FIRST AID (Including Safety Shower and Eyewash Stations)

GENERAL SAFETY PROCEDURES

FIRST AID

GENERAL SAFETY PROCEDURES

FIRST AID (Including Safety Shower and EyeWash Stations)

Procedure Number: GSP-210

TABLE OF CONTENTS

FIRST AID – GSP-210

1.0PURPOSE

2.0SCOPE

3.0DEFINITIONS

4.0TRAINING

5.0FIRST AID SUPPLIES

6.0BLOODBORNE PATHOGENS

7.0GENERAL FIRST AID PROCEDURES

7.1.Wounds (Small Cuts, Significant Bleeding & Burns)

7.2.Significant bleeding

7.3.Thermal Burns

7.4.Chemical Burns

7.5.Ingestion of Chemicals

7.6.Inhalation of Chemicals

8.0SAFETY SHOWER AND EYE WASH REQUIREMENTS

8.1.Shower and Eyewash Location

8.2.Shower and Eyewash Maintenance

8.3.Training

8.4.Safety Shower & Eye Wash Station Definitions

8.5.Safety Shower and Eye Wash Station Responsibilities

8.6.Safety Shower and Eye Wash Use

8.7.Inspections and Flushing

9.0APPENDIX A KEY SPECIFICATIONS FROM ANSI Z358.1

10.0APPENDIX B MONTHLY SAFETY SHOWER/EYEWASH CHECKLIST

Valero Terminaling and Distribution Company / Last Revised 01/10/07

GENERAL SAFETY PROCEDURES

FIRST AID

1.0PURPOSE

The purpose of this procedure is to provide a basic guide for providing First Aid response for personnel at ValeroTerminaling and Distribution Company (Valero) facilities. First Aid response is limited to trained responders and all first aid equipment and supplies available at these facilities follow those recommended in this procedure and are approved by a licensed health care provider.

The outcome of occupational injuries depends not only on the severity of the injury, but also the rendering of first aid care. Prompt, properly administered first aid care can mean the difference between life and death, rapid vs. prolonged recovery, temporary vs. permanent disability.

Note:In the event emergency medical assistance is required, the local emergency phone number for the Valero facility must be called immediately to summon trained medical professionals.

2.0SCOPE

This procedure applies all personnel, company or contractor, working in or on Valero owned or maintained pipelines or facilities.

Third Party (contractor) personnel working at Valero facilities will provide medical first aid assistance and procedures for their workers which meet all applicable regulatory requirements including OSHA 29 CFR 1910.151.

The scope of this procedure includes first aid response required under OSHA requirement at 29 CFR 1910.151(b) which states, "In the absence of an infirmary, clinic, or hospital in near proximity to the workplace which is used for the treatment of all injured employees, a person or persons must be adequately trained to render first aid."

In addition, this procedure outlines best practices for the treatment of injured personnel by personnel trained in first aid. Also included is information on the operation and use of Safety Showers and Eyewash systems.

3.0DEFINITIONS

Note:See also definitions under safety shower/eyewash

Administrative Assistant

Person responsible for filing, tracking, etc. of documents, this could be a company or contract Administrative Assistant, an Operator, Mechanic, or Supervisor,

Supervisor or his Designated Representative

The management representative with immediate responsibility for the terminal, area, site or function

Designated Health, Safety and Environmental (HSE) Representative

The designated HSE representative may be a Valero employee or group or it may be a contracted entity providing specialized services to assist in environmental, health, industrial hygiene, and safety compliance activities. Subject to corporate management approval, each facility may satisfy these responsibilities through a combination of in-house and outside contracted services.

Designated Technical Support (tech support)

The designated engineering support may be a Valero employee or group or it may be a contracted entity providing specialized services to assist in engineering analysis. Subject to corporate management approval, each facility may satisfy these responsibilities through a combination of in-house and outside contracted services

4.0 TRAINING

It is Valero’s policy that those personnel who administer first aid must be trained in first aid procedures. This training includes those procedures provided by the American Red Cross First Aid Training or an equivalent course, which meet the first aid training required by OSHA.

Examples of first aid training topics will include:

How to determine the safe response to an emergency situation
Recognizing and caring for life-threatening emergencies in adults, such as respiratory, choking and cardiac problems
Caring for injuries including severe cuts and burns, sprains and strains
Caring for sudden illnesses such as poisonings, bites and stings
Recognizing and caring for heat- and cold-related emergencies
Automated External Defibrillation (AED) information
Workplace Emergency Planning

Additional first aid training will be provided to personnel working with live electrical equipment, which will include CPR.

All personnel with potential occupational exposure to potentially infectious blood borne material will also be trained in the Valero Procedures for Bloodborne Pathogens, GSP502.

5.0FIRST AID SUPPLIES

The American Red Cross recommends the following first aid supplies be available in the workplace, at a minimum. It is Valero policy to have a licensed health care professional recommendation on the appropriate first aid kit supplies to provide in the workplace.

Red Cross Recommended First Aid Supplies:

(20) Adhesivebandages various sizes
5” x 9” sterile dressing
Conforming roller gauze bandage
Triangular bandages
3 x 3 sterile gauze pads
4 x 4 sterile gauze pads
Roll 3” cohesive bandage
Germicidal hand wipes or waterless alcohol-based hand sanitizer
(6) Antiseptic wipes
pair large medical grade non-latex gloves
Adhesive tape, 2” width
Anti-bacterial ointment
Cold pack
Scissors (small, personal)
Tweezers
CPR breathing barrier, such as a face shield

6.0BLOODBORNE PATHOGENS

See Valero General Safety Procedure, GSP-502, which provides the general requirements and compliance procedures for the OSHA Blood borne Pathogen Standard (29 CFR 1910.1030). Included for compliance with the OSHA Standard are:

A written Valero exposure Control Plan for all employees with occupational exposure potentially infectious materials
Exposure Control Plan includes: exposure determination; schedule and method of implementation for a) method of compliance b) Hepatitis B vaccination and post-exposure evaluation and follow-up c) hazard communication d) recordkeeping

Methods of compliance with the OSHA regulations designed to control risks associated with blood borne pathogens include:

universal precautions are observed
hand washing facilities are available and employees are required to wash hands afterremoving PPE
employees wash hands/skin and flush mucous membranes after contact with potentially infectious materials
employees are prohibited from recapping, bending, breaking, shearing of contaminated needles
appropriate containers for contaminated sharps are provided (puncture resistant, leak proof, labeled)
disposal containers are easily accessible, replaced routinely and not allowed to overfill
eating, drinking, smoking, applying lip balm/cosmetics is prohibited where exposure is likely
food and drink are not kept in refrigerators or on shelves or counters where potentially infectious materials are present
specimens are placed in a labeled container, which prevents leakage during collection, handling, processing, or shipping
if outside contamination of the primary container occurs, it will be placed in a secondary labeled container, which prevents leakage
must provide at no cost to employee appropriate PPE such as gowns, gloves, masks, lab coats, eye protection, ventilation devices
gowns, aprons, lab coats, etc. are worn in occupational exposure situations
contaminated surfaces are decontaminated with disinfectant after completion of procedures or after spills
all bins, pails, cans or reusable containers, which may be contaminated, are inspected and decontaminated on a regularly scheduled basis
Fluorescent orange or orange red warning labels are affixed to all refrigerators, freezers, containers which contain blood or other potentially infectious materials
All employees with occupational exposure participate in a training program on initial assignment and annually thereafter
training covers this OSHA regulation; employer’s exposure control plan; epidemiology, symptoms, and modes of transmission of blood borne pathogens; methods for recognizing potential exposure situations; types, use and disposal of PPE; information on the hepatitis B vaccine; procedure to follow if an exposure occurs

7.0GENERAL FIRST AID PROCEDURES

The first aid and emergency procedures detailed below could be life saving. Become familiar with the information described below, so that emergencies can be speedily contained. It is the responsibility of the injured individual to report bodily injury, carcinogenic, mutagenic or teratogenic chemical exposure(s) or property damage to his immediate supervisor or the supervisor’s designated representative. Contractors must report all injuries to theirValerorepresentative while working on site.

All personnel injured must complete an accident/injury report and participate in the follow-up investigation to understand causation and prevent recurrence.

Note:Always wash your hands (if possible) before and after giving first aid to avoid the risk of infection and transmission of disease.If possible, use latex gloves (or some equivalent if you have a latex allergy) before giving first aid.

Note:ONLY PERSONNEL TRAINED IN FIRST AID MUST ADMINISTER FIRST AID TREATMENTS.

7.1.Wounds (Small Cuts, Significant Bleeding & Burns)

For small cuts and scratches

a.Cleanse area with soap and water.

b.Place a clean dressing over the wound.

7.2.Significant bleeding

Call Rescue using the site EMERGENCY TELEPHONE NUMBER (or via direct radio communication) IMMEDIATELY.

a.Calm and reassure the victim.

b.Lay the victim down. This will reduce the chance of fainting.

c.DO NOT remove any objects impaled in the victim.

d.Put direct pressure on the wound with a sterile bandage or clean cloth.

e.If direct pressure does not control the bleeding, elevate the wound above the heart if possible.

f.If bleeding is severe elevate the victim’s legs about 12 inches, and cover the victim with a blanket.

DO NOT APPLY TORNIQUET.

7.3.Thermal Burns

7.3.1.First degree burns (e.g., sunburn or mild steam burn) are characterized by pain, redness and swelling. First Aid procedures for first degree burns are as follows:

Run cool water over the area of the burn or soak it in cool water for at least 5 minutes.
Cover the burn with a sterile bandage or clean cloth.

Note:DO NOT APPLY ANY OINTMENTS, SPRAYS OR SALVES

7.3.2.Second and third degree burns are characterized by red or mottled skin with blisters (second degree), white or charred skin (third degree). First aid procedures for second and third degree burns are as follows:

If the victim is on fire put the fire out.

Call 911 or Rescueusing site EMERGENCY TELEPHONE NUMBER (or via direct radio communication) IMMEDIATELY.
Do not remove any burnt clothing unless it comes off easily.
Cover burns with dry sterile or clean bandaging.

DO NOT APPLY ANY OINTMENTS, SPRAYS ORSALVES.

7.4.Chemical Burns

If hazardous chemicals should come into contact with the skin or eyes, follow the first aid procedures below. DO NOT become a victim; wear PPE as indicated on the MSDS to protect yourself if you are attempting to assist someone covered in chemical(s).

7.4.1.Skin

Remove victim's clothes -- don't let modesty stand in the way.
Remove victim's shoes -- chemicals may collect in the shoes.
Rinse the area with large quantities of water for at least 15 minutes (shower or hose).
DO NOT apply burn ointments/spray to affected areas.
Cover with dry clean or sterile material.
For large affected areas Call 911 or Rescue using the site EMERGENCY TELEPHONE NUMBER (or via direct radio communication) IMMEDIATELY.

7.4.2.Eyes

Eyelids have to be forcibly opened to ensure effective washing behind the eyelid.
Be sure to wash from the nose out to the ear, this will avoid washing chemicals back into the eye or into an unaffected eye.
Flood eyes and eyelids with water/eye solution for a minimum of 15 minutes.
Remove contact lenses as soon as possible to rinse eyes of any harmful chemicals.
Cover both of the victim's eyes with a clean or sterile gauze.
Call 911 or Rescue using the site EMERGENCY TELEPHONE NUMBER (or via direct radio communication) IMMEDIATELY.

Note:When chemical splash to the face or eyes occurs with Chemical Safety Goggles being worn:

1. Wash the areas as above;

2. Bend forward face down;

3. Pull the goggle forward, up, and remove;

4. Continue washing as above.

This will prevent any residual chemical on the goggles from flowing into the eyes.

7.5.Ingestion of Chemicals

Warning:Call 911 or Rescue using the site EMERGENCY TELEPHONE NUMBER (or via direct radio communication) IMMEDIATELY.

ONLY if directed by the MSDS and if the victim is awake and able to swallow, give water or milk. If they become nauseated, do not continue to administer fluids. Call the local PoisonCenter.

If the victim is unconscious, turn their head or entire body onto their left side. Be prepared to start CPR, but be cautious about exposing yourself to chemical poisoning via mouth-to-mouth resuscitation. If available, use a mouth-to-mask resuscitator

7.6.Inhalation of Chemicals

Evacuate the area and move the victim into fresh air.

Warning:Call 911 or Rescue using the site EMERGENCY TELEPHONE NUMBER (or via direct radio communication) IMMEDIATELY.

If the victim is not breathing, perform CPR until the rescue squad arrives. Be careful to avoid exposure to chemical poisoning via mouth-to-mouth resuscitation. If available, use a mouth-to-mask resuscitator.

If breathing, loosen victim's clothing and maintain the airway.

Lay victim flat on their back.
Place one hand under their neck and lift.
With the heel of other hand on victim's forehead, rotate or tilt head backward into maximum extension.
If additional airway opening is required, it can be achieved by thrusting the lower jaw into a jutting-out position.
Treat for chemical burns of the eyes and skin.

8.0SAFETY SHOWER AND EYE WASH REQUIREMENTS

The first few seconds following an eye or face injury are often crucial in keeping injury to a minimum. Safety Showers and Eyewash equipment are a critical part of providing immediate First Aid treatment when an eye or face injury occurs. Eye and face injuries can occur from chemical or product splash/exposure, thermal or chemical burns, cuts or abrasions.

This procedure follows the guidelines provided by American National Standards Institute (ANSI) Standard Z358.1 for Emergency Eyewash and Shower equipment (see Appendix A). This procedure must be used for the design, selection, use, and maintenance of this equipment. For example, the ANSI standard requires that approved eyewash capable of providing at least fifteen minutes of continual flushing must be provided in areas where corrosive substances are used. This standard is available from ANSI and meets the requirements of OSHA 1910.151.

8.1.Shower and Eyewash Location

Eyewash stations and/or showers should be placed within the work area for immediate emergency use. ANSI requires that eyewash must be provided within 100 feet or ten seconds travel time in areas where corrosive substances are used. The unit should be located as close to the hazard as possible, and on the same level. The maximum time required to reach the eyewash should be determined by the potential effect of the chemical. For a strong acid or strong caustic, the eyewash should be immediately adjacent to or within 10 feet of the hazard. HSE should be contacted for the proper distance.

8.2.Shower and Eyewash Maintenance

ANSI recommends that all emergency eyewash and shower equipment be checked on a weekly basis in order to ensure proper working condition. Plumbed eyewash units should be activated weekly to flush the line and to verify proper operation. Self-contained eyewash units must be maintained according to manufacturer's instructions. The weekly inspections should be recorded for each unit.

8.3.Training

Any employee who may be exposed to a chemical splash should be instructed in the proper use of eyewash and shower equipment.

8.4.Safety Shower & Eye Wash Station Definitions

Combination Unit

An interconnected assembly of drenching and flushing equipment that is supplied by a single flushing fluid source.

Corrosive Chemical

A corrosive chemical for the purposes of this procedure is a chemical that causes visible destruction of or irreversible alterations in, living tissue by chemical action at the site of contact.

Emergency Shower

An assembly that utilizes a valve that remains open during use to enable the user to have water cascading over the entire body while the hands are free.

Eye/Face Wash

A device used to irrigate and flush both the face and the eyes.

Flushing Fluid

Potable (drinkable) water or other medically acceptable solution.

Hand-Held Drench Hose

A flexible hose connected to a water supply that is used to irrigate eyes, face, and body areas.

Note: A drench hose is not a suitable alternative for eye drenching since it does not permit the use of both hands to hold eyelids open.

Personal Eyewash

Supplementary eyewash that supports plumbed or self-contained eyewash equipment by delivering immediate flushing for less than 15 minutes.

Plumbed Eyewash

An eyewash unit permanently connected to a source of potable water.

Self-Contained Eyewash

An eyewash device that contains its own flushing fluid that must be refilled or replaced after each use.

8.5.Safety Shower and EyeWash Station Responsibilities

8.5.1.HSERepresentative is responsible for:

Assisting Facilities with plan review in the placement of new Eyewash and Shower equipment during new construction or major renovation.

Assisting departments on the need and placement of equipment.

Conducting periodic audits to ensure that Eyewash and Shower equipment inspections are occurring at least at the frequency called for in this Procedure.

Providing checklists (upon departmental request) that can be used to record Eyewash and Shower equipment flushing/testing activities.

Coordination of training regarding the use and testing of emergency Eyewash and Shower equipment