Solid Waste Characterization Study Sampling Event Work Plan
Contents
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Table of Contents
1.0 INTRODUCTION................. .......... ..... ......... ...................... ... ........ .......... ............................ 1-1
1.1 Purpose of Report .............. ................. .......... ............. .......... ...... ... ............... ..... ......... ...... 1-1
1.2 Scope of Work .............. ...... ................. ........ ............... .......... ........... ......... ....................... 1-1
1.3 Report Structure ...................... ......... ........ ........ .............................. ......... ...... ....... ..... ....... 1-2
2.0 WASTE GENERATION AND COLLECTION PRACTICES....................................... 2-1
2.1 Waste Generation Rates ..... ...... ............ ........ ............. ........ ... ............. ........ ....................... 2-1
2.2 Waste Collection Practices ... ................. ........ ..... .................. ....... ............. ....... ................ 2-1
2.3 Sources To Be Sampled ................................ ........ ....... ........ ...... ........ ......................... ..... 2-3
3.0 COMPOSITION SAMPLING EVENTS........................................................................... 3-1
3.1 Design of Sampling Program.... .............. ...... ..... .......................... ..... ....................... ........ 3-1
3.2 Sampling Method.... ............. ........ .......... ....... .............. .................. ...... .............. ............... 3-1
3.3 Accepting/Rejecting Samples .................. ..... ..... .......... .... ..................... ...... ......... ............ 3-4
3.4 Waste Category Definitions ......... ........... ........ ..... ......... ....... ............. ........ ........... ............ 3-4
3.5 Safety... ........ ..... ............ ........ ........... ......... ..... ....... ...... ..... ................. ..... .... ... .... ..... .... ...... 3-6
4.0 FINDINGS PRESENTATION ....... ........... ........ .................. ... .............................. .............. 4-1
4.1 Data Analysis................................................................................................................... 4-1
4.2 Reporting.......................................................................................................................... 4-1
APPENDIX A - FIELD INFORMATION FORMS
APPENDIX B - RELEASE FORMS
APPENDIX C - HEALTH & SAFETY PLAN
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Section 1
Introduction
The City of Salina is in the process of implementing a pilot curbside recycling
program within the City of Salina. The purpose of this study is to evaluate and
quantify statistically significant changes, if any, in the waste stream due to the
implementation of the curbside recycling program. In order to determine significant
changes in the waste stream, it is important to first update the estimates of the
quantity and composition of wastes that are being currently disposed of at the City of
Salina Municipal Solid Waste Landfill Facility (Salina MSWLF). The waste
composition was previously determined in 1997 and documented in the City of Salina
Waste Characterization Study Final Report dated August 1997. To assess the effects of
the curbside recycling program, the City of Salina has contracted with Camp Dresser
& McKee Inc. (CDM) to conduct a characterization study of the waste stream prior to
implementation of the pilot recycling program and after implementation of the pilot
recycling program. This work plan is a description of CDM's approach to conducting
the study.
1.1 Purpose of Report
The purpose of this waste characterization study is to provide data to the City of
Salina for use in the determining the effectiveness of a pilot program for curbside
recycling. The following data are required to accomplish these ends:
. waste composition by weight percentages prior to implementation of the pilot
curbside recycling program;
. waste composition by weight percentages after implementation of the pilot
curbside recycling program.
Examples of the use of this data include: determining what types of materials will be
targeted for source reduction and recycling efforts; and determining what impacts
these efforts will have on the total waste stream. The data could also be used in
determining facility sizes and specific facility equipment needs such as sizes of balers
for a recycling facility, and size and financial impacts on the landfill resulting from
waste reduction and recycling programs.
1.2 Scope of Work
The following tasks will be conducted to achieve the goals of the study:
. Design of waste characterization program including identification of waste
collection and hauling companies utilizing the Salina MSWLF;
. Performance of two sampling events over two seasons (sampling refers to the
selection of specific samples of waste from within vehicles selected for
sampling: sorting refers to the separation of waste samples obtained from the
selected vehicles);
CDII 1-1
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Section 1
Introduction
. Visual characterization of bulky, landscape, construction/ demolition, and
industrial waste;
. Preparation of interim report of findings after the spring sampling event; and
. Preparation of final study report.
1.3 Report Structure
This document will discuss the following information:
. Waste Generation and Collection Practices (Section 2)
. Composition Sampling and Sorting Events (Section 3)
. Findings Presentation (Section 4)
. Field Information Forms (Appendix A)
. Release Form (Appendix B)
. Health & Safety Plan (Appendix C)
CDII 1-2
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CDII
Section 2
Waste Generation and Collection Practices
2.1 Waste Generation Rates
Based on the information provided to CDM by the City, the quantity of waste from
Saline County being landfilled at the Salina MSWLF was determined. The Salina
MSWLF tipping records from Fiscal Year 2003 were used to develop this information.
A summary of Saline County waste quantities is provided in Table 2-1.
Table 2-1
Breakdown of Saline County LandfiIIed Waste Quantities by Material Type
January 1, 2003 through
Type of Waste December 31, 2003
Tons %
Residential 25,183.06 36.89%
Concrete 351.93 0.52%
Landscape 348.43 0.51%
Commercial 18,979.31 27.80%
Industrial 12,800.34 18.75%
Construction/ 6,966.32 10.21 %
Demolition
Medical 53.78 0.08%
Other Metal 139.70 0.20%
Agricultural 82.91 0.12%
Mise. Waste 3,354.86 4.91%
Total 68,260.64 100.00%
2.2 Waste Collection Practices
CDM's first task in determining the composition of Saline County waste landfilled at
the Salina MSWLF was determining the collection practices in the county. The
information collected included waste haulers, number of trucks, collection service
areas, and waste quantities landfilled per hauler. The list of haulers, routes, and
quantities landfilled were compiled from landfill records and CDM's discussion with
haulers (see Table 2-2).
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2-1
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Section 2
Waste Generation and Collection Practices
Table 2-2
Saline County Hauling Companies
Phone Number of Landfilled
Hauler Collection Service Area Quantity
Number Trucks (Tons)-
City of (785) 826-7395 10 Rear Residential - Salina 14,378
Salina Loaders (21.06%)
Salina 4 Rear Loaders Residential-Salina & Townships 36,026
Waste (785) 825-9155 3 Front Loaders Commercial-Salina & Townships (52.78)
Systems 3 Roll-Offs Industrial-Salina & Townships
Salina Iron (785) 826-9838 1 Front Loaders Commercial-Salina & Townships 3,479
& Metal 1 Roll-Offs Industrial-Salina & Townships (5.10%)
Peterson (785) 225-6704 1 Rear Loader Residential-Townships 343
Refuse Commercial-Salina (0.50% )
Gimenson 1 Rear Loaders Residential-Townships 389
-----
Commercial-Townships (0.57% )
Harris & Residential-Salina & Townships
Son Trash 4,545
and (785) 823-3996 2 Rear Loader Commercial-Salina & Townships (6.66%)
Recycling 1 Roll-Off Industrial-Salina & Townships
The objective of the waste collection survey is to help assure CDM select samples that
represent the characteristics of the generators in the city and county. This is to assure
the waste chosen for sorting should not come from only one part of the county or
from only one waste stream. Therefore, the quantities of waste generated in the
county (residential, commercial etc.), and the collection routes of the haulers (both
public and private) must be established.
Based on discussions with the identified haulers, COM determined the individual
companies' hauling routes and service areas as shown in Table 2-2 and depicted in
Figure 2-1. For the most part, Salina's residential waste is collected by the City of
Salina Department of Public Works (about 80%) and Salina Waste Systems (about
CDII
2-2
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CDII
Section 2
Waste Generation and Collection Practices
20%), with a small percentage of the Salina residential waste collected by Harris &
Son Trash and Recycling. This is the extent of the City's waste hauling operations,
hauling only within Salina city limits and only from residential houses and apartment
buildings with 3 or fewer units.
The residential hauling routes for both the City's trucks and Salina Waste Systems are
the similar (as shown in Figure 2-1) in order to decrease confusion to customers with
separate pick up days.
Commercial and industrial waste collection throughout the county, as well as
residential waste outside the City of Salina, is performed solely by private hauling
companies. Salina Waste Systems and Salina Iron and Metal collect the majority of
the commercial stops in Salina, while Salina Waste Systems handles most of the
commercial and industrial collections throughout the county. Much of the waste
generated in the townships of Saline County (outside Salina) is collected by smaller
hauling companies.
Waste collected in the county is typically disposed at the Salina MSWLF. Any truck
that has mechanized tipping capabilities brings its waste directly to the active
disposal area at the landfill. Other trucks may dispose their refuse at one of four 30-
cubic yard containers in the convenience area located adjacent the scale house. This
area typically receives large quantities of landscaping and construction/ demolition
material.
2.3 Sources To Be Sampled
The source of the samples was determined based on the discussions with haulers and
the City of Salina. CDM identified which collection routes will be sampled based on
the estimated waste quantities collected, type of waste collected (residential,
commercial, etc), and the collection route. However, we will maintain the flexibility
to adjust the sources based on field observations and discussions with haulers as the
material is delivered. As the trucks enter the city landfill, a solid waste professional
from CDM will identify the trucks to be sampled as well as provide direction to the
scale operator. CDM may interview the driver to confirm the source of the materials
in the truck. CDM will then identify the sample within the delivered load and direct
staff to collect the material and initiate sampling. Each sample will be collected from
a randomly selected location in the load. The person who identifies the samples is
referred to in this protocol as the "sample collector."
The quantities and composition of other materials such as sludges and petroleum
products will be determined through interviews with haulers and generators. This
material cannot be sampled it is we assumed the material is delivered erratically, and
poses different health and safety issues.
Standard procedure for determining the number of samples to be collected during a
waste stream characterization study involves apportioning the total number of
2-3
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Section 2
Waste Generation and Collection Practices
samples to be collected in the study to the waste stream portions by their respective
percentages of the whole. For example, if 100 samples were to be collected during a
study and the waste stream being sampled consisted of 70 percent residential waste
and 30 percent commercial and institutional waste, then 70 samples would be
collected from the residential waste stream and 30 samples would be collected from
the commercial and institutional portion. The number of samples required to provide
an accurate estimate for the study area is dependent on the size and characteristics of
the study area. For this study, 40 to 50 samples each are to be collected during each of
the two 5-day sorting events.
The annual weights of the various waste streams estimated in Section 2.1 from the
Salina MSWLF records were used to apportion the number of samples to be collected
in this study. Data showed approximately a 4 to 3 ratio (1.3:1) of residential to
commercial waste for Saline County. Therefore, CDM will sample 23 to 28 residential
and 17 to 22 commercial trucks during each of the sorting events. The city residential
samples will be taken primarily from City and Salina Waste trucks during all days of
the week so that all areas are sampled. Since there are small quantities of refuse being
generated in the townships, generally all township collection routes will be sampled.
Most of the commercial waste to be sampled will be from front and rear loading
collection vehicles which collect waste from multiple smaller commercial businesses.
The larger commercial customers using large capacity roll-off containers will typically
not be sampled so that the results will not be skewed from one load. However, these
loads will be visually examined during tipping on the landfill in order to determine
an approximate volume percentage of materials. This visual estimation procedure
will also be done for industrial and construction/ demolition (C/D) loads, which are
most commonly from Tony's Pizza (typically unmanageable food waste).
2-4
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Section 3
Composition Sampling Events
3.1 Design of Sampling Program
Waste characterization field work will be performed over two periods: May 2004 and
November 2004, corresponding to prior to and after implementation of the city's pilot
recycling program. The length of each sort will be five days, Monday through Friday.
Field work will not be scheduled for any period that includes a day on which waste is
not collected because of a holiday or other special event.
Sampling and sorting, if possible, will be conducted in the maintenance building of
the Salina MSWLF, as it is preferable to have a paved or other controlled surface.
The selection of the specific solid waste samples is based on the random sampling of
pre-determined loads from selected collection routes (see Section 2.3 for a discussion
of vehicle route selection procedures). Although materials disposed of in the landfilY s
convenience area will not be sorted, CDM will periodically monitor these containers
throughout the sampling events as part of the visual estimation of bulky materials.
All loads entering the Salina MSWLF will be surveyed by use of a standardized check
sheet (see "Gate Form" in Appendix A) which is to be completed by the scale house
employee or CDM sample collector.
3.2 Sampling Method
This section describes the following steps required to characterize waste through
sampling and sorting:
. Selection of trucks to sample
. Collection of samples from the selected trucks
. Sorting the samples
. Weighing the sorted waste and recording the results
3.2.1 Selection of Trucks to Sample
The field work will be performed from May 17 through May 21, 2004 and during one
week in November at the Salina MSWLF. Table 2-1 shows the ratio of residential and
commercial samples based on the Saline County landfilled quantities. Section 2.3
discussed the targeted ratio of sources to be sampled.
The CDM sampling coordinator will maintain communication with Salina MSWLF
personnel during the sorting event. Trucks carrying residential and commercial
waste (or a mixture) will be identified and, where possible, the area where the waste
was collected will be identified.
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CDII
Section 3
Composition Sampling Events
3.2.2 Collection of Samples from the Selected Trucks
A single grab sample will be collected from a single location in each selected load of
waste, immediately after each selected truck dumps its load at the landfill tipping
area. A front-end loader will collect the samples from the landfill tipping area and
deposit them next to the sorting area. The CDM sampling coordinator will help the
front-end loader operator learn what a sample of approximately 200 pounds to 250
pounds looks like (approximately a 4-foot by 4-foot by 2-foot load).
Samples collected by large front-end loaders tend to be too large. If a sample
deposited next to the sorting area appears excessively large, CDM personnel will
remove material from the far side of the sample until the remaining pile appears to
weigh approximately 250 pounds. The remaining pile will be the sample for purposes
of this study.
3.2.3 Sorting the Samples
Sorting will be conducted in the maintenance building of Salina MSWLF. The sorting
operation will proceed as follows:
· The COM sampling coordinator/supervisor will fill out a data form which will
include the sample number, the date, the area where the sample was collected, the
time of arrival of the sampled truck, and whether the sampled load was residential
or commercial. The data form is shown in Appendix A.
· The sample will be unloaded from the front-end loader bucket onto the
maintenance building floor next to the sorting area.
· Prior to manually sorting waste or transferring waste to a sorting table, the waste
should be spread apart in the area it is deposited. Visual observation of the waste
prior to manually sorting is critical to worker safety. The potential for cuts, scrapes,
and puncture wounds exists if workers grab armloads of waste or stick hands
deeply into waste. All unopened bags of waste will be opened using care not to be
cut or scraped. Bags will be broken open using shovels or similar long handled
tools or by puncturing an area of the bag where waste is not located. The sample
should be transferred to the sorting table using a shovel and further spread out
using hand-held tools to allow a visual observation of its contents.
· Large items (e.g., corrugated cardboard, wood) and bags containing a single waste
category (most often yard waste) will be removed from the sample and set aside for
weighing, bypassing the sorting box.
· The remainder of the sample will be transferred by increments into the sorting box,
using broad-bladed shovels to transfer loose material.
· Each sample of waste will be sorted by hand into 34 categories (listed in Section
3.4)
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CDII
Section 3
Composition Sampling Events
· The waste will be sorted into the containers surrounding the sorting box. The
sorting supervisor will check the containers periodically for accuracy of sorting.
· The containers should remain as free from extraneous debris such as mud, ice, and
snow as possible to avoid changes in the tare weight. It may be necessary to
periodically clean the containers.
· Regularly, the sort supervisors will check the containers into which waste is being
sorted to ensure that the sorting is being performed properly.
· Sorting will continue until only a few pounds of the smallest pieces from the
sample remain on the screen. Care will be taken to sort small pieces of broken glass
and ceramic into their appropriate categories.
· If a significant number of ferrous metal items such as bottle caps remain on the
screen, they will be removed by passing a large magnet back and forth just above
the screen.
· Because food waste is by far the messiest of the sample categories, the sorting team
will use the same container for food waste during the entire study. As food residue
builds up on these containers, the tare weight used in calculating the net weight of
the food waste will be adjusted.
3.2.4 Weighing the Sorted Waste and Recording the Results
After each sample is sorted, the sorted waste will be weighed and the results recorded
as follows.
· The containers will be brought to the scale, checked for accuracy of sorting, and
weighed.
· The weight of the waste in each container will be recorded in the appropriate space
on the data form.
· Comments on the characteristics of the material may need to be recorded following
visual analysis.
· The containers will be dumped back on the floor of the maintenance building for
disposal by the facility operator.
Six City of Salina workers will perform most of the sorting. Three CDM personnel
will work with the sorters to help improve the sorters' technique and understanding
of the waste categories.
When sorting and collection of the fines are complete, the sorters will bring the
containers to the weighing area. As each container is placed on the scale, the sort
supervisor will look into the container to see which category of waste is in the
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CDII
Section 3
Composition Sampling Events
container and to check for items that do not belong to that category. CDM will use
sorting containers with individual tare weights that vary no more than 2 percent from
their average tare weight. It will therefore be unnecessary to use the individual tare
weights. If the sorted waste in a container weighs very little in proportion to the
container, the waste will be removed from the container and weighed loose. If the
material in the container is satisfactory, the sort supervisor will read the gross weight
of the container and contents and record it in the appropriate spot on the "Data Form
for Waste Samples" (see Appendix A) supplied for that sample by the sample
collector.
At the end of each day of field work, CDM will remove the completed data forms
from the site and store them in a safe place. CDM will make copies of the data forms
as soon as possible. After completing the field work, CDM will transfer the
information from the data forms into computer spreadsheets (Microsoft Excel). The
original data forms will be retained as a permanent record of the field activity.
3.3 Acceptin&'Rejecting Samples
The supervisor will have the responsibility for accepting or rejecting loads for sorting.
Reasons for rejecting loads include, but are not limited to, the following:
. Unidentifiable contents,
· Hazardous waste or materials posing a safety hazard,
. Hospital waste, and
· Materials soaked in a liquid other than rain or water.
If such a load is identified, it will be reported to the facility manager for removal from
the sampling area.
3.4 Waste Category Definitions
This section defines the 34 waste categories to be used in the study. The results of the
study should not be interpreted without reference to these category definitions.
Definitions of the waste categories used in the current study follow.
3.4.1 Paper
Corrugated cardboard and kraft paper. Cardboard with a rippled inner layer that creates
small tube-like passages through the cardboard. Includes waxed corrugated
cardboard and corrugated cardboard with a glossy outer layer. Also includes kraft
paper, a heavy brown paper of the type used to construct corrugated cardboard
(primarily grocery bags).
Newsprint. Anything printed on the type of paper generally used for newspapers,
including advertising inserts printed on newsprint.
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Section 3
Composition Sampling Events
High Grade paper. White and colored uncoated bond paper and computer printout
paper including photocopy/printer paper and ledger paper. Includes canceled
checks. Does not include envelopes with plastic windows, carbon paper~ or paper
used in multi copy carbonless forms (sometimes called "NCR forms").
Magazines and other glossy paper. Magazines, catalogs and books with glossy pages
and soft covers, and similar high-grade glossy paper.
Other paper. All paper that does not fit any of the paper categories defined above.
3.4.2 Plastic
Clear HDPE (high density polyethylene) containers. Translucent plastic milk, water and
juice containers, and certain personal hygiene products.
Colored HDPE (high density polyethylene) containers. Pigmented (white or colored)
HDPE containers for beverages, cleaning products such as detergents, cleaning
products, and certain personal hygiene products. Does not include 5-gallon buckets.
PETE (polyethylene terephthalate) bottles and jars. Clear and green plastic carbonated
soft drink bottles, plus plastic bottles and jars identifiable as PETE based on labeling
or a mold-mark in the center of the bottom of the container. Does not include "beer
balls." Weight includes food residue on the surface of the containers (containers are
emptied prior to weighing, but not washed out).
Other plastic. All plastic other than PETE bottles and jars and HDPE bottles and jugs
as defined above. Includes plastic clothing such as unlined vinyl raincoats.
3.4.3 Yard Waste
Grass clippings. Clippings from mowing lawns and fields.
Leaves and other yard waste. Leaves, shrub and garden trimmings, uprooted plants and
shrubs, weeds, grasses pulled up with the roots, pine needles and cones, tree branches
and twigs, vegetative ground litter, and dirt that cannot readily be separated from the
plant material. Also includes indoor plants and cut flowers.
3.4.4 Other Combustible/Organic Materials
Wood. Most forms of wood not included in the definition of "other yard waste"
above. Includes wood that has been processed for use in a structure or manufactured
product, plus wood waste generated during wood processing or woodworking.
Includes both lumber and reconstituted wood such as plywood, particle board,
composition board, and chip board. Includes packing crates and pallets. Also
includes sawdust, wood shavings, cork and wicker.
Food waste. All items produced or gathered for use as food, including the inedible
portions. Includes bones and shells if interspersed with other food waste. In practice,
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CDII
Section 3
Composition Sampling Events
some food waste becomes part of the fines category. Food waste includes coffee
grounds, but a substantial portion of coffee grounds are found in the fines category.
Does not include cooking oils when discarded separately.
Textiles, rubber and leather. All clothing and fabrics. Includes rugs and carpeting,
drapes, towels, and bedding. Natural and synthetic rubber and leather, plus some
materials that are technically plastics but are have rubber-like characteristics and are
commonly thought of as rubber, such as polyurethane foam. This category includes
most shoes.
Disposable diapers and sanitary products. Infant and adult disposable diapers, sanitary
absorbent pads, and tampons.
Other organics/combustibles. Organic/combustible materials not included in any other
category, including soap, ceiling tile, and charcoal. Includes animal feces not mixed
with cat litter. Also includes composite objects with substantial combustible/ organic
components, such as mattresses and box springs, roofing shingles, tar paper, vinyl
flooring, automotive air filters and filters used in heating and air-conditioning
systems.
3.4.5 Metal
Aluminum food and beverage containers. Food and beverage cans made entirely of
aluminum. Includes most soda and beer cans as well as aluminum pet food cans.
Does not include aluminum aerosol spray cans or bimetal (aluminum and steel) cans.
Steel and bimetal food and beverage containers. Food and beverage containers with steel
sides, including those commonly called" tin cans." Includes detached tops if made of
steel. Also includes cans with steel sides and attached aluminum tops, such as some
soda cans. Weight includes food residue on the surface of the cans (cans are emptied
prior to weighing, but not washed out).
Ferrous metal. All iron based objects other than tin-steel and bimetal cans as defined
above. Includes steel trash cans, steel furniture, wire hangers, the steel parts of
electrical and electronic devices, and a large number of other items. Includes paint
cans, steel aerosol spray cans, and the type of can in which paint thinner is typically
sold.
Other recyclable metal. Metal not included in the definitions of "aluminum food and
beverage containers" and "steel and bimetal food and beverage containers" above, or
the definition of "batteries" below, for which a substantial and reliable recycling
market exists. Generally includes any significant object consisting of aluminum,
brass, or copper, but usually not a mixture of these metals. Includes many steel and
aluminum cans not included in the metal container categories above or the
"household hazardous and special waste" category below. Includes metal most
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CDII
Section 3
Composition Sampling Events
cookware, aluminum catering trays, clean aluminum foil, and clean aluminum oven
pans.
Nonrecyclable metal. All metal not included in the four metal categories above or in the
"batteries" or "household hazardous and special waste" below. Includes significantly
contaminated aluminum foil and oven pans. Includes many items that are composites
of different metals such as electric motors, lawn mowers, and bicycles.
3.4.6 Other NoncombustiblefInorganic Materials
Clear glass containers. Glass containers with no color or tint in the glass. Includes caps
left on empty containers by the consumer. Weight includes food residue on the
surface of the glass (containers are emptied prior to weighing, but not washed out).
Does not include ceramics, drinking glasses, glass plates, cooking utensils, ash trays,
decorative glass containers, vases, perfume bottles, or containers for cosmetic
products.
Brown glass containers. Glass containers with brown or amber color or tint in the glass,
however faint. Includes caps left on empty containers by the consumer. Weight
includes food residue on the surface of the glass (containers are emptied prior to
weighing, but not washed out). Does not include ceramics, drinking glasses, glass
plates, cooking utensils, ash trays, decorative glass containers, vases, perfume bottles,
or containers for cosmetic products.
Greenjblue glass containers. Glass containers with a blue, green or emerald color or tint
in the glass, however faint. Includes caps left on empty containers by the consumer.
Weight includes food residue on the surface of the glass (containers are emptied prior
to weighing, but not washed out). Does not include ceramics, drinking glasses, glass
plates, cooking utensils, ash trays, decorative glass containers, vases, perfume bottles,
or containers for cosmetic products.
Other inorganics/noncombustibles. Inorganic/noncombustible materials not included in
any of the categories above, or in "batteries" or "household hazardous and special
waste" below. Includes fiberglass insulation, flat glass, cat litter and associated
materials, light bulbs, ceramics, dirt, ash, sand, stones, and gravel.
3.4.7 Miscellaneous
Household hazardous and special waste. Materials that are toxic and/ or require special
handling, and are not included in any other category such as "batteries" or
"electronics" below. Includes toxic liquids and powders and their containers. Also
includes tires and asbestos shingles. Does not include metal objects containing lead,
which are included in "other recyclable metal" above. Materials in this category will
be catalogued by type (lubricating oils, pesticides, flammable aerosols, ete.).
Electronics. All objects containing a circuit board of significant size relative to the size
of the object.
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CDII
Section 3
Composition Sampling Events
Batteries. All batteries, catalogued by type (alkaline/carbon-zinc, nickel-cadmium,
sealed lead-acid, lead-acid vehicle, etc.).
Unclassifiable fines. Materials that pass through the half-inch mesh screen on the
bottom of the sorting box, plus items that do not pass through the screen but are too
small to sort efficiently. The largest components of the material that passes through
the screen are dust and dirt, small bits of food (including coffee grounds), and cat
litter. The principal components of the fine material that does not pass through the
screen are broken glass and small pieces of food and "other paper." When possible
based on examination of the fines, they are allocated among other categories such as
"other inorganics/noncombustibles," "food waste," and "other paper."
Roofing materials. All roof covering materials that do not fall within one of the other
categories. Includes asphalt roofing shingles and roofing felt (often called tar paper).
Also includes plywood and any kind of composition board if coated with tar for use
as a roof covering.
Poured concrete. All concrete except concrete blocks.
Bricks. Bricks and associated mortar.
Blocks. Concrete blocks, cinder blocks, cement blocks, and associated mortar.
Gypsum board and plaster. Includes loose plaster and gypsum based wallboard
commonly referred to by the trade names" sheetrock" or "drywall."
3.5 Safety
The approved CDM Solid Waste Characterization Health and Safety Plan (see
Appendix C) will be followed during the solid waste sampling and sorting event. A
copy of the plan should be carefully reviewed by all participants prior to beginning
any sampling and sorting activities. The plan should be reviewed with the landfill
supervisor for coordination of safety procedures on-site. All personnel not employed
by CDM will be sign the release form provided in Appendix B.
A training session will be conducted before initiating fieldwork. The session will
stress the procedures discussed in this report as well as the requirements set forth in
the Solid Waste Characterization Health and Safety Plan. The field staff will follow
the safety procedures during the waste composition sampling.
The sorting crew will, at a minimum, consist of a supervisor from COM who is
experienced in sorting and two assistant sorters. The supervisor will record data,
instruct sorters on material identification, and discuss sample selection methods with
operators and haulers.
The supervisor will distribute gloves, safety goggles, and dust masks to each crew
member. Any other personal safety equipment will be supplied by others. The
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CDII
Section 3
Composition Sampling Events
supervisor will be responsible for ensuring that all safety equipment as described in
the Solid Waste Characterization Health and Safety Plan is at the site and that the Plan
is followed.
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CDII
Section 4
Findings Presentation
4.1 Data Analysis
The weight data collected for each material in each sample are used to calculate
percentages of the materials by weight in relation to the total weight of each sample.
The percentage data for each material in each sample will be used to calculate mean
material percentages in relation to the respective waste streams being sampled
For the spring sampling event composition data set the mean will be developed for
each material category. The standard deviation from the sample mean and 90-percent
confidence intervals will also be calculated for each material category. The standard
deviation from the sample mean for each material type will be calculated to assess the
variability of the samples. A higher standard deviation value indicates greater
variation in the data.
The 90-percent confidence interval for the percentage of each material in the waste
stream is calculated to provide a range of percentages for each material that could be
expected to contain the actual mean percentage of the material during the sampling
event with a 90-percent statistical probability. The confidence interval is assumed to
be accurate in the absence of sampling and sorting errors and with the assumption
that the results for the individual samples are normally distributed. This assumption
of normal distribution is not completely accurate but is generally reasonable for most
waste categories.
It can be expected that material categories with the largest confidence intervals in
proportion to their percentage in the samples are categories such as high-grade paper
and other landscape waste, which are generally concentrated in a relatively small
number of samples. Conversely, waste categories with the smallest confidence
intervals in proportion to their percentage in the samples are categories such as other
paper and food waste, which are generally found in significant quantities in nearly all
samples.
The results of the spring sampling event will be compared to the results of the spring
sampling event conducted in 1997. This comparison will then be used to identify the
statistically significant differences in the waste streams of 1997 and 2004. A new
annual waste stream composition for the Salina MSWLF will be developed based on
the differences in the spring waste sampling events. In addition to the new annual
waste stream composition, the spring sampling results will be used to identify the
statistically significant effects of the pilot curbside recycling program.
4.2 Reporting
The results of the first sampling event will be presented in an Interim Solid Waste
Characterization Study Report which will be submitted after completion of the May
2004 field sampling event. A summary of both sampling events will be presented in
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CDII
Section 4
Findings Presentation
the Final Solid Waste Characterization Study Report which will be submitted
following completion of the November 2004 sampling event.
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Appendices
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APPENDIX A - FIELD INFORMATION FORMS
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Salina MSWLF Waste Composition Data Form
Sample #: Date: Time: Weather:
Source: Hauler: Vehicle: Sector:
Corrug. & kraft Newsprint High-Grade paper Magazines Other paper Wood
Total: Total: Total: Total: Total: Total:
Clear HOPE Colored HOPE PETE bottles Other plastic Food waste Grass Leaves and other
bottles bottles yard waste
Total: Total: Total: Total: Total: Total: Total:
Textiles, rubber & Diapers/sanitary Other organics/ Steel f&b Alum. f&b Ferrous metal Other recyclable
leather combustibles containers containers metal
Total: Total: Total: Total: Total: Total: Total:
Nonrecyclable Clear Glass Brown Glass Grean/Blue Other inorganics/ HHW & special Electronics
metal containers containers Glass containers noncombustibles
Total: Total: Total: Total: Total: Total: Total:
Batteries Unclassifiable Roofing Materials Poured Concrete Bricks Blocks Gypsum Board
Fines and Plaster
-
--
Total: Total: Total: Total: Total: Total: Total:
Notes
Total weight
of sample
I Date:
I Hauler:
I o City of Salina
Type of Vehicle:
I o Rear Loader
Landfill Routing:
I Tonnage:
I Hauling Location:
o Salina (City)
GATE FORM
Time:
AM / PM
o Salina Waste
o Recycle It
o Refuse & Recycle 0 Other
o Front Loader
o Landfill
o Roll-Off 0 Pick Up
ODrop Off Boxes
o Semi
tons
o Township (Check all below)
I OAssaria 0 Bavaria 0 Bridgeport 0 Brookville
o Hedville 0 Kipp 0 Mentor 0 New Cambria
I Type of Waste (Check all that apply):
o Residential 0 Commercial
I 0 ConstructionlDemolition (Describe)
o Out of County
o Falun 0 Glendale
o Smolan 0 Other
o Gypsum
o Industrial
o Landscape
o Other
I Hauler:
I o City of Salina
Type of Vehicle:
I o Rear Loader
Landfill Routing:
I Tonnage:
I Hauling Location:
o Salina (City)
o Salina Waste
o Recycle It
o Refuse & Recycle 0 Other
o Front Loader
o Landfill
o Roll-Off 0 Pick Up
ODrop Off Boxes
o Semi
tons
o Township (Check all below)
I OAssaria 0 Bavaria 0 Bridgeport 0 Brookville
o Hedville 0 Kipp 0 Mentor 0 New Cambria
I Type of Waste (Check all that apply):
o Residential 0 Commercial
I 0 ConstructionlDemolition (Describe)
o Out of County
o Falun 0 Glendale
o Smolan 0 Other
o Gypsum
o Industrial
o Landscape
o Other
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I GATEFORM.WPD
APPENDIX B - RELEASE FORMS
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RELEASE FORM
I, , hereby release and hold harmless Camp Dresser & McKee Inc.
(cDM) and its officers, directors, employees, subcontractors, and consultants from any and all claims,
causes of action, or liability associated with the work that I am undertaking on behalf of the CITY OF
SALINA.
Print Name
Signature
Date
RELEASE.WPD
APPENDIX C - HEALTH AND SAFETY PLAN
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HEALTH AND SAFETY PLAN
FIELD SAMPLING
SOLID WASTE CHARACTERIZATION ANALYSIS
Camp Dresser & McKee, Inc.
EMERGENCY CONTACT: Chris Marlowe
(732) 225-7042 ext 332
(732) 313-5593 (24 Hour)
Raritan Plaza One
Edison, NJ 08818
(732) 225-7000
1. A copy of this Health and Safety Plan must be kept on site during the entire sampling event.
2. All Field Sampling staff must complete two copies of the emergency contact form, Appendix A to
this Plan. One copy of the emergency contact form for each staff person must be attached to this Plan
and kept on site during the entire sampling event. The second copy of the form must be left with the
cDM emergency contact staff at the local cDM office.
3. The following information, for each sampling site, must be completed prior to beginning the
sampling event.
Name of Landfill or Sampling Site:
Dates at Site: 5/17/2004 to 5/21/2004; 1 week in 10/2004
Fire Phone Number:
Ambulance Phone Number:
Police Phone Number:
Salina Municipal Solid Waste Landfill
911 or 785-826-7340
785-452-7161 (TAC-EMS)
911 or 785-826-7210
Nearest Hospital with Emergency Facility
Name:
Hospital Phone:
Hospital Address:
Contact Name:
Directions from site to Hospital:
Salina Regional Health Center
785-452-7000
400 S. Santa Fe, Salina, Kansas
Diana Knudson
North on Burma Road to Crawford Street,
Go right (east) to Santa Fe Avenue,
Go left (north) to Hospital (on the left)
SEE ATTACHED MAP
CDM Field Supervisor:
Name ofCDM Emergency Contact
CDM Local Office Phone:
Salina MSWLF Contact Number:
CDM Employee Contact Numbers:
Chris Martel (773) 965-0620
Chris Marlowe (Phone numbers above)
(312) 346-5000
(785) 826-7395
Shawn Shiffer
ick Simons
Signature of Health & Satefy Coordinator:
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HEALTH AND SAFETY PLAN
TABLE OF CONTENTS
SECTION
PAGE
1.0 INTRODUCTION
1
2.0 OVERVIEW OF FIELD SAMPLING SAFETY
1
3.0 ELIMINATION OR REDUCTION OF POTENTIAL FOR BODY CONTACT
3.1 Clothing
3.2 Hand to Mouth Contact
3.3 Accidental Exposure to Waste
1
4.0 ANTICIPATION OF POTENTIAL THREATS
4.1 Weather Conditions
4.2 Crew Visibility
4.3 Crew Behavior
4.4 General Health of Crew Members
4.5 Rejecting a Sample
4.6 Evacuation
2
5.0 VISUAL OBSERVATION OF WASTE
3
6.0 STAFF TRAINING
6.1 Training Session
6.2 Responsible Individual/cDM Field Supervisor
4
7.0 EMERGENCY PROCEDURES
7.1 Responsible Party
7.2 Safety Equipment on Site
7.3 On-Site Treatment
7.4 Off-Site and Professional Medical Treatment
5
ATTACHMENTS
ATTACHMENT A
ATTACHMENT B
ATTACHMENT C
Equipment for Solid Waste Characterization Sampling and Sorting
Emergency Contact Form
Map of Salina (Route to Hospital)
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HEALTH AND SAFETY PLAN
FIELD SAMPLING
SOLID WASTE CHARACTERIZATION ANALYSIS
1.0 INTRODUCTION
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The health and safety of field workers in a primary concern of cDM. This document was
developed to present guideline for personal safety during solid waste characterization studies
(also known as "waste picks") at landfills. This document will be reviewed by CDM staff
responsible for the field sampling events and the Field Supervisor. The guidelines in this
document will be reviewed during the safety and training session required of all field staff.
This document is not intended for sites containing hazardous or toxic wastes regulated under
federal or state laws.
2.0 OVERVIEW OF FIELD SAMPLING SAFETY
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Field worker safety includes using all reasonable precautions to:
.
eliminate or reduce the potential for body contact from solid waste and airborne waste or
"flying waste;
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anticipate potential threats to field worker safety;
.
permit visual observation of the solid waste prior to handling or sorting;
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provide adequate information and training to enable field workers and cDM supervisory
staff to perform the sampling in a safe and responsible manner; and,
· provide procedures for responding to emergencies.
3.0 ELIMINATION OR REDUCTION OF THE POTENTIAL FOR BODY CONTACT
I
Due to the presence of bacteria, sharps, and other potentially dangerous materials in solid
waste, the following precautions and procedures will be followed by all field workers during
all solid waste sampling events. These are intended to minimize field workers coming in
contact with solid waste and airborne solids.
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3.1 Clothing
Personal Clothing All field workers are to wear: ankle length pants; socks; sturdy boots or
shoes with reinforced toes, and long sleeved, loose fitting shirts. No sandals or canvas shoes
will be worn during the sampling.
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Safety Clothing: cDM will supply the following safety equipment: respirators or dust masks, safety
glasses, disposable or other coveralls, disposable latex gloves, and puncture resistant outer gloves
such as Best's 65NFW or Ansell-Edmont's Orange Heavyweight. All field workers are required to
wear safety glasses, coveralls, and the puncture resistant gloves during sampling and sorting.
Disposable, latex inner gloves are not required but recommended to eliminate the hand from which
the first outer glove is removed from touching the remaining dirty outer glove. Respirators or dust
masks are not required but will be present for use in the event that waste materials becomes airborne.
The employees that are in the active area of the landfill will also be required to where hard hats and
safety vests.
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3.2 Hand to Mouth Contact
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No eating, smoking, drinking, or application of cosmetics will be permitted during the sampling. The
crew may perform these behaviors during breaks after washing their hands, and if required by the
field supervisor, their faces.
Fresh water for drinking and hand washing will be kept at the site at all times. Breaks will be taken
regularly as indicated by weather conditions. Gloves will be removed before pouring or drinking
water.
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3.3 Accidental Exposure to Waste
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No crew will handle any solid waste without gloves. Accidental skin contact with waste will require
cleansing with soap and water. A wash-up station will be available at the site.
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All crew will have a tetanus shot within ten years of the sampling. Ifnecessary, cDM will cover the
cost of the shot for all field workers prior to beginning the sampling.
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cDM will offer Hepatitis B immunization to all cDM crew members.
4.0 ANTICIPATION OF POTENTIAL THREATS
Working in an active landfill presents a variety of potential dangers. The following procedures are
intended to improve field worker safety.
4.1 Weather Conditions
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Sampling will not be done in adverse weather conditions such as heavy rains, snowstorms,
thunderstorms, or winds strong enough to lift sorting barrels.
Fresh water and cups for drinking will be available at all times. Chairs or some place to sit will be
available at the sorting site. Ifthe sampling occurs during the warm months, an ice chest with cold,
wet towels will be available at the sorting site. Any field worker exhibiting signs of heat exhaustion
will be immediately required to take a break.
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4.2 Crew Visibility
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The sorting site will be located in an area out of the immediate waste hauling vehicle and landfill
equipment routes. The cDM field supervisor and the landfill supervisor will jointly agree on the
sorting site. All field workers that are working in the active areas of the landfill will wear hard hats
and safety vests for visibility.
4.3 Crew Behavior
No field workers may arrive at the site under the influence of drugs or alcohol.
All field workers will wear personal and safety clothing as described in 3.1 above.
No smoking will be permitted at any time on at the sorting site.
No throwing or tossing of waste at a person will be permitted during the sampling.
All field workers will complete the cDM Solid Waste Sampling and Safety Training.
4.4 General Health of Crew
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All crew members should be in good physical health.
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4.5 Rejecting a Sample
The field supervisor will be responsible for determining if a sample is potentially hazardous or
dangerous. The sample will be rejected if it: contains potentially infectious hospital or medical waste;
is soaked in a liquid other than water; contains unidentifiable contents; contains hazardous waste or
materials posing a safety hazard; or has an unusual odor not like other solid waste. If such a load is
identified, it will be reported to the landfill supervisor for removal from the sampling area.
4.6 Evacuation
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The field supervisor will be responsible for determining if circumstances warrant evacuation for the
site.
5.0 VISUAL OBSERVATION OF WASTE
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To reduce the potential for cuts or puncture wounds, all waste will be spread out and viewed prior to
handling or sorting. The waste sample will be selected from the site via a front end loader or similar
machine. It will be deposited on a separate tarp. Waste will be spread apart using a shovel or pitch
fork. Bags will be carefully lifted to the sorting table and broken open with a shovel. A shovel will
be used to put loose waste from the sample onto the sampling table. It will be further spread out with
hand tools such as gardening trowels so that contents can be visually examined prior to handling.
No field staff will pick U{l an armload of waste. No field staff will grasp or "hug" an unopened bag of
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waste.
6.0 STAFF TRAINING
Understanding the procedures necessary to promote safety and knowing how to respond to an
emergency before it happens, are essential to ensuring worker safety. All field staff will participate in
a waste characterization training prior to beginning the sampling. The training will be held as close
as possible to the actual sampling and may take place during the first part of the day the sampling and
sorting begins. The training session will require no more than one to one and one-half hours.
6.1 Training Session
The field worker training will include:
Introduction
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- purpose for waste characterization study
- intended use
- method of compensation (if using outside help)
- dates of sorting and rain dates
- supervisory responsibility at site
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Sampling and Sort Procedures
- procedures described in the accompanying sorting procedure document
Health and Safety Plan
- specifics described in this plan
6.2 Responsible Individual / CDM Field Supervisor
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Safety during the field work is the responsibility of the cDM Field Supervisor. The supervisor must
have previous solid waste sampling and sorting experience. The Supervisor will make project level
decisions regarding compliance with this Health and Safety Plan during field operations. The
Supervisor may temporarily suspend work if there appears to be a threat to health and safety. The
Supervisor, or one crew member, will have a current, Red Cross First Aide Training Certification.
The individual with the First Aide Certification will be considered the project Safety Coordinator.
The Field Supervisor will:
. Ensure that appropriate personal protective equipment is available and properly utilized by all field
staff during the sampling activities;
. Ensure that field staff are familiar with the Health and Safety Plan and trained in the work practices
necessary for safe and efficient data collection;
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. Ensure that field staff are aware of potential hazards associated with site operations, such as broken
glass, heavy equipment, etc.; and,
. Be responsible for correcting any work practices or conditions that may result in injury to personnel
or exposure to hazardous substances.
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7.0 EMERGENCY PROCEDURES
Most landfills and waste collection facilities have safety plans and procedures for the site. Prior to
beginning the sampling event, the facility supervisor will be contacted to receive site specific safety
procedures. cDM staff will follow the existing procedure for handing an emergency on site. In
addition, the following cDM emergency procedures will be followed.
For the purpose of this plan, an emergency is a situation or condition which could require temporary
suspension of sampling or field work. This includes but is not limited to: adverse weather conditions,
fires, accidents or injuries to field staff, and discovery of waste samples that contain materials which
are potentially hazardous.
I
In the event of a site emergency, such as a fire or release of hazardous chemicals, the landfill's safety
coordinator or the field supervisor will instruct the crew to leave the area by the pre-planned
evacuation route. In general, cDM personnel will not participate in efforts to control facility
emergenCIes.
7.1 Responsible Party
I
The Field Supervisor is responsible for deciding whether a situation or condition is an emergency.
The Supervisor is responsible for deciding whether the situation requires evacuation, on site medical
attention, adjustments in procedures, or off site medical attention.
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7.2 Safety Equipment on Site
A variety of safety equipment will be kept on site throughout the sampling. Table 7 - 1 lists the
necessary safety equipment.
7.3 On Site Treatment
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Minor injuries such as cuts, scrapes, and the initial stages of heat exposure, will be treated on site by
the Safety Coordinator or Field Supervisor who is trained in First Aide.
7.4 Off-site and Professional Medical Treatment
Unless the injury definitely requires first-aid only, the Field Supervisor will seek professional medical
assistance. If such an injury occurs the following procedure will be followed.
. Immediate emergency first aid treatment will be given at the site.
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.The injured party will be transported immediately to the nearest emergency facility as identified on
the front cover of this Plan.
.The supervisor or a member of the sort crew as designated by the Field Supervisor will call the
emergency facility to inform them of the injury and that personnel are approaching for
treatment.
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.The COM staff emergency contact will be called and asked to contact the person, on the emergency
contact form (A TT AcHMENT A), identified by the injured party, to be called in case of an
emergency. The COM emergency contact is a designated individual or individuals at the local
COM office who is available during the sampling event to receive and make emergency phone
calls for the sorting crew.
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. If the supervisor must leave the site, all field staff will stop work until a responsible COM substitute
can arrive to supervise the sampling.
. If the injury was the result of a cut or puncture from a sharp or needle, the item will be retrieved and
placed in a zip-lock plastic bag for further examination or testing.
· A report explaining the incident will be submitted to all interested parties including but not limited
to: COM client officer, COM health and safety group, COM client contracting for the sampling,
landfill owner, and the injured party. Accident reports will be filled out where necessary.
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ATTACHMENT A
Equipment for Solid Waste Characterization Sampling and Sorting
Personal Safety Equipment:
Dust masks
Hard hats (where required)
Safety glasses
Disposable coveralls
Disposable under-gloves (up to 5 pairs I day I worker, so workers will not touch bare hand to outer glove
after first glove is removed)
Over-gloves, puncture resistant such as Best's 65NFW or Ansell-Edmont's Orange
Safety vests (where required)
Site Safety Equipment:
Copy of Health and Safety Plan with cover sheet completed
Copy of Emergency Contact forms for each field worker
First Aid Kit containing at a minimum:
eye wash, compresses, antiseptic wipes and spray, band-aides, gauze, first aid tape, aspirin;
Vehicle to permit immediate site evacuation
Clean water and cups for drinking
Clean water and soap for washing
Ice chest with ice and wet towels (for hot weather)
Chairs or place to sit
Zip-lock plastic bags
Paper towels, rags, and tissues
Light colored tarp for shade
Portable phone
Sorting Equipment:
Copy of sampling procedure
Copy of selected trucks or routes to sample
Sampling sheet, clip board, pencil, waterproof pens
Front end loader and driver
Heavy duty cloth tarp, approximately 25' x 50'
Sand bags to hold down tarp
Sorting table (4 sawhorses and 3 sheets 12" plywood)
Plastic sheeting
Staple gun (wi staples)
Five gallon plastic buckets (20)
Shovels, pitch fork, rake, gardening hand tools
Push broom
Sorting barrels (40 residential waste polycarts)
Duct tape for labeling barrels
3' x 3' digital scale with 20-hour rechargeable battery
Camera and film
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ATTACHMENT B
CDM Employee Emergency Contact Form
NOTE: Two copies of this form are to be completed by every field sampling worker. One copy is to be
kept at the site during the sampling event. One copy is to be left with the CDM emergency contact
person at the local CDM office.
Name:
Home Phone:
Blood Type:
Date of Last Tetanus Shot:
Date of HB-Ig Shot:
Medications Currently Taking:
Allergies to Medication:
If an emergency occurs during sampling, please contact
Name:
Phone:
Date Completed:
Signature:
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ATTACHMENT C
Map of Salina (Route to Hospital)
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ATTACHMENT D
Health and Safety Plan Signature Form
CDM Health and Safety Program
INSTRUCTIONS: All field personnel must sign this form indicating their receipt of this health and
safety plan. Keep this original on site. It becomes part of the permanent project files.
Send a copy to the health and safety manager.
SITE NAME I NUMBER:
City of Salina Municipal Solid Waste Landfill Facility
DIVISION I LOCATION:
Salina, Kansas
I understand, and agree to comply with, the provisions of the above-referenced
HSP for work activities on this project. I agree to report any injuries to the site
health and safety coordinator (SHSC). I agree to inform the SHSC about any drugs
(legal or illegal) that I take within three days of site work.
Print Name
Signature
Date
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ATTACHMENT D
Health and Safety Plan Signature Form
CDM Health and Safety Program
INSTRUCTIONS: All field persOIlllel must sign this form indicating their receipt of this health and
safety plan. Keep this original on site. It becomes part of the permanent project files.
Send a copy to the health and safety manager.
SITE NAME / NUMBER:
City of Salina Municipal Solid Waste Landfill Facility
DIVISION / LOCATION:
Salina, Kansas
I understand, and agree to comply with, the provisions of the above-referenced
HSP for work activities on this project. I agree to report any injuries to the site
health and safety coordinator (SHSC). I agree to inform the SHSC about any drugs
(legal or illegal) that I take within three days of site work.
Print Name
Signature
Date
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ATTACHMENT D
Health and Safety Plan Signature Form
CDM Health and Safety Program
INSTRUCTIONS: All field personnel must sign this form indicating their receipt of this health and
safety plan. Keep this original on site. It becomes part of the permanent project files.
Send a copy to the health and safety manager.
SITE NAME I NUMBER:
City of Salina Municipal Solid Waste Landfill Facility
DIVISION I LOCATION:
Salina, Kansas
I understand, and agree to comply with, the provisions of the above-referenced
HSP for work activities on this project. I agree to report any injuries to the site
health and safety coordinator (SHSC). I agree to inform the SHSC about any drugs
(legal or illegal) that I take within three days of site work.
Print Name
Signature
Date