SITE-SPECIFIC ESH PLAN (SSEP)

Project Title
PART 1 – SECTION 1 - PROJECT DESCRIPTION & EMERGENCY CONTACTS
Subcontract / Project Name &
Number
Project Start / End Dates Start: Complete:
Project Location
General Scope of Work, Project
Description

FOR ALL EMERGENCIES CALL:

Emergency Contact number: On-Base 2202-9911 per mobile and Off-Base Kuwait 112.
For all incidents, injuries, property damage, near-misses, work-induced illness or chemical over-exposures, the following personnel MUST
be immediately contacted but in all cases within four hours:
Project Personnel Name Phone Number(s) Email
Project Manager

Construction Manager
OTHER CONTACT INFORMATION
Subcontractor Project Manager

Subcontractor Site
Superintendent
Subcontractor Site Safety/
Environmental Representative
Subcontractors - Company Name Name of Designated ESH Representatives ** Phone Number

** Attach at Section 7 a description of qualifications, or resume, for Safety & Environmental Representative

SSEP REVIEWS
Reviewed & Approved by: (Subcontracted Subcontractor SSEP Subcontractor SSEP Reviewed &
Company Officer) Reviewed by: Vectrus ESH Accepted by:
(Vectrus Project/Construction Manager)

Signatures and dates

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 SITE-SPECIFIC ESH PLAN (SSEP)
SECTION 2 - SUBCONTRACTOR ESH POLICY STATEMENT

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 SITE-SPECIFIC ESH PLAN (SSEP)

PART 2 – SECTION 3 – PROJECT CHARACTERIZATION

Identify the project’s Definable Work Activities.

(e.g., construction fabrication/installation work, trenching/excavations, concrete, structural steel erection, dry-walling, electrical install, painting,
roofing, etc.)
Anticipated Start Date

Check all of the hazards/activities below that apply to this Project. Refer to the SSEP for specified controls.

Attach copy to
Subcontractor
Permit
Yes No Hazard/Activity with specific - based control measures. Safety Plan
required
addressing this
activity
Asbestos use, alteration, removal or storage
Lead concerns, alteration, removal or storage
Excessive Silica concerns- cement cutting in confined areas
(Identify your Competent Person for Asbestos/Lead Work here)
Surface Penetration
Excavation /Trenching (Digging Permit)
(Identify your Excavation & Trenching Competent Person here)
Confined spaces (Permit)
(Identify your Confined Space Competent Person here)
Lockout/Tagout (LOTO) Permit - (Control of Hazardous Energy)
Energized electrical work (LOTO Permit) (>50 v or > 50 mA)
(Identify your Competent Person for Hazardous Energy Control &
Live Electric here)
Scaffolding
(Identify your Scaffolding Competent Person here)
Roofing work with fall arrest system in place
Falls from elevation (work at heights > 6 feet) / Ladder work
(Identify your Fall Protection Competent Person here)

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 SITE-SPECIFIC ESH PLAN (SSEP)

Hazard/Activity with specific -based control measures. Attach copy to

Permit Subcontractor
Yes No
required Plan addressing
this activity

Crane Use
Hoisting/Rigging/Slings
Structural Steel Erection
(Identify your Hoisting/Rigging Competent Person here)
Fire protection (Hot Work Permit)
(Identify your Welders & Fire Watches here)
Hazardous Waste Storage or generation on site
Discharges to sanitary/septic system will occur
Flushing of waterlines, storm/sanitary lines, fire suppression systems or fire hydrants will be
performed
(Identify your HazMat & Environmental Person here)
Lasers. (Class 3B and 4)
Radioactive materials or Ionizing radiation-generating devices
(Identify your Competent Person here)
Blocking Exits or Exit Pathways
Traffic Control
Night work, Lighting & Rest
Outdoor work to be performed summertime – mitigate heat stress

SECTION 4 - PROJECT SUPPORT FEATURES & SITE CONTROL

Check all of the following facilities and equipment that are required for safe completion of work.
Facility/Equipment Description
Project Office
Materials Receiving Location
Portable Restrooms/wash stations
Supplementary Illumination
Emergency Eyewash/Shower
First Aid Supplies
Fire Extinguishers
Hazardous Material Storage
Spill Containment/Clean-up
Other: Enter Other Type Describe item, location, number, etc.

Other: Enter Other Type Describe item, location, number, etc.

SECTION 5 – REQUIRED TRAINING/QUALIFICATIONS

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 SITE-SPECIFIC ESH PLAN (SSEP)

Training Records Location:

Identify where you will maintain training/certification records related to your Project:
Identify the activities involved on your project which have OSHA or equivalent required training:
Yes No
Asbestos activities
Aerial Lift Operation
Crane Operation (certification for operator)
Confined Space Entry and associated PPE
Electrical Work requiring NFPA 70E provisions (live electric)
Electrical Work requiring CPR-trained 2nd worker (live electric)
Excavation/Trenching
Fall Protection and associated PPE Equipment
Forklift Operation/Powered Industrial Truck Use
Heavy Equipment Operation List equipment to be used:
Ladder Use
Lock-Out/Tag-Out (Control of Hazardous Energy)
Noisy Operations requiring Hearing Conservation training and PPE
Scaffolding Erection and Use
Respirator use and training
Rigging & Lifting
Required site-specific training
Orientation (New hire environmental & safety orientation training)
Other:
Other:

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 SITE-SPECIFIC ESH PLAN (SSEP)

SECTION 6 - HAZARD COMMUNICATION (HAZCOM)

Safety Data Sheet, SDS Location:

Method of notifying employees:

Refer to the 29 CFR 1910.1200 for additional information.

SECTION 7 - PLAN ATTACHMENTS

For each activity or hazard checked in Section 3, list and attach your additional site-specific project procedure or plans.
Attachment Reference Procedure or Program
A Project environmental & safety representatives, Statement of Qualifications for:

# List Safety Hazard Attachments - Procedures/Plans (See example below)

PART 3 – JOB ENVIRONMENTAL SAFETY ANALYSIS (JESA)

Complete a Job Environmental Safety Analysis (JESA) for each of your project’s Definable Construction Activities
Refer to the work process for additional information.
Note: A completed, signed JESA must be completed prior to the start of the subcontractor
project.

List of JESA Tracking Table

Enter Major Activity Responsible person

1 JESA Completed Date

Enter Major Activity Responsible person JESA Completed Date

2

Enter Major Activity Responsible person JESA Completed Date

3

Enter Major Activity Responsible person JESA Completed Date

4

Enter Major Activity Responsible person JESA Completed Date

5

Enter Major Activity Responsible person JESA Completed Date

6

etc. (Add others as necessary)

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 SITE-SPECIFIC ESH PLAN (SSEP)

SECTION 7 - PLAN ATTACHMENTS – Continuation

(Project Name)
Emergency Assembly Points (Basic Diagram)

 Examples of potential “Job Environmental Safety

Analysis” below:

Attachment 1: Electrical Safety/ Live Electric (LOTO)

Attachment 2: Working at Heights-Falls from elevation (Ladder

Safety)

Attachment 3: Confined Space Entry (Permit)-Manholes, etc.

Attachment 4: Material Handling Equipment-Cranes,

Hoisting/Rigging/ Slings, Aerial Lift, Forklift)

Attachment 5: Fire Protection Hot Work (Permit)

Attachment 6: Scaffolding

Attachment 7: Control of Hazardous Energy – LOTO

Attachment 8: Excavation / Trenching (Dig Permit)

Attachment 9: Use and wearing of PPE

Attachment 10: Use and storage of Compressed Gases

Attachment 11: ESH Training & ESH Certificates

Attachment 12: Hazardous Materials/Hazardous Waste

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 JOB ENVIRONMENTAL SAFETY ANALYSIS (JESA)

Project name Task name JESA #: (Number)

Job Environmental Safety Analysis (JESA) REVIEWS

Reviewed & Approved by: (Subcontractor Project Reviewed & Approved by: Subcontractor Site Reviewed & Approved by: Subcontractor Safety
Manager) Leadership) Representative
Enter name of Subcontractor: Project Site Leadership Enter name of Subcontractor: Project Site Leadership Enter name of Subcontractor- Safety Rep

Signature and date Signature and date Signature and date

All signature blocks completed indicate authorization to perform identified Activity’s.

Definable Work Activity: Enter Activity Title Revision: Enter revison number or Date
Control Measure(s), Required Training, -required Permits or Plans,
Work Task Potential Hazard(s)
and Competent Person(s)

JESA REVIEW/PRE-JOB BRIEF ATTENDANCE ROSTER

By signing below, I agree to the following:
 I agree to follow the work steps and implement the controls as written.
 I agree to stop work when conditions or hazards change or when I encounter unexpected conditions during the execution of work, or when work cannot be performed as written, or
instructions become unclear during execution.
 I confirm that I am authorized, qualified and fit to perform the work.
Worker (Print /Sign / Date) Worker (Print /Sign / Date)

Worker (Print /Sign / Date) Worker (Print /Sign / Date)

Worker (Print /Sign / Date) Worker (Print /Sign / Date)

Worker (Print /Sign / Date) Worker (Print /Sign / Date)

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 SITE-SPECIFIC ESH PLAN (SSEP) Template

INSTRUCTIONS
This Subcontractor Site-Specific ESH Plan (SSEP) is required of each subcontractor project at
Vectrus.
Each project or other major subcontractor project requires its own SSEP; therefore, each SSEP
must be tailored specifically to the project being conducted. This template is provided in
softcopy format to enable copy-and-paste functions for those subcontractors whose basic data
remains similar, yet tailor to the hazard and controls information to the particular activities,
materials, location to the project at hand. The level of detail within each SSEP and
corresponding JESA(s) should be commensurate with the size, complexity and risk level of the
project.
For larger projects, the prime subcontractor may either flow down this requirement to each of its
subcontractors; or serve as a control and coordination point, requiring all subcontractors’
activities to be conducted under the prime subcontractor’s SSEP.
Your Completed SSEP is to be submitted to the Vectrus Subcontracts Department for
coordinated review and acceptance prior to performing work. This SSEP is intended to be a
living document; updated as necessary throughout a project as information changes or as the
project progresses (e.g. as additional Job Environmental Safety Analysis are developed,
subcontractors added, etc.).
There are 3-three parts to this SSEP template. All of the sections in Part 1 are required to be
completed for each project, regardless of the size or complexity. All of the sections in Part 2 are
required to be completed, checked and filled-in as applicable for the particular project’s scope of
work. Enter information in all of the fill-in blocks that are applicable. For those that are not
applicable, enter “N/A” or other suitable explanation.
A Job Environmental Safety Analysis (JESA), Part 3, is required for all projects, regardless of
the size, scope or complexity of work. This is the heart of the project’s safety information and
acts as a work control document. Every project will have at least one definable activity, and
therefore at least one JESA. Depending upon the complexity of the project, one or several
JESAs may need to be completed. In some cases, JESAs may need to be staged, in coordination
with the initiation of the various phases of a project.

PART 1 – PROJECT GOVERNANCE / EMERGENCY INFORMATION

Section 1 – Project Description and Emergency Contacts
Fill in the names and telephone numbers of the contact personnel for this particular project. The
Subcontractor’s designated on-site environmental & safety representative must be
knowledgeable of the project’s hazards and have the authority to correct unsafe conditions or
behavior. Attach the qualifications of your environmental & safety representative for this project
(see Section 7). If you have subcontractors performing work on this project, list their contact
information. Update as necessary throughout the project.
Note: Some projects of long duration or complexity may be required to develop an emergency
response plan and conduct drills at least once during the project, or more often as necessary as
identified by contract.
Attach a site map showing assembly points. A copy must be posted at your project field
location.
 SITE-SPECIFIC ESH PLAN (SSEP) Template
Section 2 – Subcontractor Policy Statement
Enter your Subcontractor Company’s Environmental, Safety, and Health Policy statement. At
minimum, your policy should include:
 Specific statement of intent to comply with environmental & safety regulations, 29 CFR
1910, General Industry Safety and Health Standards and 29 CFR1926, Safety and Health
Standards for the Construction Industry.
 A statement that all requirements of the policy apply to all lower tier subcontractors and
must be flowed down to all subcontractors at all levels.
 Statement of employee’s rights and responsibilities regarding a safe and healthful work
environment in accordance with the work site (i.e. OSHA 3165 poster or equivalent).
 Statement of Stop Work Authority for all workers.
The Subcontractor must conduct daily environmental & safety briefings and inspections, based
upon the duration and complexity of the project.

PART 2 – PROJECT CHARACTERIZATION

Section 3– Project Characterization
All Subcontractors must identify existing and potential workplace hazards and assess the risk of
associated workers injury and illness. This section will help to serve as the first step in
characterizing your project and the associated hazards and will aid in the development of the
JESA(s).
List the project’s Definable Work Activities: A definable work activity is a task which is
separate and distinct from other tasks, has separate control requirements, and may be identified
by different trades or disciplines, or it may be worked by the same trade in a different
environment. Add additional lines as necessary to identify all the definable activities of your
project.
Check all the Hazards/Activities that apply to your project: The checklist in this section
includes those activities which are subject to specific controls beyond what is required by OSHA
standards or have the potential to affect the environment including hazardous material and
hazardous waste. In the left-hand column, check all activities that will be performed as part of
this project. Identify your Competent Person(s) where applicable.
This checklist is presented in part for project planning and scheduling purposes, as some
activities require specific permits to be acquired prior to being allowed to perform them. If your
project involves an activity that has a check in the right-hand column, then your SSEP must
include an attachment of a project-specific procedure /plan for performing that activity at
Vectrus or address it in sufficient detail in a thorough JESA (however, this is not an option for
OSHA-required programs). Use Section 7 of this template to list and identify attachment(s) of
your procedures for this site-specific plan.
Section 4 – Project Support Features and Site Control
Discuss important site/project control elements that you will employ on your project such as
project posting/signs, barricades, fencing, briefings, sign-in/out logs, blocked exits, PPE
postings, etc. For large or complex projects, attach a diagram showing: construction areas,
laydown areas, staging areas, alternative exit routes, material storage areas, pedestrian routes,
traffic control, material receiving areas, etc.
Section 5 –Required Training/Qualification
 SITE-SPECIFIC ESH PLAN (SSEP) Template
Check all boxes applicable to this Project’s scope of work. Where specific training is required
(e.g. OSHA or equivalent), the subcontractor must have evidence of actual training provided
(certificates or copy of PPT) as well as sign in sheets with all relevant employees listed and
signed. This will maintain proof of the particular individuals meeting the training requirements.
Identify where you will maintain those records on the Vectrus Project Site.
Section 6 – Hazard Communication
Hazardous chemicals (as defined in 29 CFR 1910.1200) to be brought or used on-site are to be
identified and managed appropriately. The subcontractor is responsible for maintaining an up-
to-date chemical inventory, and copies of Safety Data Sheets (SDS) must be maintained at the
project and be made available for review by site workers or Vectrus employees.
Identify the methods you will use to inform other employer(s) of any precautionary measures
that need to be taken to protect Vectrus and/or other subcontractor employees during normal
operating conditions and in foreseeable emergencies.
If the existing Hazard Communication Program addresses these requirements, you may attach a
copy of it and your project-specific chemical listing.
Section 7 – Plan Attachments
A description of the qualifications (or resume) of all individuals serving as the Subcontractor
designated Environmental & Safety Representative(s) on this project must be included in the
Plan.
Additionally, if your project involves a hazard/activity that has a check in the right-hand column
of Section 3, then your SSEP must include a copy of your project specific procedure/plan
addressing that topic. Alternatively, your company may submit a project specific JESA that
details your approach to addressing those hazards. You are responsible for ensuring that your
project site specific controls are appropriate for the site requirements per your specific controls
identified in the project JESAs.
Use this Section of this template to also list any other procedures/plans(s) you are attaching to
this SSEP. Hardcopies and/or an electronic file to these documents must be reference here.

PART 3 – JOB ENVIRONMENTAL SAFETY ANALYSIS (JESA)

All project activities require that a Job Environmental Safety Analysis (JESA) be prepared for
each separately definable activity (e.g., construction fabrication/installation,
trenching/excavations, concrete/foundations, structural steel, roofing) prior to the
commencement of work. For larger projects, the primary subcontractor may either flow down
this requirement to each of its lower-tier subcontractors but serve as a single control and
coordination point for all project JESA’s.
Prior to the start of work, it will be the responsibility of the subcontractor to develop a thorough
JESA(s) that detail the hazards and controls for the steps associated with that phase of work and
submit it to Vectrus Subcontracts Office for review.
The SSEP template is provided in electronic format to enable copy-and-paste functions for those
subcontractors whose basic data remains unchanged, yet allow for the work steps, hazard and
controls information to be tailored to the particular activities/materials/location of the project at
hand. The JESA template rows can be expanded to include additional tasks or reduced in
number to accommodate changes to the project.
Emergency Assembly Points
 SITE-SPECIFIC ESH PLAN (SSEP) Template
A site map showing assembly points directions and your emergency response posting of phone
numbers are to be provided (as the last page of your SSEP to facilitate easy removal for
transport). A copy must also be posted at your project field location.