Green Environmental Management System HAZARDOUS WASTE OPERATIONS and

Green Environmental Management System HAZARDOUS WASTE OPERATIONS & EMERGENCY RESPONSE (HAZWOPER) EMERGENCY FIRST RESPONDER

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Green Environmental Management System HAZARDOUS WASTE OPERATIONS and EMERGENCY RESPONSE (HAZWOPER) EMERGENCY FIRST RESPONDER OPERATIONS ANNUAL COMPETENCY REFRESHER TRAINING 29 CFR 1910. 120 OSHA EMERGENCY A release or threat of release of a hazardous substance that threatens human health or the environment EMERGENCY RESPONDERS (First Responders) Those who play a role in the sequence of events that follow the discovery of an actual or potential threat of an emergency AWARENESS LEVEL Emergency First Responders are those who are likely to witness or discover a hazardous substance release and are only trained to notify the proper authorities OPERATIONS LEVEL Emergency First Responders (FRO) are those who respond to a hazardous substance release in a defensive fashion, not attempting to stop the release, but from a safe distance to contain the release; protecting humans, property, and the environment from the effects of the release

Green Environmental Management System HAZARDOUS WASTE OPERATIONS and EMERGENCY RESPONSE (HAZWOPER) EMERGENCY FIRST RESPONDER OPERATIONS ANNUAL COMPETENCY REFRESHER TRAINING 29 CFR 1910. 120 OSHA FIRST RESPONDERS: OSHA's Hazardous Waste and Emergency Response standard (HAZWOPER) requires that workers be trained to perform their anticipated job duties without endangering themselves or others. To determine the level and type of training workers need, you must consider the hazards in your community and what capabilities your personnel need to respond to those hazards. You should make your determination based on worst-case scenarios. AWARENESS and OPERATIONS LEVEL Emergency First Responders must receive “initial 8 hours” of training. In addition, must “receive annual refresher training of sufficient content and duration to maintain their competencies, or shall demonstrate competency in those areas at least yearly. ” 29 CFR 1910. 120(q)(8)(i)

Green Environmental Management System HAZARDOUS WASTE OPERATIONS and EMERGENCY RESPONSE (HAZWOPER) EMERGENCY FIRST RESPONDER OPERATIONS ANNUAL COMPETENCY REFRESHER TRAINING WHAT TO DO? 1. Upon the discovery of a hazardous substance release, immediately assess the situation 2. Call X 2555 if release is too large to handle, and offer all details of the incident to the Emergency Incident Dispatcher Remember to be defensive in your actions. Your duty as an FRO is to contain the release from harming personnel, property, and the environment. 3. Offer the Dispatcher the cell number of the GEMS Coordinator (781) 983 -1666 for possible reporting requirements and for proper waste disposal upon release clean-up 4. Contain the release by donning appropriate PPE and/or initiating the appropriate absorbent materials from the nearest Spill Control Kit 5. The Emergency Incident Dispatcher will contact the Facility Emergency Coordinator and the Hazardous Waste Contractor (800) 966 -9282 to stop the release and for release clean-up ! REPORTABLE INCIDENT ! 10 Gallons of Fuel/Oil on the Ground OR Noticeable Oily Sheen on Water Surface in Nearby Waterway OR Hazardous Chemical Entering the Sanitary Sewer

Green Environmental Management System HAZARDOUS WASTE OPERATIONS and EMERGENCY RESPONSE (HAZWOPER) EMERGENCY FIRST RESPONDER OPERATIONS ANNUAL COMPETENCY REFRESHER TRAINING Equipment/Areas of possible hazardous substances release: • • • • • • Satellite Accumulation Area (SAA) – Designated areas throughout the facility, especially in Patient Care Wards; Pharmacy; Service Shops; Recycling Center; EMS Cleaning Chemical Storage Cages; and Laboratories, where hazardous waste is collected remotely until it is removed and placed inside an MAA Main Accumulation Area (MAA) – Designated buildings, MAA-1 (Behind the Boiler Plant) / MAA-2 (Behind building 70) where all facility hazardous waste is stored prior to being shipped offsite Electrical Transformers Back-up Generators Underground Storage Tanks (UST) Aboveground Storage Tanks (AST) Water Tower Chemical Storage Boiler Plant Chemical Lab Salt Shed Pool Maintenance Room Truck Lifts Building 8 Trash Compactors Buildings 3 and 6 Parking Lots Building 17 p. H Neutralization Station Air Conditioning Coolant Reservoirs Laboratory Cryogenics Cylinders Oxygen Stations Fueling Station Engineering Shop SPS Sterilization Processing Services Warehouse

Green Environmental Management System HAZARDOUS WASTE OPERATIONS and EMERGENCY RESPONSE (HAZWOPER) EMERGENCY FIRST RESPONDER OPERATIONS ANNUAL COMPETENCY REFRESHER TRAINING Hazardous Substances and Associated Risks EXPLOSIVE ATMOSPHERE Flashpoint – Minimum temp at which vapors from a liquid will ignite in the presence of spark or open flame Lower/Upper Explosive Limits (LEL) (UEL) – The range where concentration at or above flash point of ignitable vapors from a flammable gas or a flammable liquid is mixed well with air to cause an explosion. If outside this range, the vapors are either too lean to burn or too rich to burn. Examples: Gasoline Acetone Ethanol Diesel Fuel Oxygen Towers Isopropyl Alcohol Risks: Ignition sources may be nearby Poor ventilation Confined areas High evaporation rates HOW WILL YOU HANDLE THIS TYPE OF INCIDENT?

Green Environmental Management System HAZARDOUS WASTE OPERATIONS and EMERGENCY RESPONSE (HAZWOPER) EMERGENCY FIRST RESPONDER OPERATIONS ANNUAL COMPETENCY REFRESHER TRAINING Hazardous Substances and Associated Risks CORROSIVE ATMOSPHERE Acid – p. H level is below 7 (0 1 2 3 4 5 6 7 8 9 10 11 12 13 14) p. H Base – p. H level is above 7 (0 1 2 3 4 5 6 7 8 9 10 11 12 13 14) p. H Examples: Sulfuric Acid Hydrochloric Acid Sodium Hydroxide (Base) Bleach-Sodium Hypochlorite (Base) Risks: Skin Hazard Mucous Membrane and Eye Burns Inhalation Hazard HOW WILL YOU HANDLE THIS TYPE OF INCIDENT?

Green Environmental Management System HAZARDOUS WASTE OPERATIONS and EMERGENCY RESPONSE (HAZWOPER) EMERGENCY FIRST RESPONDER OPERATIONS ANNUAL COMPETENCY REFRESHER TRAINING Hazardous Substances and Associated Risks TOXIC ATMOSPHERE Permissible Exposure/Recommended Exposure/Threshold/Short Term Exposure/Ceiling Limits and Immediately Dangerous to Life and Health (IDLH) – Exposure limits set by OSHA that are found on the known chemical’s SDS Examples: Toxic Dusts, Fumes, Mists, Gases, Vapors Toxic Poisoning by Skin Contact (Hydrazine, Acrylamide) Sodium Azide Chlorine Pellets Fuel/Heating Oil (Gasoline/Diesel) Risks: Release can impact the environment: Air quality Surface Water, Ground Water, or Soil quality Underground Water sources and Drinking Water Supply Release could potentially be a water-soluble substance, like glycol, or persist in the environment like lead or mercury HOW WILL YOU HANDLE THIS TYPE OF INCIDENT?

Green Environmental Management System HAZARDOUS WASTE OPERATIONS and EMERGENCY RESPONSE (HAZWOPER) EMERGENCY FIRST RESPONDER OPERATIONS ANNUAL COMPETENCY REFRESHER TRAINING Hazardous Substances and Associated Risks OXYGEN DEFICIENT/ENRICHED ATMOSPHERE Naturally Breathable Oxygen Levels – 19. 5% -- 23. 5% Average is 20. 9% Oxidizer – Chemical reaction or substance that releases oxygen causing a flammable or oxygen-enriched environment Asphyxiate – A substance that replaces oxygen resulting in a nonbreathable environment Examples: Confined Spaces (Oxygen-deficient) Compressed Gases: Carbon Dioxide/Nitrogen/Argon/Helium Concentration of Dry Ice Liquefied Nitrogen and Refrigerant Gases Liquefied Flammables Oxygen Gas (Oxygen-enriched) Peroxide Substances Risks: Release of Oxygen-deficient substance potentially causes an asphyxiate atmosphere Release of Oxygen-enriched substance potentially causes a flammable or explosive atmosphere HOW WILL YOU HANDLE THIS TYPE OF INCIDENT?

Green Environmental Management System HAZARDOUS WASTE OPERATIONS and EMERGENCY RESPONSE (HAZWOPER) EMERGENCY FIRST RESPONDER OPERATIONS ANNUAL COMPETENCY REFRESHER TRAINING Recognizing Hazardous Substances in an Emergency • Hazardous Material Information System/National Fire Protection Association Standard 704 Diamond – These agencies have a labeling code that consists of 4 hazard categories and 5 hazardous ratings with designated colors: • (Blue) Health • (Red) Flammability • (Yellow) Reactivity • (White) Special Category (Acid/Water Reactive) / PPE • 4 – Severe hazard • 3 – Serious hazard • 2 – Moderate hazard • 1 – Slight hazard • 0 – Minimal hazard

Green Environmental Management System HAZARDOUS WASTE OPERATIONS and EMERGENCY RESPONSE (HAZWOPER) EMERGENCY FIRST RESPONDER OPERATIONS ANNUAL COMPETENCY REFRESHER TRAINING Recognizing Hazardous Substances in an Emergency 2015 Global Harmonized System (GHS) Haz. Com Labeling Oxidizers Flammables Self Reactive Pyrophoric Self-Heating Emits Flammable Gas Organic Peroxides Explosives Self Reactive Organic Peroxides

Green Environmental Management System HAZARDOUS WASTE OPERATIONS and EMERGENCY RESPONSE (HAZWOPER) EMERGENCY FIRST RESPONDER OPERATIONS ANNUAL COMPETENCY REFRESHER TRAINING Recognizing Hazardous Substances in an Emergency 2015 Global Harmonized System (GHS) Haz. Com Labeling Environmental Toxicity Aquatic Toxicity Carcinogen Respiratory Sensitizer Reproductive Toxicity Target Organ Toxicity Mutagenicity Aspiration Toxicity Irritant Dermal Sensitizer Acute Toxicity (Harmful) Narcotic Effects Respiratory Tract Irritant Ozone Layer Hazard

Green Environmental Management System HAZARDOUS WASTE OPERATIONS and EMERGENCY RESPONSE (HAZWOPER) EMERGENCY FIRST RESPONDER OPERATIONS ANNUAL COMPETENCY REFRESHER TRAINING Recognizing Hazardous Substances in an Emergency 2015 Global Harmonized System (GHS) Haz. Com Labeling Corrosives Acute Toxicity (Severe) Gases Under Pressure

Green Environmental Management System HAZARDOUS WASTE OPERATIONS and EMERGENCY RESPONSE (HAZWOPER) EMERGENCY FIRST RESPONDER OPERATIONS ANNUAL COMPETENCY REFRESHER TRAINING Safety Data Sheet (SDS)

Green Environmental Management System HAZARDOUS WASTE OPERATIONS and EMERGENCY RESPONSE (HAZWOPER) EMERGENCY FIRST RESPONDER OPERATIONS ANNUAL COMPETENCY REFRESHER TRAINING Recognizing Hazardous Substances in an Emergency Other labels with which to become familiar Biological Hazard Radiation Hazard ___________________________________ Possible Chemical Reactions Peroxides / Hydrocarbons Fire Acids / Bases Violent Reactions Reactive Metals / Acids Fire Sulfides / Cyanides Toxic Fumes Alcohols / Concentrated Acids-Bases Violent Reactions Oxidizers / Acids-Organics Violent Reactions Certain Organics / Acids, Bases, Reactive Metals Violent Reactions

Green Environmental Management System HAZARDOUS WASTE OPERATIONS and EMERGENCY RESPONSE (HAZWOPER) EMERGENCY FIRST RESPONDER OPERATIONS ANNUAL COMPETENCY REFRESHER TRAINING Additional Resources, PPE, and Terminology • Dept. of Transportation Emergency Response Guidebook (ERG) • Bedford VAMC SPCC Plan • Bedford VAMC Emergency Operations Manual • Bedford VAMC Hazardous Materials Spill Response Policy • 29 CFR 1910. 120 • Various Types of Air Monitoring Instrumentation EMERGENCY COORDINATOR Facility employee responsible for coordinating all emergency response measures EMERGENCY INCIDENT DISPATCHER Facility Police Services dispatcher communicating to all appropriate emergency response personnel X 2555 EMERGENCY RESPONSE CONTRACTOR Outside Vendor contracted to handle Facility hazardous waste and to respond to stop releases and perform release clean-up procedures (800) 966 -9282

Green Environmental Management System HAZARDOUS WASTE OPERATIONS and EMERGENCY RESPONSE (HAZWOPER) EMERGENCY FIRST RESPONDER OPERATIONS ANNUAL COMPETENCY REFRESHER TRAINING Additional Resources, PPE, and Terminology DECONTAMINATION (DECON) An organized, systematic methodology for removing contaminants from people and equipment, so that … those contaminants do not expose workers and are not spread to unaffected areas. LEVELS OF PROTECTION & CHEMICAL PROTECTIVE CLOTHING Level A Supplied air and vapor-tight, fully-encapsulating suit. Maximum level of respiratory and skin protection. Level B Supplied air and full splash-protective suit. Maximum level of respiratory protection, full skin contact, but not skin vapor protection Level C Air-purifying respirator and full splash-protective suit. Lower level of respiratory protection, full skin contact protection from liquids and solids Level D No respiratory or full skin contact protection. Standard work uniform, which may include everyday PPE, e. g. , safety eye wear and gloves

Green Environmental Management System HAZARDOUS WASTE OPERATIONS and EMERGENCY RESPONSE (HAZWOPER) EMERGENCY FIRST RESPONDER OPERATIONS ANNUAL COMPETENCY REFRESHER TRAINING BLDG 17 / Room 014 – p. H NEUTRALIZATION STATION The Alarm button that is circled is for p. H excursions. If the EFFLUENT Sensor p. H drops below 5. 75, this indicator will alarm and light up. It must be acknowledged to silence the audible alarm. When this alarms, the pumping system will automatically begin pumping SODIUM HYDROXIDE to increase the p. H. If the EFFLUENT Sensor p. H rises above 11. 75, this indicator will alarm and light up. It must be acknowledged to silence the audible alarm. When this alarms, the pumping system will automatically begin pumping SULFURIC ACID to decrease the p. H. If this alarm is activated, please contact Joe Kitko, GEMS Coordinator and leave a message at (781) 983 -1666, AND enter the excursion onto the log sheet.

Green Environmental Management System HAZARDOUS WASTE OPERATIONS and EMERGENCY RESPONSE (HAZWOPER) EMERGENCY FIRST RESPONDER OPERATIONS ANNUAL COMPETENCY REFRESHER TRAINING Spill Control Equipment • EMS Cleaning Chemical Cages throughout the Campus • Red Spill Control Equipment Shed located adjacent to MAA-1 • Red Spill Control Equipment Shed located adjacent to Water Tower • Spill Control Cabinet located inside MAA-1 • Spill Control Cabinet located inside MAA-2 • Spill Control Equipment Trailer north of Building 27 • Spill Control Drum located outside Boiler Plant Supervisor’s Office • Spill Control Drums located inside each Back-up Generator Sheds • Spill Control Drums located in the Attic of various Campus Buildings • Spill Control Drum located in the Recycling Center • Spill Control Absorbent Collection Box and Drum located inside Garage • Spill Control Cabinets located throughout Buildings 17, 18, and 70 Labs • Spill Control Drum located inside Boiler Plant Chemical Lab

Green Environmental Management System HAZARDOUS WASTE OPERATIONS and EMERGENCY RESPONSE (HAZWOPER) EMERGENCY FIRST RESPONDER OPERATIONS ANNUAL COMPETENCY REFRESHER TRAINING Spill Control Cabinet Chemical Spill Control Flow Chart CHEMICAL SPILL CONTROL FLOW CHART CHEMICAL SPILL YES Does Spill involve Fire? YES NO Are injuries involved? YES NO What kind of Spill? Is the Spill incidental? >500 m. L R. A. C. E. Respond: • First Aid? • Eyewash/Shower? CALL X 2555 REPORT INCIDENT <500 m. L Clean up Spill using Spill Control Kit (Contact GEMS at X 2222 for proper spill waste disposal)

Green Environmental Management System HAZARDOUS WASTE OPERATIONS and EMERGENCY RESPONSE (HAZWOPER) EMERGENCY FIRST RESPONDER OPERATIONS ANNUAL COMPETENCY REFRESHER TRAINING Spill Control Cabinet Chemical Spill Control Flow Chart IS THERE A FIRE? R. A. C. E. Alert others! – Call for Help! “CODE RED – CODE RED” RESCUE Rescue anyone in danger! ALARM Pull nearest Fire Alarm! *CALL X 2555 TO REPORT FIRE!* CONTAIN Close doors & isolate the Fire! EXTINGUISH/EVACUATE Put out Fire, if safe to do so, then Evacuate!

Green Environmental Management System HAZARDOUS WASTE OPERATIONS and EMERGENCY RESPONSE (HAZWOPER) EMERGENCY FIRST RESPONDER OPERATIONS ANNUAL COMPETENCY REFRESHER TRAINING Name: _____________ Date: ____ 1. This symbol means: A. Poison B. Corrosive C. Lethal D. Toxic 2. To protect property and health from the hazards of a release, Operations Level HAZWOPER First Responders will respond in a : A. Neutral fashion B. Stop the spill at all cost fashion C. Defensive fashion D. Leave it alone fashion

Green Environmental Management System HAZARDOUS WASTE OPERATIONS and EMERGENCY RESPONSE (HAZWOPER) EMERGENCY FIRST RESPONDER OPERATIONS ANNUAL COMPETENCY REFRESHER TRAINING 3. Mixing acids and bases will result in a: A. Flower B. Test Tube Animal C. Salt-based Oxide D. Hazardous Reaction 4. This symbol means: A. Fish growing out of the ground B. Environmentally Toxic C. Radiologic D. Corrosive

Green Environmental Management System HAZARDOUS WASTE OPERATIONS and EMERGENCY RESPONSE (HAZWOPER) EMERGENCY FIRST RESPONDER OPERATIONS ANNUAL COMPETENCY REFRESHER TRAINING 5. Breathable average percentage of oxygen is: A. 1% B. 100% C. 20. 9% D. 89. 1% 6. The GEMS Spill Equipment trailer contains: A. Toys B. Detergents C. Spill Clean-up Material D. Beds and Blankets

Green Environmental Management System HAZARDOUS WASTE OPERATIONS & EMERGENCY RESPONSE (HAZWOPER) EMERGENCY FIRST RESPONDER OPERATIONS ANNUAL COMPETENCY REFRESHER TRAINING 201 Student Name Signed Initials