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NORTH CAROLINA UNDERGROUND STORAGE TANK SECTION HEALTH AND SAFETY STANDARD OPERATING PROCEDURES MANUAL MAY, 2014 NC Underground Storage Tank Section Division of Waste Management Department of Environment and Natural Resources

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Page 1: NORTH CAROLINA UNDERGROUND STORAGE TANK SECTION … · Asheville, NC Phone: (888) 977-3319 CMC-NorthEast Occupational Medicine Services Gateway MOB II, Suite 201 1090 Northeast Gateway

NORTH CAROLINA UNDERGROUND STORAGE TANK SECTION HEALTH AND SAFETY STANDARD OPERATING PROCEDURES MANUAL MAY, 2014 NC Underground Storage Tank Section Division of Waste Management Department of Environment and Natural Resources

Page 2: NORTH CAROLINA UNDERGROUND STORAGE TANK SECTION … · Asheville, NC Phone: (888) 977-3319 CMC-NorthEast Occupational Medicine Services Gateway MOB II, Suite 201 1090 Northeast Gateway

FOREWORD

This manual contains the health and safety standard operating and field procedures used

by NC Underground Storage Tank (UST) Section employees during field operations. The

specific procedures outlined are based on current health and safety law, good practice, and on the

experience of Section personnel over the years.

This manual shall be provided to each UST Section employee engaged in field

operations. Each employee is expected to read and be familiar with each section of the manual.

This manual will serve as a source-book for training new employees as well as a reference

document. It will be periodically reviewed and updated. When changes are made in the manual,

an email announcing the change will be sent to UST Section employees. The updated version

will be posted on the DWM safety web page at http://portal.ncdenr.org/web/wm/safety.

Page 3: NORTH CAROLINA UNDERGROUND STORAGE TANK SECTION … · Asheville, NC Phone: (888) 977-3319 CMC-NorthEast Occupational Medicine Services Gateway MOB II, Suite 201 1090 Northeast Gateway

TABLE OF CONTENTS

SECTION 1 INTRODUCTION………………………………………….…………………….1

SECTION 2 PRE-FIELDWORK REQUIREMENTS…………………………………...….…1

2.1 Training Program……………………………………………………………………....1

2.2 Medical Monitoring Program…………………………………………………….……4

2.3 Personal Protective Equipment………………………………………………………...7

2.3.1 Purchase of Prescription Eyeware…………………...………………..………….…7

SECTION 3 FIELDWORK PREPARATION………..………………………………………..8

3.1 Underground Utilities…………………………………………………………………..8

3.2 Handling and Transporting Liquids/Hazardous Materials……………………………8

3.2.1 Sodium Bisulfate…………………………………………..…………………..…8

3.3 Safety Data Sheets……………………………………………………………….……9

SECTION 4 WHAT TO DO IN CASE OF AN INJURY……………………………………..10

4.1 Injury/Illness Covered By Workers’ Compensation……………………………………12

4.2 Reporting of Incidents……………..……………………………………………………12

4.3 Location and Use of First Aid Kits……………………………………………………..12

SECTION 5 FIELD WORK……………………………………………………………………13

5.1 Set up……………………………………………………………………………………13

5.1.1 Eyewash Bottles……………...…………………………………………………..13

5.1.2 Buddy System……………………………………………………………………13

5.2 Sampling…………………………………………………………………………………13

5.2.1 Soil Sampling With Augers ……………………………………………………..13

5.2.2 Water Sampling………………………………………………………………….14

5.3 Miscellaneous Sampling Considerations………………………………………………14

5.3.1 Heat Stress………………………………………………………………………14

5.3.2 Cold Stress………………………………………………………………………15

5.3.3 Bloodborne Pathogens…………………………………………………………..15

5.3.4 Radiation………………………………………………………………………15

5.3.5 Confined Space Entry……………………………………………………………15

5.3.6 Drum Sampling……..……………………………………………………………16

5.3.7 Safe Lifting………………………………………………………………………16

5.4 Roadside Safety…………………………………………………………………………17

5.4.1 Procedures for General Roadside Work………..…………………..…………...……17

5.4.2 Procedures for Tank Inspector Work…………………………………………….18

5.4.3 Accident Reporting Kits…………...…………………………………………….18

5.4.4 DENR Drug and Alcohol Policy…...…………………………………………….20

5.5 Emergency Response and Spills…………………………………………………………20

Page 4: NORTH CAROLINA UNDERGROUND STORAGE TANK SECTION … · Asheville, NC Phone: (888) 977-3319 CMC-NorthEast Occupational Medicine Services Gateway MOB II, Suite 201 1090 Northeast Gateway

5.6 New Tank Inspection Procedure ……………………………………………………...…21

SECTION 6 DECONTAMINATION OF EQUIPMENT………………………………………22

6.1 Water Level Indicators…………………..……………………………………………22

6.2 Booties……….………………………………………………………………………..22

6.3 Personal Items…………..…….………………………………………………………22

6.4 Vehicles……………….….…………..……………………………………….……...22

SECTION 7 EATING AND DRINKING POLICY…………………………………………….23

SECTION 8 SITE HEALTH AND SAFETY PLAN..………………………………………….23

APPENDIX A SAETY AND HEALTH POLICY OF MARCH 2013

APPENDIX B UST MEDICAL MONITORING POLICY JANUARY 2013

Page 5: NORTH CAROLINA UNDERGROUND STORAGE TANK SECTION … · Asheville, NC Phone: (888) 977-3319 CMC-NorthEast Occupational Medicine Services Gateway MOB II, Suite 201 1090 Northeast Gateway

LIST OF EXHIBITS

Location

EXHIBIT 1 Verification of Employee Training ……………………………….. 3

EXHIBIT 2 Medical Monitoring Facilities

Available to UST Personnel …………………………………..….. 5

EXHIBIT 3 Duke University Health Recommendation Form…………….…… 6

EXHIBIT 4 Corvel Worker’s Compensation/Physician’s

Report/Pharmacy Guide……………………………………………11

EXHIBIT 5 Tank Inspection Work Zone…………………………………..……19

EXHIBIT 6 Site Health and Safety Plan……………………………………..….24

Page 6: NORTH CAROLINA UNDERGROUND STORAGE TANK SECTION … · Asheville, NC Phone: (888) 977-3319 CMC-NorthEast Occupational Medicine Services Gateway MOB II, Suite 201 1090 Northeast Gateway

1.0 Introduction

This document was prepared by the North Carolina Underground Storage Tank (UST)

Section. Any other Agency that wishes to adopt all or part of this document should first check

their required SOPs for consistency.

The purpose of this document is to identify standard operating procedures for the safety

of all UST personnel. This document is not intended to replace or duplicate a written health and

safety program. The UST Health and Safety SOP Manual will be reviewed on a regular basis.

Changes in EPA's standard operating procedures, occupational health and safety standards, and

the UST Section's equipment and facilities will be reflected in the updates.

2.0 PRE-FIELD WORK REQUIREMENTS

2.1 TRAINING PROGRAM

Per the Occupational Safety and Health Administration (OSHA) law 29 CFR 1910.120

(e), all UST field staff shall receive training before they are permitted to engage in activities that

could expose them to hazardous substances or safety hazards. The training will consist of an

initial 24 hour course, 1 day of supervised field experience, and 8 hours of annual refresher

training.

The topics covered in the 24 hour training course include: the fundamentals of hazard

recognition; toxicology; use and limitations of direct-reading air monitoring instruments; the

selection, use, and limitation of personal protective equipment; and safety guides and procedures

for site inspections.

After completing the 24 hour training course, the new employee will spend a minimum of

1 day in the field under the direct supervision of an "OSHA Approved Supervisor". The

supervisor will have completed the above requirements plus an additional 8 hours of specialized

training in the safety and health program and the associated employee training program, personal

protective equipment program, and health hazard monitoring procedures and techniques.

After conducting the new employee oversight, the OSHA Approved Supervisor will

complete a Verification of Employee Training form (Exhibit 1). For certain tasks, the Industrial

Hygiene Consultant may also ask the OSHA Approved Supervisor to complete a Job Safety

Analysis Worksheet and/or a Personal Protective Equipment Hazard Assessment checklist,

which will be provided by the Industrial Hygiene Consultant. All paperwork will be submitted

to the Industrial Hygiene Consultant for review. The Industrial Hygiene Consultant will use

these forms, along with periodic site visits, to review and update procedures and personal

protective equipment.

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After the day of field experience, the Industrial Hygiene Consultant will accompany

randomly selected new employees on a final training visit to answer any questions and check the

training system.

All UST field staff members are required to receive 8 hours of annual refresher training.

Topics may include the subjects mentioned above and other related topics. There will be four

refresher classes per year. Three classes will be offered in the fall, one of these classes will be

held in an eastern regional office, one in Raleigh, and one in a western regional office. In

addition, there will be one 8 hour refresher class in Raleigh in the Spring.

Staff will be informed of the exact time, date, and location of the fall refresher training in

July, and the spring refresher training in January. The training time and locations will also be

posted on the DWM Safety web page at

http://portal.ncdenr.org/web/wm/div/safety/training/calendar/ust-sf.

In addition to the above mentioned training, OSHA requires UST field staff to be first

aid/CPR trained. This training must be renewed every 2 years. The regional office and central

office supervisors schedule these classes and notify the staff of the time, date, and location.

These classes will also be listed on the DWM Safety web page.

All certificates and training documentation will be kept on file by the UST Section.

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EXHIBIT 1

VERIFICATION OF EMPLOYEE TRAINING

The undersigned employee has completed one day of field experience as required by 29 CFR

1910.120.

_

Supervisor Site Name and Incident Number

_

Employee Date Of Visit

******************************************************************************

Industrial Hygiene Consultant Review:

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2.2 MEDICAL MONITORING PROGRAM

All UST employees covered by the medical monitoring program (see Appendix B for

details) will receive physical examinations prior to conducting fieldwork, biennially, and upon

leaving the section. When employees are due for a physical, Leann Ishak will send an email

asking the employee to schedule a physical at the medical facility of their choice (see Exhibit 2).

If you need to switch medical facilities, contact the Industrial Hygiene Consultant for further

assistance.

The information gathered during the physical is used to determine fitness to work while

wearing protective equipment. The medical facility will send two packets of information: 1) a

Health Recommendation Form, and 2) the results of the blood tests and urinalysis. The

information on the Health Recommendation Form includes the employee's name, date, and

whether the employee is physically able to perform his/her work duties for the next year (Exhibit

3). This information is kept on file by the UST Section in the Central Office. The results of the

blood and urinalysis are sent to the employee's home and are confidential. The UST Section

does not receive a copy of this information. The physical exams consist of the following:

Test Baseline Biennial Exit Physical/History X X X

Audiogram X X X

Urinalysis X X X

Blood tests X X X

EKG X X

Chest X-Ray Per MD request Per MD request Per MD request

Tdap X X

When you fill out the paperwork at your physical, please make sure the words “UST

Section” appear in the “Employer” box or in big letters at the top of the page. Otherwise, you

may not receive the correct physical or the paperwork may be sent to another division.

If a DWM employee declines the medical monitoring, that employee must read the

Medical Monitoring Policy and submit a signed Medical Surveillance Waiver Form to the

supervisor and Leann Ishak. The policy and form can be found at:

http://portal.ncdenr.org/web/wm/div/safety/policy. After the form is signed, the employee may

continue with normal job duties. The employee may re-enter the medical monitoring program at

any time.

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EXHIBIT 2

MEDICAL MONITORING FACILITIES AVAILABLE TO UST PERSONNEL

Duke University Medical Center

http://dukeoccmed.mc.duke.edu/modules/occmed_const/index.php?id=8

Occumed

50 Doctors Drive

Asheville, NC

Phone: (888) 977-3319

CMC-NorthEast Occupational Medicine Services

Gateway MOB II, Suite 201

1090 Northeast Gateway Court, NE

Concord, NC

Phone: (704) 403-1791 (Speak with Darien or Sharon for an appointment.)

Perspective Health (East Carolina University)

115 Heart Drive*

Greenville, NC

Phone: (252) 744-2070

Speak with Yvonne Taylor for an appointment.

*Make sure you ask for directions. The facility is on the medical campus, getting to the right

place is more complicated than it seems.

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EXHIBIT 3

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2.3 PERSONAL PROTECTIVE EQUIPMENT (PPE)

Upon completion of an initial medical exam and physician's approval, UST tank

inspectors will be assigned: 1) Steel toed work shoes, 2) work gloves, 3) reflective vests, 4)

safety glasses, 5) goggles, and 6) hard hat. Knee pads are available upon request. Ear plugs are

also made available for UST tank inspectors who wish to use them in areas were noise levels

may be irritating but do not exceed the OSHA action level. Dust masks are made available for

UST tank inspectors where dusty conditions may be bothersome, but respiratory protection

would not be required. All other UST field personnel are assigned steel toed work shoes and

safety glasses. Hard hats are also available. If replacement equipment is needed, notify your

supervisor.

Over the years, we've learned which vendors deal in high quality equipment and which

do not. However, "junk" still slips through once in a while. If any piece of personal protective

equipment is not up to the standards you are used to, immediately return it to your supervisor. Do

not use it. Doing so may risk your safety and make it impossible to receive a refund on the

substandard equipment.

The employee may purchase steel toed shoes from any vendor. Steel toed shoes must

comply with ASTM F2413 or ANSI Z41. Depending on the vendor, you may need to get a PO

number from Maureen Burgess, or pay the money out of your pocket and get reimbursed. Check

with Maureen before shopping for steel toed shoes. You have $100.00/year of state money to

spend. You may save this money over 2 years, with a maximum of $200.00 for a single pair of

boots. You do not need to spend your own money unless you decide to buy boots that cost more

than the allowable amount. Also, let Leann Ishak know so she can track the boot purchases.

When an employee leaves the employment of the UST Section, the safety equipment will

be turned over to the immediate supervisor. The employee may keep the steel-toed shoes.

2.3.1 Purchase of Prescription Safety Eyewear

You must obtain permission from your supervisor prior to the purchase of prescription

eyewear. The procedure for purchasing prescription safety eyewear can be found at:

http://correctionenterprises.com/state-employees/optical.php. Download the application form,

then call Maureen Burgess at (919) 707-8273 for further instructions.

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3.0 FIELDWORK PREPARATION

3.1 UNDERGROUND UTILITIES

A section concerning underground utilities is added to the SHSP when the sampling team

plans on collecting subsurface (deeper than a few inches) soil samples. When subsurface soil

sampling is conducted, the project lead must obtain information on the location of the

underground utilities. This information is available by contacting NC811 at phone number 811.

The call to NC811 should be made 2-10 days before the site visit. The project lead may obtain

the same information from a plant employee or resident if such a person is available. The project

lead will then inform the Industrial Hygiene Consultant as to who they spoke to, the ticket

number, and the date the underground utility was located so that the information can be added to

the SHSP.

Prior to conducting subsurface soil sampling, a metal detector should be used to confirm

the location of underground utilities. Metal detectors are available at the Central Office and each

of the Regional Offices.

3.2 HANDLING AND TRANSPORTING HAZARDOUS MATERIALS

3.2.1 Sodium Bisulfate

The sodium bisulfate is for the preservation of water samples for the analysis of volatile

organic analytes (VOAs). The sodium bisulfate is contained in the pre-preserved VOA vials.

The vials are transported to the field in same container the supplier used to ship them to the UST

Section. When transporting the VOA vials, place them on the floor of the vehicle away from

metal objects. Be sure they are packed securely and out of direct sunlight.

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3.3 SAFETY DATA SHEETS

A list of all the chemicals used in the UST Section can be found below. Safety Data

Sheets (SDSs) are kept in each UST vehicle, the Central and Regional Supervisor’s office, and

the Industrial Hygiene Consultant's office. The SDSs are not to be removed from any of these

locations. If you cannot locate the SDSs in any of these locations, inform the Regional

Supervisor.

Alconox

Gasoline Level Finder

Master Water Line Finder

Sodium Bisulfate

Pentane

Rubbing Alcohol

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4.0 WHAT TO DO IN CASE OF AN INJURY

If an injury occurs on site, the following steps will be taken:

1. Remove the person from any immediately hazardous situation if it can be done

safely; if not, call the rescue squad. The rescue squad phone number will be listed

on the Site Health and Safety Plan.

2. Decontaminate the employee. This shall consist of removing contaminated

clothing and equipment. If possible, wash contaminated skin with soap and

water.

3. Apply first aid as needed (See Section 4.3).

4. For injuries that require attention beyond first aid and the employee cannot be

transported safely, call an ambulance. If safe transport is possible, take the

employee to 1) the hospital listed in the safety plan if in the field, or 2) Duke if

you are in the Raleigh area. Prior to conducting fieldwork, the UST employee

must locate the closest hospital. To do this, go to

http://www.ncdhhs.gov/dhsr/data/hllistco.pdf and look under Hospital Listing by

County to find the hospital closest to your site(s).

Once in the hospital, the employee (or co-workers) will present the completed Corvel

"WC Authorization/Physician’s Report/Pharmacy Guide" form (see Exhibit 4). A copy of this

form will be attached to each safety plan as the last page. If identification is needed, the

employee should show the nurse his/her state employee ID. If further verification of

employment is necessary, the following people may be contacted by the nurse:

Grover Nicholson (919) 707-8263

Vance Jackson (919) 707-8262

Ruth Strauss (919) 707-8299

Steve Booe (336) 983-0561

Michael Phelps (336) 771-5344

Bob Davies (919) 707-8298

Division Personnel (Janice Russ) (919) 707-8277

It is strongly recommended that the employee NOT get treatment by displaying his/her

Blue Cross/Blue Shield card. Doing so may result in the employee paying the bill out of his/her

pocket. The injury must be reported to the employee's supervisor and Industrial Hygiene

Consultant immediately.

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EXHIBIT 4

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4.1 INJURY/ILLNESS COVERED BY WORKERS’ COMPENSATION

The Division of Waste Management’s Workers’ Compensation coverage is provided by

the State through a self-funded program and is administered by Corvel. Only job related injuries

and illnesses are covered by this insurance.

The Workers’ Compensation Act establishes three conditions that MUST be met for an

injury or illness to be considered compensable. These conditions are:

1. The employee must suffer a personal injury by accident. Intentional injuries are not

covered.

2. The injury must arise in the course of employment. This means the person must be a

State Government employee at the time of the injury/illness. Students and volunteers

are NOT considered employees of the State.

3. The injury must arise out of employment. This means the employee must be

performing the job at the time of injury.

4.2 REPORTING OF INCIDENTS

Employees must report all incidents within 24 hours of occurrence. All incidents,

including “near misses” will be investigated by the employee’s supervisor in conjunction with

the Division Industrial Hygiene Consultant. Findings will be forwarded to the Division’s Safety

Audit Sub Committee. Corrective measures will be implemented immediately when the

investigation reveals such actions are necessary.

4.3 LOCATION AND USE OF FIRST AID KITS

First aid kits are located in each of the vehicles permanently assigned to the UST Section.

When other vehicles are used, the UST employee shall take a first aid kit. First aid kits are

located in each of the Regional Offices and the Central Office for this purpose. If you are in the

field and injure yourself in any way so that treatment with the materials in the first aid kit is

necessary, the treatment must be reported to the Industrial Hygiene Consultant within 5 days.

Doing so will insure that if follow up treatment is necessary, such as treatment for an infected cut

or a tetanus shot, there is a record that the incident occurred at work.

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5.0 FIELD WORK

The procedures below will be followed when conducting field work. Since the scope of

field work varies depending on the site, all the procedures listed may not apply to every site.

Under no circumstances will sampling take place in the presence of anyone handling firearms

unless that person is a law enforcement officer.

5.1 Set up

5.1.1. Eyewash Bottles

An eyewash bottle is to be taken on every site where preserved samples are collected.

Empty eyewash bottles are kept in the Central and Regional Offices. The bottles are to be kept

empty and dry when not in the field. Before a sampling visit, wash an eyewash bottle inside and

out with a small amount of mild soap, and rinse thoroughly. Fill the eyewash bottle with tap

water, and keep it handy until you are done sampling. Empty the bottle at the end of the

sampling trip, shake out the excess water, and let the bottle air dry.

5.1.2. Buddy System

All sampling should be conducted with at least two UST people. Tank pull oversight and

tank inspections may be conducted by one person.

5.2 SAMPLING

Before the sample is collected, sample containers may be handled without gloves. After the

sample is taken or the sample container is acidified, the outside of the sample container will be

considered contaminated and will be handled only with gloved hands. If the sample container is

placed into a clean zip lock baggie, the baggie may be handled without gloves. Samples will be

processed in the field or lab, they are never brought into office areas.

While sampling, loose clothing, jewelry, long hair, and anything else that may get in the

way will be restrained so it does not become contaminated. After taking the sample and before

removing contaminated gloves, care will be taken not to touch any materials that can not be

decontaminated. These materials would include, but not be limited to, notebooks, pens, and

clothing. At no time will smelling potentially contaminated media ever be practiced.

5.2.1 Soil Sampling With Augers

Nitrile gloves will be worn while taking soil samples, both by the person augering and the

person collecting the sample. Steel toed shoes will be worn on-site and in work areas. If the soil

is potentially contaminated, disposable booties will be worn. Tyvek suits will be worn while

augering. Cutting or tearing holes in the tyvek suit for the purpose of accessing pockets is

prohibited.

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5.2.2 Water Sampling

Nitrile gloves will be worn while conducting all phases of monitoring well sampling,

including uncapping the well, testing the water depth, purging the well, and collecting the

sample. A tyvek suit should be worn while bailing monitoring wells. Since locks and well caps

are sometimes lubricated with WD-40 or grease, the gloves will be changed after opening the

monitoring well. Goggles and nitrile gloves will be worn while collecting acid preserved

samples, and a full eyewash bottle will be kept close at hand. Do not add acid or base

preservatives to highly concentrated liquid waste samples.

When approaching a house to take a residential water sample, it should be noted that in

many rural areas of the state, "hanging out" in someone's driveway for even a few minutes to

read a map or to get your bearings is viewed as very suspicious. When you pull up to someone's

home, a member of the sampling team should get out of the vehicle immediately and announce

your presence. The exception would be if there are threatening animals, such as dogs, that may

attack. It is recommended that business cards and your state ID card be offered as a means of

identification.

5.3 MISCELLANEOUS SAMPLING CONSIDERATIONS

5.3.1 Heat Stress

Heat stress can be the result of working during hot weather or wearing protective clothing

that inhibits natural ventilation. It can occur even under moderate temperature conditions. Since

UST personnel perform their job functions in close proximity to their air conditioned vehicles,

the likelihood of heat stress is greatly reduced. The following protocols are to be used to counter

heat stress:

To allow workers to replace body fluids lost, water will be available at the site. The NC

UST Section will not provide any beverage other than water.

At the discretion of the Industrial Hygiene Consultant, employees' vital signs will be

monitored (i.e., body temperature, blood pressure, and heart rate).

Work teams may be rotated so that individual time on especially hot jobs is minimized.

Field personnel are to be encouraged to maintain their physical fitness.

Intake of diuretics, such as coffee or alcohol, is to be minimized prior to field work.

At the discretion of the Industrial Hygiene Consultant, work tours will be limited to

minimize exposure to the heat.

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5.3.2 Cold Stress

Exposure to extreme cold can result in hypothermia. Field work during periods of low

temperatures and windy conditions should be modified to minimize the possibility of

hypothermia. Since UST personnel perform their job functions in close proximity to their heated

vehicles, the likelihood of cold stress is greatly reduced. The following protocols are to be

followed:

Workers will dress as warmly as possible using layers of clothing to maximize protection.

At the discretion of the Industrial Hygiene Consultant, work tours will be limited to

minimize exposure to the cold.

If on site, the Industrial Hygiene Consultant will carefully observe workers for signs of

hypothermia/frostbite.

5.3.3 Bloodborne Pathogens

The Occupational Safety and Health Administration's standard 29 CFR 1910.1030

requires each employer having an employee(s) with a reasonably anticipated contact with blood

or other potentially infectious materials to establish a written Exposure Control Plan. While

there may be a few UST sites that contained medical waste, such as sharps (needles, scalpels) or

fluid bags, they are not at all a common occurrence and would not be considered "reasonably

anticipated".

UST personnel will evacuate the area of immediate/potential danger if medical waste is

encountered. Reconnaissance or sampling may take place on other areas of the site if they are

free from medical waste. If an individual is exposed to medical waste, such as exposure to an

open wound or being cut by medical waste, the employee will immediately proceed to the

nearest hospital and follow the procedures outlined in Section 4 of this document.

5.3.4 Radiation

It is highly unlikely that a UST site would contain radioactive waste. If radioactive waste

is suspected, the Division of Radiation Protection will be contacted to deal with the situation.

5.3.5 Confined Space Entry

According to 29 CFR Part 1910.146, a confined space is: 1) large enough and configured

so that a person can enter; 2) has limited or restricted means for entry or exit (e.g., tanks, vessels,

silos, storage bins, hoppers, vaults, or pits); and 3) is not designed for continuous occupancy.

UST personnel shall not enter a space if it meets this definition.

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5.3.6 Drum Sampling

UST Section personnel shall not sample drums containing unidentified substances.

Drums that are disposed of illegally by dumping on the side of the road or in an abandoned lot

often contain toxic chemicals. Opening and sampling these drums requires equipment and

training beyond that which the UST Section provides.

5.3.7 Safe Lifting

Since equipment must be moved to and from the field to conduct sampling activities, the

potential for injury due to lifting this equipment exists. Prior to attempting to lift an item, the

employee should move the item around to establish the weight. If it appears to be too bulky or

heavy for one person, get help. The following procedure should be used when lifting equipment:

1. Stand close to the load and center yourself over it with your feet shoulder width apart.

2. Tighten your abdominal muscles.

3. Keeping your back straight, bend your knees and squat down to the floor.

4. Get a good grasp on the load with both hands.

5. Keeping the load close to your body use your leg muscles to stand up lifting the load

off the floor.

6. Your back should remain straight throughout lifting, using only the muscles in the

legs to lift the load.

7. Do not twist your body when moving the load. Instead take small steps with your feet

turning until your are in the correct position. This step is especially important when

unloading the trucks at the loading dock.

8. Again bend at the knees using only your leg muscles and place the load in the

appropriate spot.

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5.4 ROADSIDE SAFETY

When UST employees need to stop to perform work along roads, procedures must be

followed that ensure the safety of UST personnel and the traveling public. These procedures are

intended to be used for short term work of no more than 60 minutes at a single location, and for

situations that do not involve encroachment onto the road. For work periods greater than 60

minutes or work that does encroach into the road, contact the division Industrial Hygiene

Consultant for further guidance. Two procedures are listed below, one for UST personnel in

general, and one for tank inspectors:

5.4.1 Procedures for General Roadside Work

1. If a site reconnaissance is conducted prior to fieldwork, note if roadside parking will

be required. UST employees will park along the road only if no other parking

options exist.

2. Prior to arriving at the sampling point, prepare the sample bottles so you can get out of

the vehicle and away from the side of the road as soon as possible.

3. If the vehicle must be parked along the road, make sure there is enough room to pull

the vehicle a few feet off the road.

4. Put on your reflective vest.

5. Place the beacon on top of the vehicle (inspectors lights are permanently mounted).

Keep fingers and power cord clear of the base of the beacon while placing it on

top of the vehicle. Pass the power cord through a slightly lowered window.

6. Plug the beacon into the cigarette lighter.

7 Take sample.

8. Upon returning to vehicle, if the amount of room is not adequate to safely label and

preserve the samples, place the samples in the cooler. Then drive to a safe

location (making sure to remove the beacon prior to driving) such as a driveway

or parking lot well away from traffic in order to label and preserve samples.

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5.4.2 Procedures for Tank Inspector Work

1. Enter the premises, introduce yourself, ask for the person you are supposed to meet and

explain the purpose of your visit.

2. Park the vehicle so it is between the work zone and on-coming traffic, at least 15 feet

(space permitting) from the work zone.

3. Activate the rotating beacon lights on top of the vehicle.

4. Put on your reflective vest.

5. Place cones between on-coming traffic and work zone, opposite the parked vehicle.

Make sure cones are at least 15 (space permitting) feet from the work zone (See Exhibit

5).

6. Survey the area. Note the location of the tanks, vent pipes, and dispensers. Look for

conditions that may pose a hazard or threat.

7. Remove the manway cover above the submerged pump (if so equipped). Inspect the

submerged pump sump/access point area and note results on inspection checklist. UST

Tank inspectors shall not enter the sump. Replace the manway cover before moving

on.

8. Remove the smaller access covers one at a time. You will typically find one to four

access covers per tank. The four types of smaller access cover areas can contain the

following items: UST fill port, vapor recovery valve, Automatic Tank Gauge Probe,

and/or Interstitial sensor. Remove the fill cap (use an intrinsically safe flashlight or a

mirror to provide light) and look down the fill pipe. Note inspection findings on the

inspection checklist.

9. If the tank system is equipped with an impressed current cathodic protection system,

locate the rectifier box and check to make sure the system is operating. If there is no

cover plate over the high voltage wire connections within the rectifier box, do not touch

the wires. Note the results on the inspection checklist.

10. Inspect the dispensers by unlocking and removing the lower dispenser cover and looking

underneath the dispenser. Make note of any discrepancies and replace the cover.

11. When inspection is complete, collect cones, turn off the rotating beacon lights, and move

vehicle away from tank area.

5.4.3 Accident Reporting Kits

Accident reporting kits in all vehicles owned or leased by the UST Section. The kits

include phone numbers, insurance forms, and procedures to follow in case of an accident. The

kits should be located in the vehicle or in the mileage log notebook.

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EXHIBIT 5

Tank Inspector Work Zone

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5.4.4 DENR Drug and Alcohol Policy

It is the policy of the NCDENR that all employees shall have the right to a workplace that

is free of controlled substances and alcohol and that no employee will be permitted to perform

job functions while abusing controlled substances, or misusing alcohol as identified in this

policy. It is recognized that the magnitude of injury from the abuse of controlled substances and

alcohol misuse can range from personal injury or equipment damage to the death of co-workers,

the traveling public and public visitors.

The NCDENR policy and procedures concerning controlled substances and alcohol is a

"Zero Tolerance" policy. This policy is established to ensure the safety and well being of

employees of the NCDENR as well as the general public. All employees of the NCDENR

including probationary, permanent full-time, permanent part-time, trainees and temporary

employees are covered by this policy.

Employees are encouraged to review the DENR Controlled Substance Abuse and

Alcohol Misuse Policy, which can be found at

https://docs.google.com/viewer?a=v&q=cache:FKD_PWXAPfMJ:test.enr.state.nc.us/hr/Alcohol

Drug/DENR%2520DrugPolicyJuly2006.doc+ncdenr+substance+abuse&hl=en&gl=us&pid=bl&

srcid=ADGEEShzGI-6_6i9D-

10s8r9m_zm3E0gvIKWU8uoWPPz8ZcEiIdiV2eIbvmFluGMuvjY2rSvOp8i8vp8X0Ypv9CLv05

fedYZGnqw6c3io6ltO5gOUWBpPQDBGPvSzUmfX0HTzig4zsVS&sig=AHIEtbRH_OLUyXU

ZT80ZG-HkAHFrRxBNeA.

PLEASE NOTE: If you are involved in an auto accident in a state vehicle, are not under

the influence, and the attending police officers do not cite you for being under the influence, you

can still be fired from your job unless you prove your innocence under the methods prescribed in

this policy. It is strongly recommended you review this document and pay special attention to

pages 11 and 12.

5.5 EMERGENCY RESPONSE AND SPILLS

Periodically, a UST employee will carry the emergency response pager. The

pager is used to alert employees that agencies responding to emergency situations require

input from the division of waste management.

There are two scenarios in which UST employees may be asked to participate in

emergency response actions: 1) while the emergency is in progress, and 2) after the

initial emergency phase is over, but further environmental assessment or response is

necessary (post emergency response operations). Calls for scenario 1 can come any time,

day or night.

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Unless requested to do so by EPA or another authority such as a supervisor or

DENR management, UST employees will not travel to the emergency situation while in

progress. If UST employees do go to the site at the request of an authority, the

employee’s scope of work will be that of technical consultant. UST employees are to

remain in areas accessible to the public, or in the clean zone designated by the on-scene

incident commander. The UST employee will not conduct any sampling, contaminant

control, or reconnaissance operations.

Dangerous situations often remain at the sites while post emergency response

operations are conducted. These can include explosive and reactive situations, pools of

pure product or mixtures of chemicals, heavily contaminated media, and unstable

structures. Most likely, contractors for the owner/operator, EPA, or EPA’s contractors

will be the first to enter these sites. After characterization and stabilization, UST

employees may be called in to aid in sample point determination or to collect

environmental samples. At this point, the procedures for fieldwork outlined in other

sections of this manual would apply. A site specific health and safety plan is required.

Employees shall not walk through obviously contaminated media, go near smoldering

objects, or go near drums. Employees shall not enter buildings before they are declared

stable and safe by the local building inspector. Confined space entry is also prohibited.

For small spills of waste or product where UST personnel are called by a local

government agency or by the facility, and there is no EPA or DENR management

involved, the supervisor will determine whether to send employees to the scene. All the

procedures for fieldwork outlined in the preceding paragraph and other sections of this

manual would apply.

5.6 NEW TANK INSPECTION PROCEDURE

New underground storage tanks will undergo two inspections, an initial inspection

and a final inspection. The initial inspection takes place prior to placing the tanks and

piping in the ground, and the final inspection takes place after these items are in the

ground, but prior to burial.

Initial Inspection

1. Arrive on site and introduce yourself to the person in charge. Personal

protective equipment will include steel toed shoes, a hard hat, and traffic vest.

Safety glasses will be worn if the site is dusty or heavy machinery is active.

2. Visually inspect the tanks. Since the tanks may be unstable and could roll, use

caution when walking along the tank lengthwise. Do not walk between the

tanks. If tanks have a pressure applied, do not stand at either end (weakest

point) for extended periods in case ends of tank rupture.

3. Read the vacuum or pressure gauge or reservoir liquid level on the tank from

the ground or rely on the contractor to take readings. Do not climb onto the

tank or up a ladder to do this.

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4. Position yourself so you are facing moving heavy machinery.

5. Stay at least two feet away from the edge of excavations, more if the soil is

sandy or unstable.

Final Inspection

1. Arrive on site and introduce yourself to the person in charge. Personal protective

equipment will include steel toed shoes, a hard hat, and traffic vest. Safety

glasses will be worn if the site is dusty or heavy machinery is active.

2. When conducting pressure check, use caution walking the site. There will be

some shallow, open excavation areas that present a trip hazard.

3. Stay back when pressure is released, particles could be blown into the eye.

6.0 DECONTAMINATION OF EQUIPMENT

6.1 Water Level Indicators

The water level indicators are decontaminated in the field. This involves a soap and

water wash and a DI water rinse. Nitrile gloves will be worn while decontaminating the water

level indicators.

6.2 Booties

If UST personal must walk in areas of potential soil contamination, booties should be

worn over the steel toed shoes. After they are worn, the booties will be thrown away.

6.3 Personal Items

Any personal items that become contaminated will be thrown away. If you have any

personal protective equipment you use while conducting work for the UST Section that was not

purchased by the UST Section, report it to the Industrial Hygiene Consultant immediately.

6.4 Vehicles

The vehicles should be kept as clean as possible. Since the front of the vehicles are used to

haul personnel and personal equipment, every attempt should be made to keep all field

equipment in the back of the vehicles. If this is not possible, only clean equipment shall be

placed in the front of the vehicles. All equipment will undergo at least a gross decontamination

and be wrapped in aluminum foil or in a plastic bag before being placed back into any of the

vehicles.

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7.0 EATING AND DRINKING POLICY

There will be no eating, chewing tobacco or snuff, chewing gum, chewing tooth picks or

weeds, taking medications (except for life threatening emergency situations), or smoking by UST

employees on any UST site while sampling or remediation is being conducted. This policy also

applied to off-site sampling and operations conducted in the lab facilities. Eating and drinking

are permitted in the vehicles before and after a site sampling visit, and off-site between samples

if personnel have been properly decontaminated.

Drinking is permitted on-site only after personnel have properly decontaminated. This

decontamination consists of glove removal, and washing the hands with soap and water.

Drinking will take place only in areas that are believed to be free of contamination. No drinking

is allowed while sampling, bailing, or packing sample coolers.

8.0 SITE HEALTH AND SAFETY PLAN

The Site Health and Safety Plan (SHSP) required under 29 CFR 1910.120, and

establishes procedures designed to protect employees and the public from the potential hazards

posed by the hazardous waste site. The SHSP must be kept with the employee while in the field.

The SHSP must anticipate the potential health hazards on a site, determine the risks of

exposure, and establish control methods for those exposures. The Industrial Hygiene Consultant

reviews the available site information to determine what chemicals may be present, gathers data

on these chemicals, and considers disposal practices and site conditions. Physical features of the

site such as size, terrain, soil type, groundwater levels, and location of surface water are critical

in developing an appropriate SHSP. To ensure the SHSP and the site sampling plan are

compatible, the Industrial Hygiene Consultant may discuss the sampling strategy with the site

inspection team leader prior to developing the SHSP. This information, along with the Industrial

Hygiene Consultant's experience, is used to determine the risks of exposure, develop control

methods, and ensure the site inspection team applies the control methods properly.

A SHSP is required for all on-site visits and off-site sampling visits. Off-site visits in

which no sampling is conducted do not require a SHSP. Routine, non-sampling inspections

conducted by the tank inspectors do not require a safety plan. If there is any question on whether

a site visit requires a SHSP, check with the Industrial Hygiene Consultant.

UST personnel have electronic copies of the safety plan; copies are also available from

the supervisors and Industrial Hygiene Consultant. Prior to a site visit, the employee is to print

and complete the safety plan. The routes to the hospitals section must be completed. The

hospital list, sorted by county, can be found at: http://www.ncdhhs.gov/dhsr/data/hllistco.pdf.

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EXHIBIT 6

DWM - UST SECTION

SITE HEALTH AND SAFETY PLAN (This form is to carried with each staff member when conducting field work)

Staff Member Name:

Dates of Investigation:

Date Sampling

(Y/N)?

Reason for

Visit (see

below)

Incident Names and

Numbers

Signature

(Continued on Back)

Reason for Visit Codes: Sampling Codes:

T - Tank Closure A - Surface Soil P - Stockpile Sampling

C - Complaint Investigation B - Subsurface Soil S - Surface Water Sampling

V- Routine Site Visit G - Groundwater

Site Investigation Team: All site personnel have read the Site Health and Safety Plan and are

familiar with its provisions.

Personnel Responsibilities Signature

Team 1

Team 1

Team 2

Team 2

Hospital Information (Map must be attached to package):

County Hospital Name Hospital Phone Number

(At a minimum, one hospital must be listed for each county that the staff member is working. A

map, showing the location of the hospital, must be attached to package)

Plan Prepared by:

Emergency Phone Numbers:

Fire, Ambulance, Police: 911

NC OSHA: 1-800-LABOR-NC

State Poison Control Center: 1-800-848-6946

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(Continued from Front)

Date Sampling

(Y/N)?

Reason for

Visit (see

below)

Incident Name and

Number

Signature

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WASTE CHARACTERISTICS

Waste Type(s): X Liquid Solid X Sludge Gas X Vapor

Characteristics: Corrosive X Ignitable Radioactive X Volatile X Toxic

Reactive Other

HAZARD WARNING PROPERTIES EXPOSURE

LIMIT

Toluene Odor Threshold (OT) = 0.021 – 69 ppm 100 ppm

Gasoline OT = 0.005 – 10 ppm 300 ppm

Kerosene OT = 1 – 30 ppm NA

Diesel Fuel OT = 0.01 – 0.25 ppm NA

If chemicals could be present that are not on this list, contact David Lilley at (919) 508-8412.

Possible Physical Hazards (please check):

Hazard Yes No Hazard Yes No

Electrical Hazards Confined Space

Chemical Noise

Slips/Trips/Falls Drums/Containers

Vision Hazards Radiation

Heavy Equipment Pressure

Biological Other

Heat/Cold

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Personal Protective Equipment

Description Check if

Necessary

Description Check if

Necessary CLOTHING FOOT PROTECTION

Tyvek Suit Steel-toed Shoes

HEAD, FACE & EYES Chemical-resistant Boot Covers

Hardhat OTHER:

Safety Glasses

Goggles

HANDS/ARMS

Nitrile Gloves

Facility Description

Size: acres Buildings? yes no

Disposal Methods Being Investigated: Possible leakage of underground storage tanks.

Unusual Features on Site (dike integrity, power lines, terrain, etc.):

History of the Site: The site is a former gas station.

Hazard Evaluation

When observing contractors conducting a tank closure, responding to a complaint, or conducting

a site visit, the site can be toured in level D protection. Steel toed shoes will be worn while on

site. A traffic vest and hard hat will be worn if within 50 feet of heavy equipment.

Sampling can be conducted in level D protection. Nitrile gloves will be worn while collecting

samples. A tyvek suit and steel toed shoes will be worn while augering. Disposable booties will

be worn if potential surface soil contamination is present in areas to be sampled. Wear goggles

and nitrile gloves while preparing, collecting, and labeling acid preserved samples. Avoid

breathing acid vapors. A full eyewash bottle must be present when collecting acid preserved

samples.

Decontamination Procedures:

Dispose of single use equipment (gloves, tyvek suit, boot covers)

Hospital Address and Phone Number (See next page for route):

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TOLUENE

Chemical Formula C7H8

Natural Physical State at 25°C liquid

Vapor Pressure 20 mm Hg at 20°C

Melting -95°F/°C Boiling Point 110.6°F°C

Flash Point (open or closed cup) 40°F°C

Solubility – H2O slightly soluble

Other – miscible with alcohol, chloroform, ether, acetone, glacial acetic acid, carbon disulfide

Physical Features: (odor, color, etc.) colorless liquid with aromatic odor, IP = 8.82 eV, (3)

derived from coal tar oil or petroleum. Relative response on HNU = 10

Exposure Limits: 50 ppm TLV 100 ppm PEL 2000 ppm IDHL

Routes of Exposure: inhalation, ingestion, skin contact, eye contact

Acute/Chronic Symptoms: Narcotic in high concentrations, headache, lassitude, and nausea.

Chronic: anemia and dermatitis

First Aid: Inhalation: artificial respiration; Ingestion: get medical attention immediately; Eye

Contact: irrigate immediately; Skin Contact: soap and water wash immediately

Combustible? Yes X No __

Toxic by-products

Flammability Limits LEL 1.0% UEL 7.0%

Reactivity Hazard: strong oxidizers

Corrosive Hazard: yes/no

TLV – Threshold Limit Value (American Conference of Governmental Industrial Hygiene

Consultants)

PEL – Permissible Exposure Limit (Occupational Safety and Health Administration)

IDLH – Immediate Danger to Life and Health (National Institute of Occupation Safety and

Health)

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GASOLINE

Chemical Formula mixture of C4 to C12 hydrocarbons

Natural Physical State at 25°C liquid

Vapor Pressure evaporates quickly mm Hg at 20°C

Melting _____°F/°C Boiling Point 60-204°F°C

Flash Point (open or closed cup) 40°F°C

Solubility – H2O insoluble

Other – absolute alcohol, chloroform, ether, benzene

Physical Features: (odor, color, etc.) mobile liquid with characteristic odor

Exposure Limits: 300 ppm TLV 300 ppm PEL potential human carcinogen IDHL

Routes of Exposure: inhalation, ingestion, skin contact, eye contact

Acute/Chronic Symptoms: Inhalation causes intense burning in throat and lungs; possibly

bronchopneumonia. Ingestion causes inebriation, vomiting, sleepiness, fever, confusion, and

bluish coloration of the skin

First Aid: Inhalation: artificial respiration; Ingestion: get medical attention immediately; Eye

Contact: irrigate immediately; Skin Contact: soap and water wash immediately

Combustible? Yes X No __

Toxic by-products

Flammability Limits LEL 1.3% UEL 6.0%

Reactivity Hazard: dissolves fats, oils, natural resins

Corrosive Hazard: yes/no

TLV – Threshold Limit Value (American Conference of Governmental Industrial Hygiene

Consultants)

PEL – Permissible Exposure Limit (Occupational Safety and Health Administration)

IDLH – Immediate Danger to Life and Health (National Institute of Occupation Safety and

Health)

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KEROSENE

Chemical Formula mixture of C9 to C16 hydrocarbons

Natural Physical State at 25°C liquid

Vapor Pressure 0.5 mm Hg at 20°F

Melting ____°F/°C Boiling Point 180-300°F°C

Flash Point (open or closed cup) 100-150°F°C

Solubility – H2O insoluble

Other – _______________________

Physical Features: (odor, color, etc.) colorless to pale straw, or red oily liquid with characteristic

odor

Exposure Limits: 200 mg/m3 TLV no data PEL no data IDHL

Routes of Exposure: inhalation, ingestion, skin contact, eye contact

Acute/Chronic Symptoms: moderately toxic by inhalation

First Aid: Inhalation: artificial respiration; Ingestion: get medical attention immediately; Eye

Contact: irrigate immediately; Skin Contact: soap and water wash immediately

Combustible? Yes X No __

Toxic by-products:

Flammability Limits LEL .7% UEL 5.0%

Reactivity Hazard: none found

Corrosive Hazard: yes/no

TLV – Threshold Limit Value (American Conference of Governmental Industrial Hygiene

Consultants)

PEL – Permissible Exposure Limit (Occupational Safety and Health Administration)

IDLH – Immediate Danger to Life and Health (National Institute of Occupation Safety and

Health)

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DIESEL FUEL

Chemical Formula mainly unbranched paraffins

Natural Physical State at 25°C liquid

Vapor Pressure 0.4 mm Hg at 20°C

Melting no data°F/°C Boiling Point no data°F°C

Flash Point (open or closed cup) 110-190°F°C

Solubility – H2O negligible

Other – ______________________

Physical Features: (odor, color, etc.) straw colored to dyed red liquid

Exposure Limits: 100 mg/m3 TLV ____ PEL ______ IDHL

Routes of Exposure: inhalation, absorption, ingestion

Acute/Chronic Symptoms: nose and throat irritation, GI irritation, nausea, diarrhea, headache,

drowsiness, dizziness, loss of coordination, disorientation, fatigue

First Aid: Inhalation: artificial respiration; Ingestion: get medical attention immediately; Eye

Contact: irrigate immediately; Skin Contact: soap and water wash immediately

Combustible? Yes X No __

Toxic by-products

Flammability Limits LEL 0.3% UEL 10%

Reactivity Hazard: Avoid contact with strong oxidants such as liquid chorine, concentrated

oxygen, sodium hypochlorite, calcium hypochlorite

Corrosive Hazard: yes/no

Neutralizing Agent:

TLV – Threshold Limit Value (American Conference of Governmental Industrial Hygiene

Consultants)

PEL – Permissible Exposure Limit (Occupational Safety and Health Administration)

IDLH – Immediate Danger to Life and Health (National Institute of Occupation Safety and

Health)

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Appendix A

May 9, 2014

MEMORANDUM

To: UST Section

From: Art Barnhardt

Subject: Safety and Health Policy of May 2014

The procedures outlined in this policy will become effective on May 9, 2014. They are designed

to ensure that all UST Section personnel performing field activities have completed and are up to

date on all required OSHA training, medical monitoring, CPR & first aid training, that all staff

are aware of the policies concerning safety shoes and boots and safety eyewear, and that proper

records are maintained.

NEW EMPLOYEES

Leann Ishak of the Trust Fund Branch will maintain the UST Section’s health and safety records

and database. The supervisor of a newly hired employee who will conduct field activities must

notify Leann Ishak of the new employee’s name and position number and provide her with

copies of all certificates of required health and safety training that the new employee has

received. This notification should be done within 14 days of the newly hired employee reporting

to work. If the employee transferred from another section within DWM, a new medical

monitoring examination is not necessary but a copy of the Health Recommendation Form from

the employee’s most recent medical monitoring examination is required. If the employee has not

had First Aid or CPR training, the supervisor should contact Brian Polk (919-338-2915) or

[email protected]) and enroll the new employee in the next available class.

OSHA TRAINING

OSHA training consists of both (1) an initial 24-hour course that meets the requirements of 29

CFR 1910.120(e) and (2) an annual OSHA update training.

All incident managers must complete initial OSHA training prior to conducting field activities

for which OSHA requirements apply. All inspectors must complete initial OSHA training within

six months of being hired. Supervisors should schedule the initial OSHA training and can use

any training vendor whose course meets the requirements of 29 CFR 1910.120(e). An on-line

initial 24-hour course is offered by Blue Ridge Community College in East Flat Rock, NC.

Register by contacting Monique Eaker at 828-694-1744 and asking for the 24 Hour Moderate

Risk HAZWOPER Online course, HAZ 8065. Cost of the on-line course is about $120.

Annual OSHA update training is taught by Dave Lilley. Training is conducted four times per

year. Three classes are held in the fall, one of these classes will be held in an eastern regional

office, one in Raleigh, and one in a western regional office. In addition, there will be one 8 hour

refresher class in Raleigh in the spring. Bob Davies (with input from regional supervisors)

Michael Phelps, and Steve Booe will set the training dates and locations, after which Dave Lilley

will send a training schedule calendar to all supervisors and employees. It is the supervisors’

responsibility to schedule this training for their employees.

A-1

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MEDICAL MONITORING

Employees covered by the medical monitoring program are the regional office field staff and all

field staff in the Permits and Inspection Branch. These employees are required to have baseline,

biennial, and exit medical examinations. Upon completion of an exam, the medical facility will

forward a Health Recommendation Form (HRF) to Dave Lilley. Dave Lilley will forward a copy

to Leann Ishak who maintains the UST Section’s health and safety records and database. If the

HRF reports any medical condition that could prevent the employee from performing assigned

duties, Dave Lilley will notify the employee’s immediate supervisor who will be responsible for

taking appropriate action. (Note that HRFs do not report confidential medical information, but

only report whether an employee is able to perform assigned tasks.) Exit medical monitoring

examinations will be conducted if the employee is leaving the Department. If an employee is

transferring to another division within the Department, an exit medical monitoring examination

is not required.

Prior to the expiration of the last medical monitoring examination, Leann Ishak will notify the

employee to schedule a new medical monitoring examination. The employee should schedule the

new examination within 30 days after the expiration of the last examination, and at a location of

their choice from the list below. Once a location is chosen for the initial examination, the

employee should always go to the same location for subsequent examinations. (Initial

examinations are much more expensive than subsequent examinations, so changing facilities

without good reason causes unnecessary costs.) If a Health Recommendation Form from the

new examination has not been received within 60 days after expiration of the last medical

monitoring examination, Leann Ishak will notify the employee’s supervisor who must suspend

all fieldwork for the employee until the new examination has been completed.

Facilities contracted by the Department to conduct medical monitoring examinations are listed

below. Employees should choose the nearest facility for their examination and, once chosen,

should continue to go to that facility for each examination.

Duke University Medical Center

http://dukeoccmed.mc.duke.edu/modules/occmed_const/index.php?id=8

Occumed

50 Doctors Drive

Asheville, NC

Phone: (888) 977-3319

CMC-NorthEast Occupational Medicine Services

Gateway MOB II, Suite 201

1090 Northeast Gateway Court, NE

Concord, NC

Phone: (704) 403-1791 (Speak with Darien or Sharon for an appointment.)

Perspective Health (East Carolina University)

115 Heart Drive*

Greenville, NC

Phone: (252) 744-2070

Speak with Yvonne Taylor for an appointment.

*Make sure you ask for directions. The facility is on the medical campus, getting to the right

place is more complicated than it seems.

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CPR AND FIRST AID TRAINING

Brian Polk with the DWM conducts CPR and First Aid Training and schedules the training as

needed. Branch Heads, regional supervisors, and inspection staff supervisors are responsible for

scheduling this training for their staffs by contacting Brian Polk. First Aid and CPR training is

required to be completed every two (2) years. Brian Polk will forward copies of training

completion certificates to Leann Ishak who maintains the UST Section’s health and safety

records and database. Whenever a supervisor schedules CPR and First Aid Training, they should

email the entire UST Section of the time and date so that other staff who need the training may

participate if openings exist. Check the safety web site at

http://portal.ncdenr.org/web/wm/div/safety/training/calendar/firstaid for training dates, locations,

and times.

SAFETY SHOES OR BOOTS

Steel-toed safety shoes or boots are mandatory for UST Section Staff conducting field activities.

These may be purchased from any vendor and the costs will be reimbursed by the UST Section

up to $100.00 for one pair of safety shoes or boots per year or $200.00 for one pair every two

years. All purchases of safety shoes or boots must be approved in advance by the UST Section

Chief. Requests for reimbursement go to Maureen Burgess at (919) 707-8273. She will need a

copy of the purchase authorization, the original receipt, and a memo from you through your

supervisor to the controller’s office requesting reimbursement. The memo to the controller’s

office must have your original signature and your supervisor’s original signature. Also send a

copy to Leann Ishak for record keeping.

SAFETY EYEWEAR

You must obtain permission from your supervisor prior to the purchase of prescription eyewear.

The procedure for purchasing prescription safety eyewear can be found at:

http://correctionenterprises.com/state-employees/optical.php. Download the application form,

then call Maureen Burgess at (919) 707-8273 for further instructions.

TRAINING REPORT AND RECORD KEEPING

The training report is posted on the division safety web site at:

http://portal.ncdenr.org/group/wm/safety-training-records. It is the responsibility of each

supervisor to ensure that his/her employees are in compliance with the safety and health policies

set forth. Leann Ishak will maintain all UST Section staff health and safety records in the

Raleigh Central Office and will maintain the Section’s heath and safety database.

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APPENDIX B

MEMORANDUM

Date: May 9, 2014

Subject: UST Section Medical Monitoring Policy

To: All UST Section staff

From: Art Barnhardt, Section Chief

The purpose of this policy is to establish guidance for determining those UST Section staff who

may qualify for medical monitoring, to briefly describe the waiver process for staff who may

qualify for medical monitoring but who choose not to participate, and to set forth the information

flow required to implement this policy.

The Occupational Safety and Health Act provides that medical monitoring should be offered to

certain employees exposed to health hazards:

OSHA 1910.120(f)(2)(i): “All employees who are or may be exposed to hazardous

substances or health hazards at or above the established permissible exposure limit,

above the published exposure levels for these substances, without regard to the use of

respirators, for 30 days or more a year.”

“Permissible exposure limit” is an OSHA defined value. If a substance does not have a

“permissible exposure limit” OSHA may use other “published exposure levels.”

For purposes of the UST Section medical monitoring policy, being present at a UST facility in

order to regulate or inspect the facility, or being present at a UST release site or a non-UST

petroleum release site (or associated site) in order to conduct, oversee, or direct assessment or

cleanup of contaminant releases at those sites for any part of a day constitutes one day of

assumed exposure described in OSHA 1910.120(f)(2)(i) above.

UST Section Branch Heads and Regional Supervisors, in consultation with the Section Chief,

will decide which of their employees qualify to be offered medical monitoring. Once those

decisions are made, Branch Heads and Regional Supervisors will notify employees qualified for

medical monitoring and furnish Leann Ishak a list of those employees.

UST Section employees who are offered medical monitoring may choose not to receive it by

reading the medical monitoring policy on the DWM safety website, completing and signing a

medical monitoring waiver form, and submitting the form (electronically, if possible) to Leann

Ishak and the employee's immediate supervisor.

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