Environment, Safety & Health Division / Chapter 2: Work Planning and Control
Activity Training and Authorization Form
Product ID: 512 | Revision ID: 1261 | Date Published: 17 December 2010 | Date Effective: 17 December 2010
URL: http://www-group.slac.stanford.edu/esh/eshmanual/references/wpcFormATA.pdf | .doc
ATA # / 5 / Resident Buildings or Areas / 41,104D, 222, 223, 225, 407A-B-C-D ,231,611
Date (original/revised) / July 1, 2010 / Buildings or Areas with Term Releases
(if applicable) / NLCTA Group: 128,129,062, NLCTA, E163 Experimental Hall
FACET Group: 244, FACET Experimental Area in Sector 20
ATA Duration (not to exceed 12 months) / 12 months / Department/Group Name / AARD
Activity / Basic Hazards / Basic Controls, including boundary conditions (engineering, administrative, or PPE) / ESH Training, Qualifications, Skills, Certifications /
Work in any Industrial Area or Accelerator Area / Personal injury
Coordination of work with other activities / Sensible closed-toed shoes ARE REQUIRED in all industrial and accelerator areas.
Badges must be worn. If badge is on a necklace, the necklace must be equipped with a break-away latch.
Radiological Controlled Areas require wearing of personal dosimeter. Other measures may be posted in area.
Follow all postings. / Required training:
·  Course 219 – Employee Orientation to ES&H
·  GERT Course 115
·  RWT-I Course 116*, 116PRA*
·  WPC Course 120
·  Hazard Communication Course 103
·  Hazardous Waste Management Course 105
(*) Required to enter a Radiation Area, adjust or work on any component inside a radiation enclosure that has been exposed to beam, or work with any “yellow-tagged” radioactive item.
Access into any accelerator enclosure / Residual radiation. / Always read RWP at area entrance.
·  RWT-I or RWT-2 training may be required
·  Sign-in and out may be required
·  Additional dosimetry may be required
Work that involves Electricity.
Including:
·  Working with a voltmeter, oscilloscope probes.
·  Testing or debugging any hazardous system (>= 50 volts) with the covers off.
·  Modification or repair of any potentially hazardous electrical system.
·  Operation of any facility power (including rack power) circuit breaker or electrical disconnect
·  Lockout / Tagout of electrical hazards (after CoHE Training, below)
·  Zero Voltage Verification / Shock
Thermal burns
Generation of electrical hazards that others may be exposed to / Knowledge, skills and experience in electrical systems / Required training – One or more of:
·  Course 110 -- Lab Safety for Particle Experimentalists
·  Course 251 -- Electrical and General Safety for R & D)
·  Course 274 Electrical Safety Low/High Voltage Training
Operate the NLCTA Accelerator as EOIC / Radiological, RF, HV, and laser hazards, as documented in NLCTA SAD. / Engineering and administrative controls as documented in NLCTA SAD, and NLCTA Directives. / Training requirements listed in 020401 Operator Safety Training Requirements
Approval by NLCTA to operate accelerator
Work in the FACET Experimental Area / Powered magnets, residual radioactivity, limited spaces. / Engineering controls:
·  Equipment covers.
Administrative controls:
·  Signage.
·  Observe in particular the Radiation Survey Map prior to entry. / Required training:
·  RWT-I Course 116, 116PRA
·  FACET Area Safety Orientation
Operate a class IIIB or IV laser system. / Eye damage leading to blindness.
Skin damage (minor burns). / ALL work must be conducted in strict accordance with the latest version of the Laser Safety Standard Operating Procedure.
Engineering controls, administrative controls, and PPE requirements are delineated in the above-referenced SOP.
Note:
·  Do not add other class IIIb or class IV lasers to the system / Required training:
·  Course 253 - Laser Worker Safety Training, to be renewed every 24 months
·  Course 253ME – Laser Worker Baseline Medical Exam, to be completed once.
·  Course 253PRA – Laser Practical Training.
·  Course 131 – Laser lessons Learned
·  Documented On-The-Job Training
Work in a Physics laboratory environment.
·  Electrical – use of DVMs and oscilloscopes to test electronic instruments
·  Chemical – use of small quantities of solvents or detergents to clean vacuum parts and optical components, small quantities of lubricants or adhesives during component assembly
·  Vacuum – be present at or participate in system venting and pump down / Startle hazard from electrical hazards below 50 V, 10 A, 10J stored energy
Chemical burns and blindness resulting from chemical exposure
Cuts and lacerations resulting from implosion of a vacuum window.
Asphyxiation resulting from oxygen displacement by nitrogen boil-off
Frostbite from contact with cryogens
ODH – might be present during system venting / Electrical Hazards:
Engineering controls:
·  Equipment covers.
Administrative controls:
·  Signage.
Chemical Hazards
Use restricted to
·  Water, Detergents (e.g.: Cleaners for Ultrasonic)
·  Isopropyl, Methyl, Ethyl Alcohols; Acetone in 1 Liter point-of-use bottles only
·  Recirculating chiller cleaner and buffer solutions
·  Conventional adhesives, surfactants, and lubricants (e.g. Loctite, epoxy, etc. and ultrasonic cleaner detergents, etc., and Apiezon, anti-seize lubricant, etc.) in small point-of-use quantities only
PPE:
·  Use nitrile or latex gloves and goggles or face shield as appropriate
Vacuum Hazards
Engineering controls:
·  Vacuum Viewports should be covered when chamber is evacuated (applies especially to viewports larger than 1.5 inches)
Administrative controls:
·  Pressure Relief Valve MUST BE USED when venting any chamber to avoid pressurization of chamber to greater than approximately atmospheric pressures
·  Avoid contact with all glass vacuum windows.
Oxygen Deficiency Hazards:
·  Purging any vacuum chamber introduces the possibility of an ODH hazard. Ventilation is always desirable.
·  The NLCTA Accelerator Enclosure and the NLCTA Experimental Hall have an ODM which shuts off the Nitrogen gas flow. / Course 110 – Lab Safety for Particle Experimentalists
=OR=
Course 239 – General Electrical Safety
=AND=
Course 251 – Electrical and General Safety for R & D”
=AND=
Course 170 – Cryogen and ODH Safety
·  Personal ODM placed near point of most probable ODH location may be used to mitigate hazards.
·  Use of LN in an enclosed space (e.g. accelerator housing) requires separate JSA.
Cryogenic Hazards
·  Engineering controls: none.
·  Administrative controls: Avoid contact with liquid nitrogen.
·  PPE: cryo gloves, goggles, face shield, long sleeved shirt/pants
Boundaries: JSA and Experiment Review may be required in each case.
Work near any beamline magnet / Electrocution, burns / All electrical terminals must be treated as energized. Personal Lockout Tagout required prior to working near (closer than 1 foot) any unprotected terminal.
Note: Hazards include thermal heating or shorted connections, inductive kickback voltage from shorting/opening connections, exposure to DC voltages. / Required training:
·  CoHE – Course 157, 157PRA – Control of Hazardous Energy
·  CPR – Course 138
·  EITHER Course 110 -- Lab Safety for Particle Experimentalists =OR= Course 251 -- Electrical and General Safety for R & D)
Operate electrical disconnects / circuit breakers with doors closed. / Arc Blast / Hazard category must be identified by label or determined through other means.
·  Wear PPE as identified on disconnect label.
·  Stand to the side when operating the disconnect
Circuit breakers without a hazard label MAY NOT be operated. / Required training:
·  EITHER Course 110 -- Lab Safety for Particle Experimentalists =OR= Course 251 -- Electrical and General Safety for R & D) =OR= Course 274 Electrical Safety Low/High Voltage Training
Lockout of hazards / Depends on type of energy source being isolated. / Depends on type energy source being isolated. Follow Equipment Lockout Procedure if available. / Required training:
·  CoHE – Course 157, 157PRA – Control of Hazardous Energy
Perform zero voltage verification of de-energized and locked out circuits 600 volts and less / Electrical shock, burns, arc blast/flash, internal tissue damage / Use appropriately rated meter
Test meter before and after measurements / Required training:
·  CPR – Course 138
Operate machine shop type stationary power tools
Includes only the specific equipment located in building 104D listed below:
·  grinders
·  band saw (vertical)
·  drill press
·  Sander / eye injury from flying chips, cutting fluids, or parts coming loose from machine
/fingers/hands/jewelry/clothing/hair can get caught in rotating parts
exposure to high noise levels
back injury manipulating heavy or awkward parts
crushing of feet or hands while handling materials or parts falling out of machine
chips/coolant/flying parts can hit operator or bystander
cuts
Coolant on floor around machine can cause slip hazard
Parts can become hot and burn skin / Only operate equipment that you are trained and qualified to operate. Follow all manufactures safety requirements.
Limit distractions
Wear safety glasses with side shields
Prohibited activities:
·  Machining Lead
·  Machining Beryllium
·  Machining Radioactive materials
Where ear protection if exposed to prolonged high noise levels, or when posted as mandatory.
Shirts and shop coats should be short sleeved. If long sleeved garments are worn, they must be tight fitting around the wrists and forearms.
Keep long hair tied back. Keep necklaces and badges tucked away. Use break away badge necklaces.
Wear safety shoes when handling/moving heavy equipment or materials. Always wear closed-toed shoes.
Use machine guards and keep them properly adjusted.
Do not wear gloves when operating equipment with rotating parts.
Use proper clamping and tooling. Do not exceed the capacity of the machine. Double check machine tooling and make sure chuck key is removed before power is applied.
Use barriers to screen / partition off machine to help contain flying chips/coolant
Use hooks/pliers or other tools to remove chips from around rotating parts or when handling hot parts.
Be aware of the floor surfaces in your work area. Use absorbent to control fluids around machines. Control spills (absorbent, barriers/tape, etc) and clean up promptly. Report unsafe conditions that you cannot correct yourself. / Required training:
·  Course 255 – Personal Protection Equipment (PPE)
Qualifications required:
Successful completion of formal college or vocational machine shop program
Or
For each type of machine checked in row two, a documented evaluation that the employee has the skill and knowledge to safety operate the machine.
Soldering / Burns
Inhalation of fumes / Use protective holder to store heated iron.
Properly dispose of solder dross
Use in well ventilated areas
No eating in soldering area
Wash hands / None.
Climb ladders. Climbing on machines and equipment. / Falling
Head injury
People run into ladder / Use ladders appropriately. Observe postings on ladders.
Inspect ladders before use. Tag out damaged ladders to prevent use.
Zone off area if there is a potential of falling objects to personnel below. Require use of hardhats if your work may potentially drop something below on workers.
Have someone hold ladder if it will provide more support
Do not position ladder in front of closed door that can open into the ladder.
Use the right ladder for the job. For example, do not use an “A” frame ladder to lean against a building.
Store ladders so they will not block exits in the event of an earthquake.
Standing or sitting on equipment greater than 4 feet above surrounding floor level is not allowed. / Course 293 – Stairway and Ladder Safety is highly recommended.
Stack or handle lead / Exposure to hazardous materials (lungs, skin, eyes)
Contamination of equipment and environment / Prohibited activities:
·  Machining Lead
Limit daily activity to 30 minutes or less
Wear gloves. Store gloves in marked zip lock baggie for future use or dispose of as “lead contaminated debris”
Containerize (sealed bag) all waste, properly label (example below), and request disposal
·  POISON
·  Lead Contaminated Debris”
·  The Date
·  Your Name
Hazardous Waste Management (Course 105) required if you will generate hazardous waste / None.
Working in tight spaces / Bumping into things with body or head
Trip hazards
Getting in each others’ way / Prohibited activities:
·  Entry into a posted Confined Space
Avoid rushing
Wear a hard hat or bump hat if appropriate
Practice good housekeeping
Be aware of your surroundings / None.
Climb the manway ladders in the LINAC penetrations / Fall / Requires use of the pre-engineered fall arrest equipment.
Two person rule applies.
Inspect equipment before use and also ensure it has been inspected by competent person within last 6 months / Course 203—LINAC Access Ladders and Ladder Climbing Devices
Accelerator Division Safety Office briefing on fall protection system.
Handle radioactive materials or radioactively contaminated materials. / Removal of radioactive materials and mix in with non-radioactive materials
Contamination of environment
Generation of “mixed waste” / Do not remove materials that are not properly tagged by OHP.
A RWP from OHP is required PRIOR to manipulating radioactive materials in ways that may generate dust (drilling, grinding, etc)
“Take out what you bring in” to avoid activating. This is especially important for hazardous materials such as solvents, oils, greases, aerosol products, etc. that would become “mixed waste” if activated.
Obtain Radiological Work Permit and follow requirements. / o  General Employee Radiological Training (GET) (Course 115) to handle radioactive material if this will not exceed annual dose limit of 100 millirem/year.
Radiological Worker Training I (RWT I) (Course 116) to handle radioactive material if this will likely exceed annual dose limit of 100 millirem/year.
Radiological Worker Training II (RWT II) (Course 250) needed to handle radioactively contaminated materials.
Move, connect, and disconnect pressurized gas cylinders. / Explosive decompression and resultant flying debris / Administrative: Ensure valves are closed and residual pressure discharged before disconnection.
PPE: Wear eye protection. / Course 122 – pressure system operator

Worker I will maintain compliance with my STA training requirements, including staying current with recertifications. I understand the type of activities I am authorized to perform and the associated hazards, controls, and boundary conditions. If I am unclear, I will ask my administrative supervisor.

Name (print) / Signature / Date

Administrative supervisor I have reviewed the basic steps, hazards, controls, and boundary conditions described in this ATA with all workers listed above. Workers listed above possess the skills, knowledge, training, and qualifications to perform work as described in this ATA and are, therefore, authorized to carry out such work. Workers are also released to carry out such work as defined in this ATA. Work not adequately addressed by this ATA will be authorized with a JSA or SOP.