Forrest Services, Inc. Safety Manual

1. INTRODUCTION
COMPANY POLICY
Safety is of primary importance in our company. Each of us has the responsibility to make our safety and the safety of
our co-workers a basic concern. This objective is fundamental to the well-being of our employees and to the efficient
operation of our business. Our primary objective is to identify, evaluate, remove, or control workplace hazards in order to
prevent or reduce injuries and illnesses of our employees. Secondarily, we must control the direct and hidden costs of
accidents and lost time. Changes may occur from time-to-time, due to updates to this manual. Employees will be
informed and trained as new information is incorporated into this manual. This manual is only a safety guideline. There
can be no substitute for a positive work attitude and individual awareness of the work environment. Management
Responsibilities to formulate basic company safety policy and to provide the means of enforcement. This HSE Manual
has the complete endorsement of the management. Management accomplishes this through:

•        Informing Safety Director of any safety issue
•        Providing resources to meet safety requirements
•        Discussing safety hazards and instituting safety rules accordingly
•        Providing an adequate safety training program
•        Maintaining training records
•        Providing adequate safety equipment for employees
•        Maintaining accident records
•        Reviewing this HSE Manual annually to remain in compliance with federal, state, and
local regulations

Supervisor/Foreman Responsibilities
To carry out this safety policy through:
•        Conducting daily safety meetings with their employees
•        Ensuring all safety instructions are followed
•        Maintaining continuous job site inspections
•        Correcting unsafe work conditions

Employee Responsibilities
Cooperation with supervisors who are charged with the implementation of this HSE Manual because this program is
aimed directly at benefiting the employee by preventing his/her own accident.

Scope
This HSE Manual does not stand by itself. It is designed to be used in conjunction with the applicable Occupational
Safety and Health Administration (OSHA), National Institute of Occupational Safety and Health (NIOSH), and American
National Standards Institute (ANSI) standards. The rules in this Health, Safety, and Environmental (HSE) manual have
been developed in order to avoid and prevent health damages and injuries to all employees of Forrest Services, and to
any sub-contractors employed by Forrest Services. Sub-contractors will submit their safety manual to Forrest Services
for review prior to commencing work for Forrest Services. In the event there is a discrepancy between Forrest Services
policy and the sub-contractor policy, the most stringent policy will be adopted.

Direction
The Safety Director, or a designated employee of Forrest Services, Inc., is authorized by the management to direct all
phases of this HSE Manual.

Robert A. Schlenk, C.E.O.

2. RULES OF CONDUCT
Our rules of conduct are outlined in this HSE Manual to inform all employees of what is considered to be unacceptable
conduct. Failure to abide by these standards will result in verbal and/or written warning, corrective action, and/or
termination of employment. When an employee is terminated at the job site, the employee will turn-in their company-
issued equipment to the foreman, then be escorted to the parking lot and directed to leave. If the employee has been
with Forrest Services for less than 90 days, the cost of their safety training and any company-issued equipment not
turned-in will be deducted from their final pay.

2.1 Major Offenses
Major offenses require immediate termination. The termination may be made by the foreman, Field Superintendent, Vice
President of Field Operations, Safety Department personnel, or the Chief Executive Officer of Forrest Services, Inc. Major
offenses include, but are not limited to:

•        Possession, use, sale, or distribution of controlled substances, contraband, or
weapons on company/customer property (includes parking lots and vehicles)
•        Theft or misappropriation of company, customer, or employee property
•        Falsification of personal records or time sheets
•        Willfully damaging company/customer/employee property
•        Safety violations that could reasonably be expected to cause death or serious
injury to yourself and/or other employees (three specific examples follow)
•        Smoking near flammable materials
•        Failure to use proper fall protection when working at heights (Section 5)
•        Leaving post/falling asleep as Confined Space Attendant (Section 10)
•        Physically fighting or hitting another employee
•        Refusing to carry out work orders and instructions from the supervisor, and/or
being insubordinate
•        Absences of two work days without notification to the supervisor

2.2 Serious Offenses
A serious offense will not require immediate termination. For the first offense, the employee will receive a written warning
and/or suspension. For the second offense, the employee will be terminated. Serious offenses include, but are not
limited to:

•        Sleeping (unless Confined Space Attendant), or excessive loafing on the job
•        Neglecting or disregarding assigned duties
•        Using threatening or abusive language toward others
•        Ethnic or sexual harassment
•        Disorderly, immoral, or indecent conduct
•        Safety violations that could reasonably be expected to cause minor to major
injury to yourself and/or other employees
•        Unauthorized use of company vehicles and equipment
•        Reporting to work under the influence of alcohol (Section 14)
•        Failing to report an on-the-job injury or damage to company/customer
equipment/property in a timely manner
•        Removing confidential information, records, or property without management
authorization

2.3 Other Offenses
Other offenses are minor violations, and will be dealt with as follows:
First offense – verbal warning
Second offense – written warning
Third offense – written warning, suspension, and/or termination
Fourth offense – termination
These minor offenses include, but are not limited to:

•        Excessive absence and/or tardiness
•        Unsatisfactory or inefficient job performance
•        Attending to personal business on company time
•        Leaving job site early for meal breaks and/or at end of shift
•        Safety violations that could not reasonably be expected to cause injury or illness

2.4 Safety Award
Forrest Services, Inc. grant's all hourly personnel a safety award of one week paid vacation. To receive the award, you
must have worked a minimum of 2,080 hours in the previous calendar year WITHOUT:

1) A Lost Time Accident
2) Any written violation of company policy/procedure
3) Failure to report an accident or incident to your immediate supervisor
4) Failure to complete an accident report within 24 hours.

This vacation award will be subject to the terms listed below:

1) You quit your job – lose all 5 days
2) If you are terminated – lose all 5 days
3) You receive written non-compliance notice of safety policies
a) First offense – lose 2 days
b) Second offense – lose 3 days

3 SAFETY DEPARTMENT ADMINISTRATIVE REQUIREMENTS
3.1 Newcomer Orientation
All new employees will be given the Newcomer Orientation. This briefing covers the following subjects and how they
specifically apply to Forrest Services:

•        Safety policy statement
•        Rules of conduct
•        Personal Protective Equipment (PPE)
•        Tools and equipment
•        Ladders
•        Scaffolding
•        Lockout/Tagout
•        Material storage and handling
•        Industrial vehicles
•        Company vehicles
•        Confined space
•        Electrical safety
•        Lead abatement
•        Hazard communication
•        Emergency actions
•        Fire prevention
•        First aid/CPR/Bloodborne pathogens
•        Spills and leaks
•        Housekeeping
•        Heat stress
•        Accident reporting

After the orientation, for those field employees who will NOT be attending a Safety Council, a written test will be
administered. Employees must score a 70% or better to pass. Subject areas that are missed will be discussed again
with the employee. For those who failed, the material will be reviewed and the employee tested again. All of the new
employees will sign the Newcomer Orientation Sign-In Sheet after completion.

3.2 New Employee Drug Test
Forrest Services administers ALL new employees a drug test. Any prospective employee who tests POSITIVE for an
illegal substance will NOT be hired. This test will be administered just after the identification is verified for the
employment package. If the employee will go directly into a U.S. Department of Transportation (DOT) safety sensitive
position, then another drug test will be administered at a medical clinic under DOT rules. Procedures for how to conduct
the drug test are discussed in the Anti-Drug and Alcohol Misuse Prevention programs and Section 14 of this manual.

3.3 Safety Council Training
Most field employees will attend a local Safety Council basic safety course, and additional courses as determined by the
job assignment. These Safety Council courses require the employee to pass a test with a 70% or better. The Safety
Council courses expire, so refresher training is required annually. The basic safety course covers the following subjects:

•        Hazard communication
•        PPE
•        Respiratory protection
•        Electrical safe work practices
•        Elevated work
•        Process safety management
•        Job hazard analysis

3.4 General Safety Training
The Safety Department will ensure safety training is conducted in all of the following areas. This training will be
administered initially when an employee is assigned a task that requires it, recurring when required, or when an
employee indicates (verbally, or through improper action) that they are unaware of the proper procedures. Training
records will consist of the employee’s name, date, subject of training, instructor’s name, and pass/fail (pass is 70% or
better), and will be retained for at least the length of employment.

ITEM TRAINED	RECURRING	CERTIFICATION CARD
Respirator Fit Test	Annual	Yes
Fall Protection Competent Person	Annual	No
Scaffolding Competent Person	Annual	No
Spider Competent Person	Annual	No
Lockout/Tagout Competent Person	Annual	No
Aerial Lift Operator	3 Years	Yes
Tractor Operator	3 Years	Yes
Lead Protection Competent Person	As Needed	No
First Aid	3 Years	Yes
Cardiopulmonary Resuscitation (CPR)	Annual	Yes
Bloodborne Pathogens	Annual	No

3.5 Medical Records
Forrest Services, the employee, or OSHA may require certain medical tests, evaluations, or treatment for job-related
activities or injuries and illnesses. These medical records are private communications between the employee, the medical
provider, and Forrest Services, Inc. and are kept confidential and cannot be disclosed or reported without an employee's
express written consent to any person within or outside the work place, except as required by law, and will be kept for the
length of employment plus thirty (30) years, and are available to the employee or their designated representative upon
proper written request. Every employee has the right to access their exposure and medical records. Any employee desiring
to see their records must fill out the Medical Record Request Form and submit it to the Safety Department. The Safety
Department has five (5) workdays to notify the employee that their copy is ready for pick-up. The employee, or their
designated representative must pick the records up in person, or the records will be mailed/faxed to the designated
representative as specified in the Medical Record Request Form. A copy of the medical records is provided to the
employee free of charge. However, if that employee has already requested the records, or a portion of the records, they will
be charged 10 cents per page (covers copying costs). X-rays are dealt with separately, as agreed upon between the
employee and Forrest Services, Inc., since they cannot be photocopied. All employees will be informed of their right to
access their records upon initial hire, and a notice will be constantly posted on bulletin boards. When Forrest Services, Inc.
ceases to operate, all exposure and medical records will be turned over to the new company (if bought out). If Forrest
Services, Inc. is not bought out, but merely goes out of business, Forrest Services, Inc. shall notify all affected current
employees of their right to access their records at least three (3) months prior to closing. Medical records required to be
kept for 30 years will be transferred to the Director of National Institute of Occupational Safety and Health (NIOSH). If and
when Forrest Services, Inc. has conducted business for more than 30 years, NIOSH will also be notified at least 3 months
in advance of destroying any medical records (this should be done on an annual basis rather than throughout the year).

4 JOB HAZARD ANALYSIS
The key to preventing accidents and injuries is to understand the hazards that are present with any job task. To assist the
job foreman, Forrest Services Safety Department has prepared a “Job Hazard Assessment, Daily Safety Meeting, and Daily
Equipment Checklist” form. Additionally, the foreman must be issued a Work Permit prior to commencing the day’s tasks.
The foreman also has a “Guide to Safe Operations”, and when necessary, additional guidance available to help them
determine which hazards are present, or likely to be present during their day’s activities and help them put proper
preventative measures in place.

4.1 Job Hazard Assessment, Daily Safety Meeting, and Daily Equipment Checklist
form (Attachment 1)
The foreman records data on this form each day, and turns it in to the Safety Department weekly. The items covered in the
Job Hazard Assessment and Daily Equipment Checklist may provide the foreman with their topic for the Daily Safety
Meeting. The Job Hazard Assessment lists 18 potential hazards. The foreman indicates YES if that hazard is expected to
be present during that day’s tasks (this may already be marked from a previous day). The foreman will not indicate NO until
the last day of the week for any given hazard. For each of the 18 potential hazards, the source, the assessment, and the
appropriate PPE for that hazard are identified for the foreman. The Daily Safety Meeting has space for the foreman to list the
subject of the day’s tailgate meeting and space for the employees to sign. The Daily Equipment Checklist lists the most
common equipment used at the job sites, then identifies many of the items that need to be inspected for the equipment.
On the front of the form, the employee uses a / (slash) to identify the inspected item as satisfactory and an X to identify the
inspected item as needing repair/replacement. On the back of the form, the employee that conducted the inspection of a
particular piece of equipment will initial for the corresponding piece of equipment and day of the week that they conducted
the inspection. Included on this form is a section for the foreman to indicate that the employees have inspected their PPE
daily. Additionally, there is a place for the foreman, or a designated employee, to record the inventory of the first aid kit
supplies and CPR pocket mask. Finally, there are a few blank lines at the bottom for the foreman to make comments to the
Safety Department.

4.2 Work Permit (Attachment 2)
A majority of the customers that Forrest Services works for require a Work Permit to be issued by their safety personnel that
identifies specific criteria that must be met before work may commence:

•        Location of work (tank number, etc.)
•        Type of work to be performed (hot work, confined space, abrasive blasting, etc.)
•        PPE required (hard hat, safety glasses, steel-toed boots, etc.)
•        Safety requirements (atmospheric test, lockout/tagout, fire prevention, etc.)
•        Signatures of issuer and contractor

Forrest Services also requires its foreman to complete a Forrest Services permit as well as the customer’s permit. This
additional permit is required so that Forrest Services Safety Department may review the permits on a regular basis and
ensure that the foremen are taking the proper precautions. Should there be an emergency that requires shutdown of a job,
or evacuation of the area, then ALL work permits are immediately cancelled. A new work permit must be issued before
work can resume.

4.3 Foreman’s Guide to Safe Operations (Attachment 3)
The Safety Department, in conjunction with the Field Superintendent, has compiled a Foreman’s Guide to Safe Operations.
This document specifies the typical equipment used to conduct our blasting and painting operations, and explains the safety
measures that are required for using each piece of equipment. It also covers typical work environments our employees will
find themselves in, and describes the personal protective equipment and procedures necessary for these environments.

4.4 Additional Guidance
There will be times when Forrest Services will conduct work of an unusual nature. When the Field Superintendent is
evaluating a job site with the customer, they will notify the Safety Department if there appears to be any required work that
has not already been addressed concerning how to perform that task safely. In those cases, the Safety Department will
work with the Field Superintendent and customer to determine which safety measures and procedures will be put in place
for that work. The Field Superintendent will ensure these safety measures and procedures are explained to the foreman.

5 Personal Protection Equipment (PPE)
Personal protection equipment are items worn by employees to protect themselves from hazards that could not be
eliminated or controlled. Forrest Services will provide (at no cost to the employee) appropriate PPE to each employee as
they need it. An employee may provide their own PPE, provided it has been approved by the Safety Department. The
Safety Department will ensure all PPE provided by Forrest Services meets the National Institute of Occupational Safety and
Health (NIOSH), American National Standards Institute (ANSI), and American Society for Testing and Materials (ASTM)
standards. The Safety Department will train new employees during the Newcomer Orientation and re-train employees when
changes in the workplace or PPE occur, or employees indicate they are unaware of how to wear/use the PPE on the
following topics:

•        Types of PPE used at Forrest Services
•        When the PPE is necessary
•        Proper wear and fitting of the PPE
•        Limitations of the PPE
•        Proper care, maintenance, useful life, and disposal of the PPE

The supervisor is responsible for ensuring the employees maintain their PPE in a sanitary and reliable condition. All
employees will inspect their PPE before each use, and replace it when damaged or worn out.

5.1 Commonly Used PPE (there may be additional requirements for special jobs):

•        Head Protection
•        Hardhats – worn by all foreman, helpers, and painters
•        Blasting hood – worn by the blasters
•        Eye Protection
•        Safety glasses – worn by all foreman, helpers, and painters
•        Chemical splash goggles or splash shield – worn by the paint mixer while mixing
paints
•        Full-face respirator – worn by painters when spray painting objects at or above eye
level (protects against overspray)
•        Foot Protection
•        Leather boots with steel toes – worn by all employees at all times
•        Hand Protection
•        Heavy duty gloves – worn by blasters
•        Neoprene rubber gloves – worn by paint mixer, painters during hand rolling or
brushing, and while cleaning paint equipment
•        Hearing Protection
•        Disposable earplugs
•        Fall Protection
•        Body harness/lanyard
•        Lifeline/rope grab
•        Respiratory Protection
•        Full-face
•        Half-face respirator
•        Blasting hood

5.2 Hearing Conservation Program
Each employee will be made aware of the Hearing Conservation Program through the Newcomer Orientation. Forrest
Services Safety Department has determined (through sound level meter readings) that hearing protection will be worn by all
employees assigned to the jobsite whenever sandblasting is occurring (inside or outside of the tank). Additionally, earplugs
will be worn by the employees engaged in:

•        Spray painting inside the tank
•        Cleaning with compressed air (inside or outside the tank)
•        Working near a compressor, air dryer, dehumidifier, paint pump, or any other
equipment that is too loud (over 85dba – general rule of thumb is if you have to raise
your voice to be heard by another person 2-3 feet away)

Following the successful completion of a new hire’s probationary period of 90 days, sandblasters will undergo audiometric
testing to establish a baseline audiogram for the employee. The employee will be required to take an annual audiometric
test thereafter. Testing will be conducted and evaluated by medical personnel at Forrest Services’ expense, and the results
will be disclosed to the employee and Forrest Services. In the event there has been a significant Standard Threshold Shift,
that employee will be notified within 21 days, given a medical evaluation, and be reassigned within Forrest Services to a
work area that is below 85dba. Audiometric testing cannot take place until the employee has had at least 14 hours without
exposure to workplace noise, or any other high-level noises. Audiometric testing results will be maintained for the duration
of the employee’s employment. Noise exposure measurement records shall be retained for two years.

5.3 Fall Protection
Each employee on a walking/working surface (horizontal and vertical surface) with an unprotected side or edge which is 6
feet or more above a lower level shall be protected from falling only by the use of conventional fall protection (personal fall
arrest systems) - there will not be a controlled access zone or safety monitoring system. Specific Fall Protection Plans may
be put in place for special jobs.

5.3.1 Definitions:

•        Anchorage – a secure point of attachment for lifelines, lanyards or deceleration
devices
•        Body harness – straps secured about the employee in a manner that will distribute
the fall arrest forces over at least the thighs, pelvis, waist, chest and shoulders with
means for attaching it to other components of a personal fall arrest system
•        Lanyard – flexible line of rope, wire rope, or strap which generally has a connector at
each end for connecting the body harness to a deceleration device, lifeline, or
anchorage
•        Lifeline – flexible line for connection to an anchorage(s) and allows connection of
deceleration devices
•        Vertical lifeline – supports only one employee and is capable of supporting 5,000
pounds
•        Horizontal lifeline – may support multiple employees and must be capable of
supporting 5,000 pounds per employee attached
•        Rope grab – deceleration device which travels on a lifeline and automatically, by
friction, engages the lifeline and locks so as to arrest the fall of an employee
•        Tie-off – have a fall arrest system fully connected

5.3.2 Rescue
The job foreman, or supervisor will initiate immediate rescue of any employee that falls. This will be accomplished by using
the radio to contact the client’s Emergency Response Team. Forrest Services will make all of their equipment and tools
available to the ERT, and assist only as directed by the ERT.

5.3.3 Competent Person
Each foreman has been trained as a Competent Person for Fall Protection, having received instruction and passing a
written test (70% or better). The foreman will conduct fall protection equipment inspections annually for their employees. A
different Competent Person will perform the annual inspection of the foreman’s fall protection equipment. These inspections
will be documented and retained by the Safety Department. A body harness and lanyard cannot be reused after arresting
an employee’s fall without an inspection and authorization from a Competent Person.

5.4 Respiratory Protection
Respirators will be worn by the employees whenever there is a known, or suspected, breathable hazard (vapors, gases, or
particulates).

5.4.1 Types of Respirators

There are two types of respirators: air-supplied and air-purifying.

1.        Air-supplied respirators have their own breathing source for the employees (air
compressor or air bottle/tank) and allow the employee to work in more hazardous
atmospheres

•        Blasting hood – provides constant, breathable oxygen directly (from air compressor
through filters) to the employee’s hood using positive pressure to prevent hazardous
air from entering the hood.
•        Self-Contained Breathing Apparatus (SCBA) – full-face respirator where the
employee carries an air bottle/tank and an escape bottle

2.        Air-purifying respirators use filters/cartridges to remove harmful materials from the
ambient air

        Half-face – covers the nose and mouth
        Full-face – covers the eyes, nose, and mouth

Cartridges – disposable to allow employee to change as environment changes, or as the cartridges reach the end of their
useful life; color-coded for easy identification of protection level:
•        White – acid gases: sulfur dioxide (SO2), chlorine gas (Cl2) and hydrochloric acid
(HCl)
•        Black – organic vapors: pesticides, paints, thinners
•        Green – ammonia gas
•        Yellow – acid gases (White) and organic vapors (Black)
•        Purple – highly toxic particulate filter (HEPA)
•        Pre-filter – cloth-like filter that captures dust particles and paint overspray to extend
the life of the cartridge

5.4.2 Medical Evaluation
Every employee must be medically evaluated prior to fit testing and initial use of a respirator. This is done to ensure that
wearing a respirator won’t affect the employee’s health. Forrest Services Safety Department will give the employee an
OSHA respirator medical evaluation questionnaire (Attachment B), and upon completion by the employee, will review it. If
the employee answered YES to any of the medical questions (Part A, Sections 2 or 3), then the employee will be sent to a
medical clinic (at no cost to the employee) for evaluation.

Medical re-evaluation will be provided:
(1) if an employee reports symptoms that are relevant to their ability to use a respirator;
(2) when a physician, supervisor, or the Safety Department informs the management that
an employee needs to be re-evaluated;
(3) when information from the respirator program, including observations made during fit
testing or program evaluation indicates a need for employee re-evaluation; or
(4) if a change in workplace conditions occurs that may result in substantial increase in
the physiological stress that respirator use places on the employee an annual medical
evaluation (questionnaire or physician evaluation) is required for each employee who
continues to require the use of a respirator.

5.4.3 Fit Test
After the medical evaluation, each employee must be Fit Tested for each particular type/brand/size of respirator they may
be required to wear. The respirator must fit properly in order to provide adequate protection to the employee. Forrest
Services Safety Department administers the qualitative fit testing method (Bitter) for all employees who indicated they had
no medical problems on their questionnaire. Instructions on how to complete this fit test are included as Attachment A. For
those employees who indicated a medical concern, the medical clinic will administer a quantitative fit test, if they determine
the employee is qualified to wear a respirator. An annual fit test is required for each employee and each respirator they
continue to use.

5.4.4 Face Seal Protection

Employees are not permitted to wear a respirator if they have:

•        Facial hair that comes between the sealing surface of the face piece and the face, or
that interferes with valve function
•        Any condition that interferes with face piece seal or valve
•        Corrective glasses/goggles or other protective equipment that interferes with the seal
of the face piece to the face of the user
•        Not performed a user seal check each time they put on their respirator

ATTACHMENT A – FIT TESTING PROCEDURES

The Safety Director will conduct fit testing before the employee will use a respirator. The following procedure for fit testing is
required:

1. Prior to the respirator selection process, demonstrate to the employee how to put on a
respirator, how the respirator should be positioned on the face, how to set strap
tension, and how to determine an acceptable fit.
2. If the employee is new to wearing respirators, have them don the mask several times,
adjusting the straps each time to become familiar with the process.
3. Assess the comfort and adequacy of the respirator fit with the employee using the
following criteria:
•        Position of the mask on the nose and chin
•        No hair growth between the skin and the face piece sealing surface
•        Room for eye protection and/or prescription glasses
•        Room to talk
•        Proper strap tension, not overly tight
•        Tendency of respirator to slip

4. Instruct the employee to conduct the following user seal checks:
Positive Pressure Check – close off the exhalation valve and exhale gently into the face piece. The face fit is considered
satisfactory if a slight positive pressure can be built up inside the face piece without any evidence of outward leakage of air
at the seal (May require removal of exhalation valve cover).
Negative Pressure Check – close off the inlet opening of the cartridge(s) by covering with the palm of the hand(s) and gently
inhaling so that the face piece collapses slightly, and hold the breath for 10 seconds. The design of the inlet opening of
some cartridges cannot be effectively covered with the palm of the hand, so use plastic to cover them. If the face piece
remains in its slightly collapsed condition and no inward leakage of air is detected, the tightness of the respirator is
considered satisfactory.
5. Conduct the Qualitative Fit Test (QLFT) using the procedures detailed in the Fit Test Instructions included in the Fit Test
Kit.
6. Forrest Services, Inc. will not hire a new employee if they can not pass a fit test for the type of respirator used.

ATTACHMENT B – OSHA Respirator Medical Evaluation Questionnaire

This questionnaire will be used by the Forrest Services, Inc. Safety Director to determine if you need a medical examination
by a health care professional, at no cost to the employee, prior to being fitted for a respirator. This questionnaire should be
completed during normal working hours, at a time/place convenient to the employee.

Part A, Section 1 – To be completed by every employee who has been selected to use any type of respirator (PLEASE
PRINT):

1. Today’s Date: ____/____/______
2. Name: __________________________________
3. Age: ______ 4. Sex (circle one):    Male    Female
5. Height: ______ft ______ in 6. Weight: _______lbs
7. Job Title: __________________________
8. Phone number: ___________________________
9. Type of Respirator you will use:
a. ______ N, R, or P disposable respirator (filter-mask, non-cartridge type only)
b. ______ Other type (half- or full-face piece, powered air purifying, supplied air, SCBA)
10. Have you worn a respirator before (circle one):   Yes   No

Part A, questions to be completed by every employee who has been
selected to use any type of respirator Section 2 – Medical(PLEASE PRINT):
1. Do you currently smoke tobacco, or have you smoked tobacco in the last month?    Yes    No
2. Have you EVER had ANY of the following conditions?
a. Seizures (fits):    Yes   No
b. Diabetes (sugar disease)    Yes    No
c. Allergic reactions that interfere with breathing:    Yes    No
d. Claustrophobia (fear of closed-in spaces):    Yes    No
e. Trouble smelling odors:    Yes    No
3. Have you EVER had ANY of the following pulmonary or lung problems?
a. Asbestosis:    Yes    No
b. Asthma:    Yes    No
c. Chronic Bronchitis:    Yes    No
d. Emphysema:    Yes    No
e. Pneumonia:    Yes    No
f. Tuberculosis:    Yes    No
g. Silicosis:    Yes    No
h. Pneumothorax (collapsed lung):    Yes    No
i. Lung Cancer:    Yes    No
j. Broken Ribs:    Yes    No
k. Any chest injuries or surgeries:    Yes    No
l. Any other lung problem that you have been told about:    Yes    No

4. Do you currently have ANY of the following symptoms of pulmonary or lung illness?
a. Shortness of breath:
1) When walking fast on level ground, or walking up a slight hill or incline:    Yes    No
2) When walking with other people at an ordinary pace on level ground:    Yes    No
3) Have to stop for breath when walking at your own pace on level ground:    Yes    No
4) When washing or dressing yourself:    Yes    No
5) That interferes with your job:    Yes    No
b. Coughing:
1) That causes phlegm (thick sputum):    Yes    No
2) That wakes you early in the morning:    Yes    No
3) That occurs mostly when lying down:    Yes    No
4) Cough up blood in the past month:    Yes    No
c. Wheezing:    Yes    No
d. Chest pains when you breathe deeply:    Yes    No
e. Any other symptoms you think may be related to lung problems:    Yes    No
5. Have you EVER had ANY of the following cardiovascular or heart problems?
a. Heart Attack:    Yes    No
b. Stroke:    Yes    No
c. Angina:    Yes    No
d. Heart Failure:    Yes    No
e. Swellings in legs/feet (not caused by walking):    Yes    No
f. Heart arrhythmia (irregular heart beat):    Yes    No
g. High Blood Pressure:    Yes    No
h. Frequent pain or tightness in the chest:
1) During physical activity:    Yes    No
2) That interferes with your job:    Yes    No
i. In the PAST TWO YEARS, have you noticed your heart skipping or missing a beat:    Yes    No
j. Heartburn or indigestion that is NOT related to eating:    Yes    No
k. Any other heart problem you have been told about:    Yes    No
l. Any other circulation problem you have been told about:    Yes    No
6. Do you currently take medication for any of the following problems:
a. Breathing or lung problems:    Yes    No
b. Heart trouble:    Yes    No
c. Blood pressure:    Yes    No
d. Seizures (fits):    Yes    No
7. If you have used a respirator before, have you EVER had ANY of the following problems?
a. Eye irritation:    Yes    No
b. Skin allergies/rashes:    Yes    No
c. Anxiety:    Yes    No
d. General weakness or fatigues:    Yes    No
e. Any other problem that interferes with your use of a respirator:    Yes    No
8. Would you like to talk with a health care professional about this questionnaire:    Yes    No
Part A, Section 3 – To be completed by employees selected to use either a full-face piece
respirator or an SCBA
1. Have you EVER lost vision in either eye (temporarily or permanent):    Yes    No
2. Do you currently have ANY of the following vision problems:
a. Wear contact lenses:    Yes    No
b. Wear glasses:    Yes    No
c. Color blindness:    Yes    No
3. Have you EVER had an injury to your ears, including a broken ear drum:    Yes    No
4. Do you currently have ANY of the following hearing problems:
a. Difficulty hearing:    Yes    No
b. Hearing Aid:    Yes    No
c. Any other hearing problem:    Yes    No
5. Have you EVER had a back injury:    Yes    No
6. Do you currently have ANY of the following musculoskeletal problems?
a. Weakness in arms, hands, legs or feet:    Yes    No
b. Back pain:    Yes    No
c. Difficulty fully moving arms/legs:    Yes    No
d. Pain or stiffness when leaning forward/backward at the waist:    Yes    No
e. Difficulty fully moving head up/down:    Yes    No
f. Difficulty fully moving head side-to-side:    Yes    No
g. Difficulty bending at the knees:    Yes    No
h. Difficulty squatting to the ground:    Yes    No
i. Climbing a flight of stairs or a ladder carrying more than 25 lbs:    Yes    No
j. Any other muscle or skeletal problem that interferes with using a respirator:    Yes    No

Part B – To be completed if health care professional will conduct the respirator fit test
1. In your present job, are you working at high altitudes (over 5,000 ft), or in a place that has lower than normal amounts of
oxygen:    Yes    No
If “Yes”, do you have feelings of dizziness, shortness of breath, pounding in your chest, or other symptoms when you are
working under these conditions:    Yes    No
2. At work, or at home, have you EVER been exposed to hazardous solvents, hazardous airborne chemicals (e.g. gases,
fumes, or dust), or have you come into skin contact with hazardous chemicals:    Yes    No
If “Yes”, name the chemicals, if known: ___________________ _______________________
____________________ _____________________ ________________________
3. Have you EVER worked with ANY of the materials, or under ANY of the conditions listed below:
a. Asbestos:    Yes    No
b. Silica (e.g. sandblasting):    Yes    No
c. Tungsten/cobalt (e.g. grinding/welding):    Yes    No
d. Beryllium:    Yes    No
e. Aluminum:    Yes    No
f. Coal:    Yes    No
g. Iron:    Yes    No
h. Tin:    Yes    No
i. Dusty environments:    Yes    No
j. Any other hazardous exposure:    Yes    No
If “Yes”, describe: ______________________________________________________________
4. List any second/side jobs/businesses you have:
______________________________________________________________________________
5. List your previous occupations: ______________________________________________________________________
________
6. List your current and previous hobbies:
______________________________________________________________________________
7. Have you been in the military:    Yes    No
If “Yes”, were you exposed to biological/chemical agents (training or combat):    Yes    No
8. Have you worked on a HAZMAT team:    Yes    No
9. Other than medications previously listed (question 6, Section 1), are you taking any other medications for any reason
(including over-the-counter medications):    Yes    No
If “Yes”, list them: __________________________________________________________
___________________ _________________________________________________________
10. Will you be using any of the following items with your respirator(s)?
a. HEPA filters:    Yes    No
b. Cartridges:    Yes    No
11. How often are you expected to use the respirator (circle “Yes” or “No” for ALL answers that apply)?
a. Escape only (no rescue):    Yes    No
b. Emergency rescue:    Yes    No
c. Less than 5 hours per week:    Yes    No
d. Less than 2 hours per day:    Yes    No
e. 2 – 4 hours per day:    Yes    No
f. Over 4 hours per day:    Yes    No
12. During the period you are using the respirator(s), is your work effort:
a. Light (less than 200 kcal per hour – office work, light assembly work, standing while operating small machinery):    Yes
No
If “Yes”, what is your average shift: ______ hrs, ______ min
b. Moderate (200 – 350 kcal per hour – nailing, drilling, driving, assembly work, lifting less than 35 lbs, walking on level
surfaces, bushing wheelbarrow on level surface):    Yes    No
If “Yes”, what is your average shift: ______ hrs, ______ min
c. Heavy (over 350 kcal per hour – heavy lifting, shoveling, bricklaying, chipping castings, walking on uneven surfaces,
climbing stairs with load):    Yes    No
If “Yes”, what is your average shift: ______ hrs, ______ min
13. Will you be wearing protective clothing/equipment (other than respirator) when wearing respirator:    Yes    No
If “Yes” describe clothing/equipment: _______________________________________________
14. Will you be working under hot conditions (above 77F):    Yes    No
15. Will you be working under humid conditions:    Yes    No
16. Describe work you will be doing while wearing respirator:
______________________________________________________________________________
17. Describe special/hazardous conditions you might encounter while wearing respirator:
________________________________________________________________________________________________
____________________________________________________________
18. Provide the following information for each toxic substance you will be exposed to while using respirator:
Name of substance: ___________________________________________
Estimated maximum exposure level per shift: __________________
Duration of exposure per shift: ______ hr ______ min
Name of substance: ___________________________________________
Estimated maximum exposure level per shift: __________________
Duration of exposure per shift: ______ hr ______ min
Name of substance: ___________________________________________
Estimated maximum exposure level per shift: __________________
Duration of exposure per shift: ______ hr ______ min
Name of substance: ___________________________________________
Estimated maximum exposure level per shift: __________________
Duration of exposure per shift: ______ hr ______ min
19. Describe any special responsibilities you have while wearing respirator that may affect the safety and well-being of
others (e.g. rescue, security): _____________________________________________________________

Respirator Training Acknowledgement
This is to certify that ________________________________ ID Nr: ____________________
Has been trained in the use, limitation and maintenance of respirators.
Brand of the respirator: ___________________________
Type of respirator: Half Mask Full Mask SCBA
Has passed the Sensitivity Test
Has passed the Fit Test
Could not be Fit Tested due to: _________________________________
Employee: _______________________________ Date: ________________
(Printed Name)
Employee: _______________________________
(Signature)
Instructor: _______________________________
(Signature)

6 EQUIPMENT AND TOOLS
Employees must be thoroughly trained before using any of these tools or equipment. All equipment and tools must be
inspected prior to use each day. These inspections should focus on damaged parts, loose fittings, tears in hoses or lines,
and guards in place. If any repairs are to be made, follow Lockout/Tagout procedures (Section 7). Hearing protection may
be required when working around much of this equipment (see Section 6). Forrest Services routinely utilizes the following
equipment when blasting and painting:

6.1 Ingersol Rand HP750 Air Compressors
The air compressors are used to provide Grade D air to the blasting hoods, to move the abrasive product through the
blasting hoses and paint through the paint lines, and to power the Spiders, Coppus air blowers, and paint pumps. The
compressor will have a grounding cable connected to a metal rod stuck into the ground. The air compressor will push the
air through bull hoses to the air dryer only. The bull hoses will be connected using wire through the eyelets on the crow’s
foot connectors, and further secured with steel, spring-loaded whipcheck safety cables at both ends.   Bull hoses are NOT
connected to each other to increase their lengths. The compressor, dryer, and sandpot are placed within the bull hose’s
length.

6.2 Air Dryers
The air dryer removes water and oil from the air supplied by the compressor. The dry air may then exit through a bull hose
to the blast machine, through a ¾ inch air hose to the filtration system, or through a ¾ inch air hose to power additional
equipment. The fan blades on the air dryer will be in a metal enclosure that does not have openings larger than one-half
inch. The ¾ inch air hoses are connected using wire through the eyelets on the crow’s foot connectors. At the dryer
connection, they will be further secured with a steel, spring-loaded whipcheck safety cable. Whipchecks are not required on
the individual pieces of equipment the hoses connect to.

6.3 Sand Hoppers and Sandpots
A sand hopper will be located in a stable, flat area that allows access for the semi-truck that delivers the blasting media, and
the loading of the sandpots. An extension ladder will be placed against the hopper, and securely tied to the hopper’s lowest
permanent ladder rung. Confined Space procedures (Section 10) must be followed if an employee is to enter the hopper for
any reason. An employee climbing up the hopper must follow fall protection procedures (Section 5.3) as well. A blast
machine, or sandpot, will be connected to the air dryer with a bull hose (using whipchecks). Blasting hoses are connected
to the sandpot and held securely by guillotine valves at the base of the blast machine. Blasting hoses connect to the blast
nozzle, or to each other to increase their lengths, and will be secured with wire through the eyelets on each crow’s foot
connector.

Blast nozzles have deadman valves that utilize two small air hoses (red and green) that run along the blasting hose from an
air tank on the side of the sandpot to the blast nozzle. When the deadman valve is squeezed, air pressure pushes the
guillotine valve up, enabling the blast media to be pushed through the blast hose. When the blast nozzle deadman valve
is released, the air pressure pushes the guillotine valve down against the blast hose to prevent any additional blast media
from going through the blast hose. Under NO circumstances will employees do anything to disable, or keep the deadman
valve in an open position. Whenever the blaster lays down the blast nozzle, the blaster will unscrew either of the air hoses
that operate the deadman valve, to prevent an accidental release of blasting material.

6.4 Clemtex CPF Charcoal Filtration System
The filtration system receives Grade D air from the air dryer and filters out additional contaminants. It then allows multiple
breathing airlines to be connected, so that more than one blaster may be operating at a time. The charcoal filters are
changed every 3 months, and indicated on the card attached to the filter canister.

6.5 Coppus Air Blowers
Coppus air blowers are powered by ¾ inch air hoses from the air dryer. Multiple hoses may be connected together to
obtain a sufficient length. The hoses are connected to each other with wire through the eyelets on the crow’s foot
connectors. The air blowers are usually placed in a manway opposite the manway used for the confined space entry. The
purpose is to increase ventilation through the tank. Filters are placed over the blower on the exterior of the tank to capture
the particulates.

6.6 Generators and Lights
The generators are diesel powered and provide 110-volt power to explosion-proof lights. All generators are equipped with
ground fault circuit interrupter (GFCI). The generator will have a grounding cable connected to a metal rod stuck into the
ground.

6.7 Spiders
Spiders are secured to the tops of the tanks with steel cables. For internal floating roof tanks without wind girders, the cables
are connected to the anchor at the center of the top of the tank and use pin-style top-rollers (1,500 lb load capacity) with
tieback and shackle, which overhang the edge of the tank and enable the spider to be easily moved around the tank. For
external floating roof tanks with wind girders, the spiders are suspended from ring girder rollers (1,000 lb load capacity).
Spiders may also be attached to the stairs, by wrapping the cable around the stair and securing the cable to itself with a
shackle.

Two spiders may be made into one platform by attaching a plank between the two spiders. The plank is aluminum and has
a mid-rail and top-rail on each side. The rails on the side adjacent to the tank will be lowered to allow access to the tank
wall. These planks are rented from MaxAccess, who certifies their strength. Our spiders are serviced, inspected, and
certified by MaxAccess after each job. Forrest Services foremen will be designated and trained as a Competent Person by
MaxAccess (our supplier for renting the Spiders).

6.8 Scaffolding
Scaffolding is occasionally required when Forrest Services has to paint the entire interior wall of a tank. The scaffolding will
need to be moved around the inside of the tank as each drop is completed. When that happens, the foreman is the
Competent Person. Our Field Superintendent is responsible for training each foreman for this duty. The employees will not
assemble, move, or alter the scaffolding without the foreman’s supervision. The foreman will utilize a tag to indicate that a
daily inspection has been conducted and the status of the scaffold. Should scaffolding be required around the outside of the
tank, the scaffolding equipment and assembly will be contracted out to a qualified scaffolding company that meet OSHA
and local regulations. Forrest Services’ Competent Person will conduct the daily inspections and update the tag on the
scaffolding at the beginning of each work day.

6.9 Paint Equipment
The airless spray pump utilizes an air hose from the compressor through the dryer for its power. The spray gun and power
roller hoses utilize threaded connectors. Multiple hoses may be connected to increase the length. The paint lines utilize
threaded connectors and may be connected to each other to increase the length. The spray guns have a safety lock that the
painter must engage anytime they lay the gun down. With this lock in place, the gun cannot spray.

6.10 Dehumidifier
Forrest Services rents dehumidifiers each time they paint the interior of tanks. The size of dehumidifier is determined by the
size of the tank. The rental company is given the dimensions of the tank, and interior height of the roof while the work will
be occurring. The dehumidifier is required to turn the air inside the tank 3 times per hour. The dehumidifier hose is placed
in a manway opposite the coppus blower.

6.11 Tools
Field employees will also use paint scrapers, screwdrivers, channel-lock pliers and crescen wrenches to make adjustments
to the equipment. These tools should only be used for their intended purposes and should NOT be used beyond their
capacity.

6.12 Ladders

Follow these rules when using any ladder:

•        Always inspect ladders before using (rungs evenly spaced and not loose) – tagout
any ladder that has defects
•        Do not use ladders as a skid, brace, or for any other purpose than climbing. If
necessary to place a ladder in/over a doorway, barricade the door and post warning
signs
•        While ascending/descending a ladder, do not carry anything that will prevent holding
on with both hands. Use a hand line or other means
•        Keep both feet on the ladder rungs
•        Do not reach out too far, or place one foot on a line or piece of equipment
•        Change the position of the ladder as often as necessary
•        Face a ladder when working from it
•        A safety harness is required when working in elevated areas higher than 6 feet
•        Ladders are not to be used as scaffolding
•        Ladders must not be overloaded (person and equipment weight)
•
6.12.1 Extension Ladders

Follow these rules when using extension ladders:

•        When using an extension ladder, the pitch will be such that the horizontal distance
from the top support is approximately ¼ of the length of the ladder
•        Ladder must be equipped with a tie-off rope and non-skid safety feet
•        Ladder must be adequately tied-off
•        The top of the ladder must extend three (3) feet beyond the supporting object
•        Extension ladders must be overlapped a minimum of three (3) rungs
•        Never use metal ladders when working near or under power lines

6.12.2 Step Ladders

Follow these rules when using step ladders:

•        Always set level on all feet and lock spreader in place
•        Never stand on the top step of a step ladder
•        Always tie-off the ladder

7 LOCKOUT/TAGOUT (LOTO)
Definitions

Affected employee – An employee whose job requires him/her to operate/use a machine or piece of equipment on
which servicing or maintenance is being performed under LOTO, or whose job requires him/her to work in an area in
which such servicing or maintenance is being performed.

Capable of being locked-out – An energy isolating device is capable of being locked-out if it has a hasp or other means
of attachment to which, or through which, a lock can be affixed, or it has a locking mechanism built into it. Other
energy isolating devices are capable of being locked-out, if lockout can be achieved without the need to dismantle,
rebuild, or replace the energy isolating device or permanently alter its energy control capability.

Energized – Connected to an energy source or containing residual or stored energy.

Energy Isolating Device – A mechanical device that physically prevents the transmission or release of energy,
including but not limited to the following: a manually operated electrical circuit breaker, a disconnect switch, a
manually operated switch by which the conductors of a circuit can be disconnected from all ungrounded supply
conductors, and, in addition, no pole can be operated independently, a live valve, a block, and any similar device used
to block or isolate energy. Push buttons, selector switches and other control circuit type devices are not energy
isolating devices.

Energy Source – Any source of electrical, mechanical, hydraulic, pneumatic, chemical, thermal, or other energy.

Hot Tap – A procedure used in the repair, maintenance and services activities which involves welding on a piece of
equipment (pipelines, vessels or tanks) under pressure, in order to install connections or appurtenances. It is
commonly used to replace or add sections of pipeline without the interruption of service for air, gas, water, steam, and
petrochemical distribution systems.

Lockout – The placement of a lockout device AND a tagout device on an energy isolating device, in accordance with
an established procedure, ensuring that the energy isolating device and the equipment being controlled cannot be
operated until the lockout device is removed.

Lockout Device – A device that utilizes a green key lock to hold an energy isolating device in a safe position and
prevent the energizing of a machine or equipment. Included are blank flanges and bolted slip blinds.

Normal Production Operation – The utilization of a machine or equipment to perform its intended production
function.

Servicing and/or Maintenance – Workplace activities such as constructing, installing, setting up, adjusting, inspecting,
modifying, and maintaining and/or servicing machines or equipment. These activities include lubrication, cleaning or
unjamming of machines or equipment and making adjustments or tool changes, where the employee may be exposed
to the unexpected energization or start-up of the equipment or release of hazardous energy.

Setting Up – Any work performed to prepare a machine or equipment to perform its normal production operation.

Tagout – The placement of a tagout device on an energy isolating device, in accordance with an established procedure,
to indicate that the energy isolating device and the equipment being controlled may not be operated until the tagout
device is removed.

Tagout Device – A prominent warning device, such as a tag and a means of attachment, which can be securely
fastened to an energy isolating device in accordance with an established procedure, to indicate that the energy
isolating device and the equipment being controlled may not be operated until the tagout device is removed. Forrest
Services, Inc. tagout device uses red and white stripes, clearly states “DANGER” and “LOCKED OUT DO NOT REMOVE”
on one side, with the DATE, AUTHORIZED SIGNATURE, EQUIPMENT TAGGED OUT, and authorized employees to work on
that piece of equipment while it is tagged out. The tagout device also has a hole in it to allow the employee to attach it
to the energy source.

7.1 Energy Control Program
Forrest Services, Inc. has established a program consisting of energy control procedures, employee training and
periodic inspections to ensure that before any employee performs any servicing or maintenance on a machine or
equipment where the unexpected energizing, start-up or release of stored energy could occur and cause injury, the
machine or equipment shall be isolated from the energy source, and rendered inoperative. The following individuals
are responsible to place a LOTO device on a piece of equipment or machine: an employee who sees that a piece of
equipment or machine is not safe to operate; AND all the mechanics repairing/replacing the equipment/machine.
Normal production operations are not covered by this section. Servicing and/or maintenance which takes place during
normal production operations is covered by this section only if:

A. An employee is required to remove or bypass a guard or other safety device; or
B. An employee is required to place any part of his/her body into an area on a machine or piece of equipment where
work is actually performed upon the material being processed (point of operation) or where an associated danger
zone exists during a machine operating cycle.

EXCEPTION: Minor tool changes and adjustments, and other minor servicing activities, which take place during
normal production operations, are not covered by this section if they are routine, repetitive, and integral to the use of
the equipment for production provided that the work is performed using alternative measures which provide effective
protection.

This section does NOT apply to work on cord and plug connected electric equipment for which exposure to the
hazards of unexpected energization or start-up of the equipment is controlled by the unplugging of the equipment from
the energy source and by the plug being the exclusive control of the employee performing the service or maintenance.

7.2 Lockout/Tagout (LOTO) Procedures

The following procedures should be followed:

•        The person doing the work is responsible to LOTO all items that could release
potential energy
•        The person doing the work is responsible for keeping the key in their possession
until their work is completed
•        The person locking out/tagging out the item is responsible for completing their
entries in the LOTO logbook
•        No one can remove a lock or tag other than the person that installed it
•        See Safety Department should the person locking or tagging out equipment be
unavailable for proper handling of removing a lock or tag

The established procedures for the application of energy control must be done in the following sequence:
1) Preparation for shutdown – authorized employee must have knowledge of type and magnitude of energy, and methods
to control it
2) Machine or equipment shutdown – follow manufacturer’s shutdown process
3) Machine or equipment isolation – physically isolate the energy source
4) Lockout/Tagout – apply the LOTO
5) Release any stored energy – open valves, etc.; may need to be repeated if energy can reaccumulate
6) Verification of isolation- test to ensure there is no stored energy

If you have to temporarily remove a LOTO to test or reposition the machine, follow these procedures:
1) Clear the machine/equipment – remove tools and materials
2) Clear other employees
3) Remove LOTO
4) Energize and proceed with testing or positioning
5) De-energize and reapply control measures (LOTO)

If more than one person, or group of people will be working on the machine/equipment, use a multiple lock lockout device
and require all people/groups to place their own lock on the device being locked out. All people/groups must remove their
own locks before the device can be returned to service, preventing any one person/group from energizing the device while
another person/group is still working on the device. If a group is working on the device, it is the supervisor’s responsibility to
ensure each person in their group is finished and clear before removing their lockout. Employees who fail to comply with
Forrest Services, Inc.’s LOTO procedures will be subject to disciplinary action, up to and including termination.

7.3 Annual Inspection
A periodic inspection of the energy control procedure must be conducted at least annually. The inspection shall be
performed by the competent person with each authorized employee on their responsibilities. The Safety Department shall
certify that the inspection occurred by identifying:

•        Machine or equipment utilized
•        Date
•        Employees included
•        Person performing inspection

8 MATERIAL STORAGE AND HANDLING
8.1 Material Storage
Materials and equipment shall not be stored in such a way as to block emergency shut-off switches, first aid kits,
emergency eyewash/shower facilities, fire extinguishing posts, valves, or roadways. Storage shall not create a
hazard by being stacked on unstable or sloping ground, or by poor stacking, or in any other way that the material may
easily fall over. Any material that could lead and contaminate the ground must be stored in a contained area (Section
13, Hazard Communication Program).

8.2 Material Handling
Employees must use caution when handling materials. Many materials are heavy to lift (5-gallon paint cans, bags of
sand, etc.), and must be lifted in a manner that will not cause back injury. When lifting heavy materials, remember to
squat, not bend over, bring the item close to your torso, then lift up by using your legs and keeping your back straight.
When putting the material down, follow the same steps in reverse order – lower yourself by squatting, then set the
material on the ground/floor. Additionally, do not twist your body while you are carrying heavy materials. Instead, with
the lifted material close to your torso, turn your entire body so that your feet are facing the direction you intend before
lifting or setting down the material. If materials are too heavy for one person to lift, get someone else to help you, or
use mechanical equipment to assist in the move.

8.3 Powered Industrial Vehicles
Powered industrial vehicles are mobile, power-driven vehicles used to lift personnel into a safe position to work on
other objects, or to move equipment or materials to the areas where they will be installed or utilized. Operators must
follow the manufacturer’s specifications and limitations, and rated load capacities. To be most effective, training must
address the unique characteristics of the type of vehicle(s) the employee is being trained to operate. A certified
operator is considered a Competent Person, capable of identifying deficiencies and responsible for reporting these
deficiencies to their supervisors. Forrest Services, Inc. will only operate aerial lifts and tractors at jobsites.   However,
because of work locations, employees may be working around cranes and forklifts as well. Therefore, employees will
be informed of some of the hazards associated with the rigging of materials for crane and forklift movement:

•        Never walk under anything being lifted
•        Do not ride on cranes or forklifts
•        Beware that you may need hearing protection depending on the noise level of the
vehicle
•        Watch for vehicles when walking or driving
•        Leave plenty of room for the tag line workers to move around

8.3.1 All Industrial Vehicles
There are some general rules of operation that apply to all of the powered industrial vehicles. These are:

•        Conduct daily inspection of vehicle – defective equipment must be locked out/tagged
out and removed from service
•        Obey load capacities
•        Secure unstable loads – unbalanced or odd-shaped loads
•        Ensure plenty of clearance (minimum 10 feet for power lines)
•        Never lift a load over anyone
•        Beware of tip over – do not jump from the vehicle if it does tip over
•        Do not speed
•        Beware of workplace hazards, such as rough, sloped or uneven surfaces, and
hazardous areas, such as blind spots, intersections, etc.
•        Remove vehicle from work area when not in use

8.3.2 Aerial Lifts
Specific rules of operation for aerial lifts are as follows:

•        Test lift and extension from the tractor unit before climbing onto the platform
•        Drive to the work location in the stowed position (full-down)
•        Wear fall protection if working more than 6 feet above the floor or ground
•        Never stand on railings
•        Never climb to another structure

8.3.3 Tractor
Specific rules of operation for tractors are as follows:

•        Wear safety belt when operating
•        Do not permit others to ride
•        Operate smoothly – no jerky turns, starts or stops
•        Hitch equipment only to the drawbar and hitch points recommended by manufacturer
•        Set brake when leaving tractor

8.4 Industrial Vehicle Operator Training

8.4.1 General Requirements
Industrial vehicle operators must be fully trained and certified (card valid for 3 years – must identify vehicle type, operator’s
name, evaluator’s name, and date) prior to operating the vehicle, except for trainees who have completed the formal
instruction (lecture, multimedia, and written test) administered by the Safety Department, and are receiving hands-on
training under the direct supervision of a certified operator.

8.4.2 Training Program Content
In addition to the initial training an industrial vehicle operator receives, refresher training and re-certification will occur
whenever:

•        The operator has been observed to operate the vehicle in an unsafe manner
•        The operator has been involved in an accident or near-miss accident
•        The operator has received an evaluation that reveals they are not operating the
vehicle safely
•        The operator is assigned to drive a different type of vehicle
•        The condition in the workplace changes in a manner that could affect the safe
operation of the vehicle
•        The operator certification card has expired (3 years from issue)

Training will cover the following topics as they relate to the specific vehicle and workplace the employee will operate in:

•        Operating instructions, warnings, and precautions regarding the type of vehicle
•        Difference between the industrial vehicle and the automobile
•        Vehicle controls and instrumentation: where they are located, what they indicate, and
how they work
•        Engine or motor operation
•        Steering and maneuvering
•        Visibility (including restrictions due to loading)
•        Attachment adaptations, operation, and limitation
•        Vehicle capacity
•        Vehicle stability
•        Inspection and maintenance required to perform
•        Refueling and/or recharging of batteries
•        Operating limitations
•        Surface conditions where the vehicle will be operated
•        Composition of loads and load stability
•        Traffic or other working employees in work area
•        Restricted movement areas to operate in
•        Hazardous locations where vehicle will be operated (closed environment with
insufficient ventilation, or other unique or potentially hazardous environmental
conditions)

9 SAFETY RULES FOR VEHICLES
Forrest Services, Inc. intend's that all of its company vehicles are operated by a safe, defensive driver who operates and
maintains all vehicles in compliance with federal, state, local, and insurance regulations.

9.1 General Operating Standards and Driving Privileges

•        Each employee operating a Forrest Services, Inc. vehicle shall have a valid and
appropriate driver’s license issued from Texas
•        Each driver will be given a 30-45 minute check ride to evaluate defensive driving
skills and habits. Unsafe drivers will not be allowed to operate Forrest Services, Inc.
vehicles
•        The driver and ALL occupants must wear safety belts at all times when the vehicle is
in motion
•        Forrest Services, Inc. vehicles are NOT to be used for personal reasons.
Passengers (family, hitchhikers, friends, former employees) are forbidden to be in
company vehicles. This means if you have an accident while using a Forrest
Services, Inc. vehicle for personal reasons, or are transporting any passenger other
than a current Forrest Services, Inc. employee, you will be held personally
responsible for any/all expenses.
•        The driver is responsible for securing all cargo
•        All Forrest Services, Inc. vehicles will be locked when out of sight of the employee,
EXCEPT WHERE PROHIBITED BY THE JOBSITE
•        Quarterly vehicle inspection by mechanic
•        Reckless driving is forbidden
•        The following items are prohibited from company vehicles: firearms, animals, radar
detectors, alcohol, and illegal drugs/paraphernalia
•        No duplicate keys shall ever be made, except by management
•        Never fuel a vehicle with the motor running
•        Any problems with vehicles that pose a safety hazard, and ALL accidents involving a
company vehicle, regardless of severity or cause, shall be reported to the driver’s
supervisor immediately
•        No more than three employees are allowed to ride on one seat of a vehicle
•        Employees riding in the back of a truck must be seated and arms, legs, and heads
must NEVER be outside of the bed of the truck while it is in motion
•        Use flagman when backing up in the vehicle whenever possible
•        The use of prescription drugs which may affect the driver’s abilities, alcoholic
beverages, or any illegal substances are strictly prohibited
•        Before leaving the vehicle, turn off the engine and set the parking brake

If employees must use cell phones while driving a company vehicle, the following rules must be followed:

o         If you have a hands-free device, you may take an incoming call
o         If you have a hands-free device, you may initiate a call, if you don’t have to look up, or
type in the number to be called. In other words, if you have it on speed dial, you may
make the call
o         In all other cases, pull off the road to a safe location before making/receiving a
phone call

9.2 Loss of Driving Privileges
A driver shall not be allowed to drive a company vehicle if any of the following conditions are true. Attendance of a
defensive driving course can be required, at the discretion of Forrest Services, Inc. management:

•        The employee’s driver’s license has been suspended or revoked
•        An employee has been convicted of, or forfeited bond or collateral for, any of the
following charges:
o         Felony involving a motor vehicle
o         Operating a company vehicle while under the influence of alcohol or drugs
o         Crime involving the knowing transportation, possession, or unlawful use of
controlled or restricted drugs
o         Leaving the scene of a vehicular accident which resulted in personal injury or death

•        Forrest Services, Inc. has determined through investigation or driving record that the
employee has displayed a lack of concern for the safety towards the general public
or fellow employees while operating a company vehicle

9.3 What To Do When You Are Involved In An Accident
Stop your vehicle at nearest, SAFE location. If you have already come to a stop as a result of the accident, leave your
vehicle there provided it isn’t in a dangerous position, or it doesn’t obstruct the flow of traffic (Texas requires that motor
vehicles involved in accidents be moved to the side of the road if possible)

•        Turn on flashers and set out orange triangular warning devices far enough away from
the accident/vehicle to ensure other drivers can make safe adjustments to avoid your
vehicle
•        Check yourself and all occupants for injuries; provide care if needed
•        Notify authorities; let them know what response is needed (police, ambulance,
and/or fire)
•        Make sure your cargo is secure, if carrying/pulling any
•        Make reasonable efforts to direct traffic if necessary
•        Get information from law enforcement agency that responds:
o       Agency name (sheriff, city, county, state)
o       Investigating officer’s name
o       Copy of accident report or case number if you have to obtain the report later
•        Do NOT give statements, or sign anything EXCEPT for your insurance adjuster or the
law enforcement investigation officer
•        Courtesy to all involved parties will be in your best interest
•        If law enforcement requires a drug/alcohol test from you, DO NOT REFUSE
•        Complete Forrest Services, Inc. Auto Accident Report (if you have a camera, take
pictures) as soon as it is safe, and injuries have been tended to as much as
possible

10 CONFINED SPACE

Definitions

Acceptable Entry Condition – The conditions that must exist in a permit space to allow entry and to assure that
employees involved with a permit required confined space entry can safely enter into and work within the space

Attendant – Individual stationed outside one or more permit spaces monitoring the authorized entrants and who
performs the duties assigned in the employer’s permit space program

Authorized Entrant – Employee who is authorized by the employer to enter a permit required confined space

Blanking or Blinding – The absolute closure of a pipe, line, or duct by the fastening of a solid plate (such as a spectacle
blind or a skillet blind) that completely covers the bore and that is capable of withstanding the maximum pressure of
the pipe, line, or duct with no leakage beyond the plate

Confined Space – A large enough area so configured that an employee can bodily enter and perform assigned work;
has limited or restricted means of entry and exit; and is not designed for continuous employee occupancy

Double Block and Bleed – The closure of a line, duct, or pipe by closing and locking/tagging two in-line valves and by
opening and locking/tagging a drain or vent valve in the line between closed valves

Emergency – An occurrence (including any failure of hazard control or monitoring equipment) or event internal, or
external to the permit space that could endanger entrants

Engulfment – The surrounding and effective capture of a person by a liquid or finely divided (flowable) solid substance
that can be aspirated to cause death by filling or plugging the respiratory system or that can exert enough force on the
body to cause death by strangulation, constriction, or crushing

Entry – Action by which a person passes through an opening into a permit required confined space. Entry includes
ensuing work activities in that space and is considered to have occurred as soon as any part of the entrant’s body
breaks the plane of an opening into the confined space

Entry Permit – The written or printed document provided by the employer to allow and control entry into a permit
required space

Entry Supervisor – Supervisor or designated employee for determining if acceptable entry conditions are present at a
permit space where entry is planned; for authorizing entry and overseeing entry operations; and for terminating entry
by this standard. NOTE: Entry supervisor may also serve as an attendant or as an authorized entrant as long as that
person is trained and equipped as required by this standard for each role he/she fulfills. Also, the duties of entry
supervisor may be passed to another person during the course of an entry operation

Hazardous Atmosphere – An atmosphere that may expose employees to the risk of death, incapacitation, impairment
of ability to self rescue (escape without help), or acute illness from one or more of the following: flammable gas, vapor,
mist in excess of 10% of its lower flammable limit (LFL), dust at a concentration that meets or exceeds its LFL, oxygen
concentration below 19.5% or above 23.5%, or any other atmospheric condition that is immediately dangerous to life
and health

Hot Work Permit – Written authorization to operations (e.g., welding, etc.) in a condition capable of providing a source
of ignition

IDLH – Immediately Dangerous to Life and Health; any condition that poses an immediate or delayed threat of life or
that would cause irreversible adverse effects, that would interfere with an individual’s ability to escape without help
from a permit space

Inerting – The displacement of the atmosphere in a permit space by a noncombustible gas to such an extent that the
resulting atmosphere is noncombustible

Isolation – The process by which a permit space is removed from service and completely protected against the
release of energy and material into the space by such means as blanking or blinding, etc.

Line Breaking – The intentional opening of a pipe, line, or duct that is, or has been, carrying flammable, corrosive, or
toxic material, an inert gas, or any fluid at a volume, pressure, or temperature capable of causing injury

Non-Permit Confined Space – A confined space that does not contain, or have the potential to contain any hazard
capable of causing death or serious physical harm

Oxygen Deficient Atmosphere – An atmosphere containing less than 19.5% oxygen by volume. Self-contained
breathing apparatus are required. When the oxygen level drops below 12.7%, rapid breathing and an accelerated
heartbeat occur. As the oxygen level continues dropping, poor muscular coordination, fatigue, and nausea occur,
leading to loss of consciousness and death if the oxygen level reaches 6% or less Oxygen Enriched Atmosphere – At
atmosphere containing greater than 23.5% oxygen by volume. This causes flammable materials to burn violently when
ignited

Permit Required Confined Space – A confined space that contains, or has the potential to contain, a hazardous
atmosphere; contains a material that has the potential for engulfment; has an internal configuration that might cause
an entrant to be trapped or asphyxiated by inwardly converging walls or by a floor that slopes downward and tapers to
a smaller cross section, and/or contains any other recognized serious safety or health hazard(s)

Permit Required Confined Space Program – Overall program for controlling and where appropriate, for protecting
employees from permit space hazards; for regulating employee entry into permit spaces

Permit System – Employees written procedures for preparing and issuing permits for entry and for returning the
permit space to service following termination of entry

Prohibited Condition – Any condition in a permit space that is not allowed by the permit when entry is allowed

Rescue Service – The personnel designated and trained to rescue employees from permit spaces in the case of an
emergency

Retrieval System – The equipment (including a retrieval line and/or full body harness, if appropriate) and a lifting
device or anchor used for non-entry rescue of employees from a permit space

Testing – The process by which the hazards that may confront entrants of a permit required space are identified and
evaluated. Testing includes specifying the tests that are to be conducted in the permit space

Toxic Gases – liquids, vapors, gases, mists, solid materials, and dusts should be considered hazardous in a confined
space. The product in the confined space may be toxic, there may be biological or chemical processes occurring in the
confined space, or the operation performed in the space may release a toxic gas. Toxicants produced in the work area
can migrate to and accumulate in the confined space. Toxic gases have been reported to cause death to workers in
confined spaces

10.1 Introduction
A confined space can be deceptive. Often, the space does not appear too dangerous; it may have been entered on
many previous occasions without incident and exhibit no apparent signs of danger. Routine entries in this situation
can create a false sense of security that may result in slacking off on required safety procedures. Sometimes, the
distinct signs warning of danger are apparent: toxic odor, irritating fumes, arcing electrical equipment, spinning
augers or blades, converging walls, and flowing grain or sand. However, sometimes there is no danger that you can
hear, smell, see, or taste prior to being overcome by the danger. It is prudent to treat an unknown space and its
interior as a permit required confined space, taking all the necessary precautions, until an analysis proves otherwise.

10.2 Hazardous Concentration
By nature, confined spaces concentrate hazards. In these spaces, atmospheric hazards occur when certain gases
displace breathable air, allowing toxic, flammable, or combustible substances to accumulate. Because of limited
workspace, it can be difficult for workers to avoid contact with physical hazards such as electrical conduits and the
moving mechanical components of machinery. Other physical conditions of the space can contribute to drowning,
falling, or entrapment due to the interior configuration. Recognizing these spaces for their inherent capacity to retain
hazardous conditions is essential. When you are able to understand and appreciate the hazards of confined spaces,
you will be able to minimize these entry dangers through appropriate safe work practices.

10.3 Risk Assessment
Before any confined space entries are carried out, Forrest Services, Inc. will conduct a
workplace risk assessment. Forrest Services, Inc. will try to eliminate the hazards of the space as a precaution; but if
this cannot be done entirely, then Forrest Services, Inc. will reduce and/or control the existing hazards through careful
planning to provide a safe work area for the entrants. The assessment will identify all energy sources, equipment, and
pipe inlets in the space that must be locked-out/tagged-out, disconnected, blocked or bled. The type of work to be
performed in the space will be considered as well as the space size, shape, and physical restraints. Hazards that are
identified will be categorized according to the type. Most hazards fall into the following basic categories:

•        Atmospheric – such as combustible, flammable, explosive, oxygen
deficient/enriched, or toxic gases and vapors
•        Physical – such as grinders, agitators, steam, mulchers, falling, tripping, or
entrapment from walls that converge inward
•        Corrosive – chemicals and infectious agents
•        Psychological – such as working alone in a confined area where it may be cramped,
damp, and dark
•        Hazardous Energy – releases such as electrical, mechanical, hydraulic, or chemical
•        Unexpected – such as rodents and insects, wind, changing weather conditions, and
poor visibility

10.4 Permit Required Confined Space Program

10.4.1 Permit
Forrest Services, Inc. has developed its own permit form, if the host company does not have one. One of these
permits MUST be completed prior to entry into a confined space. This form requires the Entry Supervisor to indicate
what project is being worked on, date and times of permit, who will be the Attendant and Fire Watch, the type of work
to be performed, what PPE is required, to identify the potential hazards, identify what heavy equipment will be used,
verification on the conditions for the confined space, gas test results, excavation work to be done (if applicable),
equipment or line conditions, hot work protection (if applicable), LOTO, and for the Attendant to record employee entry
and exit of the confined space. Of course, any jobsite specific permits will also be used as required. It is possible for a
non-permit space to become a permit required confined space if a workplace change occurs that affects the confined
space. Factors that could alter the conditions include:

•        Configuration change that alters the entrance or interior structure
•        Equipment within the space increasing or decreasing the oxygen volume in the
space
•        A new process that creates its own hazards
•        Temperature, humidity, or air pressure that may affect worker performance

10.4.2 Training
All employees involved in permit required confined space entries must be trained, based on their assigned job
responsibilities, prior to entry. Initial training is required before an employee is allowed to work in a permit space.
Refresher training is required whenever an employee’s duties change, hazards in the confined space change, or an
evaluation of the confined space program identifies inadequacies in the employee’s knowledge of the program.
Forrest Services, Inc. utilizes the Houston Area Safety Council (HASC) Confined Spaces training for its employees.
HASC issues each employee an identification card verifying completion of the course and the expiration date for that
course. In addition, the foremen conduct confined space training for their
team members for each specific project.

10.4.3 Entry Supervisor
The entry supervisor is considered to be the most knowledgeable employee involved in the permit system. They are
responsible for issuing the permit and must be aware of the hazards of the space, the signs and symptoms that
entrants would exhibit if exposure occurred, and the duties of all workers involved with the entry procedure. An entry
supervisor is also responsible for:

•        Verifying all tests have been conducted and all procedures and equipment are in
place before endorsing the permit
•        Ensuring outside contractors comply with the Forrest Services, Inc.’s permit space
procedures
•        Terminating entry if hazardous conditions develop
•        Canceling permits
•        Verifying rescue services are available and will respond rapidly

In addition, entry supervisors have the authority to remove unauthorized persons who enter or attempt to enter the
confined space. They must determine when shifts and attendants will change, and that acceptable entry conditions
specified in the permit are maintained. Entry supervisor will also coordinate with any other employers needing
access to the same confined space to ensure that all employees will be safe and capable of completing their tasks.

10.4.4 Authorized Entrants
Authorized entrants of a permit required confined space must know the hazards they may encounter, be able to
recognize signs or symptoms of exposure, and understand the consequences of exposure to hazards. Entrants must
know how to use any necessary equipment and communicate with attendants. They must be aware of the emergency
plan, how to warn other entrants of the existence of a hazardous condition, and summon help if someone is in
distress. Authorized entrants must be familiar with the tasks they are expected to perform in the confined space.
They should have additional training in procedures that are not routine, as well as any potential hazards and how to
control them. Authorized entrants have the right to request additional monitoring at any time, and cannot be denied
the results of any monitoring/tests.

10.4.5 Attendants
At least one attendant must be assigned to monitor the space while entrants are working inside. This attendant must
know the hazards of the confined space and be aware of the warning signs and physical symptoms these hazards
could have on the entrants being monitored. If an attendant is authorized to attempt a rescue, they have to ensure that
another attendant is available to replace the attendant entering the space. A single attendant may monitor multiple
confined spaces, PROVIDED THEY CAN:
Visibly see entry/exit point of all portals simultaneously
Respond to an emergency in one space without compromising their duties with the other space. Attendant duties
include:

•        Remain stationed outside the space until relieved
•        Maintain continuous count and identification of authorized entrants
•        Prevent unauthorized persons from entering the space
•        Communicate with entrants to monitor their status
•        Ensure air intake source (if used) doesn’t draw carbon monoxide into the space
•        Monitor activities inside (atmospheric conditions) and outside the space and order
emergency exit if required
•        Summon rescuers and begin performing non-entry rescue if it can be done safely

On multiple employer job sites, Forrest Services, Inc. will provide coverage for Forrest Services, Inc. employees
ONLY. Other contractors must provide their own coverage, unless prior written approval has been granted by Forrest
Services, Inc. management, and provided the other contractor’s work will not interfere with the safety of Forrest
Services, Inc.’s employees.

10.4.6 Rescue and Emergency Services
An emergency and rescue plan must be an integral part of the permit required confined space program. This plan
shows every worker what to do if an incident occurs. Incidents could be a result of toxic or oxygen deficient air, heat
exhaustion, or some type of injury. Rescue services shall be provided by either an on-site or off-site team. Most of
our host companies have their own rescue services, complete with all the necessary equipment (self-contained
breathing apparatus, harnesses, lights, etc.). Should a confined space entry be required at a facility that does not
have their own rescue services, Forrest Services, Inc.’ Safety Department will contract with an off-site team, and
ensure the team is trained, has the proper equipment available, and the ability to respond in a timely manner. They
must be made aware of the location and the work to be performed.

Some of the permit required confined spaces Forrest Services, Inc. works in, may be IDLH atmospheres. In those
cases, the rescue service will be required to be standing by, capable of immediate action to rescue the employees. A
rescue and emergency plan must be developed for each confined space entry. This plan must include the following:

•        Identification of the confined space (description, location within facility, special or
unusual features, maybe drawings)
•        Communication plan
•        Potential hazard assessment chart
•        List and location of equipment that could be used for emergencies (closest
telephone, cutting equipment, first aid kit, emergency shower, fire extinguisher or
hose)

Forrest Services employees are NOT trained to perform rescue operations. If an employee is overcome, the Confined
Space Attendant will notify the host facility via the radio. All remaining employees will be evacuated from the confined
space. Forrest Services employees will only provide assistance to the Emergency Response Team as directed by the
ERT. All equipment will be made available to the ERT when requested.

10.4.7 Alternate Entry Procedures
OSHA allows for less stringent procedures when it can be determined that the only actual or potential hazard of a space is
atmospheric and that forced air ventilation alone can control the hazard. This requires the following procedures:

1. Ensure it is safe to remove the cover
2. Barricade the entrance
3. Determine ventilation alone is sufficient to maintain the permit space; that the work to be
performed does not introduce additional hazards
4. Gather monitoring and inspection data to support items 1 and 3 (use full permit
required procedures if entry is needed)
5. Document the determination and supporting data and make them available to the
supervisor and employees This simplified confined space entry eliminates the need for
an attendant during entry, a written permit, and emergency rescue provisions

10.4.8 Procedures for Testing the Atmosphere
It is very important to understand that the density of gases or vapors causes them to either be heavier than air and settle to
the bottom, or lighter than air and rise to the top of a confined space. Therefore, it is necessary to test all levels (top, middle,
and bottom), as well as any pocket areas, with a properly calibrated testing instrument (use a non-sparking probe when
combustible/flammable gases could be present).

Assess as many space conditions as possible from the outside, through weep holes, or other small entry ports leading into
the space. Do not open the main entry into the confined space unless it is the only access. Sudden changes in atmospheric
composition (the opening of hatches/doors) within the space could cause violent reactions or dilute the contaminants, giving
a false low initial gas concentration. Be sure to allow enough time for the instruments to respond to full scale. Ventilation
(which dilutes and displaces air contaminants) by a blower or fan may be necessary to remove harmful gases and vapors
from confined space. Take at least three sets of readings:
1) before ventilation;
2) after ventilation;
3) initial entry into the space.

The tests should be conducted in the following order:
1. Oxygen – because most combustible gas meters are oxygen-dependent. Too little oxygen may cause a low
combustible gas reading. Too much oxygen can cause a combustible gas meter to explode if gases and vapors are
present in ignitable quantities
2. Flammable and explosive gases – because the risk posed by fire or explosion is more immediate and life threatening
than exposure to toxic gases and vapors
3. Toxic gases and vapors – because sensor requires that the specific toxic substance be identified in advance. Each
substance has a specific sensor that must be used All entrants must be permitted to review or observe the testing before
they enter the space. The results of the atmospheric testing will have a direct impact on the Personal Protective Equipment
necessary for the job, and will need to be recorded on the permit.

10.4.9 Communication
Effective communication among entrants, attendants, and supervisors is essential and must occur continuously to be
effective. Communication can take many forms, such as:

•        Voice – when distance and noise levels permit
•        Hand signals – when visual contact can be maintained
•        Radio – must be intrinsically safe, especially in flammable atmospheres
•        Rope pull signals are NOT recommended – because of normal movement and
incapacitation

10.4.10 Concluding Entry
When the work has finished for the day, the permit must be cancelled, and the entry space closed off. The completed permit
form must be turned in to the issuing authority (usually the company we are working for).

10.4.11 Annual Review
Forrest Services, Inc. Safety Department will meet with each host facility annually to review the permit required confined
space program. Forrest Services, Inc. will also secure invitations to the host facility’s rescue and emergency services
exercises.

11 ELECTRICAL SAFETY
Consider ALL wires as LIVE and DANGEROUS. Do not permit any object being handled to come in contact with
electrical wires. None of the Forrest Services, Inc. employees are considered “Qualified” electricians. All electrical
installation and repair work will be accomplished by an independent contractor. Two employees (one mechanic and
one Safety) are trained as “Competent Persons” to conduct ground-fault circuit interruption (GFCI) tests. GFCI tests
will be conducted every calendar quarter on the mobile generators and lights used when blasting or painting inside the
tanks. These items will be tagged to show when and who conducted the tests. As “Non-Qualified” persons, apply the
following rules to electrical safety (any potential hazards identified below must be brought to the attention of the host
facility for correction before Field Services’ work can commence):

•        Only certified electricians should attempt to determine if a wire is energized
•        Extension cords should be checked for bad insulation, broken grounds, or broken
protection globes. The extension cord should not be used if it has any defects
•        When using electric cords, do not stand in water
•        All electrical equipment should be properly grounded
•        All circuit breakers should be properly identified
•        All work areas shall be kept free of any exposed electrical wires or wires with
deteriorated insulation, or other exposed parts
•        Before work is started, electrical lines should be identified and precautions taken to
avoid contact (notify electric company to implement protective measures)
•        Lockout/Tagout procedures will be used BEFORE commencing work on electrical
equipment
•        Electrical cables in work areas shall be covered or elevated to prevent hazards
•        Metal ladders will NOT be used when working with electrical circuits
•        Only approved low-voltage (6-12 volts) current (lights) shall be used in boiler drums,
pressure vessels and tanks
•        May NOT operate (includes in transit) near overhead lines closer than (includes the
longest conductive object):
        For voltages to ground 50kV or below – 10 feet
        For voltages to ground over 50kV – 10 feet plus 4 inches for ever 10kV over the 50kV
        Must cordon off (place cones) to prevent any employee from touching or standing
within 5 feet of the lift vehicle while operating near electrical lines
•        Employees will NOT enter spaces, or reach blindly into areas, containing exposed
energized parts – all parts must be deenergized first. For jobsites, all electrical
equipment used will be plugged (3-prong plug) into the portable generator (GFCI),
which itself serves as the grounding electrode, and all electrical equipment will be
explosion proof.

Static Electricity – to prevent the accidental discharge of static electricity, the following steps should be taken:

•        When climbing stairs to top of tank, keep hand on hand rail
•        When entering tanks (permit required confined space), maintain contact with the
shell
•        When fueling vehicles or containers, attach the grounding cable
•        Do not use plastic to cover flammable materials

12 WORKER LEAD PROTECTION PROGRAM

Definitions

Competent Person – one who is capable of identifying existing and predictable lead hazards in work areas or working
conditions and who has authorization to take prompt corrective measures to eliminate them

HEPA – High Efficiency Particulate Air – filter that removed 99.97% of all particulate of 0.3 microns or greater in
diameter

Lead – a heavy metal at room temperature and pressure, and is a basic chemical element. It can combine with various
other substances to form lead compounds

Lead-based Paint – generally accepted to be dry paint that contains 0.06% (600 ppm) or greater lead by weight. A
more restrictive limit for lead-based paint may be defined for specific projects by the project sponsor/owner, or
federal, state, or local regulations

NIOSH/MSHA – National Institute of Occupational Safety & Health/Mine Safety and Health Administration

ug/m3 – micrograms per cubic meter - common unit for reporting airborne concentration of lead

ug/100g – microgram per 100 grams – common unit for reporting concentration of lead in blood samples. Also
reported as ug/dl (per deciliter) 8-hour TWA Concentration – an 8-hour Time Weighted Average concentration of
airborne contaminants. Common units for reporting daily airborne lead exposure for 8 hours at a steady state
concentration

12.1 Action Level
Employee exposure, without regard to the use of respirators, to an airborne concentration of lead of 30 ug/m3,
calculated as an 8-hour TWA Whenever employee’s airborne lead exposure exceeds, or is expected to exceed the
action level, the following will be implemented for the work project:

•        Competent person
•        Employee information and training
•        Employee medical surveillance
•        Airborne lead exposure monitoring
•        Record keeping

The action level may be exceeded where lead-containing coatings or paint are present and the following activities are
performed: abrasive blasting, clean-up of expendable abrasives, containment movement and removal, spray painting
with lead paint, manual scraping, manual sanding, power tool cleaning (with and without dust collection systems), and
heat gun applications.

12.2 Permissible Exposure Limit (PEL)
The PEL for airborne exposure is 50 ug/m3 at an 8-hour TWA concentration of lead that an employee may be exposed
to during each workday. No employee will be exposed to airborne lead above the PEL without proper PPE. The
following methods will be used, as feasible and effective, for maintaining airborne lead exposures below the PEL:

•        Engineering controls such as general area ventilation for contaminants, local
exhaust ventilation for spot removal, vacuum blasting for contaminants will be used
and manometers and/or velometers will be used to evaluate the mechanical
performance of the ventilation system
•        Warning signs
•        Hygienic facilities
•        Protective work clothing and equipment
•        Respiratory protection
•        Housekeeping

During the period that respirators are worn, the protective factor of the specific respirator may be used to determine
employee’s exposure to airborne lead and to achieve compliance with the PEL. For example, if the measured airborne
lead contamination level for the worker is 300 ug/m3 for an 8-hour TWA, and the protection factor of the respirator is
“10”, then the employee’s daily exposure level is 30 ug/m3.

12.3 Competent Person
The Competent Person will be a Forrest Services, Inc. supervisor, trained and experienced in conducting jobs
involving lead exposure. They will have the capability of identifying hazards and the authority to take immediate action
to eliminate them, and will be involved in the planning and performance stages of the job. The Competent Person will
be at the work site at all times while lead exposure activities are in progress. They may have other job duties in
addition, but must be able to monitor the lead work continuously for hazards or deficiencies.

12.4 Employee Information and Training
All employees who work on projects where airborne lead exposures are expected will be provided information and
training on the hazards of lead and the measures for controlling these hazards to protect their health. This training will
be repeated annually as a refresher course. The content of this training shall include at least the following:

•        Nature of activities that may result in airborne lead exposure
•        Health effects and risks of lead exposure
•        OSHA standards and guidelines for lead exposure
•        Engineering controls, including containment and ventilation systems
•        Work practices for controlling lead exposure
•        Respiratory protection for controlling lead exposure
•        Monitoring airborne lead concentrations and exposures
•        Medical surveillance program, including medical removal
•        Instructions to ensure “cheating agents” are not used to remove lead from
employee’s bodies

12.5 Notification to Other Contractors
When conducting lead exposure activities on a multi-employer worksite, Forrest Services, Inc. will notify other
employers of the nature of the lead exposure systems in effect, and the potential need to take measures to protect
their employees. Notification to other employers will be with signs around the work area.

12.6 Medical Surveillance
All employees who may be exposed to lead above the Action Level will:
•        Be provided with initial and periodic biological monitoring in the form of blood
sampling and analysis for lead and zinc protoporphyrin (ZPP)
•        Be required to wear a respirator
•        Complete a Pulmonary Function Test
•        Complete a new Respirator Fit Test

Record of medical examination/tests are confidential medical records. Access to these records by employees, their
designated representatives, or other parties will be according to 29 CFR 1910.20, Access to Employee Exposure and
Medical Records.

12.6.1 Blood Sampling and Analysis
All blood sampling and analysis will be conducted by the medical provider contracted by Forrest Services, Inc., and
will be conducted at a reasonable time and place for the employee. The medical provider contracted by Forrest
Services, Inc. will be provided with:

•        Copy of OSHA Construction Lead Standard, 29 CFR 1926.62, including all
Appendixes
•        Description of the employee’s duties as they relate to lead exposure
•        Anticipated exposure level to lead and other toxic substances
•        Description of PPE and respirators used

Past blood test results and all prior written medical opinions concerning the employee that Forrest Services, Inc. has
in its possession or control Medical examinations provided by other employers or groups, may be accepted by Forrest
Services, Inc., providing th following conditions are met:
        Employee agrees to release all medical records of examinations and tests to
Forrest Services, Inc. or its contracted medical provider
        All medical examinations/tests specified in this program were performed
        Physician’s medical opinion is reviewed by Forrest Services, Inc.’s medical provider

Blood sampling and analysis shall be conducted periodically as follows:
•        For employees exposed during lead-paint removal projects, every 2 months for the
first 6 months
•        For employees with a blood lead level above 40 ug/dl, but below 50 ug/dl, every 2
months until 2 consecutive blood lead level tests are below 40 ug/dl
•        For employees identified with a blood lead level at/above 50 ug/dl, within 2 weeks. If
blood lead level remains above 50 ug/dl, then once a month until 2 consecutive
blood lead level tests are lower than 40 ug/dl

Employees will be informed in writing of their blood lead level test results within 5 days of Forrest Services, Inc.
receiving them. If test results are above 50 ug/dl, the employee will be temporarily removed from that project and
assigned elsewhere, until 2 consecutive blood lead level tests show results below 40 ug/dl. Employees, as
determined by the medical provider, to be at an increased risk of health impairment from exposure to lead will also be
temporarily removed from that project and assigned elsewhere, until medically cleared.

12.6.2 Respiratory Requirements
Respirators will be provided whenever an employee’s exposure to lead exceeds the PEL in work situations where
engineering controls and work practices are not sufficient to reduce exposure to/below the PEL, and whenever an
employee requests a respirator. Employees required to wear a negative pressure half mask respirator will be fit
tested every 6 months during the lead-paint project. Full face piece negative pressure respirators will be
quantitatively fit tested accordingly. Requirements for respirator users working a lead-based paint project will
undergo a Pulmonary Function Test (PFT) or forced vital capacity (FVC) and forced expiratory volume at one second
(FEV), tests for blood pressure and resting heart and other examinations/tests deemed necessary by the medical
provider. These tests will be provided annually.

12.7 Warning Signs
Warning signs will be posted in the work area around activities where lead exposure may exceed the PEL. The work
area can be demarcated by ropes, tape, walls, or containment. The signs must be posted at every accessible side of
the work area and be easily visible from a distance so that employees can take precautions before entering the
hazardous area. The signs will read as follow:

WARNING
LEAD WORK AREA
POISON
NO SMOKING OR EATING

The Competent Person will control the access of persons into the work area. All persons entering the work area will
wear protective clothing and respirators. NO DRINKING, EATING, SMOKING, or CHEWING is allowed inside the work
area.

12.8 Containment
The project sponsor, or owner, will construct and use containment as required. While the proper containment can
help protect the public and the environment, they generally cause a significant increase in airborne lead
concentrations in the work area inside the containment. This may increase the potential for higher employee lead
exposures. Therefore, the use of well designed exhaust ventilation and the use of more protective respirators may be
necessary to properly protect workers. Containment may include any of the following:

•        Rigid or flexible barriers or sheets surrounding the work area
•        Complete unventilated enclosures built around the area
•        Complete enclosures maintained under negative pressure by exhaust ventilation
with exhaust air filtration

Containment may not be required throughout the lead abatement project. If a sandblasting material is used that safely
encapsulates the lead particles, and exposure monitoring confirms this, then the containment may be removed.

12.9 Exposure Monitoring
For each lead abatement project, personal air samples will be collected to determine airborne lead exposures to
employees performing the work. Full shift (minimum 7 hours per shift) air samples will be collected for each job
classification in each work area. The air samples will be taken for the shift with the highest expected exposure level.
Forrest Services, Inc. will implement employee protective measures until results of the employee exposure
assessment are received. The Competent Person will be responsible to ensure that exposure monitoring is
performed. Where initial monitoring indicates that lead exposure is below the Action Level, and where work activities
and conditions will remain the same as at the time of initial sampling, additional monitoring need not be repeated for
the work project. A written record of the air monitoring data will be kept at the jobsite. Where initial monitoring
indicates lead exposure is at or above the Action Level, but not at or above the PEL, additional representative
exposure monitoring will be conducted at least once every 6 months for that work project.

Where initial monitoring indicates lead exposures are above the PEL, additional representative exposure monitoring
will be conducted at least every 3 months. Representative monitoring should be conducted during the beginning of
each different phase of the project, or when changes occur, such as an increase in the number of blasters in the area,
to determine a range of exposures for lead removal and clean-up activities. All air samples will be collected and
analyzed according to OSHA’s ID 121 method, or equivalent. All samples will be analyzed by laboratories which are
AIHA accredited for metal analysis. All exposed employees will be notified in writing of the monitoring results within 5
days after receiving these results. Initial exposure monitoring may not be required when previously collected
sampling data has conclusively determined that current job condition exposure levels will be less than the Action
Level.

12.10 Protective Clothing and Equipment
Protective clothing and equipment will be worn/used by all employees whose airborne lead exposure may exceed the
PEL, and will be provided at no cost to the employee. The protective clothing and equipment will consist of:

•        Washable or disposable full body coveralls
•        Face shields
•        Hard hats
•        Gloves
•        Shoes or disposable shoe covers
•        Eye protection
•        Hearing protection, if appropriate

Disposable clothing will be used for no more than one work day, and will be disposed of as hazardous waste.
Washable clothing will be collected at the end of each workday in closed containers, marked as hazardous waste.
Contaminated clothing will be cleaned by authorized laundries according to regulations, and containers will be labeled
as follows: “Caution: Clothing contaminated with lead. Do not remove dust by blowing or shaking. Dispose of lead
contaminated wash water in accordance with applicable federal, state, or local regulations”. Clothing will be
laundered at least weekly, and clean coveralls provided daily to employees whose exposure levels without regard to a
respirator are over 200 ug/m3 of lead as an 8-hour TWA.

12.11 Personal Hygiene Facilities and Practices
Clean change areas will be provided for all projects where employee airborne lead exposure may exceed the PEL.
These clean change areas will be equipped with storage facilities for street clothing and a separate area for removal
and storage of lead contaminated clothing and equipment designed to prevent cross-contamination. Airborne lead
exposures in the change area will be maintained below the Action Level.

Shower facilities will be provided for all projects where feasible when employee lead exposure exceeds the PEL. The
shower facilities will comply with OSHA, 29 CFR 1910.141, Sanitation. All employees whose airborne lead exposures
may exceed the PEL will shower, or at a minimum, wash their hands and face before lunch break, and at the end of
each work shift. Employees required to shower will not leave the workplace wearing any clothing worn while
performing lead exposure activities. Clean lunch areas will be provided for projects where employee’s airborne lead
exposure may exceed the PEL. Employees will remove or clean their protective clothing and wash their hands and
face before eating, drinking, or smoking. Airborne lead exposures in the lunch area will be maintained below the
Action Level. An adequate number of clean lavatory and hand washing facilities will be provided, in compliance with
OSHA, 29 CFR 1910.141, Sanitation.

12.12 Housekeeping
Accumulations of lead-containing dust and debris will be removed and cleaned daily, using HEPA-filtered vacuum
cleaners, where feasible. The dust and debris will be collected into sealed containers and tested to determine if it will
be disposed of as hazardous, or non-hazardous waste. No blowing or shaking of clothing, equipment, or containment
material will be permitted, to prevent dispersing lead into the air. All persons involved in clean-up will be trained in
performing lead activities, respirator qualified, participate in the medical surveillance program, and wear the
protective clothing and equipment, unless exposure monitoring proves otherwise.

12.13 Project Specific Requirements
The specific worker lead protection requirements for each lead removal project will be determined by Forrest
Services, Inc., the project sponsor and owner. The job specific requirements will be placed in Appendix A, and will be
forwarded to the project sponsor and owner. Enough details will be provided as to accurately outline the job, medical
surveillance, containment, exposure monitoring, protective clothing and equipment, personal hygiene, and
housekeeping requirements. The compliance program will be available at the work site for examination by effected
employees or authorized persons/agencies. This program will be updated and revised at least every 6 months.

13 HAZARD COMMUNICATION PROGRAM

13.1 Explanation of the Material Safety Data Sheet
The information in the Material Safety Data Sheet (MSDS) is organized into 15 sections as follows:

I. Product Identification
II. Component Data
III. Precautions for Safe Handling and Storage
IV. Physical Data
V. Personal Protective Equipment Requirements
VI. Fire and Explosion Hazard Information
VII. Reactivity Information
VIII. First Aid
IX. Toxicology and Health Information
X. Transportation Information
XI. Spill and Leak Procedures
XII. Waste Disposal
XIII. Additional Regulatory Status Information
XIV. Additional Information
XV. Major References

13.1.1 Section I – Product Identification
The product name and product code is used to identify the product. The file number and revision number identify the
MSDS itself. The chemical family or name and synonyms are given with formula where applicable. A brief use
description of the product is presented along with the OSHA Hazard classifications.

13.1.2 Section II – Component Data
According to OSHA, a hazardous chemical refers to any chemical that presents a physical or health hazard. A
chemical may be a physical hazard if it is combustible, flammable, pyrophoric, chemically unstable, water reactive, or
explosive, a compressed gas, an organic peroxide or other oxidizer. A chemical may present a health hazard if
exposure could result in acute or chronic adverse health effects. If it has been determined the product is a health
hazard, then all components that present a health hazard and that comprise 1% or more of the material are listed in
this section. Also, any component that is a carcinogen is listed if it comprises 0.1% or more of the product. If it has
been determined that the product is a physical hazard, then any component that presents a physical hazard is listed.
Normally, the chemical name and CAS numbers are used to identify a component. Where the identity of a component
is a trade secret, a descriptive name is used instead of the chemical name and a trade secret access number is used.
Exposure limits are given for each component where these have been established.

13.1.3 Section III – Precaution for Safe Handling and Storage
This section provides vital information for handling and storing a product. It is important that all recommendations be
followed.

13.1.4 Section IV – Physical Data
Knowledge of the physical properties of a substance is necessary for all safety and industrial hygiene decisions, and
are listed in this section.

13.1.5 Section V – Personal Protective Equipment Requirements
The proper use of personal protective equipment is of the utmost importance, and the guideline presented in this
section must be closely followed. Descriptions of specific equipment required for routine use are given. Use of
additional protective equipment required for fire-fighting and for spill/leak clean-up is outlined in Section XI.

13.1.6 Section VI – Fire and Explosion Hazard Information
The recommended extinguishing media to be used in the extent of a fire are given, together with any unusual fire and
explosion hazards.

13.1.7 Section VII – Reactivity Information
A substance is said to be reactive if it readily enters into chemical reaction and undergoes chemical change. For
MSDS purposes, the reactions can be grouped into three broad categories: Decomposition, Polymerization, and
Reactions with other chemicals.

13.1.8 Section VIII – First Aid
First aid procedures are described for each of the normal routes of exposure. It is important that first aid be
administered as soon as possible after exposure has occurred. If there is any doubt about the victim’s condition,
contact a physician

13.1.9 Section IX – Toxicology and health Information
The consequences of exposure, if any, by inhalation, skin or eye contact, or ingestion are outlined in this section. The
signs, symptoms and effects that the exposure could produce are described so that any exposure would be
recognized as quickly as possible and the appropriate action taken. The effect and damage that exposure could
produce on target organs are given together with the symptoms.

13.1.10 Section X – Transportation Information
In the event the material is regulated as hazardous by DOT, the Hazardous Materials Regulations (49CFR) are outlined
in this section.

13.1.11 Section XI – Spill and Leak Procedures
During clean-up of spills and leaks, it may be necessary to use the extra personal protective equipment listed here.
Procedural recommendations relative to air, land and water are described as well.

13.1.12 Section XII – Waste Disposal
This section gives guidelines for disposing of a product if it becomes a waste. Recommendations are based upon the
physical state and hazardous properties of the material. If the material is designated as hazardous by 40CFR261, it
must be disposed of in a permitted hazardous waste treatment storage or disposal facility in accordance with local,
state, and federal regulations. If the material is non-hazardous, recommendations for disposal are made depending on
the physical state and known characteristics of the material.

13.1.13 Section XIII – Additional Regulatory Status Information
This section contains information relevant to compliance with other federal and/or state laws.

13.1.14 Section XIV – Additional Information
Any relevant additional information is given in this section.

13.1.15 Section XV – Major References
This section list some of the major references that have been considered in preparing the MSDS.

13.2 Forrest Services, Inc.’s Hazard Communication Program
In order to comply with OSHA and 29CFR1910.1200, this written Hazard Communication Program (HCP) is to be
implemented for all personnel of Forrest Services, Inc. All employees have the “Right to Know”, meaning they are
entitled to know the hazards in their work area. Therefore, all employees will be given access to this HCP upon
request and shall be trained in hazard communication prior to starting their job. Foreman will translate for those
employees who do not read or speak English. The Safety Director of Forrest Services, Inc. will be responsible for
ensuring the program is current, enforced, and available to any federal, state, or local official who has proper authority
upon request. This program shall be updated when new chemicals or hazards are introduced into the working
environment and shall be reviewed annually. The purchasing manager will make sure a statement requesting an
MSDS appears on the purchase requisition.

This program shall provide complete information to all employees on the following areas:

•        Listing of all hazardous chemicals, and their corresponding MSDS, on the
property
•        Appropriate labeling on all containers of hazardous chemicals
•        Foreman and Supervisor methods to inform employees of hazards of non-routine
tasks
•        Employee training to recognize hazards and understand MSDS

13.2.1 Inventory List of Hazardous Chemicals
A list of all hazardous chemicals used by Forrest Services, Inc. is established and maintained by the Supervisor in the
main office. A copy of this list will be in the plant at all times. This inventory list is indexed by numerical numbers and
is corresponding with the assigned number of each MSDS. A list of the hazardous chemicals will be attached to this
HCP.

13.2.2 Container Labeling
The supervisor, or a designated employee on location, shall be responsible for monitoring all containers of hazardous
chemicals entering the workplace to assure that all containers are labeled. The container labels of hazardous
chemicals shall identify:

•        Chemical name of the substance
•        Hazard warning
•        Protective equipment to be used
•        Name and address of the manufacturer and emergency phone number

If the chemical is to be transferred to another permanent container, the supervisor shall ensure that the new container
is properly labeled, e.g. that all secondary containers are labeled with an extra copy of the original or with a generic
label that has a block for identity and blocks for hazard warning. The Safety Director shall review the labeling system
annually as required by the Hazard Communication Standard, 29CFR1910.2100.

13.2.3 Material Safety Data Sheet
The Safety Director will be responsible for obtaining and maintaining the MSDS. They will review incoming MSDS for
new and significant health and safety information and will ensure that any new information is given to the effected
employees. MSDS have to be checked and updated annually. The MSDS system shall include:

•        Index by number corresponding to the index numbers on the hazardous chemical list
•        Identification used on MSDS matches container labels
•        Compilation of personal protection equipment required during normal uses
•        Comparison of MSDS to determine compatibility of adjacent storage of chemical
materials
•        Compilation of materials needed for clean-up of spills and leaks and additional
personal protection equipment required   Each foreman will maintain a copy of the
HCP for their job site in their vehicle.

13.2.4 Employee Training
The Safety Department will go over the HCP and each MSDS applicable to each new employee, prior to starting work.
Before a new chemical is used, all employees shall be informed of its use, instructed on its safe use, and trained on
hazards associated with the new chemical. The training shall include, but not limited to:

•        Overview of the requirements contained in 29CFR1910.2100
•        All chemicals present in their workplace
•        Location and availability of the written HCP
•        Location of MSDS and the chemical inventory list
•        Physical and health effects of the hazardous chemicals
•        Methods and observation techniques used to determine the presence or release of
hazardous chemicals in the workplace
•        How to lessen or prevent exposure to hazardous chemicals using proper procedures
and appropriate PPE
•        Emergency procedures to follow if exposed to any hazardous chemicals After the
training is finished, complete the Hazard Communication Training Aknowledgement
form.

13.2.5 Outside Contractors
Any company contracted by Forrest Services, Inc. to provide specialized service will provide the Safety Department
with a list of chemicals and the appropriate MSDS for the materials they may use. The Forrest Services, Inc. Safety
Department will determine if a contractor’s materials will present any additional hazard(s) to Forrest Services, Inc.
employees and make appropriate recommendations to eliminate or reduce these hazards.

13.2.6 Multi-Employer Sites
At job sites where employees from either the host company or other employers will be working around our blasting
and painting operation, Forrest Services, Inc.’s foreman will advise their foreman that we have paints and thinners,
and that our Hazard Communication Plan is available for them to review if they desire.

HAZARD COMMUNICATION TRAINING ACKNOWLEDGEMENT
This is to certify ______________________________ has successfully completed the Hazard Communication
Training in accordance with the Safety and Health Manual of Forrest Services, Inc.
It is understood that compliance with the Hazard Communication Program is a condition of employment with Forrest
Services, Inc. and that disciplinary action will be taken in case of violation.
Employee Signature: ___________________________ ID # ______________________
Instructor’s Name: __________________________ Date: _____________________
Instructor’s Signature: ________________________________
Esto es para certificar que ______________________________ ha completado el entrenamiento de la Comunicación
del Peligro que Entrena de acuerdo con el Manual de la Seguridad y la Salud de Forrest Services Inc. Es entendido
que la conformidad con el Programa de Comunicación de Peligro es una condición del empleo con Forrest Services
Inc. Y acción disciplinaria será aceptada en caso de una infracción.

14 ALCOHOL, CONTROLLED SUBSTANCE, AND CONTRABAND POLICY
Forrest Services, Inc. has adopted an alcohol, controlled substance, and contraband policy to ensure the safety and
well-being of all employees. Users of illicit drugs, mixtures, compound or alcohol present a serious danger not only to
themselves, but also to all other employees with whom they work or come in contact. Lack of mental alertness, slow
reactions, and other effects of alcohol and drugs lead to poor judgment and errors that place the safety of our
employees and facility in grave danger. Company policy forbids the following:

•        Possession or consumption of alcoholic beverages or any controlled substances
•        Possession or use of contraband while on company and/or client property (facilities,
buildings, vehicles, equipment, products, or land), or while on company business
•        Misuse or abuse of prescription or over-the-counter medications

DEFINITIONS:

Possession – concealing, distributing, manufacturing, possessing, selling, or transporting
Consumption – drinking, eating, inhaling, snorting, injection, or applying to the skin.
Controlled Substance – any drug, narcotic, hallucinogen, barbiturate, amphetamine, mixture, inhalant, or compound not
prescribed by a licensed physician for the legitimate treatment of a specific employee’s medical condition.
Contraband – paraphernalia or equipment commonly used to produce or to help a person consume a controlled
substance, or any firearm, ammunition, explosive, or weapon.

Violation of any of the following rules will result in immediate dismissal:

•        No alcoholic beverages may be brought onto, or consumed, on company and/or
client property, or while on company business
•        No illicit drug, mixture, or compound may be brought onto, or used, on company
and/or client property, or while on company business
•        All legitimate prescription drugs prescribed for a specific employee by a licensed
physician for a specific illness or medical need will require a doctor’s statement
indicating the name of the drug, the duration of the treatment, and that the drug will
not interfere with the employee’s ability to work safely. The employee must register
the prescription drug with the Safety Office and the supervisor immediately upon
reporting to work on the first day of use of the drug
•        Any employee taking a prescription drug as noted above will immediately inform their
supervisor of any adverse side effects occurring from the use of the drug, as soon as
such adverse side effects become evident to the employee
•        No employee may give, sell, or otherwise transfer any drug, mixture, or compound to
any other employee. To do this is in violation of federal law, and the employees
involved will be reported to law enforcement authorities immediately for possible
criminal charges
•        Refusal to supply, or to attempt to switch or adulterate a urine, blood, or other sample
used for testing
•        Possession or use of contraband

Forrest Services, Inc. employee's and their property are subject to searches/inspections by the client company or
their authorized agents, to include scent-trained animals. These searches/inspections may be unannounced, and may
include, but not limited to the following: wallets, purses, trailers, baggage, tool boxes, clothing, and vehicles.

Any employee, or subcontractor found in violation of this policy, or who refuses to cooperate with the searches and
tests included in this policy, shall be permanently removed by Forrest Services, Inc. from the client property and from
performing work for the client. Forrest Services, Inc. will immediately notify the client that the employee has become
“disqualified”, and review with the client the nature of the work previously performed by the employee. At the client’s
request, Forrest Services, Inc. shall, at its sole cost and risk, inspect all work in which the employee may have
participated, and submit a written report to the client that documents the inspection, any findings, and the actions
taken to assure all deficiencies have been corrected.

Forrest Services, Inc. employees and subcontractors will sign a consent form acknowledging these policies and
agreeing to abide by them (Attachment A). Forrest Services, Inc. utilizes several drug testing procedures to enforce
its alcohol and controlled substance policy. The first procedure is for the Department of Transportation (DOT)/ Pipeline
and Hazardous Materials Safety Administration (PHMSA), as mandated by 49 CFR 199 (Federal Pipeline Drug Testing
Regulation), as a contractor performing “Covered Functions”; and DOT/Federal Motor Carrier Safety Administration
(FMCSA) as mandated by 49 CFR 40 (Procedures for Transportation Workplace Drug Testing programs). The second
procedure is for the Forrest Services, Inc. employees, or subcontractors, working for a client that requires Non-DOT
drug/alcohol testing. The third procedure is for those Forrest Services, Inc. employees not subject to either the first or
second testing procedure. The employee will be informed of their results. In addition, the C.E.O. and President of
Forrest Services, Inc. will be notified of any POSITIVE tests for disciplinary action.
There are four reasons for conducting drug tests: 1) Pre-Access; 2) Random; 3) Post Incident; and 4) Reasonable
Suspicion.

14.1 DOT PHMSA/FMCSA Drug Policy
The tests will determine if the employee has used any of the following illegal drugs: marijuana; cocaine; opiates;
amphetamines; and phencyclidine (PCP). All laboratory drug tests will be by a DOT-approved testing facility:

One Source Toxicology (713) 920-2559
1213 Genoa Red Bluff Road
Pasadena, TX 77504

Forrest Services, Inc. uses two medical facilities for its drug programs and medical assistance:
San Augustine Industrial Clinic (SAIC)
(281) 476-4627
321 W. San Augustine
Deer Park, TX 77536

Occupational Medicine of La Porte (OMLP)
(281) 842-1200
410 E. Fairmont Pkwy, Ste A
La Porte, TX 77571

For on-the-job injuries, we use SAIC because they are part of the Texas Star Network (requirement of our Worker’s
Compensation insurance company). For non-injury assistance, we use OMLP. SAIC will conduct the DOT drug tests
due to an incident/accident. OMLP will do the pre-access and random drug tests. Both of these clinics send their urine
samples to One Source Toxicology. Additionally, both clinics have Medical Review Officers.

For its Substance Abuse Professional, Forrest Services, Inc. will use:
Worklife Institute
1900 St James Place
Houston, TX 77056 281-615-2061

No employee who tested positive can be returned to a DOT facility until the MRO and Substance Abuse Professional
have determined the employee has successfully completed the required education and treatment, and not failed
another drug test since entering the program. This employee will also be subject to follow-up testing.

14.1.1 Pre-Access/Pre-Employment
Each employee at Forrest Services, Inc. who is placed on the DOT list (expected to work on a DOT Covered Task –
may be the commencement of a particular job for an employee who has not previously been on the DOT list, or upon
employment with Forrest Services, Inc.) will be given a drug test not earlier than 1 month prior to commencement of
the job/commencement of employment.

14.1.2 Random Drug Testing
DOT’s random drug testing rate is 50% of the employees in the DOT drug pool per calendar year (can be lowered to
25% by the DOT Administrator, however, Forrest Services, Inc. will stay with the 50% ratio). The Safety Department
will ensure they have an accurate, and up-to-date roster of Forrest Services, Inc. employees. They will use a
computer program (www.randomizer.org) to randomly select the numbers. These numbers will be matched against a
MicroSoft Excel file of names arranged alphabetically (DOT names will be separate from the remainder of Forrest
Services Inc.’s employees). With the list of names, the Safety Department will notify the supervisor of the
requirement for each named employee to report to the OMLP for DOT test. The supervisor, or someone from the
Safety Department may escort the employee to ensure they do not take anything that may alter their urine in an
attempt to cover up the use of a controlled substance.

14.1.3 Post Incident Testing
Upon notification of an accident, our provider clinic will conduct a drug test as soon as practicable, but not later than
36 hours for each employee involved in the accident, if their performance contributed, or may have contributed to the
accident. If the employee is taken to the hospital or doctor, the medical facility will be asked to conduct the drug test
and provide the results to Forrest Services, Inc.’s Safety Director.

14.1.4 Reasonable Suspicion
When a supervisor, the Safety Department, or Forrest Services, Inc. management suspects that an employee is under
the influence of controlled substances, they may request a drug test. If a supervisor requests this, either the
management or Safety Department will visually observe the employee. If the Safety Department or the management
suspects the employee, they will confer with the other. If in agreement, then the employee will be escorted to our
provider clinic for a drug test.

14.2 Non-DOT Drug Testing
Some of our client companies require Non-DOT drug testing. DOT drug tests take priority over Non-DOT drug test.
Therefore, should an employee meet the criteria for a DOT drug test and a Non-DOT drug test, only the DOT drug test
needs to be taken. Employees expected to work on a Non-DOT facility will be placed on a Non-DOT list (either upon
expectation of working a particular job, or upon employment with Forrest Services, Inc.). Non-DOT drug test will be
conducted at either OMLP or SAIC, as stipulated in paragraph 14.1, using the comprehensive drug test (Profile
#251220 for OMLP or #95131 for SAIC). Any employee who has tested positive, or refused testing, for a Non-DOT
client in any employment-related test is prohibited from working for a Non-DOT client company.

14.2.1 Annual/Pre-Access
Personnel requiring pre-access testing must have received a negative result on a comprehensive drug test within the
12 months preceding that person’s first access to the client property. In addition, personnel requiring pre-access
testing must have received a negative result on a comprehensive drug test in any calendar year in which the
employee performs work on client property.

14.2.2 Random Testing
Personnel requiring random testing will be subject to unannounced and continuous random selection (using www.
randomizer.org against the Non-DOT list of employees arranged alphabetically) for controlled substances while
performing work for the clients. The random selection will test at least 50% of the employees in the pool each
calendar year.

14.2.3 Post-Incident Testing
If Forrest Services, Inc., or its client company determines from the best information available immediately after a work-
related incident that performance of one or more of our personnel contributed to the incident, or cannot be completely
discounted as a contributing factor to the incident, Forrest Services, Inc. shall remove that/those individual(s) from the
property and surrender their site credentials to our clients. For purposes of this part, “incident” means an incident
that caused personal injury requiring medical treatment beyond first aid administered at the work site, or property
damage of more than $1,000, or an incident that carried the potential for serious personal injury or significant property
damage or at the request of the client. An individual so removed will be allowed to return to work on the client’s
property only after Forrest Services, Inc. has had drug and alcohol tests performed on the individual as soon as
possible, and Forrest Services, Inc. certifies in writing the test identification number, individual’s Social Security
number, test date/time, and a negative test result. On that written certification, Forrest Services, Inc. will include a
consent signed by the individual permitting disclosure to our client of the test result.

14.2.4 Reasonable Suspicion Testing
Upon reasonable suspicion of Forrest Services, Inc. or our client company, an employee under the influence of a
controlled substance while on company property shall be removed from the property and surrender their credentials
to the client.

An employee removed from client property for reasonable suspicion will be allowed to return to work on client
property only after Forrest Services, Inc. conducts alcohol and drug testing on the employee as soon as possible
following the employee’s removal from the site, and when Forrest Services, Inc. certifies in writing the test
identification number, individual’s Social Security number, test date/time, and a negative test result. On that written
certification, Forrest Services, Inc. will include a consent signed by the individual permitting disclosure to our client of
the test result.

14.3 Other Drug Testing
For Forrest Services, Inc. employees who will not be on the DOT or Non-DOT lists, the Safety Department will conduct
drug screening using a split specimen collection system and tested on-the-spot. The employee will write their name
on the form authorizing Forrest Services, Inc. to conduct the drug test, then sign and date the form. The Safety Officer
will mark the reason for the test, verify any prescribed medications (there should not be any prescribed medications
that have not already been provided to the Safety Office, except for new employees), and complete the rest of the form
as appropriate. Should an individual record a POSITIVE for one or more of the categories of illegal drug use, the
employee has a right to have a certified laboratory or physician conduct another drug test. The Safety Officer will
escort the employee directly to Forrest Services, Inc.’s contracted provider within the hour. The clinic will take their
own specimen and test it accordingly.

14.4 Alcohol Testing (DOT and Non-DOT)
There are two reasons for conducting alcohol tests: 1) Post Incident; and 2) Reasonable Suspicion. Alcohol testing
will be conducted following an accident (within 2 hours) or when suspected through direct observation by at least two
of the following three: supervisor, Safety Office, or the management of Forrest Services, Inc. Alcohol testing will be
conducted by Forrest Services, Inc.’ contracted medical provider. Having an alcohol content level above 0.04 will
prohibit the employee from remaining on duty. An employee who failed the alcohol test must pass (alcohol content
below 0.02) a second test, or wait until the next work period, (provided at least 8 hours has transpired between the
observation time and the next work period) before they will be allowed to return to work, and they will be subject to
follow-up testing. The employee who tested 0.04 or above must also meet with the Substance Abuse Professional,
and follow any recommended provisions in the evaluation/treatment in order to be considered eligible to return-to-
duty. The employee shall undergo at least 6 unannounced alcohol tests during the first 12 months following the return-
to-duty. Follow-up testing occurs over the next 60 months, unless the Substance Abuse Professional terminates the
program sometime after the initial 6 tests have been done. The employee who tests 0.02 or greater and less than 0.04
must not return-to-duty until their alcohol level is below 0.02, the start of the next regularly scheduled work period, or 8
hours have transpired since the initial alcohol test.

14.5 Record Keeping (DOT and non-DOT)

Forrest Services, Inc. will keep drug test records as follows:

•        Positive test results – 5 years
•        Recommendations of Substance Abuse Professional – 5 years
•        NCMS reporting – 5 years
•        Collection process – 3 years
•        Supervisor and employee training – 3 years
•        Negative test results – 1 year

Forrest Services, Inc. will keep alcohol test records as follows:

•        Test results with alcohol concentration above 0.02 – 5 years
•        Documentation of refusal – 5 years
•        Employee evaluation and referrals – 5 years
•        NCMS reporting – 5 years
•        Collection process – 2 years
•        Training – 2 years
•        Test results with alcohol concentration below 0.02 – 1 year

14.6 Reporting (DOT)
Forrest Services, Inc. must report statistics to the National Compliance Management System (www.
nationalcompliance.com) on a semi-annual basis (January and July).

14.7 Employee Assistance Program
Under the Employee Assistance Program, The Safety Department personnel must have been trained in the detection
of possible symptoms of drug and alcohol use. In addition, we will display and distribute informational material,
community service hot-line telephone number, and Forrest Services, Inc. policy on illegal drug and alcohol use.

15 EMERGENCY ACTION PLAN
15.1 Responsibility
The Safety Department of Forrest Services, Inc. will be fully responsible for the implementation of this emergency
action plan. They will be authorized to make necessary decisions in case of fire or other emergency. They will also be
responsible for training employees in the use of the emergency procedures, the use of an evacuation plan, the use of
fire extinguishers, and any other training required by this program to ensure employee safety from fire and other
emergencies. Drills to test the employees and first responders will be conducted as deemed appropriate by the
Safety Department and company management. Only Mr Schlenk is authorized to set up a press conference or make
statements to the public or media. If you are questioned, answer: “No Comment”.

15.2 Process Safety Management and Emergency Evacuation Procedures
The purpose of Process Safety Management (PSM) is to prevent or minimize the consequences of catastrophic
releases of toxic, reactive, flammable, or explosive chemicals that could result in toxic, fire, or explosion hazards. Our
employees complete site-specific training courses provided by the client. In addition, our employees complete the
Pipeline Operator Qualification Abnormal Operating Conditions course. Our employees will follow the procedures
discussed in these courses whenever there is an emergency at the jobsite.

For Forrest Services, PSM only applies in two ways:
1. An employee causes damage to equipment (tank, pipe, valve, etc.) that could, or does
cause a release
2. An employee discovers a release

15.2.1 Handling Leaks and Spills
If a Forrest Services employee discovers, or causes a leak or spill from our client’s equipment (tanks, pipes, valves,
etc.), IMMEDIATELY initiate the following steps:

•        Notify the foreman
•        Radio the information to client’s Emergency Response Team
•        Shut down all equipment, including vehicles
•        Notify any other workers in the area of the incident
•        Walk away, upwind or crosswind of the leak/spill
•        Rally at the designated point and determine if anyone is missing and report to the
client
•        Follow additional directions from the client

If a Forrest Services employee discovers, or causes a leak or spill from our own products (paints, thinners, etc.),
IMMEDIATELY initiate the following steps:

•        Notify the foreman
•        Attempt to stop the leak/spill IF SAFE TO DO SO
        Place empty container under the leak
        Put leaking container inside a recovery container
        Rotate or shift the leaking container into a position that stops the leak
•        Prevent leak/spill from spreading if possible
•        Report information to client and evacuate area if necessary
•        Provide first aid/CPR if necessary
•        Clean up spill IF SAFE TO DO SO (shovel spilt material or sweep absorbent non-
flammable material over area and place in buckets and close)

15.2.2 Fire Procedures
Unless you have had Fire Extinguisher training, DO NOT ATTEMPT to put a fire out. First responders who have had Fire
Extinguisher training will gather their fire extinguishers and attempt to extinguish the fire, PROVIDED IT IS SAFE TO DO
SO. Never attack the fire without ample equipment. Always have a second person with an extinguisher to protect
your exit should the fire become too large to control. Fire Extinguisher training will be conducted each calendar year.
This training will cover operation of the extinguisher, and techniques to fight a fire. The BEST way to fight a fire is to
never have a fire. All employees must follow these guidelines to help prevent fires in the workplace:

•        Smoke in designated areas only
•        Avoid using plastic containers for explosive fluids
•        Keep the work areas clean and orderly
•        Avoid using gasoline for cleaning
•        Avoid paints and primers near flames or other sources of ignition
•        Properly ground and position portable generators to alleviate potential hazards from
fumes or ignition sources
•        Use proper fueling techniques; engines must be shut off, and the vehicle or
apparatus grounded to prevent static discharge

Fire extinguishers are placed in every company truck, lift vehicle, air compressor, and throughout the work areas. All
extinguishers furnished by Forrest Services, Inc. are type “A/B/C” so that they can be used on any fire. Fire
extinguishers are inspected by the Safety Department monthly, and inspected semi-annually by an outside fire
extinguisher company.

15.3 First Aid/Medical Care
The following Forrest Services, Inc. personnel should be trained, and remain current in First Aid (valid for three years
from date of training) and Cardiopulmonary Resuscitation (CPR) (valid for one year from date of training):

•        Field Superintendent
•        Field Foremen
•        Lead Mechanic
•        Safety Department personnel

CPR and First Aid training will be conducted by a certified American Red Cross instructor, and documented with an ARC
card for those completing the courses. First aid kits (a weather proof container with individual sealed packages of medical
items and latex gloves) and CPR pocket masks are provided by Forrest Services, Inc. and maintained in each company
truck. The Safety Department will ensure first aid kit inventories are conducted weekly and replenish as needed. Before
administering first aid, if the victim is conscious, ask them if they want you to provide first aid to them. They have the right to
refuse. If they refuse, and the injury is serious, contact the Emergency Response Team anyway … they may be able to
convince the injured employee to allow treatment. If the injured employee subsequently loses consciousness, that implies
consent and medical care can then be provided. Job foreman must contact the host facility when starting a project to
determine procedures for obtaining first aid/emergency medical treatment at their site. All current and new employees are
made aware of the location of the medical clinic that Forrest Services, Inc. uses for non-emergency work-related injuries.
Should a job site location be in an area that does not have “911” service, the phone numbers of local
physicians/hospital/ambulance shall be conspicuously posted.

15.4 Bloodborne Pathogens
Bloodborne pathogens are microorganisms in human blood that can cause disease, such as HIV, or Hepatitis B. Since it is
impossible to visually distinguish infected fluids from non-infected fluids, you must consider every fluid as potentially
infected. Forrest Services, Inc. has established an Exposure Control Plan.

The first part of this plan is the Exposure Determination (made without regard to the use of personal protective equipment),
which is as follows:
1. List of all job classifications in which all employees in those job classifications have
occupational exposure – Safety
2. List of job classifications in which some employees have occupational exposure –
Foreman
3. List of all tasks and procedures in which occupational exposure occurs – Administering
first aid or CPR

Compliance with the plan shall be as follows:

•        Engineering and work practice controls – safety procedures to prevent/minimize
injuries (annual CPR training, 3-yr first aid training); PPE for first aid/CPR are the
latex gloves and the CPR pocket mask- gloves will be disposed of after each use
and CPR pocket masks will be cleaned with appropriate disinfectant after each use
•        Handwashing facilities may not be available at the work sites; antiseptic towlettes are
available in the first aid kits
•        Needles and sharps are NOT used by Forrest Services, Inc. employees
•        While administering first aid/CPR, there will be NO smoking, eating, drinking,
handling contact lenses, or applying cosmetics or lip balm
•        While administering first aid/CPR, make certain not to splash, spray, or spatter blood
or other bodily fluids
•        Bloody gloves, bandages or clothes will be placed in red biohazard bags (if the
outside of the bag gets contaminated, place that bag inside another bag) for proper
disposal
•        Safety Department will evaluate and develop a written site-specific plan at the time of
exposure to decontaminate the worksite and equipment Post-Exposure Evaluation
and Follow-up is for any employee who may have been exposed to infectious blood
or bodily fluids. A medical treatment facility within the Texas Star Network (Forrest
Services’ worker’s compensation network) will conduct the medical evaluation and
provide any treatment necessary (to include the Hepatitis B vaccine) at no cost to the
employee.

Training will be conducted when the employee is trained in administering first aid and CPR (training for CPR is an annual
requirement) on the following topics:

•        Copy, and explanation of 29CFR1910.1030 and the Exposure Control Plan
•        Epidemiology and symptoms
•        Modes of transmission
•        Methods for recognizing hazardous activities
•        Use and limitations of engineering and work control practices
•        PPE – types, selection, use, removal, handling, decontamination and disposal
•        Information on Hepatitis B vaccine
•        Actions to take if contacting infected fluids
•        Reporting of contact
•        Post-Exposure evaluation and follow-up
•        Signs and labels

16 HOUSEKEEPING
Many accidents and unsafe conditions on the job site are directly related to poor housekeeping practices. A great
deal of this is carelessness and lack of attention to the daily routine. The following practices are required to eliminate
this problem:

•        Keep First Aid Kits Current – First aid kits must be up-to-date and in their proper
location
•        Keep Work Area Orderly – Clean and put away tools, dispose of waste and scrap,
and check the equipment and site for proper condition and order
•        Close Whatever Is Open – Close doors, cans, containers, and drawers when you
leave a work area
•        Clean Up – Clean up spills/leaks immediately
•        Pick Up – Pick up things you lay down and do not use any longer
•        Return Equipment – Return equipment and other tools to their proper place when you
are finished using them
•        Turn Things Off – Turn off electrical items, motors, generators, etc. before leaving the
workplace if they do not need to be left on
•        Store Unused Equipment – Store tools and equipment when not in use
•        Mark Tripping/Slipping/Fall Hazards – Use barricades, tapes, and/or cones to identify
potential hazard areas
•        Properly Store Paints and Other Flammables – Store all paints and flammable
materials in their proper place
•        Hygiene Facilities – Keep break areas and restrooms clean and neat

17 STANDARD FOR WORKERS EXPOSED TO HOT ENVIRONMENTS (HEAT STRESS)
Work doesn’t stop when the heat goes up. Rising temperatures can raise health and safety risks. Heat Stress can
cause serious – sometimes even fatal – illness. Your body responds by bringing more blood to the skin, and producing
sweat, which cools the skin as it evaporates.

17.1 Heat Fatigue
Heat fatigue is an important early warning sign of heat stress. You feel too tired and weak to concentrate on doing
your job well. Take a break!

17.2 Heat Cramps
Heat cramps develop when you sweat out more salt than your body takes in and your muscles cramp. For relief, drink
water. Don’t take salt or electrolyte drinks if you have a heart condition or are on a low-sodium diet.

17.3 Heat Exhaustion
Heat Exhaustion is more serious.
Its symptoms include:

•        Pale or flushed appearance
•        Weakness
•        Sweating
•        Headache
•        Moist, clammy skin
•        Dizziness
•        Sometimes nausea or a slight fever

If you or a co-worker show these symptoms, follow these steps:

•        Notify your supervisor immediately
•        Move to a cool place
•        Loosen clothing
•        Drink fluids slowly
•        Apply cool compresses to the body
•        Elevate feet 8 – 12 inches

17.4 Heat Stroke
Heat stroke is the MOST SERIOUS form of heat stress. The body stops sweating and can’t cool itself, so temperature
rises quickly. It can lead to delirium, convulsions, or unconsciousness – even death if the body isn’t cooled down. Its
important to recognize the symptoms:

•        Chills
•        Confusion
•        Dry, hot, reddish skin
•        Strong and rapid pulse
Heat stroke is very dangerous! Call a doctor immediately. While you wait, cool the person as much as possible.
Hose down, or soak the clothing with water and fan the body and monitor the “ABCs” – airway, breathing, and
circulation. Don’t give an unconscious victim fluids.

17.5 Prevention
To prevent heat stress, follow as many of these steps as possible:

•        Wear light-colored clothing to reflect the sun’s light
•        Drink plenty of water. Drink at least 16 ounces about an hour before work, and then 5
to 7 ounces every 15-20 minutes during work
•        Adapt to the high heat slowly; it may take a week to fully adjust
•        Stay in good physical condition; eat regular, balanced meals
•        Drink less alcohol and caffeine; they dehydrate you
•        Take frequent breaks; look for cool, well-ventilated places
•        Work at a steady pace and reduce extra motions
•        Be alert to the symptoms and seek immediate relief

18 ACCIDENT REPORTING AND INVESTIGATION
It is very important for Forrest Services, Inc. employees to report ALL accidents/incidents to the Safety Department,
whether anyone was injured or not. The primary purpose for reporting accidents is to determine what caused them,
and then to learn how to prevent those same types of accidents from occurring in the future. The intent of the program
is not to get employees in trouble, but to help them work safely.

18.1 Accident Reporting
All accident and injury reports, and investigation records will remain on file and available for a period of at least five (5)
years. In addition to Forrest Services, Inc reports, the Safety Department may be required to complete the job site’s
accident reports, co-investigate with the job site, and/or provide them copies or Forrest Services, Inc. reports.
Effective January 1, 2002, the Occupational Safety and Health Administration requires all MEDICAL TREATMENT to
be reported via OSHA 300 logs – first aid only does not need to be reported. OSHA’s definitions of first aid follow (it
does not matter how many different first aid measures are used):

•        Administered where it occurred
•        Generally consists of one-time or short-term treatment
•        Usually simple and require little or no technology
•        Can be administered by people with little training, or even by the individual
themselves
•        Usually administered to prevent the condition from worsening while awaiting medical
treatment
•        Uses non-prescription medications
•        Cleaning, flushing or soaking wounds on the surface of the skin
•        Using hot or cold therapy
•        Using any temporary immobilization devices while transporting a victim
•        Using finger guards
•        Use of massage to relieve cramps or muscle aches
•        Drinking fluids for relief of heat stress

18.1.1 Non-Reportable Accidents
If the accident did not injure anyone, or damage any property, the Safety Department will investigate and prepare a
Forrest Services, Inc. Accident Investigation Report for in-house filing.

18.1.2 Reportable Accidents
If the accident did injure someone, but did not result in a fatality, or hospitalization of two or more persons, the Safety
Department will investigate and prepare a Forrest Services, Inc. Accident Investigation Report and a Brumley First
Report of Injury or Illness, for inclusion in Forrest Services, Inc.’s OSHA 300 log.

18.1.3 Serious Accidents
If the accident resulted in a fatality, the hospitalization of two or more persons, or         the accident resulted in property
damage, public liability, or news media coverage, the Safety Department will investigate and prepare a Forrest
Services, Inc. Accident Investigation Report, a Brumley First Report of Injury or Illness, and prepare the required
reports for the insurance company that will handle the claim (auto and/or facility). OSHA MUST BE CONTACTED
IMMEDIATELY.

18.2 Accident Investigation
Upon notification, the Safety Department will conduct an investigation for all accidents and injuries. The
investigations will take place at the scene, if at all possible, and as quickly as possible, but not later than 24 hours.
Use the Forrest Services, Inc. Incident Investigation Worksheet/Report to determine:

•        Who was involved
•        Where did the incident occur – take pictures if allowed
•        When did the incident occur
•        How did the incident occur – include ALL details
•        Why did the incident occur – include ALL factors
•        Who witnessed the incident – get names, and phone numbers and addresses (if not
Forrest Services, Inc. employees)
•        What aid was rendered to the victim (if any)
•        What actions can be implemented to prevent this type of accident in the future

FORREST SERVICES, INC.
Industrial and Commercial
Abrasive Blasting - Coatings - Pipe & Tank Insulation
La Porte, Texas 77572
Phone (281) 471-6107 FAX (281) 471-7260

Field Health, Safety and Environment Manual