health, safety, and environmental (hse) manual rizzo

HSE Manual Rev. 1

© RIZZO Proprietary and Confidential Work Product

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HEALTH, SAFETY, AND ENVIRONMENTAL (HSE) MANUAL

RIZZO INTERNATIONAL, INC. (RIZZO) REVISION 1

JULY 12, 2018

REVIEWED AND APPROVED BY:

Originator(s) Signature Effective Date:

Corporate QHSE Officer

Dee M. Xenakis July 12, 2018

Reviewer(s) Signature

Senior Director of Project Management

John Paul Giunta, P.E., PMP July 12, 2018

Chief Operating Officer

Michael J. Edwards, P. E. July 12, 2018

Verifier(s) Signature Verification method: Independent Review

Chief Geologist

Rolando J. Benitez, P. G. July 12, 2018

Responsible Manager Signature

President

Rachelle Rizzo July 12, 2018

Approval of the Responsible Manager signifies that the document and all required reviews are complete, and the document is released for use.

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TABLE OF CONTENTS PAGE

1.0 SCOPE, PURPOSE, AND APPLICABILITY ................................................................... 5

1.1 QHSE POLICY ................................................................................................. 5

1.2 OBJECTIVES ..................................................................................................... 6

1.3 HEALTH, SAFETY AND ENVIRONMENTAL ELEMENTS ................................................. 6

1.4 CULTURE ........................................................................................................ 6

1.5 ROLES AND RESPONSIBILITIES ............................................................................. 7

1.6 HSE TRAINING ................................................................................................ 8

2.0 GENERAL HEALTH, SAFETY, AND ENVIRONMENTAL RULES ................................... 9

2.1 INJURY AND ILLNESS REPORTING ......................................................................... 9

2.2 RULES FOR PERSONNEL CONDUCT ....................................................................... 9

2.3 PERSONAL PROTECTIVE EQUIPMENT (PPE) ......................................................... 11

2.4 SITE COMMUNICATIONS .................................................................................. 15

2.5 SITE ENTRY/EXIT ............................................................................................ 15

2.6 EQUIPMENT .................................................................................................. 15

2.7 TOOLBOX SAFETY AND ENVIRONMENTAL MEETINGS ............................................. 16

2.8 VIOLATING HEALTH, SAFETY AND ENVIRONMENTAL PROCEDURES ............................ 17

2.9 DRUG AND ALCOHOL ABUSE ............................................................................ 17

3.0 SLIPS, TRIPS, AND FALLS ........................................................................................ 18

3.1 TYPES OF FALLS .............................................................................................. 18

3.2 CONTRIBUTING FACTORS ................................................................................. 18

3.3 FALLS FROM VEHICLES AND EQUIPMENT ............................................................. 18

3.4 SHOES AND BOOTS ......................................................................................... 18

4.0 EMERGENCY RESPONSE/PLANNING ..................................................................... 19

4.1 TABLE: EMERGENCY TELEPHONE NUMBERS/DIRECTIONS TO HOSPITAL .................... 19

4.2 EVACUATION PROCEDURES .............................................................................. 19

4.3 MEDICAL EMERGENCY .................................................................................... 19

4.4 FIRE EMERGENCY ........................................................................................... 20

4.5 SPILL/RELEASE OF HAZARDOUS MATERIAL .......................................................... 20

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5.0 ENVIRONMENTAL ................................................................................................. 21

5.1 GENERAL WILDLIFE MEASURES ......................................................................... 21

5.2 DUST CONTROL ............................................................................................. 21

5.3 NOISE .......................................................................................................... 21

5.4 PETROLEUM, OIL, LUBRICANT AND CHEMICAL HANDLING AND STORAGE .................. 21

5.5 WASTE MANAGEMENT ................................................................................... 23

5.6 EROSION, SURFACE AND GROUNDWATER POLLUTION PREVENTION AND CONTROL ...................................................................................................... 24

5.7 SITE DEMOBILIZATION ..................................................................................... 24

6.0 UTILITIES ................................................................................................................ 25

6.1 PRE‐EXCAVATION/DRILLING ............................................................................. 25

6.2 EXCAVATION/DRILLING ................................................................................... 25

6.3 MARKING PRESERVATION ................................................................................ 25

6.4 FACILITY DAMAGE NOTIFICATION ...................................................................... 25

6.5 NOTIFICATION OF EMERGENCY ......................................................................... 25

6.6 EXCAVATION/DRILLING OBSERVER .................................................................... 26

6.7 EXCAVATION/DRILLING TOLERANCE ZONE........................................................... 26

6.8 OVERHEAD POWER LINES ................................................................................ 26

7.0 EXCAVATION, DRILLING, AND RIGGING SAFETY ................................................... 28

7.1 EXCAVATION ................................................................................................. 28

7.2 NATURAL GASES ............................................................................................ 28

7.3 GENERAL DRILLING SAFETY .............................................................................. 29

8.0 FIRE PREVENTION PROGRAM ............................................................................... 34

8.1 FIRE PREVENTION AND MINIMIZATION ............................................................... 34

8.2 FIRE EXTINGUISHING EQUIPMENT ...................................................................... 36

9.0 SEVERE WEATHER PLAN ........................................................................................ 37

9.1 HEAT RELATED ILLNESSES ................................................................................. 37

9.2 TABLE: STAGES, SYMPTOMS, AND FIRST AID MEASURES FOR HEAT STRESS ....................................................................................................... 38

10.0 HSE INSPECTIONS .................................................................................................. 39

10.1 TABLE: HSE INSPECTIONS ............................................................................... 39

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11.0 TABLE: JOB HAZARD ANALYSIS FOR SUBSURFACE INVESTIGATION .................... 40

12.0 TABLE: JOB HAZARD ANALYSIS FOR SITE VISITORS .............................................. 43

13.0 FORMS ................................................................................................................... 44

14.0 CHANGE MANAGEMENT RECORD ........................................................................ 44

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1.0 SCOPE, PURPOSE, AND APPLICABILITY

This Health, Safety, and Environmental Manual (hereafter known as the HSE) Manual, has been

developed to comply with regulatory, industry, statutory, and client requirements imposed by

clients or regulatory agencies for items and services provided by RIZZO world‐wide operations.

This HSE Manual describes RIZZO’s commitments to:

identify and control the environmental impact of its activities, products or services,

identify and control job hazards and other risks that may impact the health and safety of

RIZZO employees, contractors, customers or visitors to our sites,

improve its HSE performance continually, and

implement a systematic approach to setting, achieving and documenting HSE related

objectives and targets.

RIZZO’s commitment to health, safety, and the environment ranks equally with all other

primary business objectives. Compliance with this policy is the responsibility of every employee

and contractor. Our goal is to prevent all injuries and eliminate or minimize health, safety, and

environmental risks in our operations. All employees are responsible for HSE compliance.

This HSE Manual serves as a directive for organizations in establishing necessary policies and

procedures that comply with the following requirements as approved by RIZZO for applicable

locations and projects, as well as applicable local or country specific regulations:

● International Atomic Energy Agency (IAEA) GSR Part 2, “Leadership and

Management for Safety”

● ISO 14001, “Environmental Management Systems Requirements”

● OHSAS 18001, “Occupational Health and Safety Standard”

● Occupational Safety and Health Administration (OSHA) standards (29 Code of

Federal Regulations [CFR]) 1910 General Industry and 1926 Construction.

1.1 QHSE POLICY

The RIZZO QHSE Policy is that employees strive to: “Meet or exceed client requirements, and

seek to continuously improve our Quality, Health, Safety and Environment (QHSE)”.

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RIZZO Management is responsible for ensuring that this policy is communicated, understood,

and implemented at all levels of the organization, and is regularly reviewed for continuing

suitability. All employees are expected to perform their responsibilities in accordance with

applicable QHSE requirements, and to strive for client satisfaction and continual improvement.

Maintaining an atmosphere of integrity and responsiveness is one of the most important

attributes of the work environment. All employees are encouraged to openly express all

concerns for the safety and quality of RIZZO items and services.

1.2 OBJECTIVES

The RIZZO Goals, Plans, and Objectives involve short‐term and longer‐term issues identified by

RIZZO management. The QHSE policy provides a framework for establishing and reviewing the

company objectives. The objectives are measurable and consistent with the QHSE policy.

Methods are in place as required to track, update, revise and review the plans and objectives to

ensure that the plans are adhered to and communicated throughout the organization as

appropriate.

1.3 HEALTH, SAFETY AND ENVIRONMENTAL ELEMENTS

The fundamental elements of the HSE Management System are as follows:

• Policy and principles;

• Planning, including the means of assessing HSE aspects and risks, consideration of legal

and other requirements, setting objectives and targets and the means to achieve them,

and reporting on HSE performance;

• Implementation and operation, including key roles and responsibilities, the means to

maintain competency and adequate resources, communication, documentation, and

operational controls;

• Checking, including monitoring and measurement, performance assessments, incident

investigations and corrective actions, and control of related records; and

• Management review.

1.4 CULTURE

HSE Culture is defined as the core values and behaviors resulting from a collective commitment

by leaders and individuals to emphasize HSE over competing goals to ensure the protection of

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people and the environment. Many of the elements of the HSE Management System, including

the QHSE Policy promote and support a strong HSE culture by:

• Providing the means by which the organization supports individuals and teams in

carrying out their tasks and work processes in a safe and environmentally responsible

manner, taking into account the interaction between individuals, technology, and the

organization;

• Providing the framework in which leaders demonstrate their commitment to HSE

through their values and actions and individuals take personal accountability for HSE;

• Reinforcing a learning and questioning attitude at all levels of the organization, where

opportunities to learn about ways to ensure HSE are sought out and implemented;

• Providing for a safety‐conscious work environment (freedom to raise concerns without

fear of retribution);

• Providing the system(s) for HSE problem identification and resolution;

• Providing the means by which the organization continually seeks to develop and

improve its HSE culture, including its commitment to compliance and a strong nuclear

safety culture; and

• Providing a framework for decision making which reflects safety first.

1.5 ROLES AND RESPONSIBILITIES

The resources, roles, responsibilities, accountability and authority are described in the

RIZZO QHSE Management System. In general, RIZZO management shall ensure the

availability of resources essential to establish, implement, and improve the HSE System.

While management has the prime responsibility for establishing safety policies,

procedures, and working conditions, most of what is planned and established affects the

employees on the job. The supervisor is responsible for the direct oversight, and to

communicate and enforce all safety rules, policies, and procedures.

1.5.1 Site Supervisor

The supervisor has the following HSE responsibilities:

a. Instruct their employees concerning the hazards of their job, how to avoid injury,

emergency evacuation and applicable HSE emergency procedures.

b. Conduct periodic HSE appraisals of the job site.

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c. Ensure personnel protective equipment (PPE) is provided for each employee.

d. Communicate to employees that willful violations of established HSE rules will

not be tolerated.

e. Ensure all injuries and incidents are reported immediately to HSE management.

f. Investigate HSE issues, identify causes, and implement corrective action.

g. Conduct HSE observations within the employee’s area of responsibility.

1.5.2 Employee Responsibility

Each employee has the following responsibilities:

a. Follow safe working practices as directed by the supervisor.

b. Comply with all HSE rules and procedures.

c. Report immediately to the supervisor any unsafe activities .

d. Know and understand the QHSE Policy, and applicable procedures .

e. Wear all assigned PPE when required.

f. If uncertain about an activity or condition, check with the supervisor for

instructions before proceeding.

g. Immediately report all accidents or injuries to the supervisor.

1.6 HSE TRAINING

RIZZO shall establish and implement the training of employees, contractors, visitors, and sub‐

contractors in environmental awareness and the recognition, avoidance, and prevention of

unsafe work practices and conditions during an initial site orientation. It is the responsibility of

the supervisor to identify potential training needs and timetables so that these requirements

are met. Documentation of training shall be maintained in the RIZZO files.

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2.0 GENERAL HEALTH, SAFETY, AND ENVIRONMENTAL RULES

2.1 INJURY AND ILLNESS REPORTING

The supervisor is responsible for ensuring that all work‐related incidents, including injuries and

illnesses, property damage, and “near misses” are recorded on the Occupational Injury & Illness

Report and Near Miss Incident Report Form. The supervisor shall ensure that the incidents are

investigated; the extent of the investigation will depend on the severity of the accident. These

incidents shall be reported to the QHSE management and designated personnel as soon as

reasonably possible.

2.1.1 Immediately report all injuries and/or incidents, no matter how slight, to your

supervisor. Any injury should be examined and/or treated at the nearest appropriate

medical facility/clinic. Medical reports from off‐site visits must be provided to the

designated QHSE management for record‐keeping purposes.

2.1.2 When injury and/or damage are sustained, barricade the area and give necessary help

to the injured person. Equipment/materials must not be moved unless causing a serious

obstruction or blocking emergency access routes.

2.2 RULES FOR PERSONNEL CONDUCT

2.2.1 Do not operate equipment that you have not first been trained and/or authorized to

operate.

2.2.2 Horseplay and fighting on RIZZO sites are strictly prohibited.

2.2.3 Reading materials are allowed during lunch or scheduled work breaks, provided that it

does not distract personnel from performing their job functions.

2.2.4 Cameras are not permitted on any client site without written approval from the client

representative.

2.2.5 Sleeping on site (including in parking areas) is prohibited.

2.2.6 It is permitted to listen to radios at low volume such that it will not distract co‐workers

or interfere with the ability to hear the paging system and alarms. Headphones are not

permitted during field activities, and/or when operating equipment such as measuring

and testing equipment (M&TE) unless authorized by the employee’s supervisor.

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2.2.7 Individuals are required to respect the rights of each other. Using abusive language,

ethnic slurs with racial overtones, etc., is strictly prohibited.

2.2.8 While conducting RIZZO business, the driver and all passengers in a vehicle must wear

seatbelts. The driver is responsible for ensuring that passengers are wearing seatbelts

prior to putting the vehicle in motion.

2.2.9 The use, possession, transportation, or sale of illegal drugs, firearms, deadly weapons,

or unauthorized explosives while on RIZZO premises, worksites, in RIZZO vehicles or

while traveling is strictly prohibited.

2.2.10 Smoking is permitted in designated areas only.

2.2.11 When ascending or descending stairways, use the handrail, always walk on the right‐

hand side of the stairway, and only take one step at a time.

2.2.12 Running in work or office areas, except for emergency purposes, is strictly prohibited.

2.2.13 When lifting loads, use proper lifting techniques, such as bending of knees, obtaining

assistance, and mechanical lifting aids.

2.2.14 Barricades must be erected around areas of hazardous work, such as holes in decking

flooring and work areas, trenches, overhead activities, open unattended vessels, or

dangerous storage. Only the person in charge may grant permission for entry into these

areas.

2.2.15 Climbing or standing on equipment is discouraged. Scaffolding, ladders, or a safety

harness and lanyard shall be used if the working height is greater than 2 meters (m)

(approximately 6 feet [ft]) from ground level.

2.2.16 Walking on tank roofs is prohibited except in designated walking areas or where fall

protection equipment or barriers are provided.

2.2.17 The use of cell phones not having “Hands‐Free” capability is strictly prohibited when

operating vehicles.

2.2.18 Drivers must follow posted road safety signs. Road or weather conditions may require

reduced speed or restriction on travel.

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2.3 PERSONAL PROTECTIVE EQUIPMENT (PPE)

The following section establishes minimum requirements for the selection and use of personal

protective equipment (PPE) to provide employees with eye, face, head, arm, hand, body, foot,

and ear protection for all RIZZO sites. Respiratory protection, fall protection, and electrical

hazard protection are covered in lower level procedures.

The following PPE are the standard requirements at all RIZZO sites except office areas unless

the client and/or supervisor authorize alternative PPE requirements:

Hardhat

Safety glasses

Hearing protection in high noise areas

Reflective vest

Work gloves when there is a potential for hand injury

Full length pants

Approved safety footwear with a substantial sole

Other PPE may be required depending on specific work activities

Long pants

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2.3.1 Eye and Face Protection: ANSI Z87.1, American National Standard Practice for

Occupational and Educational Eye and Face Protection (or equivalent)

2.3.1.1 Safety glasses must be worn at all times when on project sites and field

related activities. Safety glasses must have rigid side shields. Safety glasses

need not be worn in administrative areas.

2.3.1.2 Employees shall use appropriate eye or face protection when exposed to

eye or face hazards from flying particles, molten metal, liquid chemicals,

acids or caustic liquids, chemical gases or vapors, or potentially injurious

light radiation.

2.3.1.3 Welding helmets or face shields should be used only over primary eye

protections (safety glasses or goggles).

2.3.1.4 Caution should be exercised in the use of metal frame protective devices in

electrical hazard areas.

2.3.1.5 Care should be taken to recognize the possibility of multiple and

simultaneous exposure to a variety of hazards. Adequate protection against

the highest level of each of the hazards must be provided.

2.3.1.6 Employees who wear prescription lenses while engaged in operations that

involve eye hazards shall wear eye protection that incorporates the

prescription in its design, or shall wear eye protection that can be worn over

the prescription lenses without disturbing the proper position of the

prescription lenses or the protective lenses.

2.3.1.7 Welding & Laser Operations: If working with or near sources of potentially

injurious light radiation (i.e., welding, cutting, and lasers) appropriate work

procedures or directions shall stipulate the type of filter lenses to be used

for these types of work.

2.3.1.8 Protection from light radiation is directly related to filter lens density. Select

the darkest shade that allows optimum task performance.

2.3.1.9 Tinted and shaded lenses are not filter lenses unless they are marked or

identified as such. These must be approved and certified before use on the

job, by the safety coordinator and manager/supervisor.

2.3.1.10 Regular inspection and cleaning of the eye protection lenses is required.

2.3.2 Head Protection: ANSI Z89.1 American National Standard for Industrial Head

Protection. Suggested type is Type 2, Class G for general use.

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Electrical Helmets: ANSI Z89.2 for the head protection of employees exposed to

high voltage electrical shock and burns.

Welding helmets and filter plates: ASNI Z49.1

2.3.2.1 Employees who are assigned to site projects or perform field related work

activities shall be provided with and required to wear head protection at all

times while performing field tasks. The need for additional PPE will be

addressed through hazard assessments and site safety and health plans.

2.3.2.2 Employees shall wear head protection (hard hats) when working in areas

where there is a potential for injury to the head from falling or flying objects

and overhead hazards.

2.3.2.3 Operators of vehicles and equipment are required to wear hard hats during

the operation of such equipment except in enclosed cabs.

2.3.2.4 Where there is a risk of injury from hair entanglements in moving parts of

machinery, combustibles, or toxic contaminants, employees shall confine

their hair to eliminate the hazard.

2.3.2.5 When using a face shield, welding hood, or sandblasting hood, the type

which combines with a hard hat shall be used.

2.3.2.6 Clearance must be maintained between the hard hat shell and suspension.

Employees shall ensure nothing is carried inside a hard hat that will reduce

the clearance.

2.3.2.7 Hard hats are grouped into three classes (G, E, and C) and two types (1 and

2) according to how they meet various criteria for protection from impact,

penetration, electrical conductivity, flammability, and other safety hazards.

Class G hard hats are intended to protect the head from the force of

impact of falling objects and from electrical shock during contact with

exposed low voltage conductors.

Class E hard hats are intended to protect the head from the force of

impact of falling objects and from electrical shock during contact with

exposed high voltage conductors.

Class C hard hats are intended to protect the head from the force of

impact of falling objects.

2.3.2.8 Type 1 hard hats have a full brim.

2.3.2.9 Type 2 hard hats have no brim but may include a peak.

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2.3.2.10 Hard hats shall be maintained in a fully functional and clean condition free

of defects or damage. All components, shells, suspensions, and any

accessories should be visually inspected regularly for signs of dents, cracks,

penetration, or any other damage that might reduce the degree of safety

originally provided.

2.3.3 Hand and Arm Protection: Selection is to be based upon the tasks to be performed and

the performance and construction characteristics of the glove material. For protection

against chemicals, glove selection must be based on the chemicals encountered, the

chemical resistance and the physical properties of the glove material.

2.3.3.1 Employees shall wear hand protection (gloves) when exposed to hazards

such as skin absorption of harmful substances, severe cuts or lacerations,

severe abrasions, punctures, chemical burns, thermal burns, and harmful

temperature extremes.

2.3.3.2 Glove type shall be designed to protect against specific hazards. Hand

protection may include gloves made of leather, Kevlar, rubber, neoprene,

etc. Gloves suitable for the task must be chosen.

2.3.3.3 Employees who are required to operate drill presses, power saws, bench

grinders, and similar rotating machinery shall be aware of the hazards of

rotating equipment while wearing gloves.

2.3.4 Safety vests/shirts must be worn at all times unless inside a RIZZO or subcontractor’s

office trailer, or other area designated as not requiring a safety vest, by the supervisor

or QHSE staff. Safety vests/shirts must be ANSI/ISEA 107‐2010 rated and include retro‐

reflective material (bands) on the front and back of the vest. Safety t‐shirts may be

worn, as long as they are ANSI rated and include retro‐reflective material.

2.3.5 Hearing protection is required in high noise areas (85 decibels, A‐weighting [dB(A)] or

higher), or where posted. High noise areas are required to be posted with signs. Double

protection is recommended for extended occupancy of areas with noise levels above

100 dB(A).

Due consideration will be given to the use of effective engineering and

administrative controls to reduce employee exposure to occupational noise

hazards.

Hearing PPE shall be provided in the form of ear plugs or ear muffs.

2.3.6 Any person whose clothing becomes saturated with flammable liquid or chemicals

should immediately go to a safe area away from fire hazards, change clothes, and take

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appropriate steps to wash skin areas contacted by the liquid or chemical. Should the

skin become red or inflamed, the individual should seek medical attention immediately.

2.3.7 Finger rings, loose clothing, unsecured long hair, metal‐banded wristwatches, loose

accessories, or other electrically conducive items are not to be worn when within the

arm’s reach of unguarded operating machinery or electrical switchgear.

2.3.8 No person shall enter a confined space or toxic gas cloud, not even for personnel rescue,

without first notifying back‐up personnel and donning appropriate breathing apparatus

and other personal protective equipment. Only personnel trained in confined space

entry may enter a confined space.

2.4 SITE COMMUNICATIONS

When workers are on‐site, the supervisor must follow RIZZO communication/notification

protocols, so that the number of workers on‐site is known at all times. RIZZO employees are to

have a cell phone and/or two‐way radio transceiver (walkie‐talkie) available for use at all times.

2.5 SITE ENTRY/EXIT

A single entry point is to be established where possible with a site entry/exit log for workers to

sign for entry to and exit from the site. Each time a worker enters and exits the site throughout

the day, the log is required to be filled in so that the supervisor will have an accurate count of

the number of workers on‐site.

2.6 EQUIPMENT

2.6.1 Fire extinguishers, eyewash stations, First Aid Kits, and other emergency equipment is to

be maintained in good working condition, inspected regularly, and kept clear of any

obstruction.

2.6.2 Operation of equipment having a “DANGER, DO NOT OPERATE” tag is prohibited.

2.6.3 Under normal operations, operating machinery and electrical switch gear must have

required safety guards, switches, and alarms in place and functional.

2.6.4 Compressed air may not be used for cleaning purposes above 30 pounds per square inch

(psi), with the exception of abrasive sand blasting. Do not apply compressed air to

yourself or others at any time. Only compressed air shall be used for pneumatic tools.

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2.6.5 Every floor or grating, working platform, or surface opening shall be properly guarded

and maintained to protect against trips or falls.

2.6.6 Whenever a safety device is removed from service or otherwise placed in a “bypass”

mode, the appropriate supervisor is to be notified, the device tagged, and the action

properly documented.

2.6.7 Use only proper tools and equipment for each job and make sure these are maintained

in good working condition. Handmade tools are strictly prohibited at any RIZZO

operated site unless approved by the supervisor.

2.7 TOOLBOX SAFETY AND ENVIRONMENTAL MEETINGS

Toolbox Safety and Environmental Meetings are an important element of RIZZO’s site work.

They are an effective training aid and an essential means of increasing an employee’s hazard

awareness and improving job performance. The site supervisor is responsible for ensuring that

a Toolbox Safety and Environmental Meeting is conducted at the beginning of each shift and

document the required form. The Toolbox Safety and Environmental Meeting topics should

include the following:

2.7.1 Review of pertinent safety and environmental bulletins, weather forecasts and other

important topics that relate to work at the site.

2.7.2 Review of planned operations for the day, work assignments, expected visitors, and

events.

2.7.3 Instructions on the safe and efficient planning and performance of work.

2.7.4 Review or discussion of project accidents, injuries, illnesses, near misses, hazards, and

safe/unsafe acts that occurred on previous shifts.

2.7.5 Discussion of other suggestions, observations, and comments regarding safety‐related

topics.

2.7.6 Safety Conscious Work Environment

2.7.7 Emergency Response and Spill Containment Procedure

Site personnel attending the Toolbox Safety and Environmental Meetings include RIZZO

personnel, its sub‐contractors, site visitors, and representatives of the client as appropriate.

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Sub‐contractors are responsible for ensuring that their personnel comply with the topics

covered in the Toolbox Safety and Environmental Meetings. The subject material shall be

pertinent to the site work. The Toolbox Safety and Environmental Meeting Forms are be

maintained by the site supervisor.

2.8 VIOLATING HEALTH, SAFETY AND ENVIRONMENTAL PROCEDURES

RIZZO has the right to remove any employee or subcontractor who violates safety practices.

Disciplinary measures are implemented at the discretion of the site supervisor commensurate

with the severity of the infraction. It is the responsibility of each individual to understand and

comply with safety procedures and request clarification as needed. Supervisors carry additional

oversight and enforcement responsibilities and, consequently, disciplinary measures directed

toward them will be more severe. The following guidelines apply for minor infractions:

First infraction: Verbal and written warning with no further action if

individual corrects infraction immediately and acknowledges

the infraction.

Second infraction: Individual will be sent off‐site for a minimum of three

working days.

Third infraction: Individual will be sent off‐site for the remainder of the

project, and may be face employment termination

depending on the severity of the infraction.

Willful negligent acts or serious safety violations may result in immediate removal from the site

and employment termination.

2.9 DRUG AND ALCOHOL ABUSE

Alcohol and drug (non‐prescription) use is strictly prohibited while on‐site. Any employee or

subcontractor found in possession or under the influence of drugs or alcohol while on‐site will

be removed from the site and will be subject to appropriate disciplinary actions.

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3.0 SLIPS, TRIPS, AND FALLS

3.1 TYPES OF FALLS

Falls are of two basic types: elevated falls and same‐level falls.

a. Same‐level falls: high frequency – low severity.

b. Elevated falls: lower frequency – high severity.

Same‐level falls are generally slips or trips in which the individual is injured when he hits a

walking or working surface, or strikes some other object during the fall.

3.2 CONTRIBUTING FACTORS

Proper housekeeping in work and walking areas can contribute to safety and the prevention of

falls. These areas must also be kept free of obstacles. These areas should never be obstructed

by objects of any kind. Adequate lighting to ensure proper vision is also important in

prevention and must be provided.

3.3 FALLS FROM VEHICLES AND EQUIPMENT

Unless seats or protected work areas are provided on the equipment, extra riders shall never

be permitted.

Whenever mounting or climbing on a vehicle or machine, have a good hand‐hold before

stepping up. Always face the vehicle or equipment when mounting and dismounting.

3.4 SHOES AND BOOTS

The most important protection is to wear the proper footwear for your work and environment.

In most occupations, the work boots should provide three major types of protection:

The soles and heels should be slip‐resistant.

The toe of the boot should resist crushing injuries.

The work boot should support the ankle.

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4.0 EMERGENCY RESPONSE/PLANNING

4.1 TABLE: EMERGENCY TELEPHONE NUMBERS/DIRECTIONS TO HOSPITAL

Emergency contacts for the site are to be determined, documented on the required form,

posted, and issued to personnel prior to site activities.

4.2 EVACUATION PROCEDURES

If evacuation from the site is required due to an emergency such as a fire or explosion, the

following action should be taken:

First person recognizing need for evacuation will immediately notify all on‐

site via voice, air horn, or other means. Three short blasts of the air horn –

EVACUATE; one long blast – ALL CLEAR.

Leave the area and report to a designated rally point established by the

supervisor. This evacuation point may vary daily based upon site activities

and weather conditions. Location will be discussed at the Toolbox Safety and

Environmental Meeting.

Notify Emergency Medical Service (EMS).

Supervisor to account for all site personnel.

Contact RIZZO administration; contact the client as soon as practical.

Establish site security and control measures for site until emergency

responders arrive and take control.

In the event of a site emergency that could potentially involve evacuation or mustering of

personnel, the client site representative may provide direction to RIZZO.

4.3 MEDICAL EMERGENCY

Response to a medical emergency:

4.3.1 Initially survey the situation; do not enter an area that could jeopardize your safety.

4.3.2 Establish the level of consciousness and then call for help, informing the EMS of the

patient’s condition.

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4.3.3 If the person is unconscious, perform a primary assessment by checking for airway,

breathing, and circulation (only trained First Aid/CPR Personnel should perform these

tasks; state that you are medically trained).

4.3.4 Conduct a secondary assessment to the conscious patient by checking for bleeding

(control with direct pressure) and monitoring for vital signs.

4.3.5 Do not move the person unless the location is hazardous.

4.3.6 Provide First Aid to the level trained. First Aid Kit will be maintained on‐site.

4.3.7 Contact the supervisor as soon as practical, document the incident on the Occupational

Injury & Illness Report Form, and forward to the supervisor.

4.3.8 Notify the client Technical Representative as soon as practical.

4.4 FIRE EMERGENCY

Response to a fire emergency:

4.4.1 Evacuate the area immediately and notify emergency personnel.

4.4.2 Extinguish small fires with an all‐purpose fire extinguisher, provided that you have had

training in the use of an extinguisher.

4.4.3 Report the incident to the supervisor and document the incident; document for the

Project file and send a copy to the PM.

4.4.4 Notify the client Technical Representative as soon as practical.

4.5 SPILL/RELEASE OF HAZARDOUS MATERIAL

In the event of a spill or release of hazardous materials, immediately notify the supervisor and

implement the Emergency Response and Spill Containment Procedure.

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5.0 ENVIRONMENTAL

RIZZO is committed to ensuring that our employees and subcontractors comply with applicable

regulations and requirements. This section of the HSE describes the environmental protection

plans that are to be followed to protect water quality and the environment.

5.1 GENERAL WILDLIFE MEASURES

5.1.1 RIZZO employees and subcontractors shall not feed, harass, harm, or intentionally

interfere with wildlife.

5.1.2 Where protected wildlife species are encountered, interaction shall be minimized by

avoiding the wildlife where possible.

5.1.3 No one shall disturb, move, or destroy migratory bird nests.

5.2 DUST CONTROL

The Contractor shall implement dust control measures as needed. Only water is to be used for

dust control.

5.3 NOISE

Noise levels during site activities are to be kept to a minimum. Employees and subcontractors

are expected to make every effort to carry out the work in a manner which causes minimum

noise generation.

5.4 PETROLEUM, OIL, LUBRICANT AND CHEMICAL HANDLING AND STORAGE

The site supervisor is responsible for ensuring that the type and amount of any chemicals

(including fuel) to be brought on‐site is determined and authorized prior to delivery to the site.

All MSDS sheets for chemicals required on site will be provided to the site supervisor and client

as requested. No hazardous materials may be brought onto the site unless necessary for

contracted work and authorized site supervisor and client as requested. General chemical

handling and storage measures include:

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Equipment used will be mechanically sound with no oil or gas leaks. The

Contractor shall undertake frequent inspection of equipment and repair

leaks immediately.

Servicing activities will be limited to those necessary to complete the onsite

work and in an environmentally sound manner.

Spill clean‐up materials shall be accessible and maintained in the areas of

fuel and chemical storage.

Spill kits are to be available in the vehicles. Any spilled fuel or lubricants or

other hazardous material are to be immediately reported to the site

supervisor, contained and cleaned up consistent with the Emergency

Response and Spill Containment Procedure.

During drill rig placement, a plastic sheet will be placed under the rig and tied

to the rig to form a simple berm to collect any leaks (bentonite should be

added to absorb these drips) and disposed of properly in marked containers.

All chemical containers are closed at the end of each work day.

Use of temporary hoses is carefully planned.

Storage drums, if empty, should be turned upside down and located in an

area that is labeled “empty drums.”

Storage drums should be placed on pallets.

Fuel and oil tanks used by all contractors, and not on vehicles, must be

placed in secondary containment.

Following work and prior to start‐up, all contractors and subcontractors must

ensure that all valves, man‐ways, and pipelines are closed if appropriate to

minimize risk of spills.

All chemicals required to be maintained onsite will be properly labeled, kept

in the appropriate container, and stored in an approved manner. All

containers will be kept closed when not in use.

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5.5 WASTE MANAGEMENT

a) The site dumpster should be one or more (as needed) 50 to 55 gallon plastic

or metal drums with tight‐fitting lids.

b) Waste from site activities including food waste is to be placed in covered

trash receptacles which are labeled as “General Trash” and emptied into the

site dumpster regularly.

c) Oily rags and absorbent pads used in equipment maintenance and other

potentially combustible materials will be kept in a labeled container separate

from the above materials until the combustible material can be removed

from site for disposal.

d) Scrap steel will be recycled through a local recycler or transported off site by

drilling Sub‐Contractor.

e) All waste containers are to be labeled properly.

f) Absorbent materials and rags used to respond to a significant spill will be

handled with any petroleum contaminated soil.

5.5.1 Waste Minimization

RIZZO employees and subcontractors are responsible for reducing the production of waste in all

site activities. The following waste minimization measures should be taken:

Purchasing items with minimal packaging;

Use of “green” products as much as possible;

Bringing on‐site only the amount of chemicals that will be used on the

project;

Utilizing a digital geologic logging system instead of paper field forms; and

Separating out recyclable waste (water bottles, aluminum cans, etc.).

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5.6 EROSION, SURFACE AND GROUNDWATER POLLUTION PREVENTION AND CONTROL

Where required, silt fence should be installed along the outer edge of drilling pads to prevent

sediment and loose material from eroding. The drilling system should be closed loop, where

the water and fluids are continually circulated between well and mud system.

5.7 SITE DEMOBILIZATION

The site supervisor is responsible for ensuring that a post site walk‐down is conducted to

document the following:

a) That all equipment and excess materials have been removed.

b) All temporary erosion control measures (silt fence, etc.) have been removed.

c) All dumpsters, waste containers, debris and any items left from the site

activities have been removed.

d) Ensure that any environmental issues are addressed.

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6.0 UTILITIES

6.1 PRE‐EXCAVATION/DRILLING

Prior to on‐site activities, RIZZO will request information from the client regarding identification

of utility locations. Such utilities include, but are not limited to:

Gas

Electric

Fiber optic communication

Major pipe or water lines

6.2 EXCAVATION/DRILLING

Upon arrival at the excavation/drilling site prior to the start of each borehole, the supervisor,

should:

Check for any visible signs of underground utilities, such as pedestals, risers,

meters, and new trench lines, and for any utilities.

Review the location of underground utilities.

Record the area inspection for utilities on the Drill Rig Safety Checklist Form.

6.3 MARKING PRESERVATION

Site personnel shall protect and preserve the staking, marking, or other designations for

underground utilities until no longer required for proper and safe excavation/drilling.

6.4 FACILITY DAMAGE NOTIFICATION

Site personnel discovering or causing damage to underground utilities shall notify their

supervisor and, follow site communications protocol. The utility owner/operator will be

notified as soon as possible.

6.5 NOTIFICATION OF EMERGENCY

If the protective covering of an electrical line has been penetrated or if gases or liquids are

escaping from a broken line, site personnel should immediately contact local emergency

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agencies to report the damage location. This practice minimizes the danger to life, health, or

property by notifying the proper authorities to handle the emergency situation. In these

situations, local authorities are able to evacuate as appropriate and command substantial

resources unavailable to site personnel or the owner/operator of underground utility.

6.6 EXCAVATION/DRILLING OBSERVER

Site personnel shall use a spotter when excavating or drilling around known underground

utilities. This worker will be designated to watch the excavation/drilling activity to warn the

operator if a utility line is seen while excavating or drilling.

6.7 EXCAVATION/DRILLING TOLERANCE ZONE

Site personnel will observe a tolerance zone which is comprised of the width of the utility plus

18 inches (on either side of the outside edge of the underground utility in a horizontal plane).

When excavation/drilling is to take place within the specified tolerance zone, site personnel will

exercise such reasonable care as may be necessary for the protection of any underground

utility in or near the excavation/drilling area.

Methods to consider, based on certain climate or geographical conditions, include:

Hand digging, when practical (pot holing)

Soft digging

Vacuum excavation methods

Pneumatic hand tools

Other mechanical methods with the approval of the utility owner/operator,

or other technical methods that may be developed

6.8 OVERHEAD POWER LINES

If it is necessary that the drilling activities occur closer than 10 ft. (3 m) to any overhead power

line, the electrical company that owns or controls the power line shall be notified, and the

power line will be de‐energized and grounded for the duration of the work at that location.

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Protective measures (such as guarding, isolating, or insulating) shall be put into practice, in

order to prevent employees from bodily contacting such lines directly or indirectly.

Any conductive materials or equipment that are in contact with any part of a worker’s body

shall be handled in a manner that will prevent those materials from contacting exposed

energized conductors or circuit parts. If long dimensional conductive objects (pipes, rods,

ducts) must be handled around exposed live circuits, work practices, to include guarding,

insulating, or safe material handling techniques, shall be used to remove the hazard.

Never get closer than 10 ft (3 m) to an overhead power line. The minimum safe distance

around overhead power lines are:

Line Voltage up to 50,000 volts = 10 ft (3 m)

Line Voltage 50,000 to 200,000 volts = 15 ft (4.5 m)

Line Voltage 200,000 to 350,000 volts = 20 ft (6 m)



Line Voltage 750,000 to 1,000,000 volts = 45 ft (13.7 m)

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7.0 EXCAVATION, DRILLING, AND RIGGING SAFETY

7.1 EXCAVATION

For the purpose of this HSE Manual, the term “excavation” will include any earthwork, trench,

or open pits.

All practicable steps shall be taken, where necessary, to prevent danger to any person,

including, where necessary, the provision of support or battering to ensure that:

Any excavation or part of an excavation does not collapse.

No material from a side or roof of, or adjacent to, any excavation is dislodged

or falls.

No person is buried or trapped in an excavation by material which is

dislodged or falls.

Suitable and sufficient steps shall be taken to prevent any person, work equipment, or any

accumulation of material from falling into any excavation.

7.2 NATURAL GASES

Methane and hydrogen sulfide occur naturally underground and may discharge from boreholes

during drilling operations. It is important that the drill crew and RIZZO personnel respond

rapidly and correctly to any encounters with gas to maintain a safe workplace. Thoroughly

document the encounter to indicate the type of gas encountered, manner and approximate

rate of discharge, and at what point in the drilling process (depth below ground surface) the

discharge occurred.

7.2.1 Methane

Methane is an odorless gas, lighter than air, and combustible when mixed with air in

concentrations between 5 and 15 percent. A portable combustible gas detector may be used to

monitor the atmosphere for methane. A methane concentration in air near 100 percent will

read zero on the meter. Take readings by holding the gas detector over the borehole, or

downwind near casing level, within about 15 to 20 centimeters (cm) of the casing. Do not

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extend the meter into the borehole, as the borehole atmosphere may be oxygen‐deficient and

incapable of combustion.

Record any indications of methane on the boring log, such as duration of gaseous phase

discharge, frequency, and magnitude of combustible gas detector readings, size, and frequency

of bubbles in drilling fluids, and other evidence. Do not risk injury to make observations of

methane discharges.

7.2.2 Hydrogen Sulfide

Hydrogen sulfide is a highly toxic gas that causes harmful effects in concentrations above about

100 parts per million (ppm). The allowable exposure limit is 10 ppm. In concentrations

between about 0.02 and 100 ppm, the gas smells like rotten eggs. Exposure to concentrations

above about 100 ppm quickly dulls the sense of smell; giving the mistaken impression that

exposure was transient. Disappearance of the odor is not an indication of disappearance of the

gas. Hydrogen sulfide is generated by bacterial decomposition of organic matter in soils and

sedimentary rocks. Bacterial hydrogen sulfide occurs only as a solution phase in groundwater.

It does not occur in concentrations high enough to support gaseous phase accumulations or

bubbles.

A portable gas detector may be used to monitor the atmosphere for hydrogen sulfide. Record

any indications of hydrogen sulfide on the boring log, such as the intensity of odor, detector

reading, or other evidence. Do not risk injury to make observations of hydrogen sulfide

discharges.

7.2.3 Other

A portable gas detector may be used to monitor the atmosphere for hazardous chemicals.

Water samples may also be taken for further analysis. If the atmosphere or water samples

indicate hazardous chemicals during drilling operations, operations will be suspended pending

further investigation and instructions from the supervisor or client.

7.3 GENERAL DRILLING SAFETY

7.3.1 Drill Rig Stabilization

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The drilling contractor is responsible for ensuring that the rig is properly set up. This includes

such tasks as stabilizing the rig, clearing the location of overhead obstructions that may contact

the mast as it is being raised or is in the fully raised position, and raising the mast. Rig stability

is essential for conducting safe drilling operations. Components to assuring proper stabilization

include rig placement (or location), use of hydraulic leveling jacks, use of blocking (or cribbing),

and use of wheel chocks. The following practices should be used when setting up the drill rig:

When the rig moves into position at a boring location, a plastic sheet or tarp

shall be placed under the rig to contain drips and/or spills. Add bentonite

powder or absorbent pads if necessary to clean spills, and dispose the

material in accordance procedures.

Chock the wheels of the rig remaining in contact with the ground.

Chock wheels of all support equipment and trailers.

Before raising the mast, check for overhead obstructions or wires.

Remove all loose objects, such as equipment and tools, from the mast and

inspect for damaged parts.

Raise the mast only after the leveling jacks are down. Do not raise the

jacks until the mast has been lowered completely.

Before raising the mast, all drill rig workers (with exception of the

operator) and visitors should be cleared from the area surrounding the rig.

No other activities should be conducted in the vicinity of the rig, while the

mast is being raised or lowered.

Only operators qualified as drillers may raise or lower the mast, or operate

any of the rigs controls.

Raise the mast a few centimeters in order to check brakes, before raising

the mast to vertical.

Once the rigs mast is vertical, the rig should remain stationary, other than

leveling the rig using the hydraulic jacks. The rig should never drive with

the mast partway or fully vertical.

7.3.2 Drill Rig Operation

Identify potential pinch points and hazards that could injure fingers and toes.

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While drilling activities are in progress, visitors are not permitted within the

taped barricade without proper PPE and permission from the operator or

RIZZO personnel. All site personnel must be wearing PPE at all times within

the barricade. Smoking is prohibited inside the barricade.

Effective communication (hand signals), especially under high noise

conditions, is essential to safety. Clarify the meaning of hand signals in

advance of their use.

Do not climb the rig mast while equipment is running. Shut down/lock out

equipment and use full body safety harness if climbing the mast, over a

height of 6 ft is necessary.

The operator of a drilling rig should only operate the rig from the position of

the controls.

The operator should shut down the drilling rig engine before leaving the

vicinity of the rig.

Never operate the drill rig with any of the machinery guards removed.

Attach safety chains or cables to all swivel, air, and other pressure hoses.

7.3.3 Adding and Removing Drill Rods

Only the drill operator will brake or set the chucks, as to eliminate the

possibility of engaging the transmission prior to removing the chuck wrench.

Do not use the chucks as a brake on a string of drill rods that are being

lowered into a hole. Breaking the drill string with the chuck will result in

metal slivers on the exterior surface of the drill rods, resulting in possible

hand injuries and losing the drill rod down the hole.

Check the chuck jaws periodically and replace them as necessary.

Never place hands on wrenches where they can get trapped between the

wrench and any part of the drill rig.

Ensure that wrenches are removed from rods before rotating the drill stem.

Do not take hold of the male thread end of drill rods. Watch for sharp burrs

on rods and casing, and file sharp edges off rods when necessary.

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Clean drill rods with a rubber wiper or other suitable device when being

removed from a hole.

Allow drilling fluids to drain from drill rods into the mud pit before setting

the rod to the side, as to minimize the chances of slip hazards around the

work area.

The operator shall know the capacity of the hoist and mast and the weight of

the drill rod to prevent the hoist capacity from being exceeded.

The drill rig operator must exercise care to lower the hoist slowly while the

drill rod is being carried away from the hole, allowing the drillers assistants to

safely carry rods back to the holding basket.

There should be at all times at least three wraps of hoisting line on the hoist

drum to prevent a line load from being applied directly to the fastening

clamp.

Do not guide or hold onto moving wire line work cables with bare hands.

7.3.4 Rigging Safety

Wire rope, chains, slings, and other forms of rigging shall meet all criteria set forth by the

standards established from regulatory agencies such as OSHA and ANSI.

All synthetic slings shall be properly labeled, identifying the manufacturer, rated capacities for

the type of hitch, and the type of material used in the sling. Slings shall be removed from

service if burns, punctures, tears, cuts, broken or worn stitches, excessive wear, or any

combination of these conditions exist. Most synthetic slings have a wear thread of a different

color that indicates when the sling is no longer safe to use.

Chain slings will have a permanently affixed identification tag stating size, grade, rated capacity,

and manufacturer. Only alloy steel chains with this tag affixed are acceptable for lifting.

Wire rope rigging is based on the number of strands of wire, core material, size of the strand,

and the configuration of the strands.

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All rigging equipment shall be inspected each day before use and more often if conditions

warrant. Inspections should be documented. Each component of the rigging should be

critically inspected according to the manufacturers’ specifications. Any part of the rigging that

does not pass inspection shall be removed from service immediately.

7.3.5 Pressuremeter Testing Safety

The pressuremeter test uses high pressure compressed gas, deployed cable, and 110v

alternating current electric power. The instrument is also heavy especially when mated up to

drilling rods. The drilling environment also has inherent hazards including overhead lifting and

many others which are site specific. The SCUBA bottles are to be used with anti‐roll stabilizing

attachments and stored flat on the ground so they cannot tip over, fall, or be tripped over in

the normal course of work flow. The 110v electric lines should be kept out of moisture and be

properly grounded. The data cable is orange for high visibility and should be deployed on a

route that minimizes the possibility of tripping. During testing, the possibility of a membrane

rupture exists, and this can forcefully evacuate the hole of drilling mud. Personnel should be

kept away from the back of the drilling rig during high pressure inflation. The drilling rods

should always be held with a positive locking device and not lowered into the hole or held with

a device which may slip and allow the instrument to free‐fall into the hole.

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8.0 FIRE PREVENTION PROGRAM

This Section applies to all who work with or whose job responsibilities require them to be

familiar with the fire prevention and fire hazards at the site.

8.1 FIRE PREVENTION AND MINIMIZATION

8.1.1 Hazard Determination and Communication

The following fire hazards, prevention measures, and safety precautions should be followed by

all on‐site personnel:

Consideration must be given to storage and use of flammable liquids,

combustible materials, construction material, and locations of welding or

other spark‐producing or open‐flame processes.

All means of exit and fire protection should be located and communicated

to site personnel.

8.1.2 Engineering Controls

Fire extinguishers and employee training serve as engineering controls.

Combustible and flammable liquids are controlled both in the amount and method of storage.

(i.e., UL or FM approved cabinets and cans). Combustible and flammable liquids shall NOT be

left unattended on the jobsite.

8.1.3 Administrative Controls

Open flame or spark producing work requires a trained Fire Watch with an extinguisher during

the work and a minimum of 30 minutes after completion. Open flame leak testing is

prohibited.

Regular inspections shall be conducted by the supervisor or designee, for the proper

maintenance and care of all firefighting equipment and proper storage of all flammable

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materials. Additional controls include the storage of flammable and combustible liquids and

materials in approved and properly labeled containers, approved site‐specific emergency

evacuation plans, and communication with local emergency response preparedness teams.

8.1.4 General Fire Prevention Measures

The site personnel has the responsibility to ensure that hazardous accumulations of

combustible materials are controlled so that a fast‐developing fire, rapid spread of toxic smoke,

or an explosion will not occur.

Some of the fire preventive measures that site personnel should employ are:

Practice good housekeeping in all work areas.

Immediately report and repair all leaks of flammable liquid or gas.

In the event of a flammable liquid or gas leak, extinguish all fires and remove

other sources of ignition immediately. Shut down engines and other

potential sources of ignitions. Report the leak promptly to the supervisor.

Shut off fuel supply or process, if possible.

Fires and open flame devices shall not be left unattended.

Use gasoline as a motor fuel only.

Keep all buildings in which solvents or chemicals are being handled well

ventilated at all times.

Transport flammable liquid only in approved, clearly‐marked safety

containers. Volatile liquids shall be stored in containers made for their

purpose. Never place flammable liquid containers inside car or truck

passenger compartments.

Unplug electric coffee pots, hot plates, and like appliances at the end of each

work day.

Turn off electrical equipment when not in use and at the end of the work

day.

Avoid overloading electric circuits.

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Be careful that light bulbs do not come into contact with combustibles in

storage areas.

Smoking is only permitted in designated safe areas.

Do not discard smoking materials into wastebaskets at any time. Dispose of

smoking materials in designated smoking area buckets only.

8.2 FIRE EXTINGUISHING EQUIPMENT

The site personnel shall make fire extinguishers of at least five pound ABC available throughout

the site. Site personnel shall be familiar with the location and proper use of all firefighting

equipment.

Classes of Fires and Correlating Extinguishers:

CLASS A – Ordinary Combustibles

CLASS B – Flammable Liquids

CLASS C – Electrical Equipment

CLASS D – Combustible Metals

Most fire extinguishers are labeled, indicating the type of fire the device can extinguish.

8.2.1 Out of Service Equipment

Non‐functioning firefighting equipment should be clearly marked “out of service.”

Replace all fire extinguishers immediately upon removal from service (including service for

recharging, inspection, or replacement), so that an adequate quantity is available for use.

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9.0 SEVERE WEATHER PLAN

The following Severe Weather Plan (SWP) has been prepared to identify appropriate actions

and precautions to be implemented when there is a potential for severe weather. The SWP

details procedures for monitoring weather conditions and suspending operations. The

supervisor will evaluate the conditions being encountered during operations and make a

determination as to whether the operations can proceed in a safe manner.

High Winds: Of particular concern during periods of high winds are drill rig mast stability and

dust and materials blowing around the work area. With regard to drill rig mast stability, the

Driller will be consulted with and if wind speeds are excessive to the rated stability of the drill

rig, drilling will be suspended.

Heavy Rains and Storms, Tropical Storms, and Hurricanes: In the event of heavy rains (where

visibility is obscured) all operations will be suspended until the heavy rains end and it is found

that operations can proceed in a safe manner.

Thunderstorms: Operations will cease when it is determined that thunderstorm cells are

within 8 km (5 miles) of the site, based on weather information, or if lighting is observed from

any location. All equipment will be secured and all site personnel will seek shelter. Operations

will be allowed to continue 30 minutes after the last lightning bolt is observed, unless the

Weather Station indicates other storms approaching.

9.1 HEAT RELATED ILLNESSES

The stress of working in areas of high heat, humidity and radiant heat can cause a variety of

strains on the body, including heat exhaustion or heat stroke; the latter can be fatal. The

symptoms of heat stress need to be recognized and necessary actions implemented when they

occur.

To minimize the potential for heat stress problems at the job site, these guidelines on heat‐

related illnesses should be reviewed by employees prior to job assignments so that early

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symptoms of heat stress are recognizable by all employees and prompt corrective first aid

measures can be taken to minimize the potential for more serious heat‐related illnesses.

In the preliminary stages of heat stress, rashes, cramps, discomfort and drowsiness can occur

resulting in impaired functional ability that threatens the safety of both the individual and

coworkers. Continued heat stress can lead to heat stroke and death. Avoiding overprotection,

careful training, and frequent monitoring of workers who wear protective clothing, strategic

scheduling of work and rest periods, and frequent replacement of fluids can protect against

heat stress hazards.

9.2 TABLE: STAGES, SYMPTOMS, AND FIRST AID MEASURES FOR HEAT STRESS

STAGE SYMPTOMS FIRST AID MEASURES

Heat Cramps Sweaty skin Painful muscle spasms Normal body temperature

Give fluids Gently massage cramped muscles

Heat Exhaustion

Clammy or pale skin Weakness and fatigue Profuse sweating Nausea Vomiting Disorientation Headache Normal or slightly elevated body temperature

Remove victim from heat Loosen clothing Sponge skin with cool water Fan victim, but stop if victim shivers or develops goose bumps Give fluids Solution of one pint water and one teaspoon salt every 30 minutes until victim recovers Obtain medical help if victim does not improve

Heat Stroke

Unconsciousness or mental confusion Dizziness Staggered walk Appears to be agitated Hot, dry skin Extremely high body temperature; could reach or exceed 105º F

Get emergency medical aid immediately Remove victim from heat Remove clothing, place victim in a cool bath, or apply cool compresses Do not give any fluids Do not leave victim alone Do not allow victim to become so cold that victim shivers Do not give aspirin or other medication in an attempt to lower fever

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10.0 HSE INSPECTIONS

All safety and environmental inspections are conducted by the supervisor and/or an assigned

competent person on a daily basis and documented on the RIZZO Field Activity Daily Log.

Inspection forms are to be used during the initial setup of each drill rig for each borehole and

will be kept at the site. The matrix below provides a list of the inspections to be conducted, the

individual responsible for performing the inspections, and how often the inspections are to be

performed.

10.1 TABLE: HSE INSPECTIONS

MATERIAL TO BE INSPECTED PERSON RESPONSIBLE FOR

INSPECTION FREQUENCY OF INSPECTION

HSE Field Inspections Site supervisor Regular site inspections

PPE User of PPE Daily inspection before usage

Equipment (generators, trucks, vehicles, etc.)

Assigned Qualified Person Daily inspection before

operation

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11.0 TABLE: JOB HAZARD ANALYSIS FOR SUBSURFACE INVESTIGATION

Job Hazards Analysis (JHA) is required to be prepared as appropriate for work activities, such as

at a construction site. The JHA is required to evaluate known or anticipated hazards as well as

control measures as needed. In the event that an unforeseen situation occurs, a specific JHA on

the situation may be required.

MINIMUM PPE REQUIREMENTS SAFETY GLASSES, HARD HAT, REFLECTIVE VEST, SAFETY‐TOED BOOTS

POTENTIAL SAFETY/HEALTH

HAZARDS RECOMMENDED HAZARD CONTROL MEASURES

PERSONAL PROTECTIVE EQUIPMENT

Struck By/Against Heavy Equipment, Flying Debris, Protruding

Objects

Use reflective vests when exposed to vehicular traffic. Make eye contact with operators before approaching equipment. Barricade or enclose the drilling area. Restrict entry to the drilling area to authorized personnel. Wear PPE at all times. Understand and review hand signals, if applicable.

Safety vests, hard hat, safety glasses, goggles,

face shield

Sharp Objects and Hot Surfaces

Wear cut resistant work gloves when the possibility of lacerations or other injury may be caused by sharp edges or objects. Wear heat resistant work gloves when there is possibility of contact with hot surfaces. Ensure that the location of mufflers and other hot surfaces are known and guarded, if possible.

Work gloves

Sun Exposure

When working outdoors, wear minimum SPF 30, as appropriate. Wear UVA/UVB protective safety glasses. Limit exposure in direct sunlight if possible.

Sunscreen, tinted/dark safety glasses

Underground/Above ground Utilities

Identify all underground and overhead utilities around the site before work commences. All equipment will stay a minimum of 10 ft from power lines. This distance will increase as the voltage of the power lines increase. Cease work immediately if unknown utility markers are uncovered.

High Noise Levels Use hearing protection when exposed to excessive noise levels (greater than 85 dB(A) over an 8‐hour work period).

Ear plugs or muffs

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Handling Heavy Objects

Observe proper lifting techniques. Obey sensible lifting limits (40‐lb. maximum per person manual lifting). Use mechanical lifting equipment (hand carts, trucks) to move large, awkward loads.

Mechanical lifting

equipment (hand

carts/trucks, etc.)

Caught In/Between Moving/Rotating Parts

Identify and understand parts of equipment which may cause crushing, pinching, rotating, or similar injuries. Assure guards are in place to protect from these parts of equipment during operation. Provide and use proper work gloves when the possibility of crush, pinch, or other injury may be caused by moving/stationary edges or objects. Maintain all equipment in a safe condition. Keep all guards in place during use. De‐energize and lock‐out machinery before maintenance or service.

Work gloves

Slips, Trips, Falls

Clear walkways, work areas of equipment, drilling overburden, debris and other materials. Be careful of soft, moist subsurface materials. Mark or barricade obstructions.

Inhalation and Contact with Hazardous Substances

Provide workers proper skin, eye, and respiratory protection based on the exposure hazards present. Review hazardous properties of site contaminants with workers before operations begin.

Tyvek coveralls, Nitrile gloves

dependent upon contaminants

Vehicular Traffic

Spotters will be used when backing up trucks and moving equipment. All vehicles and equipment are to be operated at a reasonable speed (e.g. ten MPH) while on‐site roadways. Be aware of surroundings at all times.

Reflective safety vests

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Wildlife/Insect/Snake Bites

Avoid insect nests areas, likely habitats outside work areas. Emphasize “Buddy System” where such injury potential exists. Use insect repellant, wear PPE to protect against sting/bite injuries. Check for ticks exiting heavily vegetated/wooded areas.

Insect repellent

Overhead Hazards

All ground personnel will stay clear of all overhead loads. Where applicable, overhead wires will be appropriately marked. All equipment will stay a minimum of 10 ft from power lines. This distance will increase as the voltage of the power lines increase.

Hard hat

Contact Dermatitis

Wear PPE to avoid skin contact with contaminated soil, plant, or other skin irritants. Identify and review poisonous plants with workers.

Pants, long sleeves

High/Low Ambient Temperature

Monitor for heat/cold stress. Provide fluids to prevent worker dehydration.

Proper clothing for

temperatures

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12.0 TABLE: JOB HAZARD ANALYSIS FOR SITE VISITORS

MINIMUM PPE REQUIREMENTS: (SAFETY GLASSES, REFLECTIVE VEST, AND PROTECTIVE SHOES)




Weather If severe weather will affect site activities, visitors will be notified and told to take shelter.

None needed

Struck By/Against Heavy Equipment, Flying Debris,

Protruding Objects

Do not approach equipment. Stay out of the drilling area. Stay with Project Supervision.

Hard hat, safety glasses,

gloves

Sun Exposure

Wear minimum SPF 30 when working outdoors, regardless of cloud cover. Wear long sleeve shirts, if applicable. Wear UVA/UVB protective safety glasses. Limit exposure in direct sunlight, if possible. Use portable shades if weather conditions permit.

Sunscreen, portable shades

High Noise Levels Use hearing protection when exposed to excessive noise levels (greater than 85 dB(A) over an 8‐hour work period).

Ear plugs or muffs

Slips, Trips, Falls Be aware of uneven ground and stay with Project Supervisor.

None needed

Wildlife/Insect/Snake Bites

Review injury potential and types of snakes for area. Avoid insect nests areas, likely habitats of wildlife outside work areas. Use insect repellant, wear PPE to protect against sting/bite injuries.

Insect repellent

Driving Hazards

Vehicles must be able to pull through parking area or back in, so that the vehicle can move forward as it leaves the parking space. All will stay clear of all vehicles while backing.

None needed

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13.0 FORMS

FORM NUMBER TITLE

HSEM‐01 Occupational Injury & Illness Report Form

HSEM‐02 Near Miss Incident Report Form

HSEM‐03 HSE Incident Log

HSEM‐04 Environmental Field Inspection Form

HSEM‐05 Toolbox Safety and Environmental Meeting Form

HSEM‐06 Drill Rig Safety Checklist

HSEM‐07 On‐site Emergency Contacts

HSEM‐08 Daily Sign In/ Sign Out Sheet

14.0 CHANGE MANAGEMENT RECORD

REVISION NO. DATE DESCRIPTIONS OF CHANGES/AFFECTED PAGES

0 May 9, 2014 New issue to combine HSE

1 July 12, 2018 Revised Company Name and editorial changes.

Form HSEM‐01, Rev 1 © RIZZO Proprietary and Confidential Work Product

Page 1 of 2

OCCUPATIONAL INJURY & ILLNESS REPORT FOR RIZZO STAFF USE ONLY

Comp Non Comp

All occupational injuries and illnesses must be reported to supervision as soon as possible. This form must be sent to QHSE Department with all questions answered by supervision within 5 working days of an accident. Type or use pen to complete this form. (Please Print. If space is insufficient, attach additional sheet.)

Occupational Injury

Occupational Illness

Ergonomic

OSHA Log Stats

Attention: this form contains information relating to employee health and must be used in a manner that protects the confidentiality of employees to the extent possible while the information is being used for occupational safety and health purposes.

CLASSIFICATION:

FA MED RWC

LWC

EMPLOYER 1. Name of Employer 2. Employer Mailing Address

3. Employee’s Work Reporting Location

INJURED OR ILL EMPLOYEE Employee Number 4. Date of Hire ____/____/____ 5. Date of Birth ____/____/____

6. Name – First Middle Last

7. Home Address

No. & Street City State Zip Code

8. Sex M F 9. Phone No.

10. Dept. Name and Number 11. Job Title

INJURY OR OCCUPATIONAL ILLNESS 12. Date of Injury or Occupational Illness ____/____/____ Time of Injury or Occupational Illness ___ ___ : ___ ___ AM PM

If time cannot be determined, check here

13. Time employee began work ___ ___ : ___ ___ AM PM

14. Was place of injury on employer’s property? YES NO

15. Place of Injury or Illness: Company Location

Other than Company Location

(If accident occurred at an identifiable address, give that address. If it occurred on a public highway or at any other place which cannot be identified by number & street, please provide place references locating the place of injury as accurately as possible.)

16. If environmental conditions contributed to the accident or illness, note reason(s). Rain Snow Ice Cold Heat

Other

17. What was the employee doing just before the incident occurred? Describe the activity, as well as the tools, equipment, or material the employee was using. Be specific. Examples: “climbing a ladder while carrying roofing materials,” spraying chlorine from hand sprayer,” “daily computer key-entry”

18. What happened? Tell how the injury occurred. Example: “When ladder slipped on wet floor worker fell 20 feet,” “Worker was sprayed with chlorine when gasket broke during replacement,” “Worker developed soreness in wrist over time.”

19. What was the injury or illness? Tell us the part of the body that was affected and how it was affected; be more specific than “hurt,” “pain,” or “sore.” Examples: “strained back,” “chemical burn, hand,” “carpal tunnel syndrome.”

Form HSEM‐01, Rev 1 © RIZZO Proprietary and Confidential Work Product

Page 2 of 2

OCCUPATIONAL INJURY & ILLNESS REPORT

20. Was first aid treatment given? Yes No Sent to a Doctor? Yes No Sent to a Hospital/Clinic? Yes No

Was Employee Hospitalized? Yes No Fatality? Yes No Date of Death: ____/____/____

21. Name & Address of Physician or other health care professional, hospital or clinic

22. Should a Fitness for Duty Evaluation be performed? Yes No (If not, why?)

INVESTIGATION

23. Do standard methods/procedures exist? Yes No Were methods/procedures followed? Yes No

Was activity a normal part of job? Yes No Was person adequately trained? Yes No

HU FACTORS:

Time Pressure Vague/Interpretive Guidance Physical Environment Communications

Distraction/ Interruption First Shift/Late Shift Mental Stress

Multiple Tasks Peer Pressure Assumptions

Overconfidence Change/Off Normal Lack of Supervision/Oversight

24. How could this accident have been prevented?

25. What changes are recommended to prevent recurrence?

26. List action(s) being taken to prevent recurrence.

Action(s) Person(s) Responsible for

Action Date to be

Accomplished Date Accomplished

[Dept. use only]

27. Issue Report Number:

Additional Comments by employee or supervisor. (If continuing from a section on front, use corresponding number) Attach additional sheet if necessary.

I HAVE READ THE ABOVE REPORT, FRONT AND BACK, AND THE INFORMATION PROVIDED IS TRUE AND CORRECT.

Injured Employee’s Signature

Date

Date of Report

Supervisor’s Signature

Supervisor’s Employee No.

Prepared by – Name / Title Phone / Date

Approved – Dept. Manager’s Signature

FOR CORPORATE USE ONLY

Incident Number/OSHA Case Number Class OSHA Class

Reviewed by Verified by

Form HSEM‐02, Rev 1


Page 1 of 1

NEAR MISS INCIDENT REPORT

1. Submitted by: Employee Number: Date:

2. Work Group(s) Involved:

3. Incident Location:

4. Date of Incident: Time (AM/PM):

5. Brief description of incident and immediate corrective actions/compensatory measures taken:

6. How could this incident have resulted in injury? How serious could the injury have been?

7. Recommendations:

8. What were the causes of the incident?

9. Is this applicable to other work areas or work activities?

10. Should a Fitness for Duty Evaluation be performed? If not, why?

11. List Actions Taken to Prevent Recurrence:

Action(s) Responsible Person Estimated

Completion Date Date Completed

12. Investigation Completed By: Date:

13. Should a Prompt Investigation Be Performed? Yes No IR#:

14. General Supervisor Signature:

Date:

FORWARD ORIGINAL TO THE RIZZO QHSE STAFF



Page 1 of 1

HSE INCIDENT LOG

DATE TIME NAME COMPANY DESCRIPTION OF EVENT

ENVIRONMENTAL FIELD INSPECTION FORM



Page 1 of 6

Facility:

Date:

Instructions: I. Walk site and review each of the following areas. II. Explain each “No” answer in the comment section. Suggest corrective action. III. Sign completed form and ensure records are maintained as required.

GENERAL ENVIRONMENTAL MANAGEMENT Yes No N/A

1. Is housekeeping in all areas in good condition? All areas should be neat, orderly, and clean.

2. Are spill cleanup materials and equipment in good condition and in close proximity to where they might be needed?

3. Does security appear adequate? Fencing, locks, and lighting are in good condition.

Comments:

WASTE MANAGEMENT Yes No N/A

4.

Are trash receptacles free of the following hazardous, universal, or recyclable waste?

Aerosol cans

Containers with product (e.g., paint, solvent)

Saturated oily rags or absorbent pads

Rags or absorbent pads with solvent odor

Discarded equipment that contains refrigerant

Universal waste (mercury containing lamps, batteries, pesticides, thermostats)

Recyclable items (aluminum cans, metal, glass, plastic, cardboard, paper, etc.)

Tires (should be recycled)




Page 2 of 6

5.

Is waste properly contained in drums?

Bungs closed and no open funnels

Lids sealed tight

Clearly labeled with contents

Where contents are flammable, drum is grounded

Drums not stacked

Outside of drum clean; no evidence of waste product

6.

Are drums in good condition (includes empty drums)?

Free of dents

Free of holes

Free of rust

Free of bulges or leaks

7.

Is hazardous waste secondary containment in good condition?

Free of cracks, gaps, waste product, and no breaching

Containment drains closed

8. Is hazardous waste secondary containment free of product or

water?

9.

Is the emergency equipment in the hazardous waste storage area in working order?

Telephone or paging system (radio) must work properly

There must be a fire extinguisher present that is inspected monthly

Spill cleanup equipment must be present and in good condition.

If the facility is a small quantity generator, emergency response information must be posted near the communication system.

10.

Will the aisles in the hazardous waste satellite and accumulation (storage) areas allow for movement of emergency response equipment?

Must be able to see all sides of drum for markings and drum conditions.

11. Is the accumulation start date on all drums in hazardous waste storage/disposal area?

12. Are used oil drums and tanks properly marked with the words "Used Oil"?

13. Are used batteries and mercury containing lamps stored in designated area?

14. Are used batteries and mercury containing lamps marked with accumulation start date?




Page 3 of 6

15. Are crushed or broken mercury containing lamps contained to prevent release of mercury?

16. Are leaking batteries contained to prevent release of acid?

17. Are Port‐O‐Lets secure and free from leaks?

Comments:

CHEMICAL/PRODUCT MANAGEMENT Yes No N/A

18.

Are new products properly stored in labeled containers?

Labeled with contents and appropriate hazard warnings

Containers kept closed

No open top buckets/pails with product

The original manufacturer's label intact and readable MSDS available

19. Are flammable liquids and aerosols stored in nonflammable cabinets?

20. Is the quantity of gasoline storage inside a building < 25 gallons?

21. Are the "No Smoking" areas free from any evidence of smoking?

22. Are hazardous materials properly stored away from storm drains or pervious surfaces?

23.

Are storm drains free of hazardous materials?

No staining, discoloration

No odors

No visible sheen

Comments:

AIR EMISSIONS MANAGEMENT Yes No N/A

24. Is the facility area free from any evidence of particulate fallout from stack emissions?

25. Are fugitive emissions minimized and area sources minimized? (Sandblast curtains, slow vehicle speeds, water truck operating, adequate shell rock/aggregate cover, etc.)

26. Is the area free from any objectionable odors?




Page 4 of 6

27. Is excessive noise minimized?

Comments:

EROSION/SEDIMENT CONTROL Yes No N/A

28.

Silt Fence Conditions (where required)

Are fences free of tears?

Are fences secure to posts?

Is sediment less than 1/3 of fence height?

Is base/bottom edge of silt fence secured below ground?

29. Are construction entrances / exits mostly free of mud, dirt, and

rock?

Comments:

WATER QUALITY MANAGEMENT Yes No N/A

30.

Do the water discharge areas look clean?

Free of foam

No oil/grease sheen

Each outfall clearly labeled

31. Is the area free from evidence of industrial wastewater discharging to the ground? (e.g., reverse osmosis reject, etc.)

Comments:

TANKS/PIPELINES Yes No N/A

32. Are the tanks or pipes free from any signs of leakage or spillage?

33. Are the areas on ground around tanks or piping free from evidence of staining or dying vegetation?




Page 5 of 6

34. Are oil piping systems properly aligned and are supports/foundations in good condition?

35.

Do all above ground tank structures look sound?

No buckling, cracks, wetting, discoloration, blistering

No significant corrosion

No cracks in base/apron

No signs of settlement

36. Are storage tank/piping release detection systems free of oil? (e.g., double‐bottom tank, monitoring wells, etc.)

37. Is the cathodic protection working properly? Electrical box shows that amps of current is flowing

38.

Is secondary containment for tanks in good condition?

Concrete secondary containment should be free of cracks or penetrations.

Earthen dikes should be free of erosion, oil stains, trash accumulation, or undergrowth.

Temporary containments sound?

39. Is secondary containment for tanks free of product and water?

40. Are transformers in proper containment and free of leaks?

Comments:

PROTECTED SPECIES MONITORING Yes No N/A

41. Are Threatened and Endangered species conservation and monitoring plans being implemented effectively?

Surveys of construction area conducted for protected species?

42. Is the site free of any dead animals?

Comments:




Page 6 of 6

Good Practices:

Improvement Opportunities:

Actions required for “NO: Responses (What, Who, When)

Inspector’s Signature:

Inspector’s Name:

Inspector’s Title:

NOTE:

A. This is not a comprehensive environmental inspection sheet. Other country, federal, state,

and local requirements may apply to the site. This form is not to be used as a substitute for a full compliance audit.

B. A "No" answer indicates a situation that requires immediate action. Specify what action will be taken, by whom, and when.



Page 1 of 1

TOOLBOX SAFTEY AND ENVIRONMENTAL MEETING FORM

DATE

MEETING CONDUCTED BY :

PROJECT NUMBER

PROJECT SITE

HSE TOPICS REVIEWED AND INFORMATION DISCUSSED:

FOLLOW‐UP ACTION AND COMMENTS

ATTENDEES:

NAME (PRINT) SIGNATURE REPRESENTING

1

2

3

4

5

6

7

8

9

10

11

12

DRILL RIG SAFETY CHECKLIST



Page 1 of 2

Date:

Performed by:

Contractor/subcontractor results discussed

with:

Location:

Check “Yes” if an item is complete/correct.

Check “No” if an item is incomplete/deficient. Deficiencies shall be brought to the attention of the Site Supervisor. Any issue involving immediate danger to personnel or equipment shall be stopped immediately.

Section 2 must be completed for all items checked “No.”

Check “N/A” if an item is not applicable.

SAFE WORK PRACTICES YES NO N/A

1. Only authorized personnel operating drill rig

2. Area cleared prior to rig start‐up

3. Personnel clear of rotating parts

4. Personnel not positioned under hoisted loads

5. Loose clothing and jewelry removed

6. Instructed not to approach equipment that has become electrically energized

7. Smoking only in designated areas

8. Wearing appropriate PPE, per HSEP

DRILL RIG PLACEMENT YES NO N/A

9. Location of underground utilities evaluated and identified

10. Safe clearance distance maintained from power lines

11. Drill pad established, when necessary

12. Drill rig leveled and stabilized

DRILL RIG TRAVEL YES NO N/A

13. Mast lowered and secured prior to rig movement

14. Tools and equipment secured prior to rig movement

15. Personnel seated in cab during movement

16. Safe clearance distance maintained while traveling under overhead power lines

17. Backup alarm or spotter used when backing rig

DRILL RIG OPERATION YES NO N/A

18. Kill switch clearly identified and operational

19. All machine guards are in place

20. Rig ropes not wrapped around body parts

21. Pressurized lines and hoses secured from whipping hazards

22. Drill operation stopped during inclement weather

23. Air monitoring conducted per HSEP for hazardous atmospheres

24. Rig placed in neutral when operator not at drilling controls

DRILL RIG SAFETY CHECKLIST



Page 2 of 2

DRILL RIG MAINTENANCE YES NO N/A

25. Defective components repaired immediately

26. Lockout/tagout procedures used prior to maintenance

27. Equipment leaking fluids, lubricants or other fluids

28. Drill rig ropes, hoses and cables in clean, sound condition

29. Fall protection used for fall exposures of 6 ft or greater

30. Rig in neutral & augers or rods and barrels stopped rotating before cleaning

31. Good housekeeping maintained on and around rig

32. Fire Extinguisher located and inspected

33. First Aid Kit located and inspected

SECTION 2 COMPLETE THIS SECTION FOR ALL ITEMS CHECKED “NO” IN SECTION 1. DEFICIENT ITEMS MUST BE CORRECTED IN A

TIMELY MANNER.

ITEM # DESCRIPTION OF ISSUE & CORRECTIVE ACTION PLANNED/TAKEN DATE COMPLETED

_____ Allow to work. _____ No work until repairs made/activities adjusted. ________________________________________________ ___________________ Name / Signature Date Site supervisor or designee



Page 1 of 1

ON‐SITE EMERGENCY CONTACTS

CONTACT NAME PHONE NUMBER

Client Representative

Nearest Hospital

Fire Department

Police Department

Ambulance

Highway Emergencies

Poison Control Center

Spill Response

Utility One‐Call System

RIZZO Project Manager

RIZZO site supervisor

RIZZO QHSE Staff

RIZZO Administration

Subcontractor(s) Representative

Project Number:

Site Name:

Sheet of

Form HSEM‐08, Rev. 1 © RIZZO Proprietary and Confidential Work Product

DAILY SIGN IN/SIGN OUT SHEET

DATE NAME COMPANY TIME IN TIME OUT

health, safety, and environmental (hse) manual rizzo

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