PERSONAL HEALTH CHECKLIST (Form 603)

EMERGENCY CONTACT PAGE/PROTOCOLS (Form 606) 2

Place holder for completed and printed 606 document 2

PERSONAL HEALTH CHECKLIST (Form 603) 5

SIGNATURE PAGE 5

TABLE OF CONTENTS 7

1.1 Site Background & Description 8

Las Delicias is a community of about 600 homes and 3000 people situated on the western slopes of Volcan San Salvador about 15 miles northwest of San Salvador, the capital of El Salvador. The community is fairly sparse and anticipates growth to over 1000 families over the next 20 years. The communities residents suffer from lack of employment, but over recent years several NGOs have begun making improvements within the community that are improving living conditions, health, and education. 8

The residences of Las Delicias are Latin American and mostly agricultural. Some are Indigenous. The Village of Las Delicias was disrupted during the civil war, as were many villages, there is no real governmental involvement. There is some military and police presence. Most community event planning is done through the parish council. Unemployment is very high. Those who are employed work in garment factories or agricultural labor. The average income is around $10 a week. Most people are Catholic. 8

Las Delicias has a water supply system that was installed about 20 years ago. This system includes buried piping to individual households, three storage tanks at upper elevations in the community, over 150 valves to control distribution, a well at a lower elevation in the community and a pumping station with two pumps: (1) submersible pump in the well and (2) transfer pump for delivering water to two of the storage tanks. The three storage tanks all receive water by gravity from a spring located several kilometers away on the mountain and two of the storage tanks receive water from the well. The well pump and transfer pump operate about 4-6 hours per day. Water flows by gravity from the tanks to individual households. The valves throughout the community are operated manually by a single operator who walks throughout the community controlling which zones have running water at various times during the day. However due to topology and limitations of the piping system design, the water supply to individual households varies considerably. Some homes receive water almost every day whereas other homes reportedly receive water less than once per week. A culture of scarcity exists in the community so that when the water is running, residents collect water into many available containers so that they will continue to have water until the next time the water is running. 8

1.2 History of Prior Activities At The Site 8

1.3 Contractors And Other Parties 9

2.0 ORGANIZATION AND COORDINATION 10

2.1 Key Project Personnel 10

Table 2.1 – Key Project Personnel 10

2.2 Health and Safety Personnel 11

Table 2.2 – Health And Safety Personnel 11

2.3 Team Member Responsibilities 11

Table 2.3 – Team Member Responsibilities 11

3.0 TASK DESCRIPTIONS 13

3.1 Specific Scope of Work 13

During the implementation trip, phase 1, we plan to 13

1) Construct a new water tank at a location identified previously 13

2) Add about 400 m. of water supply line to the new tank connecting to the existing line. 13

3) Add or at least identify tie-in points to the existing distribution system 13

4) The new pump will be added later, during another implementation trip. 13

3.2 Point-to Point Travel Details 13

Table 3.2: Point To Point Travel Details 13

3.3 Project Schedule 15

Table 3.3 – Schedule 15

4.1Preliminary Evaluation 15

Table 4.1 – Task Health & Safety Risk Analysis 15

4.2 Security 16

4.3 Chemical Hazards 16

4.4 Biological Hazards 16

4.5 Physical Hazards 17

5.0 COMMUNICATIONS 19

5.1 On Site Communications 19

5.1.1 Cell Phones 19

5.1.2 Radios 19

5.1.3 Hand Signals 19

5.1.4 Emergency Signals 19

5.1.5 Translator Names 20

5.2 Offsite Communications 20

5.2.1 Cell Phones 20

5.2.2 International SOS 20

5.2.3 Email 20

5.2.4 Local Medical Clinic / Nearest Medical Professional 21

5.2.5 Fire Response 21

5.2.6 Police Response 21

5.3 U.S. Check-In Contact 21

6.0 PROTOCOLS 23

6.1 Task By Task Health & Safety Protocols 23

01 Noise And Hearing Conservation 23

02  Inclement Weather  23

03  Heat Stress  23

04 Cold Stress 23

05 Footcare 23

06 Confined Space 23

07 Hot Work 23

08 Manual Lifting 24

09 Rough Terrain 24

10 Housekeeping 24

11 Structural Hazards 24

12 Remote Areas 24

13 Working Over/Near Water 24

14 Traffic 24

15 Heavy Equipment Operations 24

16 Fall Protection 24

17 Ladders 24

18 Shoring and Trenching 24

19 Hazardous Materials Use and Storage 24

20 Demolition 25

21 Active and Abandoned Utilities and Landmines 25

22 Electrical Safety 25

23 Hand and Power Tools 25

24 Hand and Emergency Signals 25

25 Lock Out Tag Out 25

26 Biological Hazards 25

27 Hazardous Materials 25

28 Clearing, Grubbing, and Logging 26

29 Falling Objects, Punctures, Abrasions, Dust, and Noise 26

30 Silica 26

6.2 Emergency Response Plans 26

Designated Meeting Point 26

Land Ambulance Service 26

Air Ambulance Service 26

7.0 TRAINING 27

7.1 Pre Mobilization Training 27

7.2 On Site Training 27

8.0 PERSONAL PROTECTIVE EQUIPMENT (PPE) 30

8.1 Rationale For Use 30

8.2 Criteria For Selection 30

8.3 Listing By Task 30

9.0 SITE CONTROL MEASURES 31

9.1 Exclusion Zones 31

Atmospheric 31

Physical Zones 31

9.2 Site Hygiene 31

10.0 MEDICAL CONSIDERATIONS 32

10.1 Medications and Vaccinations 32

10.2 Location of and person responsible for First Aid Kit(s) 32

10.3 Exposure/Injury/Medical Support (on site and off) 32

10.4 Medical Treatment Facilities (Location & Transportation) 32

10.5 Incident Report 32

11.0 POST MOBILIZATION REPORTING 33

11.1 System To Capture And Report Project Related Injury And Illness 33

11.2 Participant Signatures 33

ATTACHMENT A: AREA MAP 34

Table A-1: Area Site Coordinates 34

Picture A-1: Area Map 34

ATTACHMENT B: PROJECT SITE MAP 35

Table B-1: Site Coordinates 35

Picture B-1: Project Site Coordinates 35

ATTACHMENT C: TASK HAZARD ANALYSES 37

Table C-1 – Site Specific Task Hazard Analysis 37

ATTACHMENT D: PERSONAL PROTECTIVE EQUIPMENT ANALYSES 40

Table D-1 – Implementation PPE Analysis 41

ATTACHMENT E: MATERIAL SAFETY DATA SHEETS (MSDS) 44

ATTACHMENT F: POTENTIAL VENOMOUS SNAKES & SPIDERS 45

ATTACHMENT G: TRAINING COPY CERTIFICATES 58

58

B ATTACHMENT H: REQUIRED MEDICAL KIT CONTENTS 60

ATTACHMENT I: TASK HAZARD MANAGEMENT STRATEGIES 63

Task Hazards List 63

ATTACHMENT J: INCIDENT REPORT (Form 612) & ROOT CAUSE ANALYSIS (Form 613) 64

66

ATTACHMENT K: EMERGENCY RESPONSE PLAN (FORM 614) 68

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