DOE G 440.1-1B Chg 1 (Admin Chg), Worker Safety and Health Program for DOE (Including the National Nuclear Security Administration) Federal and Contractor Employees
Functional areas: Administrative Change, Defense Nuclear Facility Safety and Health Requirement, Worker Protection
This document was developed to assist the Department of Energy (DOE or the Department) Federal and contractor employees in effectively developing, managing, and implementing a worker safety and health program. Supersedes DOE G 440.1-1A and DOE G 440.1-8.
Version history and related documents
Supersedes
Earlier documents this one replaced.
Related documents
Document text
Text extracted from the attached file. Refer to the original document for the authoritative version.
Section 1
NOT
MEASUREMENT
SENSITIVE
DOE G 440.1‐1B
10‐20‐11
Chg 1: 3‐22‐2013
Worker Safety and Health Program for DOE
(Including the National Nuclear Security
Administration) Federal and Contractor
Employees
[This Guide describes acceptable, but not mandatory means for complying with requirements.
Guides are not requirements documents and are not to be construed as requirements in any audit
or appraisal for compliance with associated rule or directives.]
U.S. Department of Energy
Washington, D.C. 20585
DOE G 440.1‐1B i (and ii)
10‐20‐11
Foreword
This document was developed to assist the Department of Energy (DOE or the Department)
Federal and contractor employees in effectively developing, managing, and implementing a
worker safety and health program. Included in this document are generally acceptable best
practices used at DOE, DOE sites and private industries to establish efficient and effective
worker safety and health programs. The guidance provided in this document allows for
tailoring of safety and health programs to effectively implement safety and health at every
organizational level and to integrate safety and health and other related site-specific worker
protection activities into an integrated safety management system. This Guide DOES NOT
ESTABLISH REQUIREMENTS.
iii DOE G 440.1‐1B
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CONTENTS
1. Introduction
2. Definitions (10 CFR 851.3)
2.1. Closure Facilities
2.2. Closure Facility Hazard
2.3. Contractor
2.3.1. Under Contract with DOE
2.3.2. Furtherance of DOE Mission
2.3.3. Vendors
2.3.4. Suppliers
2.3.5. Utility Providers
2.3.6. Commercial Items
2.3.7. Landlords of DOE Contractor Leased Off-Site Space
2.3.8. Universities with DOE Cooperative Agreements
2.3.9. Off-site Fire Departments
2.3.10. Academics Working On Site Under Grants
2.3.11. State and Municipal Highway Departments
2.3.12. Work for Others
2.3.13. Other Federal Agencies
2.3.14. Visitors at Users Facilities
2.4. Covered Workplace
2.4.1. DOE Property Leased for Private Sector Purpose
2.5. DOE Site
2.5.1. DOE Contractor-Owned or -Leased Off-Site Location
2.5.2. Sites Controlled by DOE
2.5.3. Contractors in Sold and Leased-Backed
2.6. Head of DOE Field Element
2.7. Manager
2.8. Worker
3. Compliance Order (10 CFR 851.4)
4. Informal Request for Information (10 CFR 851.8)
5. Program Requirements
5.1. General Requirement (10 CFR 851.10)
5.2. Written Program
(10 CFR 851.11; DOE O 440.1B, Section 4. Requirements.)
5.2.1. Methods of Complying
5.2.1.1. Subcontractors
5.2.2. Worker Safety and Health Program Coordination
[10 CFR 851.11(a)(2)(ii)]
5.2.3. Worker Safety and Health Program Integration
[10 CFR 851.11(a)(3)(ii)]
5.2.4. DOE Evaluation and Approval [10 CFR 851.11(b)]
5.2.5. Program Updates [10 CFR 851.11(c)]
5.2. 6. Labor Organizations [10 CFR 851.11(d)]
6. Specific Requirements
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6.1. Management Responsibilities and Workers Rights and Responsibilities
(10 CFR 851.20)
6.1.1. Management Responsibilities [10 CFR 851.20(a)]
6.1.1.1. Policy, Goals, and Objectives
[10 CFR 851.20(a)(1); DOE O 440.1B Section 4. b.]
6.1.1.2. Budget
5.1.1.3. Qualified Staff
[10 CFR 851.20(a)(2); DOE O 440.1B Section 4.c.]
6.1.1.4. Accountability
[10 CFR 851.20(a)(3); DOE O 440.1B Section 4.d.]
6.1.1.5. Employee Involvement
[10 CFR 851.20(a)(4); DOE O 440.1B Section 4.e]
6.1.1.5.1. Committees (Executive Order 12196)
6.1.1.5.2. Participation in Workplace Inspections, Hazard
Section 2
Analyses, and Design Control
6.1.1.5.3. Instructors
6.1.1.5.4. Accident and Incident Investigations
6.1.1.5.5. Other Avenues for Employee Involvement
6.1.1.6. Prompt Response to Reports
[10 CFR 851.20(a)(7)]
6.1.1.7. Regular Communications [10 CFR 851.20(a)(8)]
6.1.1.8. Inform Workers of Rights
[10 CFR 851.20(a)(10); DOE O 440.1B Section 4.h.]
6.1.2. Workers Rights and Responsibilities [10 CFR 851.20(b)]
6.1.2.1. Notification of Monitoring Results
[10 CFR 851.20(b)(3); DOE O 440.1B Section 4.f.(7)]
6.1.2.2. Observe Monitoring
[10 CFR 851.20(b)(4); DOE O 440.1B Section 4.f.(6)]
6.1.2.3. Accompany Inspections
[10 CFR 851.20(b)(5); DOE O 440.1B Section 4.f.(1)]
6.1.2.4. Results of Inspections and Investigations
[10 CFR 851.20(b)(6)]
6.1.2.5. Express Concerns
[10 CFR 851.20(b)(7); DOE O 440.1B Section 4.f.(3)]
5.1.2.6. Stop Work
10 CFR 851.20(b)(9); DOE O 440.1B Section 4.f.(4)]
6.1.2.7. Additional Resources
6.2. Hazard Identification and Assessment
(10 CFR 851.21; DOE O 440.1B Section 4.i.)
6.2.1. Identify and Assess Risks [10 CFR 851.21(a)]
6.2.1.1. Assess Workers Exposures [10 CFR 851.21(a)(1)]
6.2.1.2. Document Hazard Assessment
[10 CFR 851.21(a)(2)]
6.2.1.3. Record Results [10 CFR 851.21(a)(3)]
6.2.1.4. Analyze Design for Potential Hazards
[10 CFR 851.21(a)(4)]
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6.2.1.5. Evaluate Operations, Procedures, and Facilities
[10 CFR 851.21(a)(5)]
6.2.1.6. Job Activity-Level Hazard Analysis
[10 CFR 851.21(a)(6)]
6.2.1.7. Review Safety and Health Experience
[10 CFR 851.21(a)(7)]
6.2.1.8. Workplace Hazards and Radiological Hazards
[10 CFR 851.21(a)(8)]
6.2.2. Closure Facilities Hazard Identification [10 CFR 851.21(b)]
6.2.3. Hazard Identification Baseline and Schedule
[10 CFR 851.21(c)]
6.3. Hazard Prevention and Abatement (10 CFR 851.22; )
6.3.1. Hazard Prevention and Abatement Process
[10 CFR 851.22(a); DOE O 440.1B Section 4.j.]
6.3.1.1. During Design or Procedure Development
[10 CFR 851.22(a)(1); DOE O 440.1B Section 4.j.(2)]
6.3.1.2. Existing Hazards
[10 CFR 851.22(a)(2); DOE O 440.1B Section 4.j.(2)]
6.3.2. Additional Resources
6.3.3 Hierarchy of Controls
[10 CFR 851.22(b); DOE O 440.1B Section 4.j.(4)]
6.3.3.1. Elimination or Substitution
[10 CFR 851.22(b)(1); DOE O 440.1B Section 4.j.(4)(a)]
6.3.3.2. Engineering Controls
[10 CFR 851.22(b)(2); DOE O 440.1B Section 4.j.(4)(b)]
6.3.3.3. Work Practice and Administrative Controls
[10 CFR 851.22(b)(3); DOE O 440.1B Section 4.j.(4)(c)]
6.3.3.4. Personal Protective Equipment
[10 CFR 851.22(b)(4); DOE O 440.1B Section 4.j.(4)(d)]
6.3.4. Purchasing Equipment, Products, and Services
[10 CFR 851.22(c); DOE O 440.1B Section 4.j.(3)]
6.3.5. Additional Resources
6.4. Safety and Health Standards
(10 CFR 851.23; DOE O 440.1B, Section 4. m.)
6.4.1. Authority Having Jurisdiction (AHJ) and Equivalencies
6.4.2. Code of Record
6.4.3. Previously Granted Exemptions
6.5. Training and Information
(10 CFR 851.25; DOE O 440.1B Section 4.k. and Attachment 1, Section10)
6.5.1. Additional Resources
6.6. Recordkeeping and Reporting
(10 CFR 851.26; DOE O 440.1B Attachment 1, Section11)
6.6.1. Hazard Abatement Tracking [10 CFR 851.26(a)]
6.6.2. Reporting and Investigating; Analyzing Trends
[10 CFR 851.26(b); DOE O 440.1B Section 4.i.(5) and Attachment 1, Section 11(b)]
6.7. References
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7. Variance Process (10 CFR 851, Subpart D)
7.1. Consideration of Variance (10 CFR 851.30)
Section 3
7.2. Approval Criteria [10 CFR 851.32(b)]
8. Worker Safety and Health Functional Areas
(10 CFR 851, Appendix A; DOE O 440.1B Attachment 1)
8.1. Construction Safety
(10 CFR 851, Appendix A, Section 1; DOE O 440.1B Attachment 1, Section 1)
8.1.1. Application
8.1.2. General
8.1.3. Guidelines
8.1.3.1. Coordination of Construction and M&O Safety and Health Requirement
8.1.3.2. Construction Contractor Evaluations
8.1.3.3. Construction Project Acquisition Document
8.1.3.4. Hazard Analysis
8.1.3.5. Worker Hazard Awareness
8.1.3.6. Project Safety and Health Plan
8.1.3.7. Inspection and Hazard Abatement
8.1.3.7.1. Inspections
8.1.3.7.2. Hazard Abatement
8.2. Fire Protection
(10 CFR 851, Appendix A, Section 2; DOE O 440.1B Attachment 1, Section 2)
8.2.1. Authority Having Jurisdiction (AHJ)
8.2.2. Life Safety Code
8.2.3. Fire Watches
8.3. Explosives Safety
(10 CFR 851, Appendix A, Section 3; DOE O 440.1B Attachment 1, Section 4)
8.4. Pressure Safety
(10 CFR 851, Appendix A, Section 4; DOE O 440.1B Attachment 1, Section 7)
8.5. Firearms Safety
(10 CFR 851, Appendix A, Section 5; DOE O 440.1B Attachment 1, Section 3)
8.6. Industrial Hygiene
(10 CFR 851, Appendix A, Section 6; DOE O 440.1B Attachment 1, Section 5)
8.6.1. Additional Resources
8.7. Biological Safety
(10 CFR 851, Appendix A, Section 7; DOE O 440.1B Attachment 1, Section 6)
8.8. Occupational Medicine (10 CFR 851, Appendix A, Section 8)
8.8.1. Introduction
8.8.2. Application
8.8.3. General Information
8.8.4. Guidelines
8.8.4.1. Comprehensive Occupational Medical Services
8.8.4.1.1. Subcontractors
8.8.4.2. Maintenance of a Healthful Work Environment
8.8.4.3. Employee Health Evaluation
8.8.4.3.1. Rationale
8.8.4.3.2. Content of Health Evaluations
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8.8.4.3.3. Types of Exams
8.8.4.3.3.1. Preplacement
8.8.4.3.3.2. Medical Surveillance and Health Monitoring
8.8.4.3.3.4. Qualification
8.8.4.3.3.5. Fitness for Duty
8.8.4.3.3.6. Return to Work
8.8.4.3.3.7. Termination Health Evaluation
8.8.4.3.3.8. Voluntary Periodic Evaluations
8.8.4.3.3.9. Applicable Documents
8.8.4.4. Diagnosis and Treatment of Injury or Disease
8.8.4.4.1. Occupational Injury and Disease
8.8.4.4.2. Non-occupational Injury and Illness
8.8.4.4.3. Monitored Care
8.8.4.5. Employee Counseling, Health Promotion, and Prevention
12.8.4.5.1. Applicable Documents
8.8.4.6. Medical Records
8.8.4.6.1. Privacy
8.8.4.6.2. Access
8.8.4.6.3. Identification
8.8.4.6.4. Work Restrictions
8.8.4.6.5. Retention of Medical Records
12.8.4.6.6. Applicable Documents
8.8.4.7. Emergency Preparedness
8.8.4.7.1. Rationale
8.8.4.7.2. Applicable Documents
8.8.4.8. Information Provided to Medical Services Providers and Interaction with Worker
Protection Teams
8.8.4.9. Feedback Medical Results to Mitigate Hazards
8.8.4.10. Manage Preventable Morbidity and Mortality
8.8.4.11. Rehabilitation
8.8.4.12. Assistance and Wellness
8.8.4.13. Immunizations and Biohazards
8.8.4.14. Organization and Staffing
8.8.4.14.1. Medical Services Provider Credentials
8.8.4.14.2. Physician Staffing
8.8.4.14.3. Nurse and Other Occupational Health Personnel Staffing
8.8.4.14.4. Professional Staffing Ratio
8.8.4.14.5. Clinical Psychologists
8.8.4.14.6. Counselors (i.e., Substance Abuse, Mental Health)
8.8.4.14.7. Psychological Staffing
8.8.4.14.8. Applicable Documents and Organizations
8.8.4.15. Occupational Medical Facilities and Equipment
8.8.4.15.1. Facilities
Section 4
8.8.4.15.2. Equipment
8.8.4.15.3. Pharmaceuticals
8.8.4.16. Quality Assurance/Quality Improvement
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8.8.4.16.1. Applicable Documents
8.8.4.17. Additional Resources
8.8.4.17.1. Standards for Electronic Medical Records
8.8.4.17.2. Psychological Services
8.8.4.17.3. Occupational Services
8.9. Motor Vehicle Safety
(10 CFR 851, Appendix A, Section 9; DOE O 440.1B Attachment 1, Section 8)
8.10. Electrical Safety
(10 CFR 851, Appendix A, Section 10; DOE O 440.1B Attachment 1, Section 9)
8.10.1. Authority Having Jurisdiction (AHJ) for electrical safety
8.10.2. Exemptions and waivers of electrical safety requirements
8.11. Nanotechnology (10 CFR 851, Appendix A, Section 11)
8.11.1. Additional Resources
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1 DOE G 440.1‐1B
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1. INTRODUCTION
The following description of DOE Guides is contained in DOE Order 251.1C, Departmental
Directives Program:
Guides
(1) Provide an acceptable, but not mandatory means for complying with requirements of
an Order or rule. Note: Alternate methods that satisfy the requirements of an Order
are also acceptable. However, any implementation selected must be justified to ensure
that an adequate level of safety commensurate with the identified hazards is achieved.
(2) Are documents prepared by an OPI (Office of Principle Interest), issued by the
Office of Management and developed using Process #1 outlined in Appendix A to
this Order.
(3) Cannot be made mandatory by reference in an Order, Notice, appendix to a directive,
or Technical Standard.
Guide describes suggested nonmandatory approaches for meeting requirements in DOE Orders
or Rules. Therefore, Guides are not requirements documents and cannot be construed as
requirements in any audit or appraisal for compliance with the parent document.
Worker Protection Programs are required for both DOE Federal employees (DOE Order
440.1B, Worker Protection Program for DOE (including the National Nuclear Security
Administration) Federal Employees, and DOE contractor employees (Title 10, Code of Federal
Regulations, Part 851 (10 CFR 851 or the Rule), (Worker Safety and Health Program). These
programs establish a comprehensive worker protection program that reasonably ensures that all
DOE employees are afforded a level of safety and health on the job that is at least equal to that
provided to private-sector employees under the jurisdiction of the Occupational Safety and
Health Administration (OSHA). This Guide provides information that may be useful in the
development of a Worker Protection Program to meet the requirements established in either
DOE O 440.1B or 10 CFR 851.
Notwithstanding any other provisions in this guide, employees are reminded of the
requirements set forth in DOE O 221.1A, Reporting Fraud, Waste and Abuse to the Office of
Inspector General, and DOE O 221.2A, Cooperation with the Office of Inspector General.
(a) DOE Order 440.1B
DOE Order 440.1B establishes the framework for providing DOE Federal workers with a
safe and healthful workplace through an effective safety and health program that will reduce
or prevent accidental losses, injuries, and illnesses. It requires the integration of the
requirements of a Federal Employee Occupational Safety and Health (FEOSH) Program
found in 29 CFR 1960, Basic Program Elements for Federal Employee Occupational Safety
and Health Programs and Related Matters.
Section 5
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The Order applies to all activities (which may include design, construction, operation,
maintenance, decontamination and decommissioning, research and development, and
environmental restoration activities) performed by DOE Federal employees. The Order does
not apply to the Naval Nuclear Propulsion Program; activities conducted under the Nuclear
Explosives and Weapons Safety Program relating to the prevention of accidental or
unauthorized nuclear detonations to the extent a requirement under this part cannot be
implemented for a particular facility in a manner that does not compromise the effectiveness
of such activities; and activities conducted by Bonneville Power Administration as authorized
by Delegation Order No. 00-033.00A.
(b) Title 10 CFR 851
Section 234C of the Atomic Energy Act requires DOE to promulgate worker safety and health
regulations applicable to DOE contractors. DOE promulgated 10 CFR 851 which replaced the
Contractor Requirements Document of DOE O 440.1A, and established safety and health
requirements that a DOE contractor must implement through a Worker Safety and Health
Program (WSHP) that provides its workers with a safe and healthful workplace in which
workplace hazards are abated, controlled or otherwise mitigated to reasonably assure workers are
adequately protected from recognized hazards.
10 CFR 851 applies to the conduct of contractor activities at DOE sites including sites that are
the responsibility of DOE’s NNSA. A contractor means any entity under contract with DOE, or
a subcontractor to such an entity at any tier, and includes any affiliated entity such as a parent
organization. (See section 2 of this document for clarification of the definition of contractor.)
These activities should include design, construction, operation, maintenance, decontamination
and decommissioning, research and development, and environmental restoration activities
performed by DOE contractors (and their subcontractors) at covered workplaces. A covered
workplace is a place at a DOE site where work is conducted by a contractor to further a DOE
mission.
The Rule does not apply to an organization that is working at a DOE site that is regulated by
OSHA. Examples of these types of organizations are other federal organizations and
organizations conducting work on a DOE site under a Community Re-Use arrangement. DOE
contractors should brief the OSHA covered organization’s representatives on the site hazards and
the contractor’s worker safety and health program prior to the commencement of work for the
protection of those workers and to avert those workers from creating hazards to DOE contractor
workers. 10 CFR 851 does not apply to:
DOE sites that are regulated by OSHA;
Radiological hazards or nuclear explosives operations to the extent regulated by
10 CFR Parts 20, 820, 830 or 835;
DOE activities performed away from a DOE site;
Transportation activities to and from a DOE site; or
DOE Federal employees
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The Rule excludes radiological hazards to the extent they are already regulated by the DOE
nuclear safety requirements in 10 CFR parts 820, 830, and 835. These existing rules already deal
with radiological hazards in a comprehensive manner through methods such as the Quality
Assurance Program Plan, the Safety Basis, the Documented Safety Analysis, and the Radiation
Protection Program Plan. (The Rule does not exclude non-ionizing radiation.)
Section 6
The Rule clarifies that the Chronic Beryllium Disease Prevention Program (CBDPP), required by
10 CFR 850, is an integral part of the WSHP for contractor employees. In addition, to ensure
consistency, 10 CFR 850 was amended to clarify that the CBDPP supplements the WSHP under
Part 851 and the CBDPP is enforceable upon DOE contractors under 10 CFR 851. Title 10 CFR
850 applies to DOE Federal employees separately from 10 CFR 851.
Enforcement provisions established in Section 10 CFR 851.5 allow DOE to employ either civil
penalties or contractual mechanisms, such as reduction in fees, when a contractor fails to comply
with the provisions of that rule. See Office of Enforcement’s Enforcement Program Plan,
available from a link at http://www.hss.doe.gov/enforce/index.html, for additional guidance on
enforcement of the 10 CFR 851.
DOE Rules, Orders, and Standards change over time, so DOE elements should keep up to date
with those changes.
2. Definitions
A discussion of several key terms is provided below. The terms that are undefined in this
document but are defined in the Atomic Energy Act (AEA) of 1954 have the same meaning as
under that Act.
2.1. Closure Facilities
A closure facility is defined as “a facility that is non-operational and is, or is expected to be
permanently closed and/or demolished, or title to which is expected to be transferred to another
entity for reuse.” The head of the appropriate DOE field element is permitted, with the
concurrence of the Cognizant Secretarial Officer, to accept hazard controls in closure facilities
that are not otherwise fully compliant with 10 CFR 851. The closure facility provision may not
be used to obtain relief from compliance unless the facility is non-operational. Closure facilities
may include portions of facilities that are isolated from operations and meet the definition of a
closure facility. A large canyon facility that is no longer operational as a whole but contains a
small repackaging operation in an isolated area could have the nonoperational area defined as a
closure facility. Closure facility would not apply to the operational portion of the facility. In
facilities that are operational (and, therefore, are not closure facilities), contractors may apply for
a variance to seek relief from the requirements of 10 CFR 851. In addition, contractors may use
equivalencies granted by an Authority Having Jurisdiction (see section 6.4.1 of this document)
when applicable to a requirement in a standard or code that contains the Authority Having
Jurisdiction and equivalency provisions.
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2.2. Closure Facility Hazard
Closure facility hazard refers only to those facility-related conditions within a closure facility
involving deviations from technical requirements that would require costly and extensive
structural and/or engineering modifications to be in compliance. Closure facilities may have
other hazards in addition to closure facility hazards.
2.3. Contractor
2.3.1. Under Contract with DOE
Section 7
A DOE contractor, as defined in 10 CFR 851 means any entity, including affiliated entities, such
as a parent corporation, under contract with DOE, or a subcontractor at any tier that has
responsibilities for performing work at a DOE site in furtherance of a DOE mission. This
language dictates that a “DOE contractor,” has a contract to perform services, as opposed to
merely providing supplies. Consequently, a DOE contractor includes any contractor under a
contract with DOE to perform services, or a subcontractor to such contractor, at any tier, that
performs work at a DOE site in furtherance of a DOE mission.” Size is not a relevant factor in
determining whether an entity is a DOE contractor. Consequently, an individual can fit within
the definition as readily as can a large corporation employing many thousands of people. The
definition of contractor includes professional contractors, including entities with DOE contracts
entered pursuant to § 8(a) of the Small Business Act, codified at 15 U.S.C. § 637 (a) (cf. 48 CFR
Subpart 19.8) as well as all other types of contractual arrangements with those whom DOE has a
direct contractual relationship for work to be performed at a DOE site.
The definition of contractor also may include other entities, such as parent companies of DOE
contractors and subcontractors that have agreements that are contractual in nature with DOE or
its contractors. Consult with DOE’s Office of General Counsel/cognizant Office of the General
Counsel (NNSA) to determine whether parties to agreements with DOE or DOE contractors are
considered contractors. Confine requests to clarification of real situations since hypothetical
situations are difficult to clarify conclusively.
2.3.2. Furtherance of a DOE Mission
The term in furtherance of a DOE mission means the contractor is doing work that DOE has
authorized.
2.3.3. Vendors
Vendors, delivery persons and others who do not have service contracts with DOE, or who are
not subcontractors to such contractors, are excluded and their employers are not required to
develop and implement a DOE-approved WSHP.
2.3.4. Suppliers
Since suppliers would, at most, engage in no more than tangential work at a DOE site relating to
delivery, installation or repair of their products, suppliers are not considered "contractors" under
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10 CFR 851. Therefore, 10 CFR 851 does not apply to suppliers (who do not also
have contracts with DOE to provide services at a DOE site).
2.3.5. Utility Providers
Utility providers, such as power or communications providers that may have power or
communications lines installed on site to serve the facility, are covered under 48 CFR (FAR) Part
41, are not considered service contractors, and therefore not covered under 10 CFR 851. Utility
providers operate under supply contracts rather than contracts for services. The fact that utility
employees sometimes come on site to service such things as power or communications lines does
not convert the contract into a service contract.
2.3.6. Commercial Items
Although the section-by-section discussion in the rulemaking promulgating 10 CFR 851 (71
6869) indicates that the definition of contractor does not apply to contractors or subcontractors
that provide only “commercial items” as defined in the Federal Acquisition Regulations (FAR),
The Rule, itself, does not explicitly address providers of only commercial items. The Rule’s
definition of contractor is the controlling definition in any contradiction with the FAR definition.
Consult DOE’s Office of General Counsel/cognizant Office of the General Counsel (NNSA) to
clarify if an entity that provides items to DOE or DOE contractors is included in the definition of
contractor. Confine requests to clarification of real situations since hypothetical situations are
difficult to clarify conclusively.
Section 8
2.3.7. Landlords of DOE Contractor Leased Off-Site Space.
Landlords of off-site space that is leased by DOE contractors for DOE work would not come
under the definition of “contractor.” These landlords provide a facility but do not perform work
in furtherance of a DOE mission.
2.3.8. Universities or Other Recipients with DOE Cooperative Agreements
. Generally, cooperative agreements are transactions made pursuant to DOE’s “financial
assistance” regulation (10 CFR Part 600) and are not procurement contracts. However, it is
possible that there are cooperative agreements that have some procurement contract terms. Those
particular agreements (if they involve work at a DOE site) should be referred to DOE’s Office of
General Counsel/cognizant Office of the General Counsel (NNSA) for a case-by-case review to
determine applicability.
2.3.9. Off-site Fire Departments
Off-site local government and volunteer fire departments provide fire protection and responsive
services for some DOE sites. Some DOE sites use contracts with these groups to obtain fire
protection and responsive services in which case those providers are contractors and subject to
the 10 CFR 851. The Rule would only apply to those services performed at a DOE site. Often
there is some form of agreement other than a contract between DOE or a DOE contractor and the
off-site fire departments in which case, depending on the terms of the agreement, those providers
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may not be considered contractors. DOE field offices may wish to evaluate if they are using the
most appropriate arrangement for obtaining these services. DOE field offices may wish to
consult DOE’s Office of General Counsel/cognizant Office of the General Counsel (NNSA) if
uncertain whether a particular agreement for fire and emergency services is tantamount to a
contract and therefore within the scope of the regulation. Confine requests to clarification of real
situations since hypothetical situations are difficult to conclusively clarify. DOE’s Office of
Enforcement addresses enforcement with respect to fire and emergency response services
providers in their Enforcement Program Plan, available from a link at
http://www.hss.doe.gov/enforce/index.html.
2.3.10. Academics Working On Site under Grants
College and university staff and students working at a DOE site under a DOE grant are not
working under a service contract with DOE and are not, therefore, subject to the requirements of
10 CFR 851. DOE contractors should brief academic personnel on the workplace hazards and
WSHP prior to commencement of their work in order to protect the academic personnel help
those personnel avoid creating hazards to DOE contractor workers.
2.3.11. State and Municipal Highway Department
State and municipal highway departments on site to maintain roads passing through DOE
property are not DOE contractors.
2.3.12. Work for Others
At DOE sites many individuals perform Work-for-Others (WFO) activities. These activities are
performed under a contract with DOE to perform services at a DOE site in furtherance of a DOE
mission and, therefore, individuals performing WFO activities are DOE contractors.
2.3.13. Other Federal Agencies
Section 9
Federal agencies do not have contracts with DOE and, therefore, are not subject to the DOE’s
worker safety and health requirements. However, other Federal agencies are required under § 19
(a) of the Occupational Safety and Health Act of 1970 (OSH Act), codified at 29 U.S.C. § 668
(a) “to establish and maintain an effective and comprehensive occupational safety and health
program” and to “provide safe and healthful places and conditions of employment” for their
Federal employees. Federal Agencies (“except military personnel and uniquely military
equipment, systems and operations”) are also required by Executive Order 12196 to adhere to
OSHA regulations promulgated for that purpose (see 29 CFR Part 1960) and may be subject to
inspections by OSHA. Contractors working under contract with these agencies would be subject
to OSHA unless they are subject to another Federal regulator (see OSH Act § 4 (b) (1), codified
at 29 U.S.C. § 653 (b) (1): “Nothing in this Act shall apply to working conditions of employees
with respect to which other Federal agencies, and State agencies acting under section 274 of the
Atomic Energy Act of 1954, as amended (42 USC 2021), exercise statutory authority to
prescribe or enforce standards or regulations affecting occupational safety or health.” Examples
of non- DOE Federal organizations performing work on DOE sites include the Department of
Homeland Security, the Department of Defense, the Department of Interior, and the
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Environmental Protection Agency. When a DOE contractor supports a non-DOE Federal
organization pursuant to a contract with DOE on a DOE site, the contractor’s work is covered by
the Rule. (See section 2.3.12. Work for Others, above). When a non-DOE contractor is
performing work for a non-DOE Federal organization on a DOE site, that contractor’s work is
not covered by the Rule. When a non-DOE Federal organization or its non-DOE contractor is
performing work on a DOE site, DOE contractors should brief the non-DOE organizations’
representatives on the site hazards and WSHP prior to commencement of their work in order to
protect those organizations’ workers and to avert those workers from creating hazards to DOE
contractor workers.
2.3.14. Visitors at User Facilities
Many DOE sites host work that private organizations perform in DOE provided facilities. Those
private organizations typically are not operating under a contract with DOE and therefore their
activities and employees are not within the scope of 10 CFR 851. DOE contractors should brief
the private organization’s representatives on the workplace hazards and WSHP prior to
commencement of their work in order to protect the private organization’s workers and to avert
those workers from creating hazards to DOE contractor workers.
2.4. Covered Workplace
2.4.1. DOE Property Leased for Private Sector Purposes
DOE sometimes leases to private sector organizations facilities on DOE property that are used
by those organizations for their own purposes. Those facilities are not occupied by DOE
contractors engaged in the furtherance of a DOE mission and, therefore, are not a DOE
covered workplace.
2.5. DOE Site
Section 10
DOE contractor workers often engage in activities in furtherance of DOE missions at locations
that are not owned or leased by DOE. Those activities can be quite diverse, and may occur at
other Federal and state facilities, private company facilities, educational facilities, in foreign
countries, upon oceans and rivers, or at other locations. Even when such activities are in
furtherance of DOE missions, most of these locations are not owned, leased, or controlled by
DOE or its contractors and therefore these activities are not considered a DOE covered
workplace. See section 2.5.2 of this document for information about what constitutes DOE
control of an off-site location.
2.5.1. DOE Contractor-Owned or -Leased Off-Site Location
Space owned or leased by a DOE contractor for the conduct of DOE work is not a DOE site.
However, space owned or leased by a DOE contractor for the conduct of DOE work that is
controlled by DOE is considered to be a DOE site. When DOE does not control the space,
OSHA would regulate that space. See section 2.5.2 of this document for more information about
DOE control of off-site locations.
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2.5.2. Sites Controlled by DOE
“Sites controlled by DOE” refers to areas or locations at which DOE exerts some element of
control over the area or location. Those areas could be outside of DOE-owned or -leased
property.
DOE exercises its authority under the AEA
A number of DOE facilities have been identified as being under OSHA jurisdiction pursuant to a
Memorandum of Understanding (MOU) between DOE and OSHA established in 1992 (see, e.g.,
71 FR 36988, June 29, 2006). This list of facilities may be found in the Federal Register Notice /
Vol. 65, No. 129 / Wednesday, July 5, 2000 or at
http://www.hss.energy.gov/HealthSafety/WSHP/rule851/osha_doe_mou.html.
Other area or location controlled by DOE
This component of the definition of DOE site refers to locations controlled by DOE where
activities and operations are performed at one or more facilities or places by a contractor in
furtherance of a DOE mission. The fact that the contractor is performing DOE work is not
sufficient to render the location a DOE site. DOE control of an area or location requires that two
conditions be met:
The contractor is performing activities or operations in furtherance of a DOE mission; and DOE
exerts some element of control over the area or location.
In general, any work authorized by DOE and performed by a DOE contractor is in furtherance
of a DOE mission. However, DOE control may be more difficult to determine. On the one
hand, DOE may exert no control over a DOE contractor’s arrangement for space in which case
worker safety and health at that location would not be within the scope of 10 CFR 851. On the
other hand, DOE may provide funds for, or establish requirements for and approve, a lease
before the DOE contractor signs it in which case DOE exerts a significant level of control over
that location and worker safety and health at that location is therefore within the scope of the
Rule. Contractor activities within leased areas not funded by DOE may not be within the scope
of this Rule because they are not performing work in furtherance of a DOE mission or under the
control of DOE. In these cases the Cognizant Secretarial Officers and the heads of the DOE
field elements should consult DOE’s Office of General Counsel/cognizant Office of the General
Counsel (NNSA) to determine whether DOE can or should exercise the AEA authority for
specific off-site facilities. This will also require coordination with Federal OSHA. Requests for
clarification have to be real situations since it is not possible to conclusively clarify hypothetical
situations.
Section 11
Contractors should assume that their owned or leased space is within the scope of the Rule if
DOE exerts any element of control of that space until the appropriate Office of General Counsel
has made a ruling in order to assure proper protection of the DOE contractor’s employees.
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2.5.3. Contractor in Sold and Leased-Back
DOE sometimes sells property to a private company that constructs a building and leases it back
to DOE for occupancy by DOE contractors. The construction of the building is not performed
under contract with DOE, that work is not within the scope of 10 CFR 851 and, therefore, its
provisions do not apply. Under these circumstances, Federal OSHA or the state regulatory
agency operating under a Federal OSHA-approved state plan would have jurisdiction during
construction of the building. Once the facility becomes a DOE-leased facility with DOE
contractor employees working in the facility, the operations in the building would be within the
scope of the Rule and, therefore, the Rule would apply. However, the rule does not apply to
employees of the building owner or the employees of property management firms hired by the
owner to operate and maintain the building.
2.6. Head of DOE Field Element
The Head of DOE Field Element is an individual who is the manager or head of the DOE
operations office or field office/ site office (NNSA), or any official to whom the Head of the
DOE Field Element delegates his or her functions.
2.7. Manager
Manager means the person that is directly responsible for the safety and health of DOE Federal
or contractor employees while performing work at a DOE facility.
2.8. Worker
A worker, as defined in 10 CFR 851, is a person who performs work for or on behalf of DOE,
including a DOE employee, an independent contractor, a DOE contractor or subcontractor
employee, or any other person who performs work at a DOE facility.
3. Compliance Order
The authority to use compliance orders to stop work is independent from contract provisions.
Compliance orders by the Secretary represent an exercise of AEA authority. DOE intends,
however, that all mandated work stoppages (whether issued through a compliance order or as a
result of the lack of an approved program) would be implemented in close coordination with the
DOE field office and the contracting officer with proper consideration given to mission and
safety critical operations and the continued safety of other workplace activities.
4. Informal Requests for Information
DOE’s Office of Worker Safety and Health Policy, HS-11, develops and disseminates technical
clarifications of DOE regulations and other worker protection standards. Contractors may
request informal clarifications instead of applying to DOE’s Office of General Counsel for
binding interpretive rulings. Informal clarifications offer the benefit of a less formal process to
obtain a quicker response. They are appropriate for issues involving clarification of how a
technical requirement applies in a specific case where the intent of the technical requirement is
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clear and well established. However, a binding interpretive ruling by the General Counsel would
be more appropriate in situations where it is not clear how the requirement applies to a unique
situation or workplace condition not specifically envisioned in the drafting of the regulation.
Section 12
Informal information provided to a contractor would be non-binding on DOE in that DOE’s
Office of Enforcement may take enforcement action against the contractor if the contractor’s
actions are consistent with the informal information provided to the contractor, but the Office of
Enforcement subsequently has determined do not meet the requirements.
The Occupational Safety and Health Regulatory and Policy Response Line has been established
to provide information on technical safety and health requirements, requirements published by
OSHA, and other adopted standards. Contractors who would like technical clarification beyond
what is found in this document may submit a request to the Safety and Health Standards
Response Line at http://www.hss.energy.gov/HealthSafety/WSHP/il/. This web site allows users
to submit new requests as well as search for and access previous technical clarifications.
The responses through the Occupational Safety and Health Regulatory and Policy Response Line
are advisory and not binding on DOE. In cases where the information is related to OSHA
standards, the existing body of OSHA interpretations on these standards is reviewed. HSS also
consults with OSHA representatives if OSHA interpretations do not address a unique DOE
question or circumstance.
5. Program Requirements
5.1. General Requirement
It is the Department’s policy to provide a safe and healthful workplace for both its Federal and
contractor employees. This provision closely parallels OSHA’s general duty clause established in
Section 5(a)(1) of the OSH Act. Accordingly, in implementing this provision, DOE and its
contractors should consider criteria similar to those established by OSHA for the implementation
of the general duty clause. Specifically, in determining whether a workplace condition presents a
recognized hazard that is causing or has the potential to cause death or serious physical harm to
workers, contractors should consider whether:
The condition presents a hazard to which workers are exposed (e.g., the hazard exists and
workers are exposed to the hazard);
The hazard is a recognized hazard (e.g., the hazard is identified and addressed in a
recognized industry consensus standard, or other credible industry guidance or
documentation);
The hazard is causing or is likely to cause death or serious physical harm; and
Feasible and useful methods exist to correct the hazard.
For DOE contractors, the terms “feasible” and “serious physical harm” are subjective terms the
meanings of which depend on the specific context in which the terms are used. The meanings of
these terms in a situation should be determined by DOE line management starting with the head
of the DOE field element and progressing to the Under Secretary depending on the impact of
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the meanings. DOE line managers should obtain input from safety and health professionals and
other relevant subject matter experts in making their determinations.
Fundamental elements of the WSHP include:
Establishing a written program with policy, goals, objectives, and performance
measures;
Using qualified staff;
Assigning responsibility and holding personnel accountable;
Encouraging involvement of workers;
Ensuring workers' rights and informing workers of their rights and responsibilities;
Identifying workplace hazards and evaluating risk of injury and illness;
Preventing or abating workplace hazards;
Providing worker protection training; and
Complying with DOE-prescribed worker protection standards.
Section 13
The Department recognizes that the requirements contained in DOE orders and rules provide the
basic foundation for a WSHP and some managers may need or decide to go beyond the
minimum requirements in establishing programs to protect workers from hazards associated with
their activities. Decisions concerning implementation of worker protection measures should be
based on the use of a graded approach to ensure that available resources are used most
efficiently. The Department also recognizes that the WSHPs will be integrated into other related
site-specific worker protection activities and with the integrated safety management system. The
graded approach, or tailoring, refers to developing safety controls fitted to the hazards and the
work.
The Heads of DOE Field Elements should review and approve contractors’ WSHPs. A DOE
Cognizant Secretarial Officer (CSO)/Deputy Administrator (NNSA) issued a Standard Review
Plan for field offices to use in reviewing contractor submitted WSHPs. That Standard Review
Plan is available at http://www.hss.doe.gov/healthsafety/wshp/rule851/plan_approval_main.html
for other DOE elements to use as a model to develop their own review plans. Intuitively, the
contractors should apply the review standard when preparing and evaluating their program.
Equally important is the need for a coordinated review and approval required by 10 CFR 851, .11
(a) (2) (ii) for contractors. The approval document should include all associated Heads of Field
Elements. Federal worker protection programs should use this or a similar approach for
developing its programs and coordinating federal worker safety programs.
5.2. Written Program
The written program provides the methods for implementing the requirements. The program
should describe an integrated management organization and support systems that fully satisfy
DOE worker protection requirements of all technical disciplines. It should clearly convey the
framework for the program and describe how the program works. All elements of the safety and
health program should be included in, or explicitly referenced by, the written program. This
description should be a high level description of the program that gives the overall structure of
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the program and identifies the lower tiered and complimentary policies, programs, and
procedures that, combined with the high level description, constitute the full program.
All contractors and subcontractors at any tier must be included in some fashion in an approved
written WSHP. The components of the written program addressing subcontractors and small
DOE contractors may be tailored to the hazards and complexity of the work and the capabilities
of the subcontractor or small DOE contractor.
See section 8. of this document for more guidance on the integration of functional area
requirements into the written program. The contractor should explain the relationship of other
documentation that is not directly part of its WSHP but is relevant for integration of the program
(e.g., policy, objectives, and operating procedures) and interfaces with other functions (e.g.,
finance, maintenance, quality, and security).
5.2.1. Methods of Complying
Contractors can use a variety of generic contract provisions tailored to the work, type and level
of hazard, and capabilities, of their organization or their subcontractor’s organization to provide
a compliant WSHP for workers while minimizing administrative burdens.
Section 14
5.2.1.1. Subcontractors
Prime contractors may find that including the subcontractor’s safety and health program directly
in their WSHP, or including it as a separate component embedded in their program, is an
effective approach to ensuring that the WSHP for subcontractor workers is compatible with their
program and is approved by DOE. Prime contractors are not prohibited from allowing
subcontractors to submit their own WSHP to DOE for approval but this approach could result in
potential discrepancies between the prime contractor’s and the subcontractor’s programs and
potential confusion over DOE expectations since DOE holds the prime contractor responsible for
the subcontractor’s performance.
A subcontractor can be included directly in the prime contractor’s WSHP, the prime contractor
can require the subcontractor to prepare and submit a separate program that the prime contractor
approves and includes in its submission to DOE, and the prime contractor can develop templates
of generic programs tailored for different types of narrow-scope work that are pre-approved by
DOE and require subcontractors to accept the relevant generic programs. For example, a prime
contractor may have a generic safety and health program that is placed in all subcontracts for
specialized radiation contamination surveys that is a component of the prime contractor’s DOE-
approved program. Each subcontract that contains this provision would not need additional DOE
approval.
Prime contractor approval of subcontractors’ programs signifies that the prime contractor is
satisfied that all relevant requirements are met, but does not constitute approval by DOE. Only
DOE can approve a prime contractor’s or subcontractor’s WSHP. Embedding in some fashion
the WSHP that applies to subcontractors in the prime contractor’s program allows a DOE-
approved program to cover both the prime contractor and subcontractors. Subcontractors must
assure that their WSHP is approved by DOE either as part of the prime’s approved program or as
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a separate program. Subcontractors may be subject to enforcement action for failure to comply
with the regulation.
Although subcontractors at any tier are responsible for compliance with the requirements, it is
important that prime contractors include provisions in their subcontract documents to ensure that
subcontractors comply with the standards and the functional areas as well as other requirements
that may be needed to protect workers but were not included in the requirements that flowed
down from the prime contractor. The Department of Energy Acquisition Regulations (DEAR)
clause 48 CFR 970.5223-1, Integration of Environment, Safety and Health into Work Planning
and Execution at (h) states that regardless of the performer of the work, the prime contractor is
responsible for compliance with the environment, safety and health requirements applicable to
the contract. The prime contractor is responsible for flowing down the worker safety and health
requirements applicable to the contract to subcontracts at any tier to the extent necessary to
ensure the prime contractor’s compliance with the requirements. Prime contractors determine
which program requirements should flow down into contracts with their subcontractors and
incorporate appropriate requirements. The prime contractor’s WSHP should describe the
approach and process used to flow down its relevant program requirements to subcontractors. All
requirements must be met, regardless of whether the prime contractor or the subcontractor
performs the actual worker protection activity. For example, a prime contractor may provide
exposure monitoring and medical surveillance for the subcontractor, or the prime contractor may
require the subcontractor to conduct its own exposure monitoring and medical surveillance.
Section 15
The prime contractor ensures that the subcontractor’s work is within its scope of work.
Therefore, the prime contractor should inform the subcontractor of the hazards associated with
the subcontractor’s scope of work so that the subcontractor is able to provide or adopt a
compliant WSHP. The prime contractor also must describe in its WSHP how the subcontractor’s
program meets the requirement. DOE looks to the prime contractor for ensuring compliance by
its subcontractors at the site. If the subcontractor will work to its own WSHP, the prime
contractor must review the subcontractor’s program to verify consistency with the parent WSHP
and should inform the subcontractor of the requirement for DOE approval of the subcontractor’s
program (either as a component of the contractor’s program or as a separate program) and
relevant enforcement provisions.
DOE prime contractors should note that all subcontractors and suppliers of an indemnified
contractor are considered indemnified contractors, and as such may be subject to either civil
penalties or contract-based reduction in payment or fees as set forth in 10 CFR 851.5. (As a
practical matter, DOE cannot impose civil penalties for suppliers’ failure to comply. See
paragraph 2.3.4., Suppliers, of this document for more information about suppliers.) DOE will
consider the specific circumstances in a given case to determine appropriate enforcement actions
in cases involving contractors and their subcontractors.
Some subcontractors with narrow-scope work may decide to submit their own WSHP to DOE
for approval. DOE elements may find it useful to have templates of generic WSHPs tailored for
different types of narrow-scope work and have the subcontractors accept the relevant generic
programs as a condition of their contract. Another option for subcontractors is for the
subcontractor to submit to DOE for approval a program that is modeled on the relevant
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components of the DOE field office’s FEOSH program. In this approach, the sub contractor
would manage its own program that has components that were “cut and pasted” from the DOE
FEOSH Program.
5.2.2. Worker Safety and Health Program Coordination
DOE elements, contractors and subcontractors must coordinate to ensure clear roles,
responsibilities and procedures to achieve an integrated approach to ensuring the safety and
health of the worker. When multiple contractors, subcontractors, and Federal organizations are
working on the same DOE site, resolving safety and health issues between the organizations can
be confusing. For this reason, clear statements of roles and responsibilities with respect to
compliance with WSHP requirements, and mechanisms for resolution of these issues should be
clearly defined. Good lines of communication between the affected parties are essential and
should be included in agreements between the parties. The nature and extent of the
organizational relationships vary from situation to situation. The need for a firmly established
agreement between affected parties regarding WSHP requirements is essential. The CSO/
Deputy Administrator (NNSA) and Heads of DOE field elements should evaluate the need for
and, where necessary, support the development of formal written agreements between
organizations on their sites. Such agreements would outline the respective roles, responsibilities,
and authorities of each contractor or organization as they relate to compliance with all
components of the WSHP and the resolution of cross-cutting worker protection related issues.
Coordination agreements need not be highly detailed as long as roles, responsibilities and
procedures are sufficiently addressed to assure that the requirements are consistently
implemented.
Section 16
Some common written instruments used at DOE facilities to document and communicate
agreements between multiple organizations are the contract, the lease agreement (for tenant
organizations), the Memorandum of Understanding (MOU), the Memorandum of Agreement
(MOA), and the Intraservice Support Agreement (ISA). Authorization Agreements used at high
hazard nuclear facilities may also provide a vehicle for clarifying worker safety and health roles
and responsibilities. These and other documents are usually prepared to identify roles and
responsibilities of respective parties in these shared situations. The roles, responsibilities, and
procedures contained in these agreements should be clearly addressed in the written WSHP to
ensure that they are adequately communicated throughout the site.
DOE contractor workers sometimes work at other sites operated by other DOE contractors. The
WSHP of the contractor that employs the guest worker is applicable to that worker and that
contractor should coordinate with the host contractor to ensure that the relevant provisions of
both contractors’ WSHPs are consistent for the guest worker’s activities. In addition, the host
should require that its WSHP be complied with by guest workers. It is reasonable to expect a
high level of consistency between DOE contractors’ WSHPs so simply having the guest worker
comply with the host’s WSHP should satisfy the Rule’s requirements for most activities.
5.2.3. Worker Safety and Health Integration
The WSHP must integrate the requirements with other site worker protection activities and the
integrated safety management system (ISMS). Coordination should be established, maintained,
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and documented among worker safety and health technical disciplines and other safety and
health organizations (e.g., radiation control) at a site to ensure successful implementation of the
WSHP. Additional information concerning DOE expectations for integrating safety
management can be found in DEAR clause 48 CFR 970.5223-1 (available by searching on
http://professionals.pr.doe.gov/ma5/MA
5Web.nsf/Procurement/Acquisition+Regulation?OpenDocument).
5.2.4. DOE Evaluation and Approval
Transition periods between contractors must be covered by a DOE-approved WSHP. No work
may be performed at a covered workplace unless an approved WSHP is in place [see 10 CFR
851.11(b)(1)]. Possible approaches to addressing this requirement are including a WSHP in the
new contract that DOE approves when it awards the contract or including a provision in the
new contract that adopts the former contractor’s approved WSHP.
5.2.5. Program Updates
An updated WSHP must be submitted to DOE annually for approval or a letter stating that no
changes are necessary in the current program. The updated program or letter should be
submitted in advance of the anniversary of the previous approval so that the head of the DOE
field element has sufficient time to approve the submittal by the anniversary of the prior
approval.
Whenever a significant change or addition to the program is made an update of the WSHP must
be submitted to the Head of the DOE field element for approval. In determining whether a
change is significant and an update is warranted, one should consider whether the change is
needed to ensure the program accurately reflects actual workplace activities and related hazards
and controls and approved major program roles and responsibilities. A change should be
submitted to DOE if a hazard associated with a change in the worksite or processes, or any
newly recognized hazards, is not effectively controlled by the measures in the currently
approved WSHP. Examples may include:
Section 17
A new contractor is awarded a contract;
A contractor accepts a new scope that introduces a chemical hazards which were not
addressed in the approved WSHP;
The toxicity or explosive hazard, such as chemical storage, has increased where there is
a credible accident scenario that would impact the co-located workers or off-site public;
A site not currently using explosives begins a project involving explosives. Such
changes would be considered “significant” and would a require program update and
submittal;
Change of use of a facility which may require an evaluation of ventilation systems or
other utilities.
Changes should not be implemented until approved. The WSHP updates can be embedded in the
integrated safety management system program updates as long as 10 CFR 851’s update
requirements are met.
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5.2.6. Labor Organizations
For contractors whose workers are represented for collective bargaining by a labor organization,
it is required that contractors give the labor organizations timely notice of the development and
implementation of the WSHP and bargain concerning implementation of the program consistent
with Federal labor laws. These requirements are not to be confused with the other requirements
for contractors to provide mechanisms to involve workers and their elected representatives in the
development of the WSHP goals, objectives, and performance measures and in the identification
and control of hazards in the workplace. These mechanisms must be included in the contractor’s
WSHP but the contractor is not required to involve workers and their elected representatives in
the development of the mechanisms unless the mechanisms are subject to bargaining concerning
implementation of the requirements.
6. Specific Program Requirements
6.1. Management Responsibilities and Worker Rights and Responsibilities
6.1.1. Management Responsibilities
6.1.1.1. Policy, Goals, and Objectives
The worker protection policy is the guiding principle or philosophy that provides overall
direction for the organization in regard to worker protection. The written policy statement
conveys senior management’s commitment and expectations for overall performance. The
organization states its commitment to worker protection through a written, clearly communicated
policy, which is ultimately its “mission” statement relative to worker protection. The policy
places appropriate emphasis on worker protection and should be signed by the highest ranking
company official on the site.
A concise and clear worker protection policy:
Creates consistency and continuity in safety and health activities;
Provides a point of reference when worker protection conflicts with other company goals;
and
Supports supervisors in their enforcement of worker protection rules and safe and
healthful work practices.
For example:
“Organizations Name” is committed to providing a safe and healthful workplace for
employees. These conditions will be ensured through an aggressive and comprehensive
worker safety and health program that is integrated with other site worker protection
activities and our integrated safety management system. This organization regards employee
protection as a priority and is committed to developing, implementing, and improving safety
and health practices that will afford optimal protection to employees and enable continuous
improvement of the quality of worker protection performance. The safety and health of
employees will take precedence whenever conflicts with production or other objectives arise.
Section 18
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The worker protection policy should flow down into specific goals and objectives, which in turn
are reflected in the written program. This should include annual goals used to achieve
continuous improvement. The goals and objectives should be measurable for use as indicators
of performance.
6.1.1.2. Budget
To meet the challenge of managing an adequate worker protection program with existing
resources, it is imperative that DOE elements and contractors request the necessary funding for
operation of the facility and properly plan for effective use of the personnel, material, and
resources to support the worker protection program. Planning and budgeting serve to set
priorities for operations to include worker protection and become the foundation for structuring
an operational plan that provides for adequate protection.
6.1.1.3. Qualified Staff
Organizations should hire and retain qualified worker safety and health professionals needed for
the hazards at the site. Examples of these positions are Occupational Safety and Health
Managers, Safety Engineers or Industrial Safety Professionals, Construction Managers,
Industrial Hygienists, Fire Protection Engineers, etc. These individuals may be employed
directly, by contract, or as consultants, but they should possess qualifications relative to the
particular hazards at the facility. The hiring of certified professionals (e.g., Certified Safety
Professionals, Certified Industrial Hygienists, and Board Certified Occupational and
Environmental Medicine Physicians) may be appropriate and help to ensure that sufficient
numbers of competent staff are in place. Examples of qualifications are available in DOE’s
Functional Area Qualification Standards available at
http://www.eh.doe.gov/techstds/standard/standard.html. These technical qualification standards
are written for DOE personnel that provide oversight of contractor programs, rather than
contractor personnel that implement these programs, but are nonetheless a useful resource for
determining qualifications in a specific safety and health technical area.
6.1.1.4. Accountability
Managers of facilities should clearly communicate roles, responsibilities, and authorities and
insist on accountability of workers at all levels. Managers and supervisors should carry out their
own responsibilities and expect employees to follow safe and healthful work practices. Line
Managers are accountable for the overall WSHP, including planning and allocating resources for
their activities. Supervisors are accountable for ensuring that the worker protection plans,
programs, and procedures, including hazard identification and abatement activities, are
implemented on a day-to-day basis on the front line. Employee accountability involves following
procedures, using safe work practices, and reporting hazards.
Holding managers, supervisors, and employees accountable relative to the expectations of their
respective positions greatly increases the probability of maintaining safe working conditions. The
results of holding people accountable should frequently be communicated and thoroughly
documented. The best way to achieve accountability is to include roles, responsibilities, and
authorities for worker protection in managers’, supervisors’, and employees’ performance
http://www.eh.doe.gov/techstds/standard/standard.html
18 DOE G 440.1‐1B
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Section 19
objectives. This can be done by establishing performance goals and objectives for personnel and
evaluating the person against those elements periodically. The organization should have a
process for measuring each individual’s performance, including worker protection performance.
These evaluations should be considered in the individual’s evaluations, ratings, promotions, and
bonuses.
The WSHP should include a system for ensuring that employees comply with safe and healthful
work practices, which includes provisions for recognition of employees for following safe and
healthful work practices, training and retraining programs, disciplinary actions, or any other
means to ensure employee compliance with safe and healthful work practices.
Senior management sets the tone for the work done on site. They should make it known to all
employees that worker protection is of vital importance. Moreover, their commitment to worker
protection should be evident in every aspect of site operations. Management can demonstrate
their commitment by taking an active role and setting a positive example. They can also
demonstrate commitment through such activities as:
Walking their spaces with workers, supervisors, and worker protection professionals;
Becoming actively involved in worker protection committees; and
Encouraging excellence through recognition programs such as DOE’s Voluntary
Protection Program (VPP) for contractors, or OSHA’s VPP for Federal Employees.
The commitment to ensure that all employees understand that the organization regards worker
protection as a primary objective is fundamental. Management commitment to worker protection
should be evident to the employee and reinforced by genuine efforts to maintain excellence in
worker protection.
6.1.1.5. Employee Involvement
Employees play a vital role in implementing an aggressive and effective WSHP. Employees are
involved in all site operations, have intimate knowledge of potential hazards, and can contribute
as valuable problem solvers. Active and meaningful employee involvement in the WSHP means
the workforce is trained to recognize hazards and is involved in correcting them. An indicator of
effective employee involvement is enthusiastic employees who understand their role in the
program and who are interested in its success.
Managers should assign and communicate worker protection responsibilities to workers, provide
adequate authority and resources to permit them to meet these responsibilities, and hold them
accountable for proper performance. Managers should also develop and implement programs to
encourage and promote employee involvement and commitment to the WSHP. DOE managers
should also establish forums for employees to gain an appreciation for the WSHP and to foster
communication between management and affected workers.
Examples of acceptable and effective mechanisms for employee involvement in safety and health
program implementation include, but are not limited to, the following:
Participation on committees and work teams;
19 DOE G 440.1‐1B
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Participation in worksite inspections, hazard analysis [especially job hazard analyses
(JHAs)]; and design control;
Development and review of workplace operating procedures;
Assistance in training;
Conduct of worker protection meetings; and
Participation in accident investigations.
6.1.1.5.1. Committees
Section 20
An important component of employee involvement for a WSHP is the establishment of one or
more worker safety and health committees that bring people together in a cooperative effort to
promote safety and health at the worksite. Such committees can be used to promote employee
involvement in the development of program goals, objectives, and performance measures and in
the identification and correction of workplace hazards. Many types of committees exist that
address worker protection issues, and no one committee organization fits all occasions and
activities. Worker protection functions may be included in the charters of different committees.
The charter, decisions, and actions of a worker protection committee should be developed by the
committee through negotiations and voting and approved by management. Each worker
protection committee should consist of employees and management representatives. In order to
assure worker participation, committees should consider having a large proportion of
non-managerial members. Note that the organization of any such committee must be consistent
with acceptable practices for labor-management relations.
The responsibilities of each worker protection committee should be clearly stated in a written
charter, and each committee should have clear and specific performance-based goals. These
goals should be consistent with the goals and objectives of the WSHP and be responsive to the
culture and operations in the worksite. The goals should also be revised as necessary to
accommodate changes in operations, technology, and materials and to reflect tasks completed by
the committee.
Worker safety and health committees should have access to necessary records (subject to
provisions of the Privacy Act), work areas, and personnel to investigate any worker protection
concern. Committees should also have access to the training, resources, and technical expertise
that will allow them to function effectively.
6.1.1.5.2. Participation in Worksite Inspections, Hazard Analyses, and Design Control
Employees should be encouraged to perform informal worksite inspections as part of their daily
work activities. This includes daily worksite walk-throughs by workers and their supervisors.
For work site inspections to be effective, employees should:
Be trained in hazard recognition, analysis, and control;
Have reasonable access to worker protection professionals;
Have access to reference sources (e.g., all applicable worker protection requirements
documents, guides, and technical standards);
20 DOE G 440.1‐1B
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Be able to suggest abatement methods; and
Be able to track corrective actions.
6.1.1.5.3. Instructors
Qualified employees make excellent instructors for new employees. Having employees as
instructors also enhances worker protection awareness because instructors must keep up with
requirements to be effective. Employee presentations at meetings are an excellent way for
employees to share their experiences and lessons learned.
6.1.1.5.4. Accident and Incident Investigations
Section 21
Including employees in accident and incident investigations is a worthwhile investment for
managers. Worksite employees often provide valuable insight on actual workplace procedures
that may have contributed to an accident and on the effectiveness and practicality of proposed
corrective actions. In addition, involvement in accident investigations can increase an
employee’s awareness of how workplace hazards can lead to accidents and incidents and, thus,
how employees can better protect themselves. One way to involve employees in accident
investigations is to establish special function committees with a specific scope of responsibility
and to rotate employee membership on the committee periodically. Selected employees should
be trained in accident and incident investigations, be used in the investigations, and be
recognized for their contributions.
6.1.1.5.5. Other Avenues for Employee Involvement
Employee participation activities should be included in the development, review, and revision of
worker safety and health related documents and activities, including:
Performance measures for the WSHP;
Annual goals and objectives;
Job safety analyses;
Operating procedures;
Site inspections and exposure assessments;
Analyses of facilities, processes, materials, and equipment;
Variance requests and hazard abatement plans, along with the development of equivalent,
interim, or protective measures for variance requests or abatement plans; and
Participation in the development of worker safety and health guides, standards, and procedures
(consistent with labor-management agreements).
6.1.1.6. Prompt Response to Reports
The term “prompt” is a subjective term the meaning of which depends on the specific context in
which the term is used. The meaning of this term in a situation should be determined by DOE
line management starting with the head of the DOE field element and progressing to the Under
Secretary depending on the impact of the meaning. DOE line managers should obtain input from
21 DOE G 440.1‐1B
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safety and health professionals and other relevant subject matter experts in making their
determinations.
6.1.1.7. Regular Communication
The manager should include a system for communicating with employees about matters relating
to worker protection, including provisions designed to encourage employees to inform the
employer of hazards at the worksite without reprisal. Many of the suggestions in section 6.1.1.5.
of this document are excellent vehicles for regular communications between workers and
management on workplace safety and health matters.
6.1.1.8. Inform Workers of Rights
Training is a useful tool for informing workers of their rights and responsibilities.
Managers are expected to post the DOE Worker Protection Poster (FEOSH version for Federal
employees) in a sufficient number of places to permit workers the opportunity to observe the
information en route to or from their work place. The poster is available at
http://www.hss.doe.gov/healthsafety/wshp/rule851/safeworkplace6-07-final.pdf for contractor
employees and at http://www.hss.energy.gov/CSA/CSP/feosh/reports.html for Federal
employees. In addition to the poster, managers should take other actions to provide relevant
information to workers. In areas where noncompliance with a DOE-prescribed worker protection
Standard is identified during an oversight inspection, information about the noncompliance
should be conveyed to worksite employees. This can be achieved by posting noncompliance
information in such areas for 5 working days or until the noncompliance is corrected, whichever
is longer.
Section 22
Other worker protection posting requirements may be applicable to special situations in specific
workplaces. For example, OSHA’s confined space standard requires employers to post danger
signs or use other equally effective means to inform exposed employees of the existence and
location of, and the danger posed by, the confined space. DOE managers should consult the
appropriate OSHA regulations for specific posting requirements.
For additional guidance on employee rights and responsibilities, see—
U.S. Department of Labor Fact Sheet No. OSHA 95-35, OSHA: Employee Workplace
Rights and Responsibilities, dated 01-01-95; and
10 CFR Part 708, which describes how contractor employee representatives are protected
from acts of discharge, discipline, or other acts of retaliation that result from disclosure of
information concerning danger to the public or worker health and safety; refusal to
participate in dangerous activities and other specified protected activities.
http://ecfr.gpoaccess.gov/cgi/t/text/text-idx?c=ecfr&sid=c2a77424cbb1eea7b3975cf9220
84d7a&tpl=/ecfrbrowse/Title10/10cfr708_main_02.tpl
Other applicable standards and guidance documents include:
29 CFR 1960;
http://ecfr.gpoaccess.gov/cgi/t/text/text-idx?c=ecfr&sid=c2a77424cbb1eea7b3975cf9220
http://www.hss.energy.gov/CSA/CSP/feosh/reports.html
http://www.hss.doe.gov/healthsafety/wshp/rule851/safeworkplace6-07-final.pdf
22 DOE G 440.1‐1B
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DOE O 442.1A, Department of Energy Employee Concerns Program; and
OSHA’s Safety and Health Program Management Guidelines. (FR 54: 3904-3916;
1/26/1989,
http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=FEDERAL_REGIS
TER&p_id=12909
6.1.2. Worker Rights and Responsibilities
Workers should actively take advantage of their rights in a responsible manner and should be
free of any form of job discrimination as a result of exercising these rights. Along with their
rights, workers also have several responsibilities i.e., complying with Safety and Health Rules
and directives. In addition, they should:
Read the worker protection poster;
Wear or use prescribed protective clothing and equipment while working;
Report hazardous conditions to the supervisor;
Report any job-related injury or illness to the employer, and seek treatment promptly;
Cooperate with worker protection professionals conducting inspections; and
Exercise their rights in a responsible manner.
For Federal employees additional details about requirements for informing workers through
training are contained in DOE Order 360.1B.
6.1.2.1. Notification of Monitoring Results
A worker must be notified when monitoring results indicate the worker was overexposed to
hazardous materials. Many of the OSHA substance-specific health standards in 29 CFR 1910,
Subpart Z – Toxic and Hazardous Substances, also specifically require that this notification
include all workers for whom the results are representative (e.g., 29 CFR Sub-parts 1910.1018,
1910.1025, 1910.1044, 1910.1045 and 1910.95). Where not specifically required, however,
contractors should ensure that all workers covered under representative monitoring are notified
when monitoring results indicate that they may have been overexposed to hazards. Furthermore,
contractors should notify workers of results of monitoring for hazardous materials even if no
overexposure was detected. In this way, workers are informed and fully aware of ongoing
workplace conditions and can observe trends in exposure monitoring results.
Section 23
Unless otherwise specified in a requirement, notification of monitoring results should include the
following:
Notification to the affected workers of the results, in writing, within 10 working days
after receipt of the results;
Notification should be made personally to the affected worker or posted in a location that
is readily accessible to the affected worker, but in a manner that does not identify the
individual to other workers; and
A description and explanation of the results with and without any respiratory protection
that the worker used during the monitoring.
http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=FEDERAL_REGIS
23 DOE G 440.1‐1B
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If the monitoring results indicate that a worker’s exposure was at or above an occupational
exposure limit (or action level for those hazardous materials with action levels), the contractor
should:
Include in the notice a statement that the occupational exposure limit or action level has
been met or exceeded;
Include in the notice a description of the corrective action being taken by the contractor
to reduce the worker’s exposure;
Notify DOE and the medical services provider of these results; and
Report exposures that exceed an occupational exposure limit in a manner consistent with
DOE O 231.1B Environment, Safety and Health Reporting.. The Order is available by
searching at http://www.directives.doe.gov/.
6.1.2.2. Observe Monitoring
This usually involves allowing an affected worker or authorized representative of workers to
observe the actual monitoring and providing copies of the individual results in person or by some
form of personal mail to the specific workers that were monitored. The objective is to assure
workers and line management are involved in decisions on the monitoring needed to characterize
health risks, the effectiveness of work practices and controls and identifying opportunities for
improvement.
6.1.2.3. Accompany Inspections
One or more employee representatives should be provided the opportunity to participate in
briefings and in the walk-around phase of DOE conducted enforcement inspections. Note that
employee participation also may have to be consistent with binding labor management
agreements that are outside the scope of the regulation. DOE expects that workers will exercise
these rights in a responsible manner. When no authorized employee or representative is
available, the DOE enforcement inspector must consult, as appropriate, with employees on
matters of worker safety and health.
6.1.2.4. Results of Inspections and Investigations
In areas where noncompliance with a DOE-prescribed worker protection requirement is
identified during an enforcement inspection, information about the noncompliance must be
conveyed to worksite employees. This can be achieved in a number of ways but at a minimum,
must include posting of the notice of violation in such areas until the noncompliance is corrected.
6.1.2.5. Express Concerns
In addition to relying on enforcement of the requirements, workers that believe they are being
denied the rights or are being subjected to reprisals for attempting to exercise those rights may
file an employee concern using DOE O 442.1A, Department of Energy Employee Concerns
Program. (See also 10 CFR Part 708, DOE contractor Employee Protection Plan, for protection
of contractor employees from retaliation for disclosure of information concerning danger to
public or worker health and safety, among other things.) That program requires that employees
Section 24
http:http://www.directives.doe.gov
24 DOE G 440.1‐1B
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be encouraged to seek to resolve concerns with their first-line supervisors or use established
concern or complaint resolution systems at the site. If these systems are unknown or unavailable,
or have not dealt, or cannot deal effectively with a concern, employee concerns program
personnel (first local, then Headquarters) can assist concerned employees in determining which
processes could be used to evaluate and resolve their concerns.
6.1.2.6. Stop Work
Any stop work authority should be exercised in a justifiable and responsible manner. All
workers, supervisors, managers, and occupational safety and health professionals are responsible
for being cognizant of the conditions in their workplaces and for being prepared to stop work
when these conditions pose an imminent danger of death or serious physical harm. When a
“reasonable person” views the circumstances as imminent danger of death or serious physical
harm, a stop work order should be issued. The term “reasonable person” is a subjective term the
meaning of which depends on the specific context in which the term is used.
Before a stop work order is issued, the person issuing it should ensure that the work stoppage
itself would not negatively impact the safety and health of workers. Contractors should have
procedures in place that address stop work authority, and workers should be trained to those
procedures.
6.1.2.7. Additional Resources
Title 10 CFR 708 describes how contractor employee representatives are protected from acts of
discharge, discipline, or other acts of retaliation that result from disclosure of information
concerning danger to the public or worker health and safety; refusal to participate in dangerous
activities and other specified protected activities.
http://ecfr.gpoaccess.gov/cgi/t/text/text-idx?c=ecfr&sid=c2a77424cbb1eea7b3975cf922084d7a&
tpl=/ecfrbrowse/Title10/10cfr708_main_02.tpl. Another guidance document is OSHA’s Safety
and Health Program Management Guidelines,
http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=FEDERAL_REGISTER&
p_id=12909.
6.2. Hazard Identification and Assessment
6.2.1. Identify and Assess Risks
6.2.1.1. Assess Workers Exposures
Guidance on appropriate workplace monitoring strategies is provided in:
Ignacio, JS and Bullock,WH, Strategy for Assessing and Managing Occupational
Exposures, Third Edition, AIHA Press, Fairfax, VA, 2006. (Available at
http://www.aiha.org/marketplace/Documents/AIHA_pubcatalog.pdf
Guidance on workplace monitoring methods is provided in:
National Institute for Occupational Safety and Health, NIOSH Manual of Analytical
Methods (NMAM), http://www.cdc.gov/niosh/nmam/, and
http://www.cdc.gov/niosh/nmam
http://www.aiha.org/marketplace/Documents/AIHA_pubcatalog.pdf
http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=FEDERAL_REGISTER
http://ecfr.gpoaccess.gov/cgi/t/text/text-idx?c=ecfr&sid=c2a77424cbb1eea7b3975cf922084d7a
25 DOE G 440.1‐1B
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OSHA Technical Manual, TED 01-00-015 [TED 1-0.15A],
http://www.osha.gov/dts/osta/otm/otm_toc.html
For safety hazards, see paragraph 4.1.3.1.4. of this document.
6.2.1.2. Document Hazard Assessment
Hazard assessments, the outcome of which determined that the risks were negligible, should also
be documented using a graded approach, e.g., a contractor may determine that it is unnecessary
to develop a detailed documented result of frequent, informal walk-throughs of workspace where
no hazards were identified.
Section 25
6.2.1.3. Record Result
Observations, testing and monitoring results must be recorded. Samples should be analyzed by a
laboratory that is a successful participant in American Industrial Hygiene Association
accreditation or proficiency testing programs, or equivalent laboratory quality assurance
programs, for the hazards of concern. DOE’s beryllium rule at 10 CFR 850.24(f), requires
samples be analyzed by a laboratory accredited by the American Industrial Hygiene Association
(AIHA) or one that demonstrates equivalent quality assurance. One example of an equivalent
laboratory quality assurance program is the International Organization for
Standardization/International Electrotechnical Commission (ISO/IEC) 17025:2005 General
requirements for the competence of testing and calibration laboratories. Other equivalent
laboratory quality assurance programs are acceptable. Formats for accrediting or certifying the
quality of analytic results can be different for results obtained in the field rather than in a fixed
laboratory as long as fundamental analytic quality assurance principles are observed. The head of
the DOE field element determines the acceptability of analytic quality assurance programs.
Monitoring results should be recorded with documentation that describes the tasks and locations
where monitoring occurred and identifies:
Workers monitored or represented by the monitoring;
Sampling methods and durations;
Control measures in place during monitoring (including use of personal protective
equipment);
Job hazard and location; and
Any other factors that may have affected sampling results.
The results of evaluations of workplace exposures and controls and the results of medical
surveillance and epidemiology studies provide management with essential feedback for
improvement. Management uses this information to upgrade current workplace controls and
select controls for future operations. Additionally, this information is used to monitor the
workforce for signs or symptoms of occupational disease, to prevent future disease cases, and to
base workers’ compensation decisions.
Quality assurance records for exposure assessment activities should be maintained and
retrievable for the monitoring equipment and analytic methods used.
http://www.osha.gov/dts/osta/otm/otm_toc.html
26 DOE G 440.1‐1B
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Records including hazard assessment and analysis documents, survey results, essential
information gained through interviews, or whatever data is important to characterize the process
and workplace safety and health hazards should be recorded, maintained, and retrievable in
accordance with the contractor’s Quality Assurance Program Plan consistent with DOE O 414.1
Quality Assurance.
6.2.1.4. Analyze Designs for Potential Hazards
Incorporating worker protection features and requirements in the design and construction of
facilities and equipment is the most cost-effective way to control hazards. Design reviews should
include input from a team of engineers, operations managers and employees, and appropriate
worker protection professionals. This should be initiated at the earliest design phase and continue
throughout the design process to ensure that potential hazards are identified, evaluated, and, to
the extent feasible, eliminated or controlled through design features. The formality of the design
review for worker safety and health should be tailored to the scope and complexity of the project.
DOE O 413.3B Program and Project Management for the Acquisition of Capital Assets provides
a formal process that should be followed for significant projects as described directly below.
Less formal processes that nonetheless follow the same basic principles are discussed following
the discussion of DOE O 413.3B.
Section 26
Guidance for formal analysis of designs for potential workplace hazards is available in DOE O
413.3B, Program and Project Management for the Acquisition of Capital Assets. DOE O 413.3B
is not a regulatory requirement but it directs DOE officials to include it in DOE contracts that
contain the Contractor Requirements Document in contracts making contractors responsible for
project execution at DOE-owned or -leased facilities. This Order provides project management
direction requirements for the acquisition of capital assets projects having a total project cost or
environmental management total project cost for clean-up projects greater than or equal to $20
million for all capital asset, sets forth principles that apply to all assess projects, . It contains
specific design analysis and review principles, procedures, and approval authorities that are
appropriate for large scale projects.
Worker protection professionals should be assigned to review and provide input in all four
phases of project design: conceptual design, preliminary design, final design, and inspection.
Review during the conceptual design phase, the earliest phase of the project, is critical. Hazard
analysis methodologies can be applied to facilities, processes, equipment, and operations
(including decontamination and decommissioning (D&D)] throughout their life cycle.
Methodologies include:
Preliminary hazard analysis (PHA);
Health hazard analysis;
Facility hazard analysis;
Process hazard analysis; and
Safety review.
Preliminary hazard analysis has a specific meaning in DOE O 413.3B and DOE-STD-1189-2008
(under development) which provides implementation guidance for nuclear facilities safety
27 DOE G 440.1‐1B
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requirements for facilities rated at certain hazard categories. Preliminary hazard analysis also has
a more general meaning when used for non-nuclear worker safety and health hazard analysis.
The various uses of this term all follow the same basic principles and are therefore compatible.
Preliminary hazard analyses (PHA) provide a broad hazard screening tool that includes a review
of the types of operations that will be performed in the proposed facility and identifies the
hazards associated with these types of operations and facilities. The results of the PHA are used
to determine the need for additional, more detailed analysis, serve as a precursor documenting
that further analysis is deemed necessary, and serve as a baseline hazard analysis where further
analysis is not indicated. The PHA is most applicable in the conceptual design stage, but it is also
useful for existing facilities and equipment that have not had an adequate baseline hazard
analysis. PHAs are detailed studies to identify and analyze potential hazards associated with each
aspect of the facility and related equipment and operations. The analysis should include a
systematic review of each facility component and task and should consider:
Facility design characteristics such as electrical installations, platform heights, egress
concerns, etc.;
Proposed equipment including types of equipment, location of equipment relative to the
other operations and workers, required equipment interfaces, etc.;
Proposed operations including related hazardous substances and potential exposures,
potential energy sources, locations of operations and required interfaces, resulting
material and personnel traffic patterns, etc.; and
Section 27
Facility and equipment maintenance requirements including confined space concerns,
electrical hazards, and inadvertent equipment startup or operations hazards.
PHAs may identify the need for other more specialized hazard analyses such as exposure hazard
analyses (see Ignacio, JS and Bullock, WH, Strategy for Assessing and Managing Occupational
Exposures, Third Edition, AIHA Press, Fairfax, VA, 2006. (Available at
http://www.aiha.org/marketplace/Documents/AIHA_pubcatalog.pdf and process hazard analyses
(see 29 CFR 1910.119).
The following techniques are available to assist in the performance of a general type (rather than
the formal type referred to in DOE O 413.3B) of PHA:
Safety review is a technique to provide a detailed evaluation of facility operations or processes.
It is used to identify hazards associated with conditions, practices, maintenance, and other
pertinent aspects of the facility or process.
Change analysis is performed to ensure that proposed design or operational changes do not
adversely affect the safety of the facility. The analysis identifies differences between the existing
and the proposed design or operational change, identifies how the change will affect related
features, and evaluates the effects of the differences and relationships on the overall safety of the
facility. Change analysis can be used during the design, modification, construction, or renovation
phase of the facility to address proposed changes.
http://www.aiha.org/marketplace/Documents/AIHA_pubcatalog.pdf
28 DOE G 440.1‐1B
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Energy trace and barrier analysis (ETBA) identifies potential energy sources, traces those
sources to a potential hazard, and determines if the proper barriers to the hazard (i.e., controls)
are in place. The ETBA provides an effective tool to identify potential hazards for the PHA.
Failure modes and effects analysis (FMEA) is a critical review of the system (facility and
operations), coupled with a systematic examination of all conceivable failures and an evaluation
of the effects of these failures on the mission capability of the system. The FMEA can help avoid
costly facility modifications and should be initiated early in the design phase. Once performed,
the FMEA provides valuable information if updated throughout the design process.
Fault tree analysis (FTA) is a logic tree used to evaluate a specific undesired event. The FTA is
developed through deductive logic from an undesired event to all sub-events that must occur to
cause the undesired event. The FTA can be applied at any point in the life of a facility. The FTA
can be used to support the PHA during facility design.
6.2.1.5. Evaluate Operations, Procedures, and Facilities
Ongoing hazard identification is accomplished most effectively by workers and their supervisors
during the course of daily activities, with technical assistance from worker protection
professionals and functional area technical experts, as necessary.
Daily workplace evaluations by workers and supervisors include such things as inspections of
tools and equipment, ranging from inspection of manual tools and power tools, forklifts, cranes,
slings, and warning systems to inspection of respiratory protective equipment and other personal
protective equipment prior to and during use. In addition, workplace conditions, housekeeping,
utilization of assigned personal protective equipment, and conformance with procedures, work
permits, health and safety plans, and other established criteria should be evaluated. Workers and
supervisors should consult with worker protection professionals as necessary to address
questions regarding regulatory requirements and compliance or where specific technical
expertise is needed.
Section 28
In addition, daily worker and supervisor evaluations should be supplemented by worker
protection professional evaluations of the workplace. These routine evaluations should include
both informal unscheduled walk-through evaluations conducted during worksite visits and
formal, scheduled periodic workplace evaluations.
An initial hazard evaluation should be conducted to identify hazards and establish a baseline for
future evaluations. The initial evaluation could consist of a comprehensive “wall-to-wall”
evaluation, a compilation of results of evaluations that pre-date the Rule and are still valid, or a
combination of both. Regularly scheduled evaluations should be conducted at all workplaces,
including permanently housed construction workplaces, using a graded approach to set the
frequency. For example, office buildings and other low hazard workplaces may be evaluated
every three years; shops, laboratories, and warehouses every two years, and high hazard
workplaces annually. Fire safety inspections should be conducted on a frequency agreed to by
the fire protection Authority Having Jurisdiction (AHJ). (See section 4.1.3.1.6. of this document
for more information about AHJ). Evaluations should then be conducted as often as necessary to
ensure compliance with the requirements. The evaluations are conducted to identify and
29 DOE G 440.1‐1B
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document existing and potentially hazardous work conditions and practices that do not comply
with worker protection requirements or may otherwise pose hazards to the safety or health of
workers. Evaluations should be performed by worker protection professionals with the
participation of affected employees and supervisors.
An effective approach to accomplishing such an evaluation is to use a team comprised of
affected employees and supervisors, as well as the worker protection professionals necessary to
evaluate specific workplace hazards. Worker protection professionals required on the team may
include:
Safety professionals;
Industrial hygienists;
Occupational medical professionals;
Workers and supervisors; and
Other worker protection professionals, as appropriate for the nature of the workplace and
the hazards associated with the activities.
Alternatively, the team could include safety and health professionals that are cross-trained in the
disciplines applicable to the workplace being evaluated. These cross-trained professionals would
consult with functional area experts as needed.
The evaluation team should use worker protection hazard abatement information, information
from the employee concerns program, results of baseline and previous inspections, and injury
and illness data, among others, as tools for determining their strategy for such evaluations.
Detailed information on the selection and use of various hazard analysis methodologies and
techniques for chemical hazards is available in the American Institute of Chemical Engineers’
Guidelines for Hazard Evaluation Procedures, second edition, 1992,
http://www.aiche.org/apps/pubcat/seadtl.asp?ACT=S&Title=ON&srchText=Guidelines+for+Ha
zard+Evaluation+Procedures.
6.2.1.6. Job Activity-Level Hazard Analysis
Section 29
Routine job activity-level hazard analyses must be performed. Operations and procedures at the
activity level should be analyzed and reviewed to identify potential worker protection hazards
and deficiencies. A job hazard analysis (JHA), also known as a job safety analysis (JSA), is the
most basic and widely used tool to identify hazards associated with jobs at the activity level.
JHAs can satisfy a large portion of the worker protection hazard identification requirements at
most workplaces. A JSA is useful for dynamic work environments like equipment repair as well
as relatively stable environments such as operating a chemical process.
JHAs should be conducted:
For existing operations and procedures that have not been adequately evaluated in the
past or when there is no current hazard analysis available;
In response to employee identified potential hazards; and
http://www.aiche.org/apps/pubcat/seadtl.asp?ACT=S&Title=ON&srchText=Guidelines+for+Ha
30 DOE G 440.1‐1B
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For existing operations and procedures that have resulted in injuries, illnesses, or near
misses.
JHAs should be updated periodically to ensure that any new hazards that have been introduced
since the last evaluation of the activity are addressed.
The principle elements of a job safety analysis are:
Selection of operations and procedures to be analyzed;
Breakdown of operations and procedures to their component tasks;
Identification of hazards associated with each task and the controls necessary to protect
workers against those hazards;
Identification and addressing of potential hazards to bystanders and identification of
related controls;
Development of documentation needed to indicate why controls were selected; and
Development of procedures incorporating identified controls.
Affected employees and supervisors should participate in the JHA process. Their knowledge of
the tasks and associated hazards, and familiarity with the procedures actually used in performing
the work, provides information that is more complete during the JHA. In addition, these
front-line personnel can assist in determining the feasibility and effectiveness of proposed
control measures.
Detailed information on the conduct of JHAs is presented in OSHA Publication 3071, Job
Hazard Analysis, available at http://www.osha.gov/Publications/osha3071.html, and the DOE
NNSA document Activity Level Work Planning and Control Processes -Attributes, Best
Practices, and Guidance for Effective Incorporation of Integrated Safety Management and
Quality Assurance (link on web site http://www.hss.doe.gov/healthsafety/ism/NNSA-
WorkPlanning.pdf). The NNSA document addresses activities at all levels of hazard and is
particularly useful for work that is not well defined, is unique, or is extremely complex and
should be approached carefully and meticulously to identify and control recognized hazards and
plan for a wide range of contingencies that could have significant consequences. This document
also describes appropriate use of ISM core functions and guiding principles as well as use of a
graded approach to activity-level work planning based on the nature of the hazard.
6.2.1.7. Review Safety and Health Experience
Reporting and investigating accidents, injuries, and illnesses and analysis of related data for
trends and lessons learned are key components of this review.
Section 30
The collection of detailed, accurate data and information regarding workplace accidents, injuries,
and illnesses and the subsequent analysis of the data and information are useful in identifying
worker protection problem areas. This type of analysis or trending is used to identify the
prevalent types of accidents, injuries, and illnesses and their sources and causes. Information
derived from trend analysis can be used to focus worker protection efforts on the actual sources
of injuries and illnesses and to help prioritize hazard abatement activities. Necessary components
of accident, injury, and illness data collection and analysis include:
http://www.hss.doe.gov/healthsafety/ism/NNSA
http://www.osha.gov/Publications/osha3071.html
31 DOE G 440.1‐1B
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A procedure to investigate, find root causes, and report occupational injuries and illnesses
(e.g., procedures in (DOE O 225.1A, Accident Investigations, available by searching at
http://www.directives.doe.gov/);
Systems and methods to collect, record, compile, and manage accident, injury, and illness
data and information (e.g., procedures in DOE M 231.1-1A, Environment, Safety and
Health Reporting Manual available by searching at http://www.directives.doe.gov/);
including but not limited to, the OSHA 300 log of occupational injuries and illnesses,
workers’ compensation data, accident reports, incident reports, industrial hygiene
exposure monitoring results, inspection reports and corrective action tracking system
entries;
Methodologies to analyze data and information to identify and trend accidents, injuries,
and illnesses by type and source; and
A formalized approach to analyze identified trends, to determine root causes, and to
develop appropriate control measures.
6.2.1.8. Workplace Hazards and Radiological Hazards
Interaction between workplace hazards (e.g., chemical, physical, biological, or safety hazards)
and other hazards such as radiological hazards must be considered.
Personnel responsible for implementing worker protection and radiation protection requirements
should coordinate in instances where the requirements overlap or appear to conflict. The two sets
of requirements should be integrated and applied in a manner that prevents undesirable results
and provides reasonable assurance of adequate worker protection. For example, control measures
to minimize personnel radiation exposure should be reviewed to ensure that the workers are not
subjected to life-threatening asphyxiation or fire hazards. Both sets of requirements must be met.
Complying with the more protective requirement usually also results in compliance with the less
protective requirement if the requirements provide for different levels of protection.
6.2.2. Closure Facilities Hazard Identification
Closure facility hazards should be submitted when the hazards discovered are beyond the range
of hazards for which controls have previously been identified and utilized with success.
Identified closure facility hazards do not require submittal if those hazards will be eliminated or
title to the facility will be transferred prior to 90 days from identification.
Section 31
The Head of the DOE field element, with concurrence of the CSO/Deputy Administrator
(NNSA), has 90 days to accept the controls or direct additional actions to achieve technical
compliance or provide additional controls. This provision provides contractors flexibility in
addressing hazards in facilities that are or will be permanently closed, demolished or subject to
title transfer consistent with the provisions of 42 U.S.C. § 2282c (a)(3). In such facilities,
contractors must submit a list and the established controls for facility hazards that would require
costly and extensive structural/engineering modifications to be compliant within 90 days after
identifying such hazards. For these hazards, contractors have the flexibility to propose
appropriate abatement actions (subject to DOE approval) based on the special circumstances
associated with the facilities.
http:http://www.directives.doe.gov
http:http://www.directives.doe.gov
32 DOE G 440.1‐1B
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Contractors should include their request for approval of the closure facilities that they have
already identified as part of the WSHP that must be submitted to the DOE for approval. That
provides the Head of the DOE field element the prescribed 90 days to act upon the request by the
implementation date at which time all work at a covered workplace must be performed under an
approved WSHP. Closure facility hazards that are identified too late to be included in the first
proposed WSHP should be submitted for approval within 90 days of identification of those
hazards.
Closed hazardous waste burial sites are not included in the definition of closure facilities.
6.2.3. Hazard Identification Baseline and Schedule
Hazard identification tasks must be performed initially to obtain a baseline and then as often as
necessary to ensure compliance. The frequency of obtaining the hazard information, including
the schedule for the first time an activity or facility is assessed should be established using a
graded approach that reflects the potential degree of hazard, includes consideration of the
uncertainties surrounding the hazard assessments, and supports a continual improvement process
for minimizing hazards.
Initial baseline information is the compilation of information gathered for the first time. The
scope and level of detail of the information generated should be commensurate with the hazards
and risk to workers. This information could come from a variety of assessment activities such as
those discussed above in section 6.2.1 of this document. As suggested in section 6.2.1.5, the
initial evaluation could consist of a comprehensive “wall-to-wall” evaluation, a compilation of
results of evaluations that pre-date the Rule and are still valid, or a combination of both. The
objective is to obtain hazard information that is sufficient to determine the controls that are
commensurate with the hazards. The baseline evaluation of an operation or facility documents all
the information needed to assess the health and safety risk that its hazards pose to involved and
adjacent workers. The evaluation should contain sufficient detail to determine whether current
worker protection standards are being met and provide management the information needed to
prioritize and estimate the cost of correcting deficiencies. Additionally, the evaluation’s
description of current conditions (along with accident, injury and illness information) could be
useful for providing effective feedback for improvement and establishing conditions that existed
when workers received exposures or injuries.
Section 32
Industrial hygiene. The baseline evaluation provides a key component of an industrial hygiene
program as suggested by the National Institute for Occupational Health and Safety:
An effective industrial hygiene program involves the anticipation and recognition of health
hazards arising from work operations and processes, evaluation and measurement of the
magnitude of the hazard (based on past experience and study) and control of hazard.
The industrial hygiene program provides information that is necessary for the effective
medical surveillance program, which is a periodic evaluation of an employee by a health
professional in order to assure that health problems associated with chemical exposures or
physical agents are detected early, when there is time to prevent permanent or debilitating
injury.”
33 DOE G 440.1‐1B
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DOE Std 6005-2001 Industrial Hygiene Practices lists the minimum data set to be included in a
baseline industrial hygiene evaluation of an operation and discusses methods to produce a
comprehensive baseline evaluation of a facility or site.
Industrial safety. The baseline evaluation of an operation’s or facility’s industrial safety hazards
needs to collect the information needed to assess compliance with current standards, assess the
risk that inadequacies pose, estimate the cost of correcting hazards and prioritize the correction
of hazards. Industrial safety baseline data will vary greatly by hazard but generally requires the
collection of less detailed information about a worker’s exposure to the hazard than is required
for industrial hygiene hazards. Most industrial safety hazards pose little or no future risk from
past exposures. Such exposures would include work at heights that could result in falls, electrical
shock hazards, working with sharp object that could cause cuts, crush or engulfment situations,
thermal burn hazards, fires, explosions, etc. For these hazards, if no immediate injury occurs,
there will be no future physical health consequence. Nonetheless, management can use industrial
safety baseline data and accident experience (both at the site and published industrial experience
elsewhere) to prioritize funding for hazard correction and the design of future controls.
6.3. Hazard Prevention and Abatement
An effective hazard abatement program is essential to ensure that workers are protected from
exposure to current and future workplace hazards. The focus of this program must be the control
of identified workplace hazards. Where immediate control is not possible, the program must
ensure the protection of workers while awaiting final abatement of the hazard. For significant
hazards, this should include interim compensatory measures (e.g., limiting activities in the area,
installing barriers and signs, providing hazard-specific training, and use of fire watches.). It must
provide an efficient mechanism to ensure that all identified hazards are abated in a timely
manner.
6.3.1. Hazard Prevention and Abatement Process
6.3.1.1. During Design or Procedure Development
For hazards identified either in the facility design or during the development of procedures,
controls must be incorporated in the appropriate facility design or procedure.
Hazards that are identified in the design phase of new facilities and facility modifications or
during the development or modification of procedures should be eliminated or controlled through
design or procedure changes. The controls implemented should be commensurate with the risk
level identified in the risk assessment process. For example, hazards that pose a serious threat to
employee safety and health should be either eliminated or effectively controlled.
Section 33
Proposed design or procedure modifications intended to eliminate or control hazards should be
reviewed by worker protection professionals to ensure that the change adequately addresses the
hazard and does not introduce new workplace hazards. Alternative control measures should be
evaluated to determine the reduction of risk provided by each measure and identify the most
effective practical control for the hazard.
34 DOE G 440.1‐1B
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Where hazards cannot be controlled through design changes, procedural or administrative
controls or the use of personal protective equipment should be considered.
6.3.1.2. Existing Hazards
For existing hazards identified in the workplace, abatement actions, which are prioritized
according to risk to the worker, should be promptly implemented and interim protective
measures must be implemented pending final abatement of the hazards. Workers should be
protected immediately from dangerous safety and health conditions. Hazards must be
systematically managed and documented through final abatement or control.
For existing hazards identified in the workplace, contractors must prioritize and implement
abatement actions according to the risk to workers. The relative level of risk must be assessed for
each identified hazard to ensure that hazard abatement efforts and resources are focused first on
addressing the most serious workplace hazards. Conversely, low risk hazards may warrant only
minimal abatement efforts and resources and if determined to either be, or have become,
sufficiently low should be removed from the category of actively managed hazards.
Risk assessment is an essential element of effective risk management. The assignment of risk
levels provides a relatively simple and consistent method of expressing the risk associated with
worker exposures to identified hazards. A Department of Defense publication and an AIHA
publication identified under “Additional resources” below describe risk assessment
methodologies acceptable to DOE for meeting the risk assessment requirements of the Rule.
Several DOE sites have developed tools for identifying hazards (some of which are automated),
analyzing the hazards, and assigning a value to the level of risk of the hazards. These tools are
useful for comprehensively reviewing (usually with a complete check list) all possible hazards of
an activity, setting priorities for abatement of hazards, and for determining an appropriate level
of work control to apply to activities that present the hazard. These tools can be very efficient but
users should be careful to truly analyze the identified hazards and not simply “check the boxes.”
Although important in prioritization and abatement planning, assigning a risk assessment code or
level to a hazard should not be an impediment to quick abatement. If a hazard can be fixed
immediately, assigning a risk category is not necessary, although organizations may prefer to
assign one for trending purposes.
The determination of the priority assigned to the abatement of a specific hazard should first be
based on the risk of injury or illness the hazard presents to the worker; however, other factors
may be considered, including:
Regulatory compliance;
Resources (budget and personnel);
Complexity of abatement; and
The organization’s mission.
In some cases, it may be appropriate to address lower-level hazards before higher-level hazards
if quick abatement is possible and effective interim protection is in place to protect workers from
the higher level hazard until final abatement of the high level hazard can be implemented.
Section 34
35 DOE G 440.1‐1B
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For existing hazards identified in the workplace, managers must implement interim protective
measures pending final abatement. In the interval during which an abatement action is being
carried out, the organizations must protect their employees from the identified hazards. A
short-term strategy should be established that provides interim protection to employees. Methods
such as administrative controls, work practice modifications, or personal protective equipment
may used to provide this interim protection. These measures must provide employees with
protection that is equivalent to the permanent protection provided by compliance with relevant
standards.
For existing hazards identified in closure facilities, the most common approach to controlling
worker exposure to closure facility hazards in a “cold and shutdown” closure facility is to control
access to the facility. With access control, the closure facility hazards only pose risks to workers
who have a need for access (e.g., for surveillance, maintenance, and preparation for
decontamination and decommissioning activities). The hazards of those activities must be
identified and controlled by the site’s work control process, and the hazards updated as often as
necessary to ensure safe access for needed activities.
Portions of a facility may be designated as a closure facility as long as the hazards of the closure
facility portion are isolated from workers that occupy the balance of the facility.
The level of risk associated with interim protective measures can be assessed to verify that
equivalent protective measures are provided. The assessment of risk associated with interim
protection, however, should not be used to lower the priority of final abatement actions. The
hazard should be tracked and abated based on the initial risk assessment.
For existing hazards identified in the workplace, workers must be must protected from imminent
dangerous safety and health conditions. In the event a dangerous condition is discovered,
immediate action must be taken either to correct the condition or to remove all employees from
exposure to the condition until the danger has been abated. An effective hazard abatement
program is essential to ensure that workers are protected from exposure to current and future
workplace hazards. The focus of this program must be the immediate control of identified
workplace hazards. Where this is not possible, the program must ensure the protection of
workers while awaiting final abatement action and it must provide an efficient mechanism to
ensure that all identified hazards are abated as quickly as possible.
6.3.2. Additional Resources
MIL-STD-882D, Standard Practice for System Safety, Appendix A-Guide for
implementation of system safety efforts,
http://www.acq.osd.mil/atptf/policy/documents/MILSTD882D.pdf
Ignacio, JS and Bullock, WH, Strategy for Assessing and Managing Occupational
Exposures, Third Edition, AIHA Press, Fairfax, VA, 2006. (Available at
http://www.aiha.org/marketplace/Documents/AIHA_pubcatalog.pdf)
Department of Defense Instruction No. 6055.1, Department of Defense
Occupational Safety and Health Program, E7. Enclosure 7,
www.dtic.mil/whs/directives/corres/pdf/i60551_081998/i60551p.pdf
www.dtic.mil/whs/directives/corres/pdf/i60551_081998/i60551p.pdf
http://www.aiha.org/marketplace/Documents/AIHA_pubcatalog.pdf
http://www.acq.osd.mil/atptf/policy/documents/MILSTD882D.pdf
Section 35
36 DOE G 440.1‐1B
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6.3.3. Hierarchy of Controls
6.3.3.1. Elimination or Substitution
Elimination or substitution of hazards must be the first choice for controlling hazards. The
contractor should verify that potential hazards of the substitution are identified and addressed
before deciding to proceed.
6.3.3.2. Engineering Controls
Engineering controls must be the second choice for controlling hazards after elimination or
substitution of the hazard has been implemented to the extent feasible and appropriate.
Feasibility analysis should consider characteristics of the technology available for the task;
worker acceptance; level of protection provided; hazards, operations and maintenance burdens
introduced; and cost. Principal engineering controls include:
Enclosing the hazard;
Locating hazardous operations or equipment in remote or unoccupied areas;
Establishing physical barriers and guards; and
Using local and general exhaust ventilation.
6.3.3.3. Work Practices and Administrative Controls
Work practices and administrative controls must be the third choice for controlling hazards after
elimination or substitution of the hazard and engineering controls have been implemented to the
extent feasible and appropriate. The effectiveness of work practice and administrative controls
depends on the ability of line management to make employees aware of established work
practices and procedures, to reinforce the practices and procedures, and to provide consistent and
reasonable enforcement. Administrative controls include:
Written operating procedures, safe work practices, and work permits;
Exposure time limitations;
Limits on the use of hazardous materials and monitoring of such operations;
Health and safety plans;
Altered work schedules, such as working in the early morning or evening to reduce the
potential for heat stress; and
Training employees in methods of reducing exposure.
6.3.3.4. Personal Protective Equipment
When elimination or substitution, engineering, and work practices and administrative controls
have been considered and implemented and are not sufficient to fully protect the worker from a
recognized hazard; personal protective equipment (PPE) must be used to supplement these other
controls as appropriate. PPE is acceptable as a control method:
37 DOE G 440.1‐1B
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To supplement elimination or substitution, engineering, and work practices and
administrative controls when such controls are not feasible or do not adequately reduce
the hazard;
As an interim measure while engineering controls are being developed and implemented;
During emergencies when elimination or substitution, engineering, and work practices
and administrative controls may not be feasible; and
During maintenance and other non-routine activities where other controls are not feasible.
The use of PPE can itself create significant worker hazards, such as heat stress; physical and
psychological stress; and impaired vision, mobility, and communication. An example would be a
worker wearing several layers of protective clothing (for contamination control), a respirator,
gloves, and a helmet while welding or cutting. This arrangement of PPE could prevent the
worker from being aware of the environment in the event of a fire or other emergency.
Section 36
In these situations, engineering and/or administrative controls (e.g., a fire watch to ensure the
safety of the worker as well as the property) should be implemented to supplement PPE.
Equipment and clothing should be selected that provide an adequate level of protection. The
selection process should involve representatives of the affected safety disciplines (e.g., health
physicist, industrial hygienist, fire protection staff, etc.) working in concert with workers and
supervisors.
Two basic objectives of any PPE practice should be to protect the wearer from safety and health
hazards, and to prevent injury to the wearer from incorrect use or malfunction of the PPE. To
accomplish these objectives, a comprehensive PPE program should include hazard identification
(hazards that PPE will protect against and hazards caused by the use of PPE); medical
monitoring; environmental surveillance; selection, use, maintenance, and decontamination of
PPE; and associated training.
Respiratory protective equipment, including protective suits that provide breathing air, must be
approved by the National Institute for Occupational Safety and Health (NIOSH) or accepted
under the DOE Respiratory Protection Acceptance Program if NIOSH-approved respirators do
not exist for specific DOE tasks (29 CFR 1910.134 and 10 CFR 850.28). Information about
DOE’s Respiratory Protection Acceptance Program is found in DOE-STD-1167-2003
Respiratory Acceptance Program for Supplied-Air Suits available at
http://www.hss.doe.gov/nuclearsafety/ns/techstds/standard/std1167/doe-std-1167-2003.pdf.
6.3.4. Purchasing Equipment, Products, and Services
Hazards must be addressed when selecting or purchasing equipment, products, and services.
Provisions should be made for worker protection professional and employee evaluation of
pre-engineered or “off-the-shelf” equipment prior to selection and purchase.
This evaluation should focus on whether the equipment or procured material (e.g., parts,
chemicals, or fasteners) can perform its required task without endangering the health and safety
of workers (e.g., use of steel cable adequately rated for the anticipated weight of the loads) given
existing facility and operational constraints. Evaluation methods should include:
Review of equipment or material specifications;
http://www.hss.doe.gov/nuclearsafety/ns/techstds/standard/std1167/doe-std-1167-2003.pdf
38 DOE G 440.1‐1B
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Observations of equipment or material demonstrations;
Change analyses;
Operational hazard analyses;
Ergonomic and human factor analyses; and
Checks for suspect or counterfeit parts.
Worker protection considerations to be taken into account when reviewing equipment
specifications include, but are not limited to—
Health hazards;
Operating noise;
Temperature levels;
Point-of-operation guards;
Lockout provisions;
Presence of hazardous material;
Training requirements for safe operation;
Ergonomic design, worker-to-machine interface;
Maintenance requirements;
Availability and practicality of “add-on” (post-purchase) worker protection equipment;
and
Existing facility and operational constraints (e.g., floor loading, hazards from adjacent
operations, congested workplaces, etc.).
After installation of complex or potentially hazardous equipment, a pre-startup evaluation with
affected workers, supervisors, and worker protection professionals should be conducted to verify
safe conditions and identify any previously unforeseen hazards.
Section 37
6.3.5. Additional Resources
Center for Chemical Process Safety, Guidelines for Hazard Evaluation Procedures, 2nd
edition, American Institute of Chemical Engineers, New York, NY, 1992. (Available at
http://www.aiche.org/apps/pubcat/seadtl.asp?ACT=S&Title=ON&srchText=Guidelines+
for+Hazard+Evaluation+Procedures.)
29 CFR 1910, Occupational Safety and Health Administration.
MIL-STD-882D, System Safety Program Requirements, Appendix A, available at
http://www.everyspec.com/MIL-STD/MIL-STD+(0800+-+0899)/MIL_STD_882D_934/
6.4. Safety and Health Standards
DOE managers should determine which standards are applicable to the site hazards and whether
additional standards are needed for their workplaces and activities to control recognized hazards.
If necessary to protect the safety and health of workers, managers must include such additional
standards in their written WSHP. An example of an additional standard that might be needed is
the American National Standards Institute (ANSI) B-30 Series, Cranes.
http://www.everyspec.com/MIL-STD/MIL-STD+(0800+-+0899)/MIL_STD_882D_934
http://www.aiche.org/apps/pubcat/seadtl.asp?ACT=S&Title=ON&srchText=Guidelines
39 DOE G 440.1‐1B
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When ACGIH TLV®s are used as exposure limits, DOE elements and contractors must
nonetheless comply with the other provisions of any applicable OSHA substance-specific health
standard. DOE recognizes that OSHA health standards and ACGIH TLV®s often are not
expressed in directly comparable formats. Managers should use their qualified worker safety and
health staff to determine the appropriate exposure limits and applicable provisions and may
request clarification from DOE’s HS-11. Users of ACGIH TLV®s should consult Documentation
of the Threshold Limit Values and Biological Exposure Indices, 7th Ed.,
(http://www.acgih.org/store/) to ensure that they understand how to apply TLV®s properly.
The listed OSHA regulations are not dated but the consensus standards are. The current version
of OSHA regulations are incorporated by reference because they are promulgated pursuant to
public rulemaking. Only the versions of consensus standards that were in effect on February 9,
2006 were promulgated pursuant to rulemaking therefore only those specifically cited versions
are required by the Rule. Managers may include successor versions of the consensus standards
that provide equal or greater worker protection if included in their DOE-approved WSHP. For
example, because the 2005 ACGIH TLV®s are specifically cited in the Rule they are required.
ACGIH publishes TLV®s every year but successor versions to 2005 are not required by the Rule.
Contractors have the option of substituting successor versions of the ACGIH TLV®s as long as
those TLV®s are more protective than the 2005 TLV®s and the substitution is included in the
DOE-approved WSHP. Users of successor ACGIH TLV®s should consult the corresponding
Documentation of the Threshold Limit Values and Biological Exposure Indices to assure that
they understand how to properly apply those specificTLV®s.
Contractors can assume that HS-11 will concur with utilizing existing and future OSHA
standards interpretations listed on the OSHA website www.osha.gov to evaluate compliance with
the requirements of the OSHA regulations. Contractors also may request validation by HSS that
an OSHA standards interpretation applies to a particular situation or request additional technical
interpretations of OSHA regulations by submitting questions to the DOE Standards Response
Line at http://www.hss.doe.gov/HealthSafety/WSHP/il// .
Section 38
Some of the standards reference additional, i.e., secondary, standards. Contractors are required to
comply with secondary standards that are applicable to identified hazards. The primary standards
that reference secondary standards usually state how these secondary standards are to be used.
For example, 29 CFR 1910.6(a)(1) states the following:
The standards of agencies of the U.S. Government, and organizations which are not agencies
of the U.S. Government which are incorporated by reference in this part, have the same force
and effect as other standards in this part. Only the mandatory provisions (i.e., provisions
containing the word "shall" or other mandatory language) of standards incorporated by
reference are adopted as standards under the Occupational Safety and Health Act.
Similarly, mandatory provisions of secondary standards are incorporated by reference in the
WSHP and have the same force and effect as primary cited standards. For example, ANSI Z49.1,
Safety in Welding, Cutting and Allied Processes, is incorporated by reference. Section 4.2.2.1 of
this standard specifies that “filter lenses shall be in accordance with ANSI Z87.1 and the shade
shall be selected in accordance with AWS F2.2.” Therefore, compliance with ANSI Z87.1 and
AWS F2.2 for welding filter lenses and their shade is required. ANSI Z49.1 also includes
http://www.hss.doe.gov/HealthSafety/WSHP/il
http:www.osha.gov
http://www.acgih.org/store
40 DOE G 440.1‐1B
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references to other codes and standards that provide additional information on particular topics
but are not mandatory requirements. Those other codes and standards are not required.
6.4.1. Authority Having Jurisdiction (AHJ) and Equivalencies
NFPA 70, The National Electrical Code, is a standard that is explicitly identified in the Rule and
that includes provisions for an AHJ. NFPA 70 includes an AHJ with authority to approve
equivalencies [NFPA 70 (2005), Annex G 80.9 (C)]. NFPA 70 defines the AHJ as “the
organization, office, or individual responsible for approving equipment, materials, an
installation, or a procedure.” NFPA 70 contains several provisions that allow the AHJ to approve
alternatives that provide equivalent levels of protection, i.e., “equivalencies” to the levels
provided by the standard. Other consensus standards that are included in a contractor’s approved
WSHP may include the AHJ or similar provisions.
The criteria for designating the AHJ have been handled differently in various DOE handbooks
and technical standards, and the preamble to the Rule. For implementation of the Rule and to be
consistent with DOE Technical Standard 1066-99 Fire Protection Design Criteria and DOE
Handbook 1188-2006 Glossary of Environment, Safety and Health Terms (both available by
searching at http://www.directives.doe.gov/), the AHJ should be the head of the DOE field
element or designee that has the requisite knowledge and abilities or has access to someone that
has the knowledge and abilities. Ultimately, the head of the DOE field element is authorized to
approve the contractor’s WSHP and therefore can decide whether to personally perform the AHJ
function with the help of qualified advisors or designate a qualified person to perform that
function, or whether or not the AHJ must be a DOE person.
Section 39
Individuals meeting the requirements of Fire Protection Engineering Functional Area
Qualification Standard, DOE-STD-1137-2000, and Electrical Systems Functional Area
Qualification Standard, DOE-STD-1170-2003, are examples of persons that have the requisite
knowledge and abilities to advise the head of the DOE field element or designee on fire
protection or electrical safety equivalencies, respectively. These standards are available at
http://www.hss.doe.gov/nuclearsafety/ns/techstds/standard/standard.html.
Equivalencies that were granted prior to the promulgation of the Rule, and in accordance with
AHJ and equivalency provisions of a code or standard that is included in a DOE-approved
WSHP should continue to be acceptable to DOE and not require a variance. Those equivalencies
should be identified in the DOE-approved WSHP. The equivalency process is separate from the
variance process.
The following discussion is focused on the AHJ for electrical safety but the principles also apply
to fire prevention and any other functional area requirements in the Rule that have AHJ
provisions.
The Model Electrical Safety Program (MESP) in DOE’s Electrical Safety Handbook
(DOE-HDBK-1092-2004) provides an example of an acceptable electrical safety program for
DOE contractors. Section 4 of the MESP defines the AHJ as the entity that interprets applicable
electrical safety requirements including those established in NFPA 70 and the electrical safety
provisions of the OSHA standards. Section 4 of the MESP further states that the AHJ approves
http://www.hss.doe.gov/nuclearsafety/ns/techstds/standard/standard.html
http:http://www.directives.doe.gov
41 DOE G 440.1‐1B
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electrical equipment, wiring methods, electrical installations, and utilization equipment for
compliance. This is only correct for situations in which an AHJ provision applies as explained
below.
Mandatory electrical safety requirements are defined as NFPA 70 and NFPA 70E as well as the
applicable electrical safety regulations promulgated by OSHA such as Subpart S of 29 CFR 1910
for general industry operations and Subpart K of 29 CFR 1926 for construction operations.
DOE’s intent is that the technical requirements be applied consistent with the provisions of the
individual standards as well as the programmatic requirements.
Specifically, DOE intends for the AHJ provisions discussed in the MESP to apply in full to the
implementation of NFPA 70 but only to components of the OSHA regulations that incorporate
NFPA standards by reference and include an AHJ or similar provision. DOE’s rationale for this
intent is that the AHJ provisions of the MESP parallel those established in NFPA standards such
as NFPA 70. For example, Article 90-4 of NFPA 70 establishes that the AHJ has the
responsibility to interpret rules, approve equipment and materials, and waive specific
requirements of NFPA 70 or permit the use of alternate methods where such methods provide
equivalent protection. Thus, in mandating compliance with NFPA 70, DOE adopts the full text
of the standard including the AHJ provisions of that standard.
Section 40
On the other hand, Subpart S of 29 CFR 1910 contains some requirements that are affected by
NFPA 70 and others that are not. OSHA standards that do not incorporate a consensus standard
that includes an AHJ provision do not provide for an AHJ that can permit the use of alternate
methods. The Rule provides that such deviations from the letter of the OSHA standards be
permitted only if approved through the formal variance process. DOE encourages the use of an
AHJ when permitted by the applicable code or standard in assisting in the proper interpretation
of electrical safety requirements. Interpretations of electrical safety requirements in the absence
of a code or standard that includes an AHJ provision are not binding on DOE unless issued under
a binding interpretive ruling.
6.4.2. Code of Record
Certain codes and standards provide implementation flexibility in the form of “Code of Record.”
Code of Record refers to acceptability of the code that was in effect at the time a facility or item
of equipment was designed and constructed rather than the current code or standard. The
appropriate version of a Code of Record is the version that was in effect when approvals were
obtained for the phase of the project for which the code applied, regardless of the duration of the
project. Revised codes do not supersede previous codes for phases of the project that already
have been approved.
Code of Record provisions that exist in the codes and standards that are explicitly referenced in
10 CFR 851.27(b) are considered part of the Rule and can be exercised in implementing the
Rule. For example, NFPA 70 indicates that it applies to new buildings but not to existing
buildings (NFPA 70 (2005), Annex G 80.13). In addition, the pressure safety codes specify that
current code requirements apply only to new design and construction. Similarly, flexibility
provisions in codes and standards that are not explicitly identified in the Rule but are included in
the contractor’s DOE-approved WSHP can be exercised in implementing the requirements.
42 DOE G 440.1‐1B
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6.4.3. Previously Granted Exemptions
DOE Orders allow the approval of exemptions from requirements in DOE Orders, Notices, and
Manuals (DOE M 251.1-1C, Departmental Directives Program Manual, page 10, available by
searching on site http://www.directives.doe.gov/) and many such exemptions have been granted
at DOE sites. The Rule has no provision for these pre-existing exemptions; therefore exemptions
to requirements in DOE Orders that are superseded by the Rule are not valid as of the Rule’s
implementation date of May 25, 2007. The Rule’s variance process (Subpart D) can be used to
request relief from a Rule requirement. The Contractor Requirements Document of DOE O
440.1A was superseded by the Rule so exemptions previously granted to requirements in that
Order will not be valid as of the Rule’s implementation date. In general, exemptions to DOE
Orders other than O 440.1A are not affected by the Rule; however, it is possible that the Rule
supersedes a worker safety and health requirement of a DOE Directive (Order, Notice, or
Manual) other than O 440.1A and exemptions to any such requirements would also not be valid
as of the implementation date of the Rule.
6.5. Training and Information
Worker protection training must be provided to all workers. Training also should be provided to
supervisors, collateral duty safety and health personnel and committee members, and employee
representatives that work for the contractor. Training should be included as a component of the
written WSHP.
Section 41
The worker safety and health training and information program is an integral component of the
WSHP. If a subcontractor works under the contractor’s WSHP, then the contractor’s WSHP
should describe the approach and process used to flow down the training program requirements
to the subcontractor. The training program requirements that flow-down should be consistent
with the scope and complexity of the work to be performed by the subcontractor. For
subcontractors that will work to their own WSHPs, the contractor should review the training
program to verify consistency with the contractor’s program. One acceptable approach would be
to require that subcontractor employees be trained through the contractor’s training program.
Alternatively, the subcontractor’s own training program should be acceptable once it is verified
by the contractor to be consistent with the contractor’s program.
DOE elements are required to develop and implement occupant emergency plans and
procedures, conduct training, and emergency drills according to directives and guidance issued
by: DOE O 151.1C and associated guides; the General Services Administration; and the Office
of Personnel Management.
6.5.1. Additional Resources
DOE’s Industrial Hygiene/Occupational Safety Special Interest Group (IH/OS SIG) is a
peer-to-peer network of personnel from the U.S. Department of Energy community
involved in occupational safety and health training. The IH/OS SIG provides the DOE
community with tools for the development, enhancement, and/or implementation of
training designed to improve worker safety and health. The IH/OS SIG's Web site
http://orise.orau.gov/ihos/tsl/DOE_TSL_Index.htm provides information about the
http://orise.orau.gov/ihos/tsl/DOE_TSL_Index.htm
http:http://www.directives.doe.gov
43 DOE G 440.1‐1B
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DOE’s Technology Supported Learning (TSL) Index of training products developed by
the DOE complex that are available to the DOE community upon request.
U.S. Department of Energy, DOE-HDBK-1074-95, Alternative Systematic Approaches to
Training, January 1995,
http://www.hss.doe.gov/nuclearsafety/ns/techstds/standard/hdbk1074/hdbk1074.pdf
American National Standards Institute, ANSI Z490.1-2009, Accepted Practices for
Safety, Health, and Environmental Training,
http://webstore.ansi.org/ansidocstore/default.asp
Occupational Safety and Health Administration Publication 2254, Training Requirements
in OSHA Standards and Training Guidelines, Revised: 1998,
http://www.osha.gov/pls/publications/pubindex.list
29 CFR 1960, Subpart H, Training
DOE O 360.1B, Federal Employee Training
6.6. Recordkeeping and Reporting
DOE contractors are required to:
Maintain complete and accurate records of hazard inventory information, hazards
assessments, exposure measurements, and exposure controls;
Report injuries and illnesses consistent with DOE O231.1-1A, Environment, Safety and
Health Reporting , dated 6-3-04;
Comply with the injury and illness recordkeeping and reporting sections of the health
standards unless otherwise directed in DOE M 231.1-1A;
Neither conceal nor destroy information concerning compliance with the Rule; and
Investigate (DOE Order 225.1A Accident Investigations); analyze for trends (DOE Order
210.2 DOE Corporate Operating Experience Program); (both available by searching on
http://www.directives.doe.gov/) and report accidents, injuries, and illnesses.
Section 42
Follow the DOE O 243.1 Records Management Program policies promulgated to ensure
compliance with the Federal Records Act of 1950 and National Archives and Records
Administration regulations. For more information see http://cio.energy.gov/records
management.htm.
The hazard inventory must be complete and accurate and should include sufficient detail for
reviewers to characterize the hazards retrospectively.
Exposure monitoring data should include:
Exposure levels;
The date(s), number, duration, location and results of each of the samples taken,
including a description of the sampling procedure used to determine representative
employee exposure where applicable;
A description of the sampling and analytical methods used and evidence of their
accuracy;
http://cio.energy.gov/records
http:http://www.directives.doe.gov
http://www.osha.gov/pls/publications/pubindex.list
http://webstore.ansi.org/ansidocstore/default.asp
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44 DOE G 440.1‐1B
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The type of PPE worn, if any;
Name, social security number, employee identification number if different from the
social security number, and job classification of the employee monitored and of all other
employees whose exposure the measurement is intended to represent; and
The environmental variables that could affect the measurement of employee exposure.
Where it has been determined that no monitoring is required, a record of the objective data relied
upon to support the determination that no employee is exposed at or above an action level or
occupational exposure limit, as appropriate, should be maintained. Records containing personal
identifiers must be maintained consistent with Privacy Act requirements.
Exposure monitoring records should be kept for 75 years. That is the duration required in the
recordkeeping provisions of 10 CFR 850 “Chronic Beryllium Disease Prevention Program” and
the duration of records needed to conduct epidemiological studies.
Other Objective Data:
Objective data records should be kept as long as the contractor relies on this data.
The requirement to maintain records of hazard inventory information refers to the compilation of
information, materials and documents generated from the contractor’s activities under hazard
identification and assessment, parts (a), (b) and (c).
Summaries or representative information may be sufficient for routine and regularly changing
hazards, (e.g., heat stress levels and changes in potential heavy metals exposures at different
building demolition locations).
Title 10 CFR 850, Chronic Beryllium Disease Prevention Program, includes part 850.39
Recordkeeping and use of information. 10 CFR 850.39(h) requires contractors to transmit to the
Office of Health, Safety and Security an electronic registry of beryllium-associated workers.
The registry identifies these workers and includes data on their jobs, exposures and medical
status. Procedures for completing and transmitting the data are found in DOE-STD-1187-2007,
Beryllium-Associated Worker Registry Data Collection and Management Guidance,
http://www.hss.doe.gov/nuclearsafety/ns/techstds/standard/std1187/doe-std-1187-2007.pdf.
Section 43
The Office of Enforcement will use its voluntary Noncompliance Tracking System (NTS), which
allows contractors to elect to report noncompliance. See Appendix B to Part 851—General
Statement of Enforcement Policy, IX.5. Self-Identification and Tracking Systems for more
information. Title 10 CFR 851 NTS Reporting Thresholds for reporting noncompliance of
potentially greater worker safety and health significance into the NTS are available from a link
on http://www.hss.doe.gov/enforce/index.html. The NTS is described in the guidance document,
Enforcement Program Plan, also available from a link at
http://www.hss.doe.gov/enforce/index.html.
http://www.hss.doe.gov/enforce/index.html
http://www.hss.doe.gov/enforce/index.html
http://www.hss.doe.gov/nuclearsafety/ns/techstds/standard/std1187/doe-std-1187-2007.pdf
45 DOE G 440.1‐1B
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6.6.1. Hazard Abatement Tracking
Hazard abatement is a component of hazard assessment and control. Hazard abatement
management requires a mechanism to track all planned abatement activities through to
completion. Therefore, all hazards identified during worker protection evaluations should be
recorded regardless of whether the evaluation was conducted by DOE, contractors, or external
agencies such as OSHA. In addition, hazards identified by employees or line management
should be recorded if they are not immediately abated.
Hazard Abatement Information. Hazard abatement information may be in any format
(electronic or paper file), as long as it (1) meets its purpose of documenting identified hazards
and associated corrective actions through final abatement, (2) allows for appropriate planning
and budgeting decisions, and (3) is retrievable. Electronic records are generally much more
convenient than paper records and are preferred.
Contractors may not need to collect and maintain hazard information for hazards that rank low in
assessed risk or have been abated quickly and easily. Contractors should establish a risk
threshold below which hazard information need not be collected.
The following elements should be included in the documentation for each hazard:
Location;
Date found;
Description of hazard;
Referenced standard in 851.23 or Appendix A to Part 851, or other standard included in
the DOE-approved WSHP;
Planned corrective action;
Estimated cost of abatement;
Interim protective measures;
Abatement period (number of calendar days);
Scheduled abatement date;
Actual abatement date;
Risk level; and
Record identification number (unique identifying number).
In addition, the information should indicate if actual corrective action differs from planned
corrective action.
Coordination. DOE field elements should be kept informed of the status of abatement
activities. The contractor line organization should coordinate this reporting process with the field
element to establish reporting mechanisms acceptable to both parties. In addition, the field
element should establish the ability to request copies of the hazard abatement activity
documentation at any time.
46 DOE G 440.1‐1B
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6.6.2. Reporting and Investigating; Analyzing Trends
Information about accident, injury, and illness reporting and investigating; and analysis of related
data for trends and lessons learned; are contained in DOE O 231.1, Environment, Safety and
Health Reporting; and DOE O 225.1, Accident Investigations (both available by searching at
http://www.directives.doe.gov/).
6.7. Reference Sources
Section 44
The Rule incorporates by reference a number of American National Standards Institute (ANSI),
National Fire Protection Association (NFPA), American Conference of Governmental Industrial
Hygienists (ACGIH), American Society of Mechanical Engineers (ASME) consensus standards
and DOE Directives. It also indicates where those standards are available for inspection.
7. Variance Process
7.1. Consideration of Variance
Contractors should discuss the possibility of filing a variance application with representatives of
the head of the DOE field element and the Cognizant Secretarial Office prior to filing the request
in order to gain a preliminary view of the sufficiency of the supporting material and likelihood of
the request being granted. Such discussions are encouraged as a means to improve the efficient
use of resources. The head of the DOE field element also should provide the CSO with its
recommendation for the approval and terms and conditions of variance applications that it
supports. The head of the DOE field element should coordinate variance applications for which
multiple CSOs have responsibilities for programs that would be affected by the variance.
Flexibility in Codes and Standards. Relief from technical compliance with certain codes and
standards may be available within the code or standard in which case a variance may not be
needed. Certain codes and standards provide implementation flexibility in the form of—
An Authority Having Jurisdiction that can permit the use of alternate methods where such
methods provide equivalent protection (referred to as “equivalencies”). (Paragraph 6.4.1
of this document discusses the AHJ and equivalencies.) The AHJ is authorized to approve
equivalencies, and
Acceptability of the code that was in effect at the time a facility or item of equipment was
designed and constructed (referred to as the Code of Record) rather than the current code.
(Paragraph 6.4.2 of this document discusses Code of Record.)
Any of the above flexibility provisions that exist in the codes and standards that are explicitly
referenced in 10 CFR 851.27(b) is considered part of the Rule and may be exercised in
implementing the Rule. Equivalencies approved by the AHJ and Code of Record accepted for
facilities should be documented and retrievable for as long as the documents are in effect.
10 CFR 851 does not provide for applying similar flexibility to codes and standards, either those
that are explicitly incorporated in the Rule or those that are adopted by a contractor and included
in their WSHP, that do not contain flexibility provisions such as the AHJ and Code of Record.
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47 DOE G 440.1‐1B
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Most consensus codes and standards contain such provisions so the fact that the Rule does not
provide generic flexibility for codes and standards should rarely present a problem to DOE sites.
7.2. Approval Criteria
Circumstances that could warrant granting of a variance include:
Application of the requirement in the particular circumstances conflicts with other
requirements; or
Application of the requirement in the particular circumstances would not serve, or is not
necessary to achieve, its underlying purpose; or would result in resource impacts which
are not justified by the safety improvements; or
Application of the requirement would result in a situation significantly different than that
contemplated when the requirement was adopted, or that is significantly different from
that encountered by others similarly situated; or
Section 45
The variance would result in benefit to human health and safety that compensates for any
detriment that may result from the granting of the variance; or
Circumstances exist which would justify temporary relief from application of the
requirement while taking good faith action to achieve compliance; or
There is present any other material circumstance not considered when the requirement was
adopted for which it would be in the public interest to grant a variance.
Establish a schedule for full or partial compliance with the standard.
8. Worker Safety and Health Functional Areas
8. 1. Construction Safety
8.1.1 Application
The construction-specific provisions apply to activities defined as construction under the
definition section of 10 CFR 851. This definition is consistent with the definition provided by
OSHA and the Davis-Bacon Act (40 U.S.C. 276a). Identification of construction activities is
required by the Davis-Bacon Act for all Federally-funded projects in excess of $2,000.
Accordingly, the determination as to which activities are construction defaults to an existing,
formalized methodology in place at DOE sites.
It should be noted, however, that some activities meeting the definition of construction provided
in 10 CFR 851 may not necessarily be deemed construction by a site's Davis- Bacon Committee.
For example, there exists legal (and disputed) precedent that demolition activities not followed
up by subsequent construction do not represent “public works” within the scope of the Davis-
Bacon Act. It is not the intent of this document to resolve this dispute because a safety and health
program document is an inappropriate mechanism to help resolve wage rate determinations. It is
the intent, however, that construction requirements be applied to demolition activities, for
example, because safety standards for construction, 29 CFR 1926, specifically address
demolition activities while they are not addressed within 29 CFR 1910.
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The application of these requirements to sites where the referenced contract clause is in force
effectively exempts the Power Marketing Administrations as well as construction activities that
are DOE funded but that are performed on state or private property outside the jurisdictional
auspices of the Department (e.g., research facilities built on university campuses funded by DOE
grants).
8.1.2. General
The intent of the construction-specific requirements is to compel proactive management of
construction safety on all construction projects through:
Systematic and timely evaluation of project hazards;
Planning and selection of appropriate and effective protective measures;
Informing workers of all foreseeable hazards and required protective measures;
An active regimen of workplace inspections and prompt abatement of identified hazards.
Further, it is the intent of the requirements to integrate the safety and health requirements, to the
greatest extent practicable, with the required activities of the project management team otherwise
necessary to ensure compliance with the cost, quality, and schedule requirements of the project.
For example, documentation should be integrated, to the greatest degree possible, with existing
project documentation requirements (e.g., daily logs of construction), and when possible, the
required job site inspections should be done, consistent with project staff qualifications,
concurrent with other onsite quality assurance activities.
Section 46
Though the construction program may seem overly burdensome or costly on small construction
projects, a “graded approach” is inherent to the implementation of its requirements. Specifically,
the “backbone” of the programmatic requirements is a hazard analysis for each construction
operation presenting hazards not previously experienced or performed by a different
subcontractor. By nature, the more complex and costly a project is, the more such operations are
involved, and accordingly, the greater the amount of required pre-job planning.
Also, the construction safety and health program requirements (Hazard Analyses,
Worker Training, Project Safety and Health Plan) need not duplicate those prescribed by the
OSHA standard for Hazardous Waste Operations and Emergency Response [refer to Title 29
CFR 1926.65(b)].
8.1.3. Guidelines
The requirements provide considerable flexibility with regard to who on the project management
team (i.e., the DOE project manager, his or her support staff, as well as the construction
manager) should enforce and oversee safety and health performance of the construction
contractor. However, these respective responsibilities must be delineated in written agreements
or implementing instructions to ensure that the responsible parties are aware of and accept their
respective responsibilities.
49 DOE G 440.1‐1B
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8.1.3.1. Coordination of Construction and M&O Safety and Health Requirements
DOE is required to review safety and health program elements developed by the host for site
maintenance and operation activities to determine suitability and cost effectiveness on site
construction projects. The intent of this requirement is twofold. First, in instances where the host
and construction contractors mutually expose their employees to common hazards, it is probably
both desirable and cost effective to mandate construction contractor adherence to site-wide OSH
policies and procedures. However, there are also instances where mandated compliance by the
construction contractor with host OSH program requirements that go beyond applicable DOE
adopted OSH standards or are poorly suited to construction will have little, if any, positive
impact on safety and health but will adversely affect project cost and schedule.
8.1.3.2. Construction Contractor Evaluations
Ensure the development and implementation at each site of a system by which the effectiveness
of construction contractors' safety and health programs are systematically and objectively
evaluated and to ensure that these evaluations are subsequently used in the determination of
bidder responsibility on future projects. It should be noted that the system envisioned does not
specifically call for, nor encourage, a prequalification of prospective bidders based upon
empirically derived indicators of past safety and health performance such as Workers'
Compensation Experience Modifier Rates (EMRs) or incidence rates derived from a contractor's
OSHA Form No. 300, Log of Work-Related Injuries and Illnesses (a required listing of
recordable injuries and illnesses).
The distinctions between these systems need to be made clear. Whereas the former provides a
direct (and fair) measure of a contractor's recent and relevant safety and health performance [and
is accordingly prescribed by FAR 36.201for fixed-price construction], the use of performance
indicators such as the EMR and incidence rates as the sole arbiter of prospective safety and
health performance is problematic for several reasons.
Section 47
The EMR is inherently biased against companies with small payrolls (i.e., small business) in that
a single catastrophic loss constitutes a larger percentage of annual payroll (upon which premiums
are based) than it would for a large company. Moreover, it is based on performance from two to
four years ago as opposed to current performance and, therefore, will not reflect recent safety
and health program improvements, regardless of magnitude.
With respect to the use of incidence rates as a prequalification criterion, history has shown
clearly that the mere use of these rates for such purposes has led, in and of itself, to their marked
improvement (without necessarily an improvement in true performance). Accordingly, it is
doubtful whether sole reliance on such criteria fulfills the fundamental credo of Federal
contracting: fair and open competition.
This is not to say that contractor prequalification does not have a place in the management of
safety and health on DOE construction projects, but that is a distinctly different process than
making a determination of bidder responsibility based upon past performance. Generally,
prequalification should be reserved for use on highly complex or hazardous projects for which
50 DOE G 440.1‐1B
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the need for specific safety and health experience and qualifications (and the resulting restriction
of competition) can be clearly demonstrated (refer to FAR 9.202).
8.1.3.3. Construction Project Acquisition Documents
The safety and health requirements must be clearly communicated to the construction contractor
through the development and incorporation of appropriate contract language in the project
acquisition documents and not simply by reference. In most cases, this can be best achieved
through local development and use of contract “boilerplate” safety and health provisions, which
allow for insertion of project-specific requirements when needed (e.g., dedicated project OSH
staff, applicable host contractor safety and health requirements).
8.1.3.4. Hazard Analyses
The intent of the hazard analyses is to compel a proactive and systematic evaluation of project
hazards, timely planning of abatement strategies, and effective, relevant employee training. This
may be achieved in a variety of ways. Contract provisions may call for a complete hazard
evaluation process to be performed by the construction contractor, or the project specifications
may provide checklists or outlines that fulfill any portion (or all) of the hazard analysis
requirements for later completion and implementation by the construction contractor.
Regardless of the procedural means chosen, a means to identify project operations requiring
hazard analyses must be provided prior to project commencement. This ensures a means to “tie”
those operations to the project schedule, allowing for their timely completion and providing a
means for the project manager to assess whether adequate preparations have been made (i.e.,
abatement methods chosen/designed, professional staff in place, employee training
accomplished) prior to commencement of each project phase.
Section 48
The complexity and degree of effort associated with the development of these hazard analyses
should not be confused with that required for the preparation of “Safety Analysis Reports,”
extensive evaluations of the safe operating parameters of DOE nuclear facilities. As is common
across the construction industry, these analyses commonly require from several lines to several
pages for each project operation (generally in tabular form), depending on the nature of work
being addressed. Complexity is not the key; what is essential is the identification and approval,
in advance, of the actual work practices and protective measures to be employed. This helps to
ensure a safe work environment from the outset on each construction operation and to avoid the
often lengthy and costly disputes that occur as a job is delayed while unresolved safety issues are
resolved.
By virtue of the fact that the approval authority for these analyses is the project manager or his or
her designee, the format, level of detail and required complexity are left to his or her discretion.
However, it may be desirable within local implementing instructions to formalize the procedural
means for accomplishing these hazard analyses, including such issues as format and level of
required detail.
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8.1.3.5. Worker Hazard Awareness
Beyond the specific training requirements contained within DOE-prescribed worker protection
Standards (e.g., 29 CFR 1926), the requirement does not specify curricula or duration of required
employee worker safety and health training but emphasizes the need to formally communicate
information concerning foreseeable project hazards and required protective measures prior to
commencement of work on the affected construction operation. The approved hazard analysis for
the respective construction operation is ideally suited to communicate this information to the
worker.
8.1.3.6. Project Safety and Health Plan
To avoid confusion, it was decided to use the word “program” to describe the safety and health
requirements and the word “plan” to describe the contractor's project-specific written proposal to
implement these requirements.
It was also decided to let the hazard analyses become “stand-alone” requirements separate from
the safety and health plan in that, once approved, an acceptable safety and health plan could
possibly be used, with little or no modification, by a construction contractor on future projects.
This could help lessen the initial paperwork requirements that may unnecessarily delay a
project's start and also reduce the possibility that pressures to “break ground” would result in a
hasty and incomplete evaluation of project hazards.
8.1.3.7. Inspections and Hazard Abatement
8.1.3.7.1. Inspections
The requirement of 29 CFR 1926.20(b)(2) calls for “frequent and regular inspections of the job
sites” by each employer (i.e., the construction contractor and all subcontractors). Consistent with
requirements of the Federal Acquisition Regulation, which call for the onsite presence of a
superintendent during the performance of any project work activities (see FAR 36.506 and
36.519 for fixed-price and cost reimbursement construction, respectively), the requirement calls
for daily inspections of the job site by the construction contractor during periods of active work.
Section 49
It should be noted that the frequency of required job site inspections by the project manager or
his or her designee (i.e., support staff or construction manager) is given as “frequent and regular”
as opposed to any specific frequency (such as weekly or monthly). The desired frequency of
project inspections, consistent with project size, complexity, and risk level should be addressed
within local implementation guidance.
The safety and health inspections required for construction projects may be accomplished
concurrent with other onsite activities. There is no specific requirement for standalone project
safety and health inspections by the safety and health staffs of the construction or project
managers if project personnel have the requisite skills to perform these functions.
However, in cases where project staff lacks the necessary skills or experience or where
particularly hazardous or complex work is ongoing, it may be that these requirements are
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best fulfilled by safety and health professionals duly tasked by the construction or project
managers.
8.1.3.7.2. Hazard Abatement
Generally, it is both desirable and practical to demand immediate abatement of identified hazards
on a construction project because they are mostly of the construction contractor's making (and
contract terms generally call for immediate abatement with provisions for uncompensated work
stoppages if this is not achieved.) However, there are instances where it may be either impossible
or impractical to demand immediate abatement of a hazard or where abatement of a particular
hazard may fall outside of project scope.
The requirement provides specific steps that should be taken in such instances. It is not, however,
the intent of the requirement to provide a vehicle or a requirement for priority treatment of
abatement actions outside of project scope (with project funds) above other pending, and
possibly more crucial, site abatement actions.
8.2. Fire Protection
DOE contractors are required to implement and maintain a comprehensive, multi-faceted fire
protection and response program that is predicated, in part, on compliance with applicable
building codes and National Fire Protection Association (NFPA) codes and standards and should
incorporate applicable provisions of DOE O 420.1 Facility Safety. The Rule adopts as
requirements NFPA 70 National Electrical Code, (2005) and NFPA 70E Standard for Electrical
Safety in the Workplace (2004). These two standards, and additional NFPA codes and standards
that may be applicable, are available at www.nfpa.org.
Complete guidance on the development, adoption and maintenance of a fire protection and
response program that satisfies the provisions of the Rule can be found in DOE STD-1066-1999,
Fire Protection Design Criteria. A contractor may choose a successor version of any NFPA code
and standard, DOE standard and implementation guide, if approved by the DOE Authority
Having Jurisdiction (AHJ) for fire protection. (See 9.4.1 of this document for more information
about the AHJ).
Additional guidelines on certain aspects of an acceptable fire protection and response services
program can be found on the DOE Fire Protection website, located at:
http://www.hss.energy.gov/nuclearsafety/ns/fire/.
8.2.1. Authority Having Jurisdiction (AHJ)
(See 6.4.1. for more information concerning AHJ for fire protection.)
8.2.2. Life Safety Code
Section 50
NFPA Standard 101 Life Safety Code is applicable to most DOE facilities. AHJs may determine
that NFPA 101A Alternate Approaches to Life Safety can be applied to DOE facilities where an
equivalent level of life safety to that provided with NFPA 101 is needed. The AHJ also should
http://www.hss.energy.gov/nuclearsafety/ns/fire
http:www.nfpa.org
53 DOE G 440.1‐1B
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determine the additional or modified exit requirements needed for toxic and explosive
environments. The exit requirements for explosives environments should reflect the criteria
contained in the DOE M 440.1-1A, Explosives Safety Manual (available by searching at
http://www.directives.doe.gov/). Additional fire protection features and personnel limits should
be maintained where noncompliance with some NFPA Standard 101 provisions are necessary to
prevent creating serious hazards, e.g. as could occur in some containment structures. Compliance
with NFPA 101 satisfies exit requirements of the applicable building code and 29 CFR 1910 life
safety requirements. OSHA has a de minimis violations policy that accepts the current industry
consensus standard, if the consensus standard provides personnel protection equal to or greater
than the protection provided by the applicable OSHA standard. Based upon this policy, an
employer who meets the requirements contained in the current NFPA 101 would be in
compliance with 29 CFR 1910 life safety requirements, so long as the current version provides
equal or greater protection than the OSHA standard.
8.2.3. Fire Watches
When applicable, fire watcher requirements in National Fire Protection Association (NFPA) 51B
should be expanded to include responsibility for the safety of the welder(s) in addition to that of
the facility.
8.3. Explosives Safety
A comprehensive explosives safety program must implement and comply with all applicable
requirements of DOE Manual 440.1-1A, Explosives Safety Manual, (available at
https://www.directives.doe.gov/directives/current-directives/440.1-DManual-1a/view).
The DOE Explosives Safety Committee, composed of DOE’s subject matter experts in
explosives safety, maintain this Manual that incorporates lessons learned and technological
advances in the field of explosives safety. The Rule explicitly permits the contractor to choose to
use a successor version of the Manual if approved by DOE.
DOE O 420.1B, Facility Safety, dated 12-22-05 references the Manual in addressing the design
of facilities:
That contain explosives;
Within which explosives activities are conducted; or
That can be adversely affected by an explosives accident or detonation.
With the notable exception of onsite explosives storage and transportation of explosives or
explosive assemblies, the Manual is not intended to govern routine construction or tunnel
blasting.
Explosives safety requirements do not apply to cartridge-firing devices such as nail guns used in
construction. Explosives safety storage requirements apply to the explosive components of
cartridge-firing devices if very large quantities, as determined by a safety professional with
appropriate qualifications in explosives safety are stored.
https://www.directives.doe.gov/directives/current-directives/440.1-DManual-1a/view
http:http://www.directives.doe.gov
54 DOE G 440.1‐1B
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8.4. Pressure Safety
Section 51
Safety policies and procedures to ensure that pressure systems are designed, fabricated, tested,
inspected, maintained, repaired, and operated by trained and qualified personnel in accordance
with applicable and sound engineering principles must be established. Contractors should
consider pressure relief devices, piping, fittings, gauges, valves, pumps, heat exchangers and
associated pressure-retaining hardware to be part of pressure systems and should subject these
devices and hardware to protection measures that are equivalent to codes. The Rule also
references specific American Society of Mechanical Engineers (ASME) codes for pressure
vessels, boilers, air receivers, and supporting piping systems. Hazards presented by cryogenic,
pneumatic, hydraulic, steam, and vacuum systems should be addressed. Vacuum systems should
be addressed due to their potential for catastrophic failure in the event of backfill pressurization.
The provisions of 10 CFR 851 do not supersede requirements in 10 CFR Part 830, Nuclear
Safety Management and appropriate sections of the ASME Boiler and Pressure Vessel Code that
more appropriately apply to nuclear reactors and other DOE nuclear facilities.
8.5. Firearms Safety
A firearms safety program must be established and implemented for DOE activities involving the
use of firearms. Implementation guidance for comprehensive protective force firearms safety
programs can be found within the relevant provisions of DOE M 470.4-3, Protective Force
(available by searching at http://www.directives.doe.gov/).
Firearms protocols for the Office of Inspector General are governed by its internal policies and
procedures and associated guidance from the the Federal Law Enforcement Training Center, the
U.S. Attorney General, and related federal law enforcement requirements.
8.6. Industrial Hygiene
Consult DOE technical standard DOE-STD-6005-01 Industrial Hygiene Practices
(http://www.directives.doe.gov/) for additional guidance for complying with industrial hygiene
requirements. Title 10 CFR 851 Appendix A section 6(a) effectively addresses worker health
risks in typical work areas and operations. Typical work areas and operations tend to be stable.
This section of the Rule may not be sufficient for identifying worker health risks for non-routine,
transient or dynamic work operations. See section 7 of DOE-STD-6005-01 for guidance for
dealing with non-routine, transient, or dynamic work areas and operations.
Title 10 CFR 850 Chronic Beryllium Disease Prevention Program (available at
http://www.hss.energy.gov/healthsafety/wshp/be/) is deemed an integral part of the WSHP.
8.6.1. Additional Resources.
Non-ionizing radiation (NIR):
Threshold Limit Values (TLV) for Chemical Substances and Physical Agents &
Biological Exposure Indices (BEI), American Conference of Governmental Industrial
http://www.hss.energy.gov/healthsafety/wshp/be
http:http://www.directives.doe.gov
http:http://www.directives.doe.gov
55 DOE G 440.1‐1B
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Hygienists (ACGIH), Cincinnati, OH. (Latest edition.) Provides good overall
documentation on all aspects of NIR (microwaves; ultra-wide band, low frequency and
static electric fields; lasers; and non-coherent optical radiation). It essentially adopts
Institute of Electrical and Electronics Engineers (IEEE) C95.1 (for controlled area
microwaves) and American National Standards Institute (ANSI) Z136.1 Safe Use of
Lasers.
Section 52
IEEE C95.2, 1999, IEEE Standard for Radio Frequency Energy and Current-flow
Symbols, IEEE, Piscataway, NJ. This standard provides IEEE recommended practice
covering usage of signs.
IEEE C95.3, 2002, IEEE Recommended Practice for Measurements and Computations of
Radio Frequency Electromagnetic Fields With Respect to Human Exposure to Such
Fields, 100 kHz - 300 GHz, IEEE, Piscataway, NJ. This is a very technical document on
making field measurements and computations of radio frequency (RF) energy fields.
IEEE C95.4, 2002, IEEE Recommended Practice for Determining Safe Distances from
Radio Frequency Transmitting Antennas When Using Electric Blasting Caps During
Explosive Operations, IEEE, Piscataway, NJ. Should be used with caution and by
personnel trained in these calculations. Incorrect use could result in the loss of life.
IEEE C95.6, 2002, IEEE Standard for Safety Levels With Respect to Human Exposure to
Electromagnetic Fields, 0 - 3 kHz, IEEE, Piscataway, NJ. This is IEEE’s standard on low
frequency fields. ACGIH limits cover the same hazard and may be simpler to use.
IEEE C95.7, 2006, IEEE Recommended Practice for Radio Frequency Safety Programs,
3 kHz to 300 GHz, IEEE, Piscataway, NJ. This new standard provides good basic
information on RF safety programs.
Laser Safety:
ANSI Z136.1-2007 Safe Use of Lasers, American National Standards Institute, 25 West
43rd Street, New York, NY 10036. This document is the cornerstone document of laser
safety, includes exposure limits and calculations. It is the basis for the ACGIH TLVs.
Z136.1 provides extremely useful worked out examples.
ANSI Z136.2-1997 Safe Use of Optical Fiber Communication Systems Utilizing Laser
Diode and LED Sources, American National Standards Institute, 25 West 43rd Street,
New York, NY 10036. This standard provides information on the safety of laser-based
fiber optics systems.
ANSI Z136.3-2005 Safe Use of Lasers in Health Care Facilities, American National
Standards Institute, 25 West 43rd Street, New York, NY 10036. This standard is for
Laser Safety Officers at health care facilities.
ANSI Z136.4-2010 Recommended Practice for Laser Safety Measurements for Hazard
Evaluation, American National Standards Institute, 25 West 43rd Street, New York, NY
10036. This practice is useful for making laser measurements although the requirements
can be calculated using Z 136.1 instead of making the measurements.
ANSI Z136.6-2005 Safe Use Of Lasers Outdoors, American National Standards Institute,
25 West 43rd Street, New York, NY 10036.
All the laser safety standards can be obtained at: http://webstore.ansi.org/ansidocstore/default.asp
or http://www.laserinstitute.org.
http:http://www.laserinstitute.org
http://webstore.ansi.org/ansidocstore/default.asp
56 DOE G 440.1‐1B
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8.7. Biological Safety
The requirements in the documents listed may give useful insight into DOE’s interest in staying
informed of biological etiological agent work being undertaken at DOE sites and determining
that an Institutional Biological Safety Committee is in place to provide effective review of all
activities involving biological etiological agents at DOE sites.
References for additional guidance are:
Title 42 CFR Parts 72, Interstate shipment of etiologic agents and 73, Possession, Use,
and Transfer of Select Agents and Toxins; available at
http://www.cdc.gov/od/sap/final_rule.htm
Section 53
Title 7 CFR Part 331, Possession of biological agents and toxins and 9 CFR Part 121,
Possession, Use, and Transfer of Biological Agents and Toxins, available at
http://www.cdc.gov/od/sap/final_rule.htm
42 CFR Part 73 HHS and USDA Select Agents and Toxins,
http://www.cdc.gov/od/sap/docs/salist.pdf
Biosafety in Microbiological and Biomedical Laboratories. CDC/NIH publication
(current edition). http://www.cdc.gov/biosafety/publications/bmbl5/index.htm
NIH Guidelines for Research Involving Recombinant DNA Molecules. NIH publication
MSU/1998 (current edition).
http://oba.od.nih.gov/oba/rac/guidelines_02/NIH_Gdlnes_lnk_2002z.pdf
Title 29 CFR 1910.1030, Bloodborne Pathogens.
http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=STANDARDS&p_
id=10051
8.8. Occupational Medicine
8.8.1. Introduction
Protection of the safety and health of workers and the public and protection and restoration of the
environment are fundamental responsibilities of DOE. A policy which promotes excellence in
environmental, safety, and health activities is essential. Prompt recognition, diagnosis, and
treatment of occupational injury or disease is paramount in managing and maintaining worker
health.
This section will outline the methods and approaches which may be utilized to implement an
occupational medical program and provide assistance in meeting the following objectives:
Assist contractor management in protecting employees from health hazards in their work
environments;
Assist contractor management in ensuring the placement of employees in work that can
be performed in a reliable and safe manner consistent with the requirements of the
Americans with Disabilities Act of 1990;
http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=STANDARDS&p
http://oba.od.nih.gov/oba/rac/guidelines_02/NIH_Gdlnes_lnk_2002z.pdf
http://www.cdc.gov/biosafety/publications/bmbl5/index.htm
http://www.cdc.gov/od/sap/docs/salist.pdf
http://www.cdc.gov/od/sap/final_rule.htm
http://www.cdc.gov/od/sap/final_rule.htm
57 DOE G 440.1‐1B
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Provide support to contractor management in the medical, mental, and substance abuse
aspects of personnel reliability and fitness for duty;
Assist contractor management in planning responses to medical emergencies including
the provision of onsite aid when appropriate.
Promote the early detection, treatment, and rehabilitation of employees who are ill,
injured, or otherwise impaired;
Apply preventive medical measures toward the maintenance of the optimal physical and
mental health of employees through health promotion and education;
Provide professional guidance and consultation to contractor management on all health-
related issues;
Provide employees, as appropriate, with professional medical evaluation, guidance,
counseling, and referrals to specialists in support of optimal physical and mental health;
Protect the privacy of employees and the confidentiality of their medical records; and
Provide support to DOE and contractor management and to the Office of Health and
Safety by the collection and analysis, when requested, of employee health data for the
purpose of early detection and prevention of occupational and non-occupational illnesses
and injuries, thereby reducing morbidity and mortality.
8.8.2. Application
Section 54
This section describes approaches and methods that DOE finds acceptable to meet the
requirements for an Occupational Medical Program, and is applicable to all contractors awarded
contracts and subcontracts for performing work for DOE on DOE-owned or -leased facilities.
Activities conducted under the Naval Nuclear Propulsion Program or the Nuclear Weapons
Safety Program relating to the prevention of accidental or unauthorized nuclear detonations are
excluded from the requirements.
Specific requirements for the FEOSH Program are contained in 29 CFR 1960 and should be
integrated with the overall Worker Protection Program that is provided for Federal employees.
The term "comprehensive" in 10 CFR 851 Appendix A, Section 8(a) refers to the specific
services that the occupational medicine provider determines are appropriate, considering the
specific work activities performed by the worker under the contract and are necessary for the
occupational medicine program to be consistent with DOE requirements, e.g. Hazwoper,
respiratory protection, and substance-specific standards. All possible services identified in the
Rule are not necessary for all workers. Unless there are other applicable specific requirements
concerning the content of workers' medical evaluations (see, for instance, 10 CFR section
712.11), the occupational medicine provider determines the content of the medical evaluations
which can range from a "paper" review of a worker's essential job functions and completed
medical history questionnaire to a hands-on physical examination and batteries of diagnostic
tests.
The intent of the provision in Section 8(a)(1) requiring occupational medicine services for
workers who work on a DOE site for more than 30 days in a 12 month period is to address
DOE's population of transient and short-term workers such as crafts and laborers that are
accessed from union halls, work for multiple contractors, or frequently cycle in and out of DOE
58 DOE G 440.1‐1B
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sites for short duration tasks. This provision makes it clear that a contractor must establish and
provide occupational medicine services to their workers who work on site for 30 days in a 12
month period. Title 10 CFR 851.10 requires that contractors' WSHPs describe how the
contractors will comply with the requirements of the regulation, including the occupational
medicine requirements that are applicable to hazards within their scope of work. In addition,
section 851.11(a)(2)(ii) requires contractors to coordinate with other contractors at the covered
workplaces to ensure that there are clear roles, responsibilities and procedures to assure the
safety and health at multi-contractor workplaces. Therefore, the prime contractors and
subcontractors should reach agreement on the content of the subcontractor occupational
medicine program prior to beginning work under the contract.
DOE expects that contractors that are on site for more than 30 days in a 12 month period will
establish an occupational medicine program based on the hazards associated with the contractors'
scopes of work and exercise reasonable judgment on enrolling their workers on a case-by-case
basis. It would be reasonable for contractors immediately to enroll workers that are scheduled to
work for more than 30 days in a 12 month period in the occupational medicine program; to not
enroll workers scheduled to work for less than 30 days in a 12 month period; and to keep track of
the time that their other workers work on site so that the contractor can identify for enrollment
those approaching the 30-day threshold.
Section 55
Contractors are not required to determine how much time a worker has worked for other
contractors on site. Contractors are not required to provide occupational medicine services for
those "less that 30-day" workers, as long as the Appendix A, Section 8(a)(2) enrollment
provision, concerning workers enrolled in a medical or exposure monitoring program, also does
not apply to those workers.
Appendix A, Section 8(a)(2) requires contractors to establish and provide comprehensive
occupational medicine services to workers who are enrolled for any length of time in a medical
or exposure monitoring program required by 10 CFR 851, other applicable regulation, or other
obligation. Medical monitoring is a component of occupational medicine so it is clear that the
contractor must provide occupational medicine services to workers enrolled in a medical
monitoring program. However, limited exposure monitoring conducted to quantify hazard
assessment exposure estimates may not constitute an exposure monitoring program for which the
contractor must provide occupational medicine services to the monitored workers.
Section 8(a)(2) does not say "all exposure monitoring." The term "enrolled . . . in a(n) exposure
monitoring program" in 8(a)(2) refers to a consistent regimen of monitoring the exposure that
workers receive while performing specific tasks. A contractor's hazard assessment required by 10
CFR 851.21(a)(1) that includes worker exposure monitoring may or may not constitute an
exposure monitoring program.
Exposure monitoring that is not enrollment in a program. Monitoring performed to
characterize the exposure resulting from a new activity or to validate an industrial hygienist's
judgment that exposures are likely to be minimal does not constitute enrollment in an exposure
monitoring program. For example, a week of monitoring the airborne silica levels experienced
by workers spending many hours outdoors on windy days near a tunneling activity in a desert
area to determine whether a hazard exists is not enrollment in a monitoring program. A worker
59 DOE G 440.1‐1B
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receiving this monitoring would not meet the criteria in Appendix A, Section 8(a)(2) for
requiring occupational medicine services.
Exposure monitoring that is enrollment in a program. Routinely monitoring the airborne
beryllium levels experienced by machinists that periodically machine items that contain
beryllium in areas where concentrations of beryllium are at or above the action level is an
example of enrollment in an exposure monitoring program. Appendix A, Section 8(a)(2) also
requires contractors to establish and provide occupational medicine services to workers who are
enrolled for any length of time in an exposure monitoring program required by any other
applicable Federal, State or local regulation or other obligation. For example, the Rule requires
that contractors provide occupational medicine services to workers where there is a possibility of
any employee exposure to lead at or above the OSHA action level because OSHA's regulation 29
CFR 1910.1025, "Lead," requires medical monitoring of workers whose airborne exposure to
lead is at or above the 29 CFR 1910.1025 exposure action level. See 29 CFR § 1910.1025(d)(4).
8.8.3. General Information
An occupational medical program is established for the purpose of helping to provide for the
safety and health of workers at DOE facilities through the provision of medical and other health-
related services by qualified personnel who possess appropriate certification and training.
Section 56
The scope and nature of the medical services rendered are predicated, in part, on the analysis of
existing or potential health hazards to which workers might be exposed, as well as specific job
tasks. This can only be accomplished through close cooperation with professionals in industrial
hygiene, health physics, safety, and management and through frequent worksite visits by medical
staff.
Employee fitness for duty is a foremost objective of contractor occupational medical programs,
and the performance of health evaluations is essential to the process. High-priority evaluations
include preplacement (health status and fitness for duty), medical surveillance (jobs involving
specific physical, chemical, or biological hazards), qualification (job assignments with specific
medical qualifications standards), return to work (ensure that the employee may return to work
without undue health risk to self or others), job transfer (determine whether the employee's
health status and fitness for the newly assigned duties can be performed in a safe and reliable
manner), and termination (health status review).
Equally important is the creation, development, and maintenance of complete medical records
for each employee in accordance with the provisions of the DOE Records Management Program.
All components of an occupational medical program should be evaluated and prioritized with
respect to their impact on worker health and safety at the site and their benefit/effectiveness in
relation to cost in order to contain health care expenditures and to allocate funds in the most
judicious manner.
The following definitions are useful for interpreting this section:
60 DOE G 440.1‐1B
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Medical Department. The occupational medical program or occupational medical
department established by the contractor.
Dedicated Medical Computer System. A computer system under the control of the
occupational medical department designed to receive, collect, and store occupational
medical information.
Employee Assistance Program (EAP). A program offering employees counseling,
treatment, rehabilitation, and referral services for a wide range of medical, drug, alcohol,
stress, and mental health problems, as well as for legal, financial, or job or career
development problems.
Fitness for Duty. The determination that the physical and mental health of an individual
is consistent with the performance of assigned duties in a safe and reliable manner.
Full-time Occupational Physician. A physician providing full-time occupational
medical services.
Guidance. Information to assist in achieving the program policies and objectives.
Health and Safety Group. The contractor organizations which are concerned with health
and safety programs.
Job Hazard Analysis. A statement outlining the physical and mental requirements and
the potential exposures and hazards of a specific job.
Monitored Care. The monitoring of the quality of medical care of employees who have
extended absences from work due to illness or injury for the purpose of facilitating their
rehabilitation, recovery, and early return to work.
Occupational Health Examiner (OHE). Physicians or nurse practitioners, physician
assistants, or other appropriately licensed allied health professionals who provide health
care under the direction of a licensed physician.
Occupational Health Nurse. A registered nurse providing occupational health nursing
services under the direction of a licensed physician.
Occupational Medical Program. A program to assist in the maintenance and protection
of optimal health through the skills of occupational medicine, psychology, and n