 of 9, of the Contract Drawing indicates
that straw mulch shall be installed for the limits of the wooded area cleared for Phase 1B. The
stockpile locations on Lot 39 beyond the limits of the landfill cap shall be stabilized with straw
mulch. The proposed contours, fill earthwork, and 8’ high chain link fence as depicted on the
Phase 2 Grading Plan, Sheet 6 of 9, of the Contract Drawing is the limits of the landfill area.
9. Question 9 –Please let us know how addendums will be sent to plan holders.
Response 9 – Addenda will be issued from Napco’s BidSet on-line service in accordance with
section 0.09 Addenda and Interpretations from the Information for Bidders section of the
Burke Road Landfill Closure Plan
Township of Freehold
Addendum No. 1
Page 4 of 7
Contract Specification.
10. Question 10 – Confirm that this is not off-site disposal of on-site soil materials, including but not
limited to existing trash, concrete, asphalt, etc..
Response 10 – The scope of work for the project does not include off-site disposal of any
existing on-site materials.
11. Question 11 – The clearing specification states stripping in the treed area (0.8-acre area). Is this
the only area to be stripped and re-used ?
Response 11 – All topsoil for the area of the landfill cap shall be imported certified clean
topsoil, and all on-site topsoil within the limits of the landfill cap, excluding any segregated
clean topsoil in the stockpiles on Lot 40 to be relocated under Phase 1A, shall be blended as
the overall grading work for Phase 1B. On-site topsoil for the wooded area to be cleared
under Phase 1B and on Lot 39 for the area of temporary stockpile locations shall be stripped
and respread as part of finish grading and final restoration within the same areas beyond the
landfill cap.
12. Question 12 – Site Visit - We would like to schedule a pre-bid site visit. Can that be scheduled with
you?
Response 12 – Please see Response 1 above.
13. Question 13 – Geotech - Have any borings been done and a geotechnical report completed?
Response 13 – The Subsurface Investigation Report, including test pit logs, prepared by Icon
Engineering, dated July 15, 2005, had been prepared for the subject site, and the Report is
now included as Appendix D of the Contract Specifications.
14. Question 14 – Subsoil/Topsoil (specification 329200)- We are to provide a certificate from the
supplier that any imported soil is "clean" with respect to the NJDEP prior to the soil being delivered to
the site. Further in the section it then states composite tests must be taken for every 50 CY and sent
to a testing lab at the contractors expense. Is the test for only what is being reused on site or does
what we are importing also need to be tested? A test every 50 CY will yield a lot of tests and seems a
bit excessive. Can you provide some clarification regarding the testing in this section?
Response 14 – Please see Responses 3 and 6 above.
CONCERNING THE SPECIFICATIONS:
1. Notice to Bidders
a. Modify the second paragraph on page NB-1 as follows:
The work includes the furnishing of all labor, materials, and equipment necessary to complete the work as
shown on the Drawings and as described in the Specifications. The work consists of the relocation of existing
stockpiles; the grading of the existing landfill surface to a minimum grade of two percent (2.00%); the
installation of a final cover of at least eighteen (18) inches of certified clean soil overlain by six (6) inches of
clean topsoil; installation of three (3) monitoring wells; installation of 3,015 linear feet of 8’ high chain link
Burke Road Landfill Closure Plan
Township of Freehold
Addendum No. 1
Page 5 of 7
fencing with two (2) swing gates; temporary soil erosion and sediment control measures; 54,045 square yards
of erosion control matting; watering; and the establishment of final permanent vegetative cover. The work is
located at the terminus of Burke Road on Lots 39 and 40 in Block 92 within the Township of Freehold and
includes: the importing, spreading, and compaction of 11,950 tons of certified clean fill; the importing and
spreading of 7,360 tons of certified clean topsoil; site work for the landfill area of approximately 11.17 acres;
and general construction. The work shall be completed within 90 calendar days of the Contractor's receipt of
written Notice to Proceed. A non-mandatory Pre-Bid Meeting will be held at the subject site (Block 92,
Lot 40) at 10:00 am on Wednesday, January 18, 2023.
2. Special Conditions
a. Modify subsection 0.11 Submittals on page SCON-3 as follows:
B. Topsoil Submittal – The Contractor shall submit to the Owner for approval the information for any
necessary imported topsoil proposed for the project with substantiating test data prepared by an
independent testing laboratory. Any imported topsoil shall be certified by the supplier in an original
signed affidavit as clean material from either a virgin source, or free of any contaminates, and does
not exceed the New Jersey Residential Direct Contact Soil Remediation Standards, or the
topsoil shall be tested in accordance with the NJDEP requirements for the Target Compound List
plus TICs/Target Analyte List (TCL + TICs/TAL), hexavalent chromium, petroleum hydrocarbons
(PHC), and pH. The results of the topsoil analysis shall comply with the NJDEP Nonresidential Direct
Contact Health Based Criteria and Soil Remediation Standards. to demonstrate the imported
material does not exceed the New Jersey Residential Direct Contact Soil Remediation
Standards.
C. Certified Clean Earthen Material Submittal– The Contractor shall submit to the Owner for approval
the information for certified clean earthen fill imported for the project. Any imported clean fill shall be
certified by the supplier in an original signed affidavit as clean material from either a virgin source, or
free of any contaminates, and does not exceed the New Jersey Residential Direct Contact Soil
Remediation Standards, or the fill material shall be tested in accordance with the NJDEP
requirements for the Target Compound List plus TICs/Target Analyte List (TCL + TICs/TAL),
hexavalent chromium, petroleum hydrocarbons (PHC), and pH. The results of the clean fill analysis
shall comply with the NJDEP Nonresidential Direct Contact Health Based Criteria and Soil
Remediation Standards. to demonstrate the imported material does not exceed the New Jersey
Residential Direct Contact Soil Remediation Standards.
b. Modify the section to include the new subsection after 0.20 on page SCON-5 as follows:
0.21 Qualified Herpetologist
In accordance with the special conditions of the NJDEP Freshwater Wetlands FWW GP-5 Permit in
Appendix B, the Contractor shall hire a qualified herpetologist, with a valid NJDEP issued
Scientific Collecting Permit, to thoroughly inspect the work area for State-listed threatened,
endangered, and special concern snake species for proper reporting with the NJDEP and safe
relocation outside of the proposed work area. The Contractor will not be paid separately for
hiring or coordinating with a qualified herpetologist, and all costs associated with the activities
for a qualified herpetologist shall be included in the various bid items in the Contract.
3. Section 310513 Soil For Earthwork
a. Modify subsection 2.3 Source Quality Control on page 310513-3 as follows:
Burke Road Landfill Closure Plan
Township of Freehold
Addendum No. 1
Page 6 of 7
2.3 SOURCE QUALITY CONTROL
A. Testing and Analysis of Subsoil or Imported Earthen Material: NJDEP requirements for the Target
Compound List plus TICs/Target Analyte List (TCL + TICs/TAL), hexavalent chromium, petroleum
hydrocarbons (PHC), and pH. The results of the topsoil analysis shall comply with the NJDEP
Nonresidential Direct Contact Health Based Criteria and Soil Remediation Standards. In
accordance with the approval conditions of the NJDEP Landfill Closure Permit, no soil
brought onto the site shall exceed the New Jersey Residential Direct Contact Soil
Remediation Standards. [N.J.A.C. 7:26-2A.9(e)4]
B. Testing and Analysis of Topsoil Material: NJDEP requirements for the Target Compound List plus
TICs/Target Analyte List (TCL + TICs/TAL), hexavalent chromium, petroleum hydrocarbons (PHC),
and pH. The results of the topsoil analysis shall comply with the NJDEP Nonresidential Direct
Contact Health Based Criteria and Soil Remediation Standards. In accordance with the approval
conditions of the NJDEP Landfill Closure Permit, no soil brought onto the site shall exceed
the New Jersey Residential Direct Contact Soil Remediation Standards. [N.J.A.C. 7:26-
2A.9(e)4]
C. When tests indicate materials do not meet specified requirements, change material and retest.
D. Furnish materials of each type from same source throughout the Work to the greatest extent
practicable.
E. Certification(s) from a quarry for clean earthen material from a virgin source, free of
contamination and complies with the New Jersey Residential Direct Contact Soil
Remediation Standards shall be provided for all imported clean fill and topsoil. If a quarry or
any other source of material cannot provide the necessary clean fill certification to document
that the material is clean, free of contaminates, and from a virgin source and compliances
with the New Jersey Residential Direct Contact Soil Remediation Standards, then the
supplier shall provide test results in accordance with the frequency required for Default
Sampling as identified in Table 1: Sampling Frequency Guide for Alternative Fill from the
NJDEP’s Fill Material Guidance for SRP Sites, October 2021, Ver. 4.0.
4. Section 329119 Landscape Grading
a. Modify subsection 2.2 Soil Materials on page 329119-2 as follows:
A.
Topsoil Material shall comply with the NJDEP requirements for the Target Compound List plus
TICs/Target Analyte List (TCL + TICs/TAL), hexavalent chromium, petroleum hydrocarbons (PHC),
and pH. The results of the topsoil analysis shall comply with the NJDEP Nonresidential Direct
Contact Health Based Criteria and Soil Remediation Standards. of the New Jersey Residential
Direct Contact Soil Remediation Standards.
5. Section 329200 Lawns and Grasses
a. Modify subsection 1.5 Quality Assurance on page 329200-2 as follows:
C. Imported soil materials analysis and certification: Imported soil materials supplier is to provide
written certification that the soil or soil materials are “clean” with respect to the NJDEP
Nonresidential Direct Contact Soil Cleanup Criteria New Jersey Residential Direct Contact Soil
Burke Road Landfill Closure Plan
Township of Freehold
Addendum No. 1
Page 7 of 7
Remediation Standards in effect at the time the soil is delivered to the site. Certification is to
be provided before the materials are delivered to the site.
b. Modify subsection 1.5 Quality Assurance on page 329200-3 as follows:
2.
Soil Testing:
a. Engineering Level 1 – Permeability Class Rating: Percent of sand/silt/clay, sieve analysis of
sand, gravel content.
b. Engineering Level 4 – Ecological Research Test for Imported Topsoil: Nutrients, pH, estimated
CEC and Cation saturation, soluble salts, organic matter content, percentages of sand/silt/clay,
soil textural class, TKN, inorganic N.
3. Perform initial tests to confirm compliance with base material and mix specifications. These
test results, when approved, will establish the standard to which all other test results must
conform. One composite test shall be collected and performed for every 50 500 CYs of
proposed base material and of any existing base material to be amended for reuse.
4. Follow-up Testing: Have one (1) composite sample delivery and upon arrival to the site from
each 50 500 CY or as required by the Owner for use in each type plant mix. An owner’s
representative The Contractor shall be responsible for the collection of the composite
samples and shall ship the samples to the testing lab at the Contractors expense.
6. Add Appendix D – Subsurface Investigation Report
a.
Refer to attached Appendix D – Subsurface Investigation Report.
End of Addendum No. 1
--- Document: Final - Freehold Burke Road Landfill - Addendum 2 ---
Burke Road Landfill Closure Plan
Township of Freehold
Addendum No. 2
Page 1 of 1
Township of Freehold
Burke Road Landfill Closure Plan
Contract No. 23-2
Monmouth County, New Jersey
ADDENDUM NO. 2
January 25, 2023
To all Bidders:
This Addendum No. 2 for the Township of Freehold, Burke Road Landfill Closure Plan, Contract No. 23-2,
dated August 2022 makes revisions to the Contract Documents and/or provides responses to inquiries
submitted as Requests for Information from potential bidders. Bidders are advised that it is the Township’s
policy not to respond to questions and comments which bidders can readily resolve through reading the
Contract Documents. The Addendum shall become part of the Contract, and the Contractor must confirm
receipt of this addendum on the “Acknowledgement of Receipt of Changes to Bid Document Form”, page B-
6, of the bid proposal section. The Bid Documents for this project, dated August 2022, are amended and/or
clarified as follows:
CONCERNING THE SPECIFICATIONS:
1. Notice to Bidders
a. Modify the first paragraph on page NB-1 as follows:
Sealed bids for the above-named Contract, which includes grading, earthwork, and fencing associated with a
landfill closure plan, within the Township of Freehold, Monmouth County, New Jersey (“Owner"), will be
received at the Freehold Township, Town Hall, Room 114, 1 Municipal Plaza, Freehold, New Jersey 07728
on Thursday, January 26, Tuesday, May 2, 2023, at 10:00 a.m. prevailing time, at which time they will be
publicly unsealed and the contents publicly announced.
b. Modify the second paragraph on page NB-1 as follows:
The work includes the furnishing of all labor, materials, and equipment necessary to complete the work as
shown on the Drawings and as described in the Specifications. The work consists of the relocation of existing
stockpiles; the grading of the existing landfill surface to a minimum grade of two percent (2.00%); the
installation of a final cover of at least eighteen (18) inches of certified clean soil overlain by six (6) inches of
clean topsoil; installation of three (3) monitoring wells; installation of 3,015 linear feet of 8’ high chain link
fencing with two (2) swing gates; temporary soil erosion and sediment control measures; 54,045 square yards
of erosion control matting; watering; and the establishment of final permanent vegetative cover. The work is
located at the terminus of Burke Road on Lots 39 and 40 in Block 92 within the Township of Freehold and
includes: the importing, spreading, and compaction of 11,950 tons of certified clean fill; the importing and
spreading of 7,360 tons of certified clean topsoil; site work for the landfill area of approximately 11.17 acres;
and general construction. The work shall be completed within 90 120 calendar days of the Contractor's
receipt of written Notice to Proceed. A non-mandatory Pre-Bid Meeting will be held at the subject site (Block
92, Lot 40) at 10:00 am on Wednesday, January 18, 2023.
End of Addendum No. 2
--- Document: Final - Freehold Burke Road Landfill - Addendum 3 ---
Burke Road Landfill Closure Plan
Township of Freehold
Addendum No. 3
Page 1 of 4
Township of Freehold
Burke Road Landfill Closure Plan
Contract No. 23-2
Monmouth County, New Jersey
ADDENDUM NO. 3
April 18, 2023
To all Bidders:
This Addendum No. 3 for the Township of Freehold, Burke Road Landfill Closure Plan, Contract No. 23-2,
dated August 2022 makes revisions to the Contract Documents and/or provides responses to inquiries
submitted as Requests for Information from potential bidders. Bidders are advised that it is the Township’s
policy not to respond to questions and comments which bidders can readily resolve through reading the
Contract Documents. The Addendum shall become part of the Contract, and the Contractor must confirm
receipt of this addendum on the “Acknowledgement of Receipt of Changes to Bid Document Form”, page B-
6, of the bid proposal section. The Bid Documents for this project, dated August 2022, are amended and/or
clarified as follows:
INQUIRIES AND RESPONSES:
1. Question 1 – Please provide the below documents for the bidder’s consideration.
DEPARTMENT OF ENVIRONMENTAL PROTECTION
SANITARY LANDFILL CLOSURE/POST-CLOSURE PLAN APPROVAL
7. "Health and Safety Plan," prepared by Mott MacDonald on behalf of Freehold Township,
dated November 2019.
9. A letter requesting amendments to the "Township of Freehold, Former American Soil
Inc., Site, Landfill Closure and Post-Closure Plan," prepared by Mott MacDonald on
behalf of Freehold Township, dated January 30, 2020
Response 1 – The requested documents have been included as Appendix E of the Contract
Specifications.
2. Question 2 – Please confirm that any hazardous material has been removed from the site.
SECTION 312213 - ROUGH GRADING
F. Hazardous Waste: Hazardous waste for this project is material that is defined by the
NJDEP as being hazardous. It is expected that any hazardous material has been
removed from the site during a previous site remediation project. If it is found it will be
excavated, loaded, hauled and disposed of off-site at an approved NJDEP site for
hazardous waste.
Response 2 – The Owner is not aware of any known on-site hazardous waste material.
However, the DEP Closure Plan indicates in the event that chemical or hazardous waste
materials are encountered during closure activities, operations shall cease and material shall
be properly handled and disposed at an off-site facility. Allowance Item A1 for Unforeseen
Subsurface Conditions can be utilized in the event that chemical or hazardous waste
materials are encountered during closure activities.
3. Question 3 – At the Prebid meeting it was said that no testing of the onsite soils are required. This
conflicts with the below written specification. Please address in the addendum.
Burke Road Landfill Closure Plan
Township of Freehold
Addendum No. 3
Page 2 of 4
3.4 EXCAVATION GENERAL
A. The scope of work of this contract includes the excavation, testing and disposal of
existing site soils/ fill materials.
Response 3 – The testing of on-site soils/ fill material would only be required for any chemical
or hazardous waste material encountered during closure activities, and the testing would be
considered under the scope of work for Allowance Item A1 for Unforeseen Subsurface
Conditions.
4. Question 4 – Please confirm that a geotechnical engineer testing agency is required for this project.
3.9 FIELD QUALITY CONTROL
A. Testing Agency: Contractor will engage a qualified independent geotechnical engineering
testing agency to perform field quality control testing. The geotechnical testing shall be
conducted under the supervision of a New Jersey Licensed Professional Engineer.
Response 4 – Testing for soil compaction is required per specification subsection 3.9 on page
312213-6 of Section 312213 – Rough Grading, and soil compaction for fill material shall be
completed as required in Subsection 312213-3.5.A of the specifications.
5. Question 5 – Please confirm that a truck scale is not required for this project.
3.11 MEASUREMENT AND PAYMENT
D. Automatic truck scale weighing devices must be approved and certified by the Office of
Weights and Measures, Division of Consumer Affairs, Department of Law and Public
Safety.
Response 5 – In accordance with subsection 312213-3.11 of the specifications, delivery
tickets in tonnage from a truck scale shall be required for the importation of material to the
project for quantification and payment.
6. Question 6 – At the Prebid meeting it was said that all materials are to remain onsite. This
conflicts with the below written specifications C. and D.. Please address in the addendum.
SECTION 310513 - SOILS FOR EARTHWORK
3.1 EXCAVATION
C. Remove excess excavated materials not intended for reuse from the site at an approved
off-site disposal location.
D. Remove excavated materials not meeting requirements from site at an approved off-site
disposal location.
Response 6 – On-site materials to remain and be reused as Phase 1 grading material or as
Phase 2 clean fill cap material unless hazardous material is encountered during landfill
closure activities in accordance with the NJDEP permit.
7. Question 7 – At the Prebid meeting it was said that the stockpiles are clean and therefore no
segregation of the materials are required. This conflicts with the below written specifications C.
and E.. Please address in the addendum.
3.2 STOCKPILING
C. Separate or segregate differing materials with dividers or stockpile apart to prevent
mixing and commingling.
E. Prevent intermixing of soil types or contamination.
Burke Road Landfill Closure Plan
Township of Freehold
Addendum No. 3
Page 3 of 4
Response 7 – Segregation of on-site stockpiled materials refers to general earthwork
activities for Phase 1 grading for the earthen berms identified for Phase 1B and for the Phase
2 clean fill material to be relocated during Phase 1A. The requirement for segregation of
stockpiled materials is within the specifications as general practice and is based on the
means and methods of the contractor. The stockpiles of clean fill to be relocated and reused
for Phase 2 material do not require segregation.
CONCERNING THE SPECIFICATIONS:
1. Information for Bidders
a. Modify the first paragraph under Subsection 0.21 – Time Limit on page IB-10 as follows:
The Contractor is required to begin work within ten (10) calendar days of Contractor's receipt of a written
Notice to Proceed issued by the Owner. The Contractor shall prosecute the work diligently and
uninterruptedly, at a rate to ensure completion sufficient for final acceptance of all work within 90 120
consecutive calendar days from the day of the Contractor's receipt of the written Notice to Proceed. The
Contractor shall comply with all provisions in the Contract Documents regarding intermediate times of com-
pletion of construction.
b. Modify the table under Subsection 0.21 – Time Limit on page IB-11:
Intermediate Completion
Minimum Percentage Dollar
Time, In Consecutive
Value of Work to be
Calendar Days After
Completed Under the
Contractor's Receipt of Written
Contract
Notice to Proceed
(Percentage of Completion)
30 40
30%
60 80
70% 85%
90 120
100%
2. Scope of Contract
a. Modify the first paragraph on page SC-1 as follows:
For the unit prices and lump sum prices bid on this Contract, the Contractor shall furnish all labor, materials,
and equipment required for the implementation of the landfill closure plan improvements and the associated
site work and all else required to meet the intent of this project. The work is located at the terminus of Burke
Road on Lots 39 and 40 in Block 92 within the Township of Freehold. The intent of this project is to establish
remedial measures for the existing landfill in order to comply with NJDEP landfill closure/post-closure care
regulations. The contract completion period shall be 90 120 calendar days after receipt of Notice to Proceed.
3. Special Conditions
a. Modify the first paragraph on page SCON-1 as follows:
The Contractor is notified that the project is an existing landfill. All construction activity must be done in
accordance with the requirements of the approved NJDEP Landfill Closure Plan, which is found in the
appendix of this Contract. This Contract shall be completed within 90 120 days, which will begin upon receipt
of the Notice to Proceed. Mobilization shall be coordinated with the Engineer and Township of Freehold. The
Burke Road Landfill Closure Plan
Township of Freehold
Addendum No. 3
Page 4 of 4
following special conditions shall be included in the Unit Prices and/or Lump Sum Prices bid for the
Contract with no additional compensation from the Owner.
4. Add Appendix E – Landfill Closure Plan Associated Documents
a.
Refer to attached Appendix E – Landfill Closure Plan Associated Documents.
End of Addendum No. 3
APPENDIX E
Landfill Closure Plan
Associated Documents
Via Certified Mail
# 7019 1640 0001 5994 6743
Return Receipt Requested
Township of Freehold
Former American Soil Inc. Site
Landfill Closure and Post-Closure Plan
Facility ID No. 132411
January 30, 2020
Dear Mr. Fontana:
This letter has been prepared by Mott MacDonald on behalf of Freehold Township
(the Township) for the above-referenced project to provide a written response to the
conditions presented in the Closure/Post-Closure Approval dated December 24,
2019 (received by the Township on January 10, 2020). As noted in the cover letter of
the approval, amendments or modifications to the terms of the approval may only be
considered by the NJDEP Bureau of Solid Waste Permitting (BSWP) if written
request is received within 20 calendar days of the approval. Since the approval was
not received by the Township until January 10, 2020, BSWP has allowed for the
extension of the receipt of comments until January 30, 2020 as confirmed in an email
with Anthony Fontana dated January 23, 2020.
Upon review of the Sanitary Landfill Closure / Post-Closure Plan Approval and the
requirements report, we offer the following:
Section 4, Paragraph h: This condition requires that the closure work required
be completed in 12 months of the issuance of the Approval. The Township
requests that this condition be modified to provide a minimum of 24 months for
completion of closure work. A revised schedule was provided in our letter dated
November 22, 2019 that provided for a two-year completion schedule.
This two-year time frame is necessary due to the need to perform additional work
at the site caused by the long duration between the development and approval
of the Landfill Closure and Post-Closure Plan. These additional tasks include
surveying the site, delineating wetlands and preparing a soil erosion control plan.
It will also be necessary to prepare and submit a NJDEP Freshwater Wetlands
General Permit in advance of the closure site work. The NJDEP Freshwater
Wetlands General Permit application was previously submitted to NJDEP Land
Use but had to be withdrawn due to the fact that the Closure Plan approval had
not been secured. Additionally, the Township will need to secure adequate
funding for the project. Since the approval of the Landfill Closure and Post-
Closure Plan had been pending for several years, it will be necessary to develop
Anthony Fontana, Bureau Chief
New Jersey Department of Environmental Protection
Division of Solid and Hazardous Waste
Bureau of Solid Waste Permitting
P.O. Box 420, 401 East State Street
Trenton, NJ 08625-0420
3 Paragon Way
Freehold NJ 07728
T +1 (732) 780 6565
F +1 (732) 577 0551
mottmac.com
January 30, 2020 | Page 2 of 2
an updated cost estimate for the closure work and the Township budget for the
project will need to be reviewed and adjusted as necessary.
Section 8, Paragraph a (iii): This condition requires three feet of clean soil over
asbestos-containing waste and asphalt shingles. In accordance with previous
directives provided by NJDEP, the permission was given to use shredded asphalt
shingles in stabilizing the access road. We request that this statement be
modified to state “…shall be placed over all surficial asbestos and asbestos-
containing waste, including asbestos roof shingles.”
Section 12, Paragraph g (ii): This condition requires groundwater sampling on
a quarterly basis and for wells to be analyzed for the Target Analyte List and
Target Compound List Plus 30. As proposed in the Landfill Closure / Post-
Closure Plan submitted, the Township requests that this condition be modified to
allow for reduced monitoring based on the May 2012 groundwater investigation
performed at the site and submitted to NJDEP. The Landfill Closure / Post-
Closure Plan called for semi-annual groundwater monitoring. The Township
requests that the conditions of the approval be modified to include semi-annual
groundwater monitoring. Further, the Township requests that this condition be
modified relative to the ground water analysis requirements so that samples are
analyzed for USEPA TAL metals plus the typical landfill groundwater quality
indicator parameters: pH, ammonia nitrogen, total dissolved solids, chlorides,
sulfate, hardness and total organic carbon, as outlined in the Landfill Closure /
Post-Closure Plan.
Section 12, Paragraph g (iii): This condition requires methane gas surveys on
a quarterly basis. As per NJAC 7:26-2A.8(h)9.iv, methane gas sampling is
required to be performed for active landfills on a quarterly basis. However, the
site in question is not an active facility. Additionally, the previous soil-gas
screening results presented in the Landfill Closure / Post-Closure Plan showed
no concerns for methane. Therefore, the Township is requesting that this
frequency be reduced to semi-annual testing.
This letter shall also serve as advance notice that following five years of post-closure
monitoring, the Township intends to exercise the Closure and Post-Closure Plan
Modifications condition (Section 13, Paragraph a) to minimize future post-closure
monitoring requirements to the extent possible with the goal of minimizing monitoring
costs for this inactive landfill.
Should you have any questions regarding the information herein, please do not
hesitate to contact our office.
Very truly yours,
Mott MacDonald, Inc.
Brian T. Dougherty, PE
Vice President
T +1 (732) 780 6565
brian.dougherty@mottmac.com
c:
Timothy P. White, PE, Township Engineer
Peter Valesi, Business Administrator
Health & Safety Plan
Former American Soil Inc. Site
Burke Road, Freehold Township, NJ
November 2019
Mott MacDonald
3 Paragon Way
Freehold
NJ 07728
T +1 (732) 780 6565
mottmac.com
Township of Freehold
One Municipal Plaza
Freehold
NJ 07728
Health & Safety Plan
Former American Soil Inc. Site
Burke Road, Freehold Township, NJ
November 2019
Mott MacDonald | Health & Safety Plan
Former American Soil Inc. Site – Freehold Township
Issue and revision record
Revision
Date
Originator
Checker
Approver
Description
0
11/22/19
PJM
BTD
BTD
Document reference:
Information class: Standard
This document is issued for the party which commissioned it and for specific purposes connected with the above-
captioned project only. It should not be relied upon by any other party or used for any other purpose.
We accept no responsibility for the consequences of this document being relied upon by any other party, or being
used for any other purpose, or containing any error or omission which is due to an error or omission in data supplied
to us by other parties.
This document contains confidential information and proprietary intellectual property. It should not be shown to other
parties without consent from us and from the party which commissioned it.
This report has been pr epared sol el yfor use by the party which commissi oned it (the ‘Client’) i n connecti on with the capti oned proj ect It should not be used for any other purpose N o person other than the Client or any party who has expressl y agreed ter ms of r eliance with us (the ‘Reci pient(s)’) may rel y on the content i nformati on or any vi ews expressed i n the repor t We accept no duty of care responsi bility or liabilityto any other r eci pient of thi s document This r eport is confi denti al and contains pr opri etar y intell ectual property
Mott MacDonald | Health & Safety Plan
Former American Soil Inc. Site – Freehold Township
Contents
1
Introduction & General Requirements
1
1.1
Intended Purpose
1
1.2
Commitment
1
1.3
Responsibility
1
1.4
Approach
1
1.5
General Requirements
2
1.5.1
Incident Reporting
2
1.5.2
Work Procedures
2
1.5.3
Prohibitions
3
1.5.4
Initial Site Safety Meeting and Signing of Health and Safety Plan
Compliance
3
1.5.5
Hazard Communication Program
4
2
Site Information and Scope
5
2.1
Site History
5
2.2
Site Description
5
2.3
Scope of Work
5
3
Project Organization
6
3.1
East Unit Safety Manager
6
3.2
Project Manager
6
3.3
Site Safety Officer
6
3.4
Site Supervisor
7
3.5
Site Workers
7
3.6
Subcontractors
7
4
Job Hazard Analysis
8
4.1
Job Hazard Analysis
8
5
Site Control
9
5.1
Site Map
9
5.2
Site Access & Security
9
5.3
Site Communications
9
5.4
First Aid and Medical Assistance
9
5.5
Emergency Medical Assistance
10
6
Training Program
11
7
Medical Surveillance
12
Mott MacDonald | Health & Safety Plan
Former American Soil Inc. Site – Freehold Township
Appendices
Appendix A – Health and Safety Procedures - Incident Investigation
Appendix B – Health and Safety Procedures - Hazard Communication Program
Appendix C – Health and Safety Procedures – Job Safety Analysis
Appendix D – Site Plan
Mott MacDonald | Health & Safety Plan
1
1 Introduction & General Requirements
1.1
Intended Purpose
This Health and Safety Plan (HASP) (including Attachments and References) is intended
for the sole use of Mott MacDonald employees for the safe implementation of the
activities described herein. This HASP provides a description of the known and
reasonably expected hazards associated with the site identified on the cover page and
is thus site specific. It shall not be used for other sites, activities not listed in the HASP,
or any other purposes. If an activity is not described in this HASP, the HASP requires an
update to address the change in scope prior to use. Additionally, the HASP should be
periodically updated to address changing guidelines and general health and safety
practices.
1.2
Commitment
It is the intention of Mott MacDonald that its activities will, as a minimum, comply with
relevant statutory and other provisions and that all reasonably practicable measures will
be taken to minimize risk to its employees or others who may be affected by its
operations. In every case, a high practicable standard of prevention with regards to injury
and occupational illness will be pursued.
Mott MacDonald is committed to the integration of safety in all areas of corporate activity
and to implement a process of continual improvement in this regard.
1.3
Responsibility
A Mott MacDonald Board Director is responsible for the Health and Safety Policy and for
the effective implementation, maintenance and review of health and safety management.
The Mott MacDonald Safety Manager is responsible for its effective and economic
operation and development on a day-to-day basis.
Management and supervisory staff have the responsibility for implementing this policy
throughout Mott MacDonald so that health and safety considerations are always given
priority in the planning and execution of all work.
All employees and subcontractors are expected to co-operate with Mott MacDonald in
carrying out this policy so that their own work, as far as is reasonably practicable, is
carried out with the minimum risk to themselves or others.
1.4
Approach
It is the policy of the Mott MacDonald Board of Directors to operate an Integrated
Management System (IMS). The requirements of the system that address health and
safety are based on, and conform to, the International Standard OHSAS 18001:2007.
Safety managers are available to assist with the implementation of this policy and provide
information, advice and support to employees on health and safety matters.
Mott MacDonald | Health & Safety Plan
2
Adequate financial and technical resources will be made available to allow this policy to
be carried out. Information and training on health and safety will be provided to all staff
as necessary for them to carry out their work safely and without risk to health.
1.5
General Requirements
1.5.1
Incident Reporting
All incidents, including those involving a vehicle, shall be reported and investigated to a
degree related to the cause and the outcome, or potential outcome, of the incident.
Initial notification shall be in the form of a phone call and/or text message to the
employee’s project supervisor (Field Supervisor/Site Safety Officer/Project Manager, or
Line Manager within the office). For more information on Incident Reporting please refer
to SOP MM-001, included in Appendix A.
1.5.2
Work Procedures
•
All persons entering and/or working in the work area will read, sign, and become
familiar with this HASP. A copy of the HASP will be available at the Site. A HASP
acknowledgement/sign-off sheet will be distributed to all site personnel for
execution.
•
No Mott MacDonald or subcontractor employee will be allowed in the work area
without the prior knowledge and consent of the Mott MacDonald Site Manager.
•
All Mott MacDonald and Subcontractor personnel will bring to the attention of the
Mott MacDonald Site Manager any unsafe condition or practice associated with
work activities that they are unable to correct themselves.
•
Contaminated protective equipment (e.g., respirators, hoses, boots, etc.), will not
be removed from the work area until they have been cleaned/decontaminated, or
properly packaged and labeled.
Mott MacDonald | Health & Safety Plan
3
•
Team members must avoid unnecessary contamination (e.g., walking through
known or suspected "hot" zones or contaminated puddles, kneeling or sitting on
the ground, leaning against potentially contaminated drums or equipment, etc.).
•
Legible and understandable precautionary labels shall be affixed prominently to
containers of contaminated scrap, waste, debris, and clothing.
•
Removal of contamination from protective clothing or equipment by blowing,
shaking, or any other means which disperses contaminants into the air is
prohibited.
•
Containers shall be moved with proper equipment only. Containers shall be
secured to prevent dropping or loss of control during transport.
•
Emergency equipment shall be located at storage areas in readily accessible
locations which will remain minimally contaminated in an emergency.
•
Personnel working on or near a roadway shall wear a brightly colored vest.
1.5.3
Prohibitions
Smoking, eating, drinking, application of cosmetics, storing food or food containers, or
having open fires will not be permitted in the work area. Good personal hygiene will be
practiced by field personnel to avoid ingestion of contaminants.
Approach or entry into areas or confined spaces where toxic or explosive concentrations
of gases or dusts or other potential hazards may exist without proper equipment will be
prohibited.
1.5.4
Initial Site Safety Meeting and Signing of Health and Safety Plan Compliance
The Mott MacDonald Site Health and Safety Officer will hold an initial site safety meeting
with Mott MacDonald and subcontractor field personnel before work activities start in the
work area. During this meeting, it will be verified that all personnel who will enter the work
area have been provided with or have reviewed a HASP for the work activities to be
performed. For Mott MacDonald and subcontractor personnel whose employer(s) have
adopted this HASP, the HASP shall be reviewed, discussed, and questions will be
answered. Signed Health and Safety Plan Compliance Agreement Forms for personnel
who will be following this HASP will be collected by the Mott MacDonald Site Manager
and filed. Individuals refusing to sign the Form will not be allowed to enter the work area.
The subjects that may be discussed are listed below:
1.
Preliminary
•
Medical clearances.
•
Written HASP availability.
•
Personal protective equipment and decontamination equipment availability for
checkout, demonstration and fit testing (if necessary).
2.
Training topics
•
Delineation of personnel responsibilities.
•
Review of HASP including:
types of hazards;
pathways of exposure;
Mott MacDonald | Health & Safety Plan
4
levels of protection;
contamination avoidance;
physical hazards;
decontamination;
emergency procedures and incident notification; and,
specific areas/work tasks of concern.
•
Decontamination review including:
delineation of work zone; and,
set-up of decontamination equipment.
Personnel protective equipment - use and dress out procedures.
Monitoring equipment review.
Questions and answers.
1.5.5
Hazard Communication Program
Mott MacDonald complies with the requirements of the OSHA Hazard Communication
Standard as required by OSHA Regulations 29 CFR 1910.1200. Safety Data Sheets
(SDSs) of known contaminants and for anything Mott MacDonald will bring onsite are
typically included in this HASP. Data on hazardous materials will be presented as part of
the initial site safety meeting. The Mott MacDonald Site safety Manager is responsible
for maintaining an SDSs file for all materials which are brought into the project area and
are not included in the HASP. Personnel shall receive training for safe use of these
materials during site safety meetings and briefings as required.
For more information on Mott MacDonald’s Hazardous Communication program, please
refer to SOP MM-201 - Hazard Communication Program in Appendix A. No hazardous
materials are anticipated to be used on site.
Mott MacDonald | Health & Safety Plan
5
2 Site Information and Scope
2.1
Site History
Freehold Township owns property located at Tax Block 92, Lots 39 and 40 within the Township.
The Township acquired the property in 1987 and leased it to American Soil, Inc. for use as a
composting facility. American Soil operated the composting facility from 1988 to 2004. Between
1988 and 1993, the facility was approved for and only accepted leaves, grass and brush. Starting
in 1993, the facility accepted source-separated organic wastes. Unauthorized landfilling also
occurred under the American Soil, Inc. operations. It is believed that the site was previously used
as a borrow mining operation (possibly in conjunction with the adjacent Lone Pine Landfill) and a
significant portion of the excavation area was subsequently filled with the material received by
American Soil.
During the course of operation, American Soil received notices of violation for its site operations,
including the unauthorized disposal of organic wastes and other materials on the property. Site
investigations conducted between 2001 and 2005 confirmed the presence of these materials. In
response, NJDEP determined that, if the materials were not removed, the site would be classified
as a closed landfill and subject to NJDEP landfill closure/post-closure care regulations at N.J.A.C.
7:26-2A.9. A Landfill Closure and Post-Closure Care Plan is currently under review at NJDEP
Bureau of Solid Waste Permitting.
2.2
Site Description
The property is located at the southeasterly end of Burke Road in a rural section of Freehold
Township, Monmouth County and is identified as Block 92, Lots 39 and 40. The property is
approximately 10.33 acres and is bordered to the west, south and east by forest. To the north,
immediately across the Burke Road Right-of-Way, the site is bordered by the Lone Pine Landfill,
a federal Superfund site. On site, the forest has been cleared and ground cover consists of an
open field/meadow and shrubs. A gravel/dirt access road traverses the site.
Except for several soil/fill stockpiles on the eastern half of the property, the site is at grade with
the surrounding forest areas, gently sloping from east to west. Site elevations range from
approximately 130 to 140 feet above mean sea level. There are pockets of wetlands located along
the eastern and western site boundaries. However, there are no surface waters on or in proximity
to the site. The limits of the landfill area are considered to be the area within the historical tree
line. A review of historical aerial photographs shows that the presence of trees around the
perimeter of the site remained relatively unchanged through the period when the landfilling
occurred.
2.3
Scope of Work
The scope of work will consist of site activities to perform surveying and wetland delineation
confirmation as part of the landfill closure process. The following activities are anticipated:
•
General site reconnaissance
•
Set-up of work zones
•
Site surveying
Mott MacDonald | Health & Safety Plan
6
3 Project Organization
The specific responsibilities and authority of management, safety and health, and other personnel
on this site are detailed in the following paragraphs.
3.1
East Unit Safety Manager
The East Unit Safety Manager is a Health and Safety Professional and acts as a geographic
resource to all level of staff on projects. The unit manager has the responsibility of:
•
Reviewing the HASP to evaluate whether it meets Mott MacDonald policies and
procedures, as well as governing authorities.
•
Advising the PM, SSO, Site Supervisor, and staff on matters relating to health and safety
on this site;
•
Recommending appropriate personal protective equipment (PPE) and respiratory
equipment to protect personnel from potential site hazards;
•
Assisting with Incident investigations;
•
Notifying the PM and SSO of new information related to action levels and standards which
might require modifications to the HASP; and
•
Conducting random audits.
3.2
Project Manager
The Project Manager (PM) has responsibility and authority to direct all work operations. The PM
coordinates safety and health functions with the Site Safety Officer (SSO), has the authority to
oversee and monitor the performance of the SSO, and is responsible for the implementation of
this HASP. The specific duties of the PM include preparing and coordinating the site work plan;
providing site supervisor(s) with work assignments and overseeing their performance;
coordinating safety and health efforts with the SSO; ensuring effective emergency response
through coordination with the Emergency Response Coordinator (ERC); and serving as primary
site liaison with public agencies and officials and site contractors.
3.3
Site Safety Officer
The Site Safety and Officer (SSO) has full responsibility and authority to develop and implement
this HASP and to verify compliance. The SSO reports to the Project Manager. The SSO is on site
during work operations and has the authority to stop site work if unsafe conditions are detected.
The specific responsibilities of the SSO are:
•
Managing the safety and health functions on this site;
•
Serving as the site’s point of contact for safety and health matters;
•
Ensuring site monitoring, worker training, and effective selection and use of PPE;
•
Assessing site conditions for unsafe acts and conditions and providing corrective action;
•
Assisting the preparation and review of this HASP; maintaining effective safety and health
records as described in this HASP; and
•
Coordinating with the Emergency Response Coordinator (ERC), Site Supervisor(s), and
others as necessary for safety and health efforts.
Mott MacDonald | Health & Safety Plan
7
3.4
Site Supervisor
The Site Supervisor is responsible for field operations and reports to the PM. The Site Supervisor
ensures the implementation of the HASP requirements and procedures in the field. The specific
responsibilities of the Site Supervisor are:
•
Executing the work plan and schedule as detailed by the PM;
•
Coordination with the Site Safety and Officer (SSO) on safety and health; and
•
Ensuring site work compliance with the requirements of this HASP.
3.5
Site Workers
Site workers are responsible for complying with this HASP, using the proper PPE, reporting
unsafe acts and conditions, and following the work and safety and health instructions of the
Project Manager (PM), Site Safety and Officer (SSO), and Site Supervisor. Site workers and all
Mott MacDonald employees have “Stop Work” authorization for Mott MacDonald staff and our
subcontractors, when unsafe conditions or activities are observed.
Site workers are also responsible to be aware of their surroundings including the work of clients,
contractors, subcontractors, and others who often work in proximity to us. If unsafe actions or
conditions are observed for those not under our control, notification of the unsafe act or condition
shall be reported to the SSO and PM. The unsafe act or condition will be communicated to the
respective parties. In no event shall Mott MacDonald staff or subcontractors work in an area
where unsafe conditions or actions are observed that have the potential to impact Mott
MacDonald activities, staff, or subcontractors.
3.6
Subcontractors
Subcontractor personnel are subject to the provisions of their own HASP and are likely the most
knowledgeable concerning the means and methods they employ to conduct their activities.
Subcontractor tasks are often conducted in the proximity of Mott MacDonald activities. As the
prime contractor Mott MacDonald will notify, and if necessary, stop work when Mott MacDonald
observes a subcontractor undertake readily identifiable unsafe acts and/or is working in readily
identifiable unsafe conditions observed by Mott MacDonald.
Mott MacDonald | Health & Safety Plan
8
4 Job Hazard Analysis
The job hazard analysis is in compliance with 29 CFR 1910.120(b)(4)(ii)(A),and 1910.120(i)). The
purpose of a job hazard analysis (JHA) is to identify and quantify the health and safety hazards
associated with each site task and operation, and to evaluate the risks to workers. Using this
information, appropriate control methods are selected to eliminate the identified risks if possible,
or to manage them.
The person responsible for ongoing job hazard analysis at this site is Field Staff performing the
work.
4.1
Job Hazard Analysis
An initial JHA has been developed by the preparer of this HASP and is provided in Appendix B.
Field Staff performing the work shall perform their own JHA. If any of the following conditions
occur the Field Staff shall modify site-specific JHAs:
•
The scope of work is changed by adding, eliminating, or modifying tasks,
•
New methods of performing site tasks are selected,
•
Observation of the performance of site tasks results in a revised characterization of the
hazards,
•
New chemical, biological, or physical hazards are identified,
•
Exposure data indicate changes in the concentration and/or likelihood of exposure,
and/or
•
New/different control measures are selected.
When JHAs are modified, related provisions in other chapters of this HASP are modified as
needed.
Based on currently, known information, there have been no known or anticipated potential
chemical hazards associated with the site.
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9
5 Site Control
This site control program is designed to reduce the spread of hazardous substances from
contaminated areas to clean areas, to identify and isolate contaminated areas of the site, to
facilitate emergency evacuation and medical care, to prevent unauthorized entry to the site, and
to deter vandalism and theft.
The site control program includes the elements specified in 29 CFR 1910.120(d) and provides
the following site-specific information:
•
a site map, indicating site perimeter and work zones
•
site access procedures
•
site security
•
site work zones including standard operating procedures
•
use of the buddy system
•
both internal (on-site) and external communications
PM is responsible for evaluating site conditions and for verifying that the site control program
functions effectively. The site control program is updated regularly to reflect current site
conditions, work operations, and procedures.
5.1
Site Map
A map showing the details and configuration of the Site is provided in Appendix C.
5.2
Site Access & Security
Access to the site will be limited to maintenance/engineering personnel. An eight-foot chain link
fence will be installed around the perimeter of the site to prevent unauthorized use of the property.
Access gates will be placed across the northern site entrance from Burke Road and at the
southern approach to the site from the trail leading from Turkey Swamp Road. The gates will be
kept locked when the site is not in use. A ‘No Trespassing’ sign will be posted on the gates.
Maintenance will consist of periodic inspections for damage to the fence and gate and to ensure
that the lock is working properly. Repairs will be made as necessary.
5.3
Site Communications
It is not anticipated that the noise level or distance between on-site workers will require anything
more than direct voice communication. If conditions change hand signals, two-way radio, or cell
phone communication may be necessary.
Cell phone usage for off-site communications is permitted provided the onsite workers only use
cell phones when they are in a protected/secure location away from vehicular traffic, site hazards
and are not driving.
5.4
First Aid and Medical Assistance
For Non-Emergency situations, Axiom is available via phone for assistance. Please contact
Axiom at 281-419-7063.
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10
5.5
Emergency Medical Assistance
The nearest emergency medical assistance selected to support this site is:
CentraState Medical Center
901 West Main Street
Freehold, NJ 07728
(732) 431-2000
Directions to CentraState Medical Center (approximately 7 minutes (3.3 miles)) are as follows:
•
Upon exiting the site, head north on Burke Rd toward Elton Adelphia Rd (1.1 mi)
•
Turn right onto Elton Adelphia Rd
•
Head east on Elton Adelphia Rd (0.8 mi)
•
Turn left onto Iron Bridge Rd
•
Head north on Iron Bridge Rd (1.3 mi)
•
Turn right onto W Main St
•
Head east on W Main St (0.1 mi)
•
Turn left into CentraState Medical Center
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11
6 Training Program
All personnel working in the project area and potentially exposed to hazardous
substances, health hazards, or safety hazards shall be trained as specified in OSHA
Regulations 29 CFR 1910.120(e). This training program will include: (1) attendance at
an initial 40-hour basic health and safety training course off the Site; (2) a minimum of
three days of actual field experience under the direct supervision of a trained,
experienced supervisor; (3) site-specific training in the project area; and (4) an 8-hour
annual update in the basic health and safety training course.
Management and supervisors who work in the project area and who are directly
responsible for, or who supervise employees engaged in, hazardous waste operations
must have received: (1) 40 hours initial training (in accordance with OSHA Regulations
29 CFR 1910.120(e)); (2) three days of supervised field experience; (3) 8 hours of site
supervisor training; (4) an 8-hour annual update in the basic health and safety training
course; and (5) additional training at the time of job assignment on such topics as, but
not limited to: their company's safety and health program and the associated employee
training program; personal protective equipment program; spill containment program; air
quality monitoring; emergency response; monitoring equipment usage and calibration;
and health hazard monitoring procedures and techniques.
Personnel involved in any of the work activities designated for this project may also be
required to meet other applicable OSHA regulations or standards. These standards
include, but are not limited to, the Confined Space Entry Standard and the
Welding/Cutting Safety Standard listed under OSHA Regulations 29 CFR 1910 and/or
1926.
OSHA Regulations 29 CFR 1910.120 require that special training be provided at the time
of job assignment to personnel who may be exposed to unique or special hazards not
covered by the initial 40-hour basic health and safety course. It is not anticipated that
any unique or special hazards will be encountered during this project, other than those
previously described; therefore, special training will not be needed. If unique or special
hazards are unexpectedly encountered, specialized training will be provided.
Contractors must provide documentation and certificates to the Mott MacDonald Site
Manager indicating that their field personnel successfully completed the training
requirements stipulated under OSHA Regulations 29 CFR 1910 and 29 CFR 1926, and
that they have been successfully fit-tested within the previous 12 months for the brand
and type of respirator to be used. Project personnel must comply with this requirement
prior to the first instance of intrusive activity at this site.
An individual that either refuses to or cannot produce a record of course completion will
be prohibited from participation in field activities.
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12
7 Medical Surveillance
Personnel who may be exposed to health or safety hazards on the site participate in a
medical surveillance program. The medical surveillance provisions of the OSHA
Hazardous Waste Operations regulations (29 CFR 1910.120 (f)) will be used as
guidance for acceptable programs. These provisions include a requirement that
employees who are engaged in hazardous waste site work receive a medical
examination at least annually, unless the responsible physician determines that biennial
examinations are adequate. Additionally, employees who wear respirators must be
determined to be able to perform their work while wearing a respirator. Employees must
also undergo exit physicals at the termination of their employment or upon their
reassignment to duties other than work at hazardous waste sites.
There are no site-specific medical surveillance requirements for this project. However,
supplementary examinations will be provided for any employees believed to have been
overexposed to hazardous substances or who develop signs or symptoms indicating
possible overexposure to hazardous substances or health hazards.
Medical examinations must be conducted by or under the direct supervision of a licensed
physician. It is preferred that physicians be Board Certified or eligible for Board
Certification in Occupational Medicine. If they are not, they must at least be experienced
in the field of occupational medicine.
All subcontractors must provide documentation showing that their employees working at
this site are currently participating in a medical surveillance program that meets the
above requirements.
Mott MacDonald | Health & Safety Plan
Appendix A
Health and Safety Procedures - Incident Investigation
IIP Program – United States Operations
Health and Safety Procedure
Incident Investigation
USA-000000-SA-Mott MacDonald-001, Rev. 1
August 10, 2016
© Mott MacDonald 2016/04
Health and Safety Procedure
Incident Investigation
2016-08-10
1
Update Client
Incident Reporting
S. Sproull
S, Sproull
S. Sproull
2016-04-20
0
Issued for Use
S. Sproull
S. Sproull
D. White
DATE
REV
STATUS
PREPARED BY
CHECKED BY
APPROVED BY
IIP Program – United States Operations
Health and Safety Procedure
Incident Investigation
USA-000000-SA-Mott MacDonald-001, Rev. 1
August 10, 2016
© Mott MacDonald 2016/04
Incident Investigation
Table of Contents
1.
PURPOSE ...................................................................................................................................... 1
2.
SCOPE ........................................................................................................................................... 1
3.
DEFINITIONS ................................................................................................................................ 1
4.
RESPONSIBILITIES ..................................................................................................................... 1
5.
GENERAL REQUIREMENTS ..................................................................................................... 1
6.
IMPLEMENTATION ...................................................................................................................... 2
6.1
Notification and Reporting ................................................................................................. 2
6.2
Investigation ........................................................................................................................ 3
6.3
Incident Review .................................................................................................................. 4
7.
EXHIBITS/ATTACHMENTS ........................................................................................................ 5
7.1
Incident Notification Flowchart ............................................................................................ 6
IIP Program – United States Operations
Health and Safety Procedure
Incident Investigation
USA-000000-SA-MottMacDonald-001, Rev. 1, Page 1
August 10, 2016
© Mott MacDonald 2016/04
1. PURPOSE
To establish the minimum requirements for Mott MacDonald when performing incident
notification and investigation and review.
2. SCOPE
This health and safety procedure applies in its entirety to all Mott MacDonald operations
unless a variance from its requirements is granted by the Safety Manager.
3. DEFINITIONS
Incident – An undesired event that has the potential to cause injury or damage to
property. This will include any and all near misses.
Office – Any established Mott MacDonald office or a client’s established office.
Project – Any field location outside of a Mott MacDonald office.
Project Supervisor (PS) – This may be a Construction Manager, Survey Supervisor,
Project Lead, or any other Mott MacDonald staff member who has been designated at
the lead authority for the project at the field location.
Project Manager (PM) – The Mott MacDonald staff member assigned the responsibilities
of managing the project.
Line Management Supervisor (LMS) – The Mott MacDonald staff member who has been
assigned as the supervisor/manager of the person involved in the incident.
4. RESPONSIBILITIES
The PM is responsible for identifying the potential risks associated with a planned
activity and communicating to the personnel involved in the activity being undertaken of
the Mott MacDonald procedures applicable to the activity being undertaken and the
potential risks associated with such activity through the completion of a project risk
assessment.
5. GENERAL REQUIREMENTS
In accordance with local Federal, State, or Provincial protocol, regulations require that
notification be provided to your local labor authority of any fatality or critical injury. This
notification must be provided immediately after the occurrence. Therefore, internal
reporting of fatalities or critical injuries shall be made by phone without delay to the
Safety Manager. Notification to your local labor authority will be made by the Human
Resources (HR) Department or Safety Manager.
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Health and Safety Procedure
Incident Investigation
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All incidents must be investigated regardless of severity of injury or amount of property
damage. The extent of the investigation depends on the outcome or potential outcome
of the incident. Certain incidents, due to their severity or exposure of the company to
excess liability, may be designated by the Safety Manager for examination by a review
board.
The focus of the investigation is to uncover the facts, not to find fault. Punitive actions, if
appropriate, shall be taken during the review phase as a consequence of unsafe acts.
Action items resulting from investigations shall be tracked.
All individuals involved with the reporting, investigation, or review of incidents shall
be instructed on the content of this health and safety procedure in accordance with
Mott MacDonald 006, Employee Safety Orientation & Training.
6. IMPLEMENTATION
6.1 Notification and Reporting
All incidents, including those involving a vehicle, shall be reported and investigated to a
degree related to the cause and the outcome, or potential outcome, of the incident.
Immediate notification is required using the attached flow chart and the “white cross” on
the Mott MacDonald intranet home page to submit as much information that is available.
Notification can be in the form of a phone call, and/or text message. All notifications
must be confirmed (i.e. voice mail or returned text message).
When an incident occurs, the incident is to be reported immediately to the employee’s
PS (if on a project) or the employee’s LMS (if in an office).
I.
For incidents occurring on a project:
1. The PS will notify the PM as soon as possible, but no later than one
hour after the incident.
2. The PM will notify the Sub-Division Manager and the Unit Safety
Advisor immediately upon receipt of the notification.
3. Depending on the type of incident, the PM will advise the appropriate
client contact/representative within 24 hours of the incident unless
otherwise directed by the client.
4. The Sub-Division Manager will notify the Division Manager. The Unit
Safety Advisor will notify the NASA Safety Manager. Both notifications
will be as soon as possible, but no later than one hour after receiving
the notification.
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Incident Investigation
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5. The Division Manager will notify the Unit Manager. The NASA Safety
Manager will notify the Corporate Secretary.
6. The Unit Manager will be responsible for notification to the
President/CEO.
II.
For incidents occurring in an office:
1. The LMS will notify the Sub-Division Manager and the Unit Safety
Advisor immediately upon receipt of the notification.
2. The Sub-Division Manager will notify the Division Manager. The Unit
Safety Advisor will notify the NASA Safety Manager. Both notifications
will be as soon as possible, but no later than one hour after receiving
the notification.
3. The Division Manager will notify the Unit Manager. The NASA Safety
Manager will notify the Corporate Secretary.
4. The Unit Manager will be responsible for notification to the
President/CEO.
Clients are to be notified within 24 hours of an incident unless a different timeframe is
requested by the client.
In the United States, OSHA shall be notified within eight (8) hours when a work-related
fatality has occurred. OSHA shall also be notified within 24 hours of all work-related
inpatient hospitalizations, all amputations and all losses of an eye.
6.2 Investigation
The PS, LMS, and/or PM, with assistance from the safety staff, shall:
•
Reconstruct the conditions, facts, and circumstances surrounding the event
which led to the incident (incidents shall never be re-enacted).
•
Describe how the incident occurred (using witness statements when possible).
•
Identify and discuss the causative factors.
•
Identify the related unsafe act or unsafe condition, if any that existed at the time
of the incident.
•
Identify systematic/management deficiencies.
•
Determine the corrective measures, which were or could be taken to prevent
recurrence of this type of incident.
During the initial identification of evidence, immediately following the incident may
include a listing of people, equipment, and materials involved and a recording of
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Health and Safety Procedure
Incident Investigation
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environmental factors such as weather, illumination, temperature, noise, ventilation, and
physical factors such as fatigue, age, and medical conditions.
Evidence such as people, positions of equipment, parts, and papers must be preserved,
secured, and collected through notes, photographs, witness statements, flagging, and
impoundment of documents and equipment.
After the occurrence, the above information shall be collected as soon as possible and
captured via e-Form, E3318 Accident/Incident Report (the white cross).
For most incidents, the completion of the E3318 will suffice. For serious
injuries/illnesses and major property damage, the investigation shall be coordinated
through the General Counsel's Office and additional information must be submitted to
supplement the E3318. A narrative report including an event timeline and at least the
information specified in Section 6 above will meet this requirement.
In addition to the above information, reports from external sources (police, insurance
carriers, testing laboratory employees, newspapers and others) shall be obtained as
soon as they become available and forwarded to the General Counsel’s office or
designated recipients of the investigation reports.
Materials shall be made available for the purposes of conducting an investigation.
These materials shall include, but not be limited to; camera, pen/paper, tape measure,
PPE, etc.
6.3 Incident Review
If the Safety Manager designates an incident to be examined by a review board, the
board shall review the information gathered for the incident during the investigation, and
take appropriate action to prevent recurrence. Identified action items shall be assigned
to appropriate individuals along with a schedule for completion.
As a minimum, the review board shall be composed of the line manager or project
manager, and the Safety Manager. When appropriate, a senior representative of internal
resources of expertise (such as a technical services manager or a company attorney)
shall be included.
When appropriate, the employee and supervisor shall be interviewed regarding the
cause of the incident, prevention of future incidents and disciplinary action when
appropriate. Note that it is not acceptable to discipline an employee for having an
incident. However, when the investigation determines that the incident resulted from an
unsafe act or violation of company policy on the employee's part, the employee is
subject to disciplinary action.
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Health and Safety Procedure
Incident Investigation
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The completed E3318 Report shall be reviewed and electronically signed as appropriate
by:
•
The Incident Investigator, i.e. employee’s supervisor, PM.
•
The Unit Safety Advisor
•
The General Counsel (serious injury, death or substantial property damage)
•
The original shall be then forwarded to the Safety Manager.
Upon completion of the incident investigation and incident review, the lessons learned
from the incident shall be documented and communicated to all staff to assist in the
prevention of reoccurrence.
7. EXHIBITS/ATTACHMENTS
IIP Program – United States Operations
Health and Safety Procedure
Incident Investigation
USA-000000-SA-MottMacDonald-001, Rev. 1, Page 6
August 10, 2016
© Mott MacDonald 2016/04
7.1 Incident Notification Flowchart
Mott MacDonald | Health & Safety Plan
Appendix B
Health and Safety Procedures - Hazard Communication Program
IIP Program – United States Operations
Health and Safety Procedure
Hazard Communication Program
USA-000000-SA-Mott MacDonald-201, Rev. 1
August 11, 2016
© Mott MacDonald 2016/04
Health and Safety Procedure
Hazard Communication Program
2016-08-11
1
Legislative
Revision
S. Sproull
S. Sproull
S. Sproull
2016-5-31
0
Issued for Use
S. Sproull
S. Sproull
D. White
DATE
REV
STATUS
PREPARED BY
CHECKED BY
APPROVED BY
IIP Program – United States Operations
Health and Safety Procedure
Hazard Communication Program
USA-000000-SA-Mott MacDonald-201, Rev. 1
August 11, 2016
© Mott MacDonald 2016/04
Hazard Communication Program
Table of Contents
1.
PURPOSE ...................................................................................................................................... 1
2.
SCOPE ........................................................................................................................................... 1
3.
DEFINITIONS ................................................................................................................................ 1
4.
RESPONSIBILITIES ..................................................................................................................... 3
5.
GENERAL REQUIREMENTS ..................................................................................................... 3
6.
IMPLEMENTATION ...................................................................................................................... 4
6.1
Supervisory Responsibility ................................................................................................ 4
6.2
Training and Information Program ................................................................................... 4
6.3
Information Required on a SDS ....................................................................................... 5
6.4
Obtaining Information ........................................................................................................ 6
6.5
Employee Information and Training ................................................................................ 7
6.6
Labeling ............................................................................................................................... 8
7.
EXHIBITS/ATTACHMENTS ...................................................................................................... 10
IIP Program – United States Operations
Health and Safety Procedure
Hazard Communication Program
USA-000000-SA-Mott MacDonald-201, Rev. 1, Page 1
August 11, 2016
© Mott MacDonald 2016/04
1.
PURPOSE
To establish the minimum requirements for the Mott MacDonald Hazard Communication
Program.
2.
SCOPE
This health and safety procedure applies in its entirety to all Mott McDonald operations
unless a variance from its requirements is granted by the Safety Manager.
3.
DEFINITIONS
Acute: An adverse effect on the human body with immediate onset of symptoms.
Catalyst: A substance, which changes the rate of a chemical reaction between two other
chemicals but undergoes no permanent change itself.
Chemical Name: The scientific designation of a substance in accordance with the
nomenclature system developed by the International Union of Pure and Applied
Chemistry or the system developed by the Chemical Abstracts Service.
Chronic: An adverse effect on the human body with symptoms which develop slowly
over a long period of time or which frequently recur.
Common Name: Any designation or identification such as code name, code number,
trade name, or brand name used to identify a substance other than by its chemical
name.
Expose or Exposure: Any situation arising from work operations where an employee
may ingest, inhale, absorb through the skin or eyes, or otherwise come into contact with
a hazardous substance.
Flammable: A substance that falls into one of the following categories:
•
Aerosol, Flammable: An aerosol that, when tested by the method described in 16
CFR 1500.45, yields a flame projection exceeding 18 inches at full valve opening, or
flashback (a flame extending back to the valve) at any degree of valve opening.
•
Gas, Flammable: A gas that, at ambient temperatures and pressure, forms a
flammable mixture with air at a concentration of 13 percent of volume or less, or a
gas that, at ambient temperature and pressure, forms a range of flammable mixtures
with air wider than 12 percent by volume, regardless of the lower limit.
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Health and Safety Procedure
Hazard Communication Program
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•
Liquid, Flammable: Any liquid having a flashpoint below 100 degrees F (37.8
degrees C), except any mixture having components with flashpoints of 100 degrees
F (37.8 degrees C) or higher, the total of which make up 99 percent or more of the
total volume of the mixture.
•
Solid, Flammable: A solid, other than a blasting agent or explosive, that is liable to
cause fire through friction, absorption of moisture, spontaneous chemical change,
retained heat from manufacturing or processing, or which can be ignited readily and
when ignited burns so vigorously and persistently as to create a serious hazard. A
chemical shall be considered to be a flammable solid if, when tested by the method
described in 16 CFR 1500.44, it ignites and burns with a self-sustained flame at a
rate greater than one-tenth of an inch per second along its major axis.
Flash Point: Minimum temperature of a liquid at which it gives off significant vapors to
form an ignitable mixture with the air near the surface of the liquid or within the container
used.
Hazardous Substances and Carcinogens: Those substances or carcinogens appearing
at any of the following reference sources are established as hazardous substances or
carcinogens or potential carcinogens for hazard communication purposes.
•
29 CFR Part 1910, Subpart Z, Toxic and Hazardous Substances, Occupational
Health and Safety Administration (OSHA).
•
Threshold Limit Values (TLV) for Chemical Substances in the Work Environment,
American Conference of Governmental Industrial Hygienists (ACGIH), 1984.
•
National Toxicology Program (NTP), Third Annual Report on Carcinogens, 1983.
•
International Agency for Research on Cancer (IARC) Monographs, Volumes 1-34.
•
NOTE: The Registry of Toxic Effects of Chemical Substances published by the
National Institute for Occupational Health and Safety (NIOSH) indicates whether a
substance has been found by NTP or IARC to be a potential carcinogen.
Hazardous Mixtures: Any solution or intimate admixture of two (2) or more substances,
at least one of which is present as a hazardous substance. A hazardous substance is
present in any mixture of product if it is 1 percent or more of the mixture or product or 2
percent if the hazardous substance exists as an impurity in the mixture. The State may,
however by regulation, raise the concentration requirement for a hazardous substance
which the State finds is not hazardous at the threshold levels; and, lower the
concentration requirement for a hazardous substance for which there is valid and
substantial evidence that the substance is extraordinarily hazardous.
SDS: A safety data sheet prepared pursuant to state and federal regulations, e.g.,
OSHA Form 174.
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Hazard Communication Program
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Polymerization: A chemical reaction which results in the joining together of two (2) or
more like molecules to form a more complex molecule whose molecular weight is a
multiple of the original and whose chemical properties are different. Polymerization
reactions commonly produce excessive heat and may cause an increase in pressure
which requires adequate venting to prevent destructive explosive failure of containers.
Reactivity: A measure of the tendency of a substance to undergo chemical reaction with
the release of energy.
Specific Gravity (Density): The ratio of the weight of a substance to the weight of the
same volume of another substance. As used in this directive, specific gravity or density
refers to the weight of substance as compared to the weight of an equal volume
of water.
4.
RESPONSIBILITIES
The Project Manager (PM) is responsible for identifying the potential risks associated
with a planned activity and communicating to the personnel involved in the activity being
undertaken of the Mott McDonald procedures applicable to the activity being undertaken
and the potential risks associated with such activity.
5.
GENERAL REQUIREMENTS
Hazardous substances in the workplace in some forms, concentrations, and job activities
pose potential acute and/or chronic health hazards to employees who are exposed to
these substances.
All employees have a right and a need to know the properties and potential hazards of
substances to which they may be exposed, as such knowledge is essential to reducing
the incidence and cost of occupational disease and industrial accidents.
The OSHA Form 174 has entries for all of the information now required by the Federal
and OSHA standards. This new form replaces the OSHA Form 20 which is no longer
acceptable.
The SDS Request Form Letter may be used to request SDS’ from suppliers. All new
SDS’ will be forwarded to the safety staff, with a copy to Safety Manager, for
maintenance and distribution as necessary.
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Pursuant to the requirements of OSHA regulations to make chemical health and safety
information available to employees, this directive prescribes the use of safety data
sheets by business unit management to provide the required information to inform
employees.
Information will be legible in English. However, for non-English speaking employees,
information will be presented in their language as well.
6.
IMPLEMENTATION
6.1
Supervisory Responsibility
Before any employee is permitted to work with a hazardous substance or hazardous
mixture, the potential fire, toxic, or reactivity hazards which are likely to be encountered
in the handling, application, or utilization of such a material shall be determined.
In order to ascertain the hazards, supervisors shall have available a completed Form
OSHA-174 SDS or an essential similar form provided by the supplier for each hazardous
substance used.
Supervisors shall notify employees of hazardous substances used in their work area for
which SDS’ are available and make such SDS’ available on a timely and reasonable
basis, upon request of an employee or his authorized representative. Such notification
may be:
•
Posted lists of SDS’ where they are available.
•
Prominently displayed binders containing SDS’ used in the area.
Supervisors shall notify contractor employers with employees working for Mott McDonald
of any hazardous substances to which their employees may be exposed and provide
suggestions for appropriate protective measures. This shall be done in coordination with
the safety staff.
6.2
Training and Information Program
Supervisors, in coordination with the Safety Staff, shall furnish employees who may be
exposed to a hazardous substance with an appropriate explanation, understandable to
the workers, of information on the contents of the SDS. Such information may relate to
the entire class of hazardous substances to the extent appropriate and related to the job,
i.e., acids, caustics, chlorinated hydrocarbons, etc.
For hazardous substances to which the worker may be exposed, employees shall be
informed of their right of access to an SDS, their right to request an SDS from their
employer for material they suspect are hazardous, and the right of their representative or
physician to obtain such SDS.
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Hazard Communication Program
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All employees who may be exposed to a hazardous substance shall be given training
and information:
•
Upon a timely and reasonable basis, no later than 30 days after receipt of a new or
revised SDS.
•
Prior to assignment of an employee to an area containing a hazardous substance for
which previous training has not been received.
Subject training and information shall be accomplished by either formal classroom
instruction or jobsite safety meetings. Such training shall be documented in accordance
with procedure MM-006, Employee Safety Orientation and Training.
A completed SDS, when available or equivalent information, and a current chemical
inventory list for each hazardous substance or hazardous mixture used or encountered
by employees shall be maintained in the workplace and accessible to employees in their
work area. This shall include, but is not limited to:
•
Cleaning agents, such as solvents, detergents, acid inhibitors, etc., used for
industrial cleaning.
•
Hazardous substances or hazardous mixtures contained in process vessels.
•
Janitorial and housekeeping substances used by employees at Mott McDonald
facilities, except for consumer products used in accordance with manufacturer's
instructions, and comparably to typical consumer use.
6.3
Information Required on a SDS
The name, address, and telephone number of the source of the information specified in
this paragraph, preferably those of the manufacturer of the product or material.
The trade name and synonyms for a mixture of chemicals, a basic structural material, or
for a process material the chemical name and synonyms, chemical family and formula
for a single chemical.
Chemical names of hazardous ingredients, including, but not limited to, those in a
mixtures, such as those in:
•
Paints, preservatives, and solvents.
•
Alloys, metallic coatings, filler metals and their coatings or core fluxes.
•
Other liquids, solids, or gases (e.g., abrasive materials).
An indication of the percentage, by weight of volume, of each ingredient to the whole
mixture, and of the threshold limit value of each ingredient (in appropriate units).
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Hazard Communication Program
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Physical data about a single chemical or a mixture of chemicals, including boiling point
(in degrees F), vapor pressure (in millimeters of mercury), vapor density of gas or vapor
(air = 1), solubility in water (in percent by weight), specific gravity of material (water = 1),
percentage volatile by volume (at 70 degrees F), evaporation rate for liquids (either butyl
acetate or either may be taken as 1), and appearance and odor.
Fire and explosion hazard data about a single chemical or a mixture of chemicals,
including flash point (in degrees F), flammable limits (in percent by volume in air),
suitable extinguishing media or agents, special firefighting procedures, and unusual fire
and explosion hazard information.
Health hazard data, including threshold limit value (in appropriate units) for a single
hazardous chemical or for the individual hazardous ingredients of a mixture, and as
appropriate, effects of overexposure, and emergency and first aid procedures
concerning these chemicals.
Reactivity data, including stability, incompatibility, hazardous decomposition products,
and hazardous polymerization.
Procedures to be followed and precautions to be taken in cleaning up and disposing of
materials leaked or spilled.
Special protection information, including use of personal protective equipment, such as
respirators, eye protection, protective clothing, ventilation, or other control measures.
Special precautionary information about handling and storage.
Any other general precautionary information.
6.4
Obtaining Information
SDS Binders
•
A master file of SDS’ will be maintained by the safety staff.
•
SDS binders shall be maintained locally by area management for materials used at
that location.
•
Copies of SDS’ may be obtained by completing the Employee Request for SDS, and
forwarding it to the safety staff.
New Hazardous Substance Approval: All locations planning to use a new hazardous
substance at Mott McDonald shall submit a "Request for Approval of a New Hazardous
Substance Purchase/Use," to the Safety Manager. The new substance SDS should
accompany the "Request" form. The Safety Manager will review the request and
provide a response to the requestor. If approved, the requestor shall make the
appropriate provision for informing and training exposed employees of the hazards.
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Hazard Communication Program
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6.5
Employee Information and Training
Employees shall be provided with information and training on hazardous substances in
their work area at the time of their initial assignment, and whenever a new hazard is
introduced into their work area in accordance with procedure MM-006, Employee Safety
Orientation and Training.
•
On site investigations or site remediation of unknown materials, every effort shall be
made to categorize the hazard(s) before starting work. Safety meetings will be used
to inform employees of the hazards.
•
Employees shall be informed about what an SDS is, and of the contents of the SDS
for hazardous substances to which employees may be exposed, or equivalent
information shall be provided, either in written form or through training programs.
•
When training employees on the contents of an SDS, supervisors shall explain any
health hazards associated with use of the substance or mixture, proper precautions
for handling, necessary personnel protective equipment or other safety precautions
necessary to prevent or minimize exposure, and emergency procedures for spills,
fire, disposal, and first aid.
•
When the safety staff receives a new or revised SDS, such information shall be
provided to employees on a timely basis not to exceed 30 days after receipt, if the
new information indicates significantly increased risks to, or necessary protective
measures, for employee health as compared to those stated on a SDS previously
provided.
Employees shall be informed of the right:
•
To personally receive information regarding hazardous substances to which the
employee may be exposed. The Employee Request for SDS shall be used by
employees requesting SDS copies.
•
For their physician or collective bargaining agent to receive information regarding
hazardous substances to which the employee may be exposed.
Employees shall be informed of:
•
Any operations in their work area where hazardous substances are present.
•
Location and availability of this written hazard communications program (Procedure).
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Hazard Communication Program
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Employees shall be trained in the following:
•
Methods and observations that may be used to detect the presence or release of
hazardous substance in the work area during non-routine tasks (such as personal
monitoring, visual appearance, or odor of hazardous substances being released,
etc.).
•
The physical and health hazards of substance in the work area, and measures and
procedures Mott McDonald have implemented to protect employees.
•
The details of this Hazard Communication Program (Procedure) and how they can
obtain and use appropriate hazard information.
•
On hazardous chemicals in their work area at the time of their initial assignment, and
whenever a new chemical hazard is introduced into their work area. Information and
training may relate to general classes of hazardous chemicals to the extent
appropriate and related to reasonably foreseeable exposures of the job. Chemical-
specific information must always be available through labels and safety data sheets.
Trade Secrets: Some hazardous substance suppliers may claim the information
requested on SDS’ is proprietary and not provide the information to Mott McDonald.
•
When suppliers claim trade secrets, the name of the supplier and the hazardous
substance in question shall be supplied to the safety staff for further action.
•
The safety staff will either obtain the necessary information to make a hazard
assessment or reject the material for use in Mott McDonald.
6.6
Labeling
All hazardous substances received from outside suppliers shall conform to legal
requirements and have on each container, as a minimum, the following:
•
Identification of the hazardous substance(s).
•
Appropriate hazard warnings.
•
Name and address of the manufacturer, importer, or other responsible party.
Any failure to have these on the container at the time of receipt will be cause to refuse
delivery of the product.
•
Stationary process containers may have signs, placards, process sheets, batch
tickets, operating procedures, or other written material in lieu of fixed labels on the
containers, as long as the alternative method conveys hazard information. The
written materials shall be readily accessible to the employees in the work area.
•
Portable containers of hazardous substances need not be labeled when the
substance is transferred from labeled containers, and which are intended for
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Health and Safety Procedure
Hazard Communication Program
USA-000000-SA-Mott MacDonald-201, Rev. 1, Page 9
August 11, 2016
© Mott MacDonald 2016/04
immediate use by the employee who performs the transfer; although this practice is
not recommended.
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Health and Safety Procedure
Hazard Communication Program
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•
Containers of hazardous substances transferred from labeled containers and not
intended for the immediate use of the employee performing the transfer shall be
labeled in accordance with a hazardous materials identification system (MIS) as
outlined in Attachment A of this procedure; or an equivalent commercial system.
•
Labels on incoming containers shall not be removed or defaced.
•
Labels or other forms of warning shall be legible, in English, and prominently
displayed on the containers, or readily available throughout each work shift.
7.
EXHIBITS/ATTACHMENTS
The Exhibits/Attachments shall be used for documenting activities associated with this
procedure. Requirements for record distribution, retention, and maintenance shall be
established within applicable project planning documents. The attachment associated
with this health and safety procedure can be accessed through PiMS.
Exhibit A – U.S. Department of Labor SDS, (OSHA Form 174)
Exhibit B – Hazardous Materials Identification System (HMIS)
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Health and Safety Procedure
Hazard Communication Program
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EXHIBIT A
OSHA FORM 174 - SAFETY DATA SHEET
May be used to comply with OSHA's Hazard Communication Standard, 29 CFR 1910.1200. Standard must be consulted for specific
requirements.
TY (As Used on Label and List)
Note: Blank spaces are not permitted. If any Item is not applicable, or no information is available, the space must be
marked to indicate that.
SECTION I
Manufacturer's Name
Emergency Telephone Number
Address (Number, Street, City, State, and Zip Code)
Telephone Number for Information
Date Prepared
Signature of Preparer (optional)
SECTION II - Hazardous Ingredients/Identity Information
Hazardous Components (Specific Chemical Identity; Common Name(s)
OSHA PEL
ACGIH
TLV
Other Limits
Recommende
d
%
(Optional)
SECTION III - Physical/Chemical Characteristics
Boiling Point
Specific Gravity (H20 = 1)
Vapor Pressure (MM Hg.)
Melting Point
Vapor Density (AIR = 1)
Evaporation Rate (Butyl Acetate =
1)
Solubility in Water
Appearance and Odor
SECTION IV - Fire and Explosion Hazard Data
Flash Point (Method Used)
Flammable Limits
LEL
UEL
Extinguishing Media
Special Fire Fighting Procedures
Unusual Fire and Explosion Hazards
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Health and Safety Procedure
Hazard Communication Program
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SECTION V – REACTIVITY DATA
Stability
Unstable
Conditions to Avoid
Stable
Incompatibility (Material to Avoid)
Hazardous Decomposition or Byproducts
Hazardous
May Occur
Conditions to Avoid
Polymerization
Will Not Occur
SECTION VI - Health Hazard Data
Route(s) of Entry - Inhalation?
Skin?
Ingestion?
Health Hazards (Acute and Chronic)
Carcinogenicity: NTP?
IARC Monographs?
OSHA Regulated?
Signs and Symptoms of Exposure
Medical Conditions Generally Aggravated by Exposure
Emergency and First Aid Procedures
SECTION VII - Precautions for Safety Handling and Use
Steps to be Taken in Case Material is Released or Spilled
Waste Disposal Method
Precautions to be Taken in Handling and Storing
Other Precautions
SECTION VIII - Control Measures
Respiratory Protection (Specify Type)
Ventilation
Local Exhaust
Special
Mechanical (General)
Other
Protective Gloves
Eye Protection
Other Protective Clothing or Equipment
Work/Hygienic Practices
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Health and Safety Procedure
Hazard Communication Program
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EXHIBIT B
HAZARDOUS MATERIALS IDENTIFICATION SYSTEM (HMIS)
This HMIS is based on a comprehensive system for hazardous materials identification. This
system conveys chemical identity by chemical, common names, code numbers, or other
descriptive terms which clearly identify the material for hazardous information purposes. The
acute health, flammability, and reactivity hazards are communicated by numerical ratings
inserted onto the label itself. An alphabetical designation is used to denote a combination of
proper personal protective equipment. The designation is also inserted on to the label. The
EHS Staff will provide guidance on what hazard index and what personal protection index
should be used.
Hazard Index (HI)
The description of the numerical Hazard Index (HI) and alphabetical Personal Protection Index
(PPI) are shown as follows:
4
Severe Hazard
3
Serious Hazard
2
Moderate Hazard
1
Slight Hazard
0
Minimal Hazard
These designations will be inserted (written) with indelible ink by each hazard on the label, i.e.,
Health Flammability, Reactivity. That information is obtained from the SDS or other sources.
Definitions of Hazard Categories
•
Health Hazard
4
Danger: May be fatal on short exposure. Specialized protective equipment
required.
3
Warning: Corrosive or toxic - avoid skin contact or inhalation.
2
Warning: May be harmful if inhaled or absorbed.
1
Caution: May cause irritation.
0
No unusual hazard.
•
Fire Hazard
4
Danger: Flammable gas or extremely flammable liquid.
3
Warning: Flammable liquid, flash point below 100°F.
2
Caution: Combustible liquid, flash point of 100°F to 200°F.
1
Combustible if heated.
0
Not combustible.
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Health and Safety Procedure
Hazard Communication Program
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•
Reactivity Hazard
4
Danger: Explosive material at room temperature.
3
Danger: May be explosive if shocked, heated, under confinement, or mixed
with water.
2
Warning: Unstable, or may react if mixed with water.
1
Caution: May react if heated, or mixed with water.
0
Stable: Not reactive when mixed with water.
•
Personal Protection Index (PPI)
Alphabetic designations A through K are used to indicate personal protection required.
The letter X indicates that the employee should ask the supervisor for guidance.
The alphabetical designations are:
A
Safety glasses
B
Safety glasses, gloves
C
Safety glasses, gloves, apron
D
Face shield, gloves
E
Safety glasses, gloves, vapor respirator
F
Safety glasses, gloves, apron, dust respirator
G
Safety glasses, gloves, vapor respirator
H
Safety glasses, gloves, apron, vapor respirator
I
Safety glasses, gloves, dust and vapor respirator
J
Splash goggles, gloves
K
Airline hose or mask, gloves, full suit, boots, dust and
X
Ask your supervisor for guidance
Mott MacDonald | Health & Safety Plan
Appendix C
Health and Safety Procedures – Job Safety Analysis
IIP Program – United States Operations
Health and Safety Procedure
Job Safety Analysis
USA-000000-SA-Mott MacDonald-004, Rev. 1
October 30, 2017
© Mott MacDonald 2016/04
Health and Safety Procedure
Job Safety Analysis
2017-10-30
1
Update document
S. Sproull
D. White
D. White
2016-04-20
0
Issued for Use
S. Sproull
S. Sproull
D. White
DATE
REV
STATUS
PREPARED BY
CHECKED BY
APPROVED BY
IIP Program – United States Operations
Health and Safety Procedure
Job Safety Analysis
USA-000000-SA-Mott MacDonald-004, Rev. 1
October 30, 2017
© Mott MacDonald 2016/04
Job Safety Analysis
Table of Contents
1.
PURPOSE ...................................................................................................................................... 1
2.
SCOPE ........................................................................................................................................... 1
3.
DEFINITIONS ................................................................................................................................ 1
3.1
Job Safety Analysis (JSA) ................................................................................................. 1
4.
RESPONSIBILITIES ..................................................................................................................... 1
5.
GENERAL REQUIREMENTS ..................................................................................................... 1
6.
IMPLEMENTATION ...................................................................................................................... 2
6.1
JSA Applicability ................................................................................................................. 2
6.2
Completion of JSAs............................................................................................................ 2
7.
EXHIBITS/ATTACHMENTS ........................................................................................................ 3
7.1
Job Safety Analysis Sign-Off Sheet ................................................................................ 3
7.2
Job Safety Analysis (JSA) Form ...................................................................................... 3
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Health and Safety Procedure
Job Safety Analysis
USA-000000-SA-Mott MacDonald-004, Rev. 1, Page 1
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1.
PURPOSE
To establish the minimum requirements and process for Mott MacDonald to perform job
safety analysis.
2.
SCOPE
This health and safety procedure applies in its entirety to all Mott MacDonald operations
unless a variance from its requirements is granted by the Safety Manager.
3.
DEFINITIONS
3.1
Job Safety Analysis (JSA)
Evaluation of the component parts of any method or procedure for the following
purposes:
•
To determine the hazards connected therewith and the requirements or qualifications
of those who are to perform the work.
•
To identify hazard control methods that may feasibly be applied.
•
To implement solutions to eliminate, nullify, or reduce to a minimum the
consequences of such hazards.
•
Evaluate established means and methods and controls to ensure effectiveness –
make modifications as needed.
4.
RESPONSIBILITIES
The Project Manager (PM) is responsible for identifying the potential risks associated
with a planned activity and communicating to the personnel involved in the activity being
undertaken of the Mott MacDonald procedures applicable to the activity being
undertaken and the potential risks associated with such activity.
5.
GENERAL REQUIREMENTS
All JSAs shall be reviewed and approved by supervision directly responsible for the work
and by the field health and safety staff prior to commencing work activities.
All employees are responsible for signing a JSA Log (Exhibit A) indicating that they
understand and will comply with the provisions of the work task.
Log sheets and JSAs shall be maintained in a conspicuous location at the workplace by
supervision.
All employees will be trained in the hazard identification process including the use and
care of proper PPE.
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Job Safety Analysis
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6.
IMPLEMENTATION
6.1
JSA Applicability
JSAs are required when Supervision, or the Safety Staff, through pre-job planning,
determines that the process, equipment, or procedure indicates potential for injury
and/or property damage involving one or more of the following hazards:
•
Potential for collapse, e.g., trenching, tunneling, demolition
•
Potential for the release of stored energy, e.g., electrical, mechanical, explosive
•
Potential exposure to uncontrolled hazardous materials or wastes.
•
Potential injury from burns, both chemical and thermal.
•
Potential exposure to oxygen-deficient environments.
•
Potential of entanglement in, on, or between objects.
Activities that require a separate written control plan (e.g., confined space entry, hot
work) may satisfy the requirement for a JSA through correct application of those
alternate control plans.
6.2
Completion of JSAs
The forms (Exhibit B) to be used for JSAs shall:
•
List the key activities in the sequence in which they occur.
•
Determine the hazard(s) and/or hazardous materials involved for each step.
•
Be specific in designation of required protective devices, equipment, or clothing.
•
Apply specific effective safety measures to eliminate or control the hazard(s).
All JSAs shall be developed in sufficient detail to preclude confusion and
misunderstanding.
Consideration shall be given to movement, work area, specific hazards, safety rules, and
recognition of abnormal or unexpected problems.
Each JSA shall be completed by the supervisor responsible for the employees
conducting the work. Employees shall be actively involved in the development of the
JSA.
Each JSA final draft shall be submitted to the field health and safety staff for review and
acceptance/signature.
Identified hazards are to be classified/prioritized based on the risk associated with the
task. A risk analysis matrix indicating the severity and probability of occurrence should
be developed.
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The JSA will demonstrate how identified hazards are addressed and mitigated. Posting
and Filing of JSAs
A completed copy of the JSA shall be available for review by the employees at the work
location.
Each employee working on the project must sign a log sheet indicating that he/she
understands the hazards of the project as indicated on the JSA. Additional training if
required shall be performed in accordance with Procedure No. MM-006, Employee
Safety Orientation and Training.
A copy of the JSA shall be retained as part of the project files. Copies will be forwarded
to the project safety staff.
7.
EXHIBITS/ATTACHMENTS
The following records are used to assist in identifying activities which require a JSA and
for documenting activities associated with this procedure. Requirements for record
distribution, retention, and maintenance shall be established within applicable project
planning documents. The attachments associated with the health and safety procedure
can be accessed through the Mott MacDonald Document Center.
7.1
Job Safety Analysis Sign-Off Sheet
7.2
Job Safety Analysis (JSA) Form
IIP Program – United States Operations
Health and Safety Form
Job Safety Analysis Sign-Off
USA-000000-SA-MMF-004-1, Rev. 0
June 1, 2016
© Mott MacDonald 2016/04
JOB SAFETY ANALYSIS SIGN-OFF SHEET
I have read the attached JOB SAFETY ANALYSIS and understand the hazards associated
with this job.
Job Number
Job Location
Date
Identification
Number
Name
Signature
IIP Program – United States Operations
Health and Safety Form
Job Safety Analysis
USA-000000-SA-MMF-004-2, Rev. 0
June 1, 2016
© Mott MacDonald 2016/04
Job Safety Analysis
PROJECT / TASK: Design Phase – Survey
CONTRACTOR: N/A
JOB No.: -
SUPERVISOR: TBD
LOCATION: Burke Road
DATE: -
JOB STEP
Break the job into steps.
Listing work which may be hazardous.
HAZARDS
List the hazard or type of harm
identified with each step
Consequence
Likelihood
Risk Ranking
CONTROL MEASURE
List the necessary control measures to be
followed to eliminate/ reduce the identified
hazards
Consequence
Likelihood
Risk Ranking
ACTION
Person who
will ensure this
happens
Site investigation & Survey
Biological Hazards Insect Bite
Extreme Weather
Lightning
Sunburn
Animal Attack
1
1
4
1
2
3
3
1
3
2
3
3
4
3
4
Wear appropriate clothing, wear bug spray when
needed, carry tick kit. HMM-220 "Biological Hazards"
Comply with "Cold Environments" (HMM-207) & "Hot
Environments" (HMM-208)
Avoid open area, metal objects and water if lightning is
present. Seek shelter in a vehicle.
Use sunscreen as needed
Comply with: "Attack by Animals" (HMM-216)
1
1
4
1
1
1
3
1
1
2
1
3
4
1
2
PM
PM
PM
PM
PM
Job Safety Analysis
Attendees:
Name
Signature
Date
Written by:
Reviewed by:
IIP Program – United States Operations
Health and Safety Form
Job Safety Analysis
USA-000000-SA-MMF-004-2, Rev. 0
June 1, 2016
© Mott MacDonald 2016/04
Score
TABLE OF CONSEQUENCE
Score
LIKELIHOOD
People
Plant
Environment
5 – Very High/
Catastrophic
Multiple Fatalities
Greater than
$10Million Loss
Catastrophe, destruction of sensitive environment,
worldwide attention. Likely EPA prosecution. More
than 30 days delay.
5 – Almost
certain
The event is expected to occur in most circumstances.
Likely to occur frequently - More than 1 per year
4 – High/ Major
Fatality or Permanent
Disabilities
$1Million to
$10Million Loss
Disaster, high levels of media attention, high cost of
clean up. Offsite environmental harm, more than 10
days delay.
4 – Likely/
probable
The event will probably occur in most circumstances.
Likely to occur several tines. 1 per year
3 – Moderate
Major Injuries –
Incapacitations or requiring
time of work
$100Thousand to
$1Million Loss
Major spills, onsite release, substantial environmental
nuisance, more than 1day delay.
(Leads to an additional resources call out i.e. SES)
3 –Moderate/
occasional
The event should occur at some time.
Likely to occur some time. 1 per 5 years
2 – Low/ Minor
Significant Injuries – Medical
Treatments, non-permanent
injury
$10Thousand to
$100Thousand
Loss
Significant spills
(Leads to a call out of Site Emergency Response
Group)
2 – Remote/
unlikely
The event could occur at some time.
Unlikely but possible. 1 per 10 years
1 – Very Low/
Insignificant
Minor Injuries –
First Aid Treatments
(cuts/bruises)
Less than
$10Thousand
Loss
Low environmental impact. Minor Spills less than 80
Litres.
1 – Rare/
very unlikely
The event may occur only in exceptional circumstances.
Assumed it may not be experienced. 1 per 100 years
Risk Rating = Consequence + Likelihood
Risk Rating - Definitions
Consequence
Risk Rating
Risk Rating
Definitions
Action Required
5
6
7
8
9
10
8 - 10
Intolerable
Task not to start till the risk is eliminated or reduced. Bring to the immediate attention of
management. Formal assessment required. MUST reduce the risk as a matter of priority.
4
5
6
7
8
9
7
High
Bring to the immediate attention of management. Task not to start till the risk is eliminated or
reduced. Further Assessment required. MUST reduce the risk as a matter of priority.
3
4
5
6
7
8
6
Significant
Risk
Bring to the attention of supervision. Review risks and ensure that they are reduced to as low
as reasonably practicable. To be dealt with as soon as possible, preferably before the task
commences. Introduce some form of hardware to control risk.
2
3
4
5
6
7
5
Moderate
Risk
Needs to be controlled but not necessarily immediately, an action plan to control the risk
should be drawn up. Review effectiveness of controls. Ensure responsibilities for control are
specified.
1
2
3
4
5
6
2-4
Low Risk
If practical reduce the risk. Ensure personnel are competent to do the task. Manage by
routing procedure. Monitor for change
1
2
3
4
5
A JHA considers a variety of activities/tasks involved in a job scope and analyses the key hazards (sources of harm) and their
Likelihood
consequences (types of harm) e.g. Sources of harm – lifting a heavy pipe – manual handling. Types of harm – Back strain.
IIP Program – United States Operations
Health and Safety Form
Job Safety Analysis
USA-000000-SA-MMF-004-2, Rev. 0
June 1, 2016
© Mott MacDonald 2016/04
Main Points – On how to write a JSA.
1.
Define the task – what is to be done.
2.
Review previous JSA if any – have we done it before?
3.
Identify the steps – what is to be done.
4.
Identify the hazards of each step.
5.
Identify who or what could be harmed.
6.
Give the task a risk rating – Consequence + Frequency
7.
Develop solutions to eliminate or control hazards in each step.
8.
Review the risk rating after the control system has been implemented.
9.
If risk rating unacceptable review the solutions till risk rating acceptable.
10.
Agree who will implement the control system.
11.
Document the JSA and discuss with the relevant personnel.
Hierarchy of Hazard Management – Control Measures
These steps outline what should be planned for when deciding what control measures are to be put
in place. Whenever possible the highest step should be used first and then progress down the list.
1. Eliminate the hazard.
2. Substitution.
3. Reducing the frequency of a hazardous task.
4. Enclosing the hazard.
5. Additional procedures.
6. Additional supervision.
7. Additional training.
8. Instructions / information.
9.
Some personal protective equipment.
Mott MacDonald | Health & Safety Plan
Appendix D
Site Plan
Mott MacDonald | Health & Safety Plan
mottmac.com
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