Advanced Light Source
Integrated Safety Management Plan

Ernest Orlando Lawrence Berkeley National Laboratory

I. Introduction

II. Institutional Guiding Principles and Core EH&S Functions

III. Accountability

IV. ES&H Committee

V. Scope of the Work Authorized

VI. Qualifications and Training

VII. Balanced Resources

VIII. ES&H Resources

IX. Validation, Feedback, and Improvement

Appendices

Appendix 1: Quest Program

Appendix 2: Estimated ES&H Support of the ALS

Appendix 3: ALS Self-Assessment Performance Measures

I. Introduction

The ALS Integrated Safety Management (ISM) Plan has been written to implement the Integrated Safety Management System (ISMS) for the division. The ISMS, taken from DOE 450.4, Safety Management Policy, sets forth 7 principles and 5 core work functions. This plan articulates those principles and core work functions specifically for the ALS Division. The Laboratory's ES&H policies and requirements are established in the RPM, Pub 3000, and the OAP. These publications establish line management responsibilities and define authorities and authorizations. The Environment Safety & Health Management Plan, referred to as the Plan, establishes the fundamental management strategy that will ensure that all institutional Environment, Safety and Health policies and procedures are implemented. The Plan will be reviewed annually as part of the Division's self assessment report. Based on management line management input, assessments, occurrences, lessons learned and other feedback mechanisms, the Plan will be modified as necessary to assure that ES&H continues to be effectively implemented within the Division.

II. Institutional Guiding Principles & Core EH&S Functions

The Ernest Orlando Lawrence Berkeley National Laboratory is a national resource, located on land belonging to the Regents of the University of California and operated with funds furnished mostly by the U. S. Department of Energy. The staff and management of the Berkeley Lab have been entrusted to function as stewards of this national resource. As stewards of this public trust, the staff and management must protect the public's interest and investment in the people, the land and environment, the equipment and facilities, and the intellectual property that make up the Berkeley Lab. This stewardship includes a responsibility to protect the health of the public and the workers, and to maintain the confidence of Congress, the public in general, and the people who work at the Laboratory.

In light of this responsibility, the Berkeley Lab commits itself to perform all work safely, in a manner that strives for the highest degree of protection for employees, participating guests, visitors, the public, and the environment, commensurate with the nature and scale of the work. In the context of this plan, safety refers to all environment, health and safety considerations. In addition, the Berkeley Lab seeks continuous improvement or sustained excellence in the quality of all environment, health and safety efforts. To achieve these goals, the Berkeley Lab has adopted the following principles, which are reflected in the detailed policies and procedures of the Laboratory. Principal investigators, managers and supervisors are expected to incorporate these principles into the management of their work activities. While these principles apply to all work, the exact implementation of these principles is flexible and can be tailored to the complexity of the work and the severity of the hazards and environmental risks.

1. Line Management Responsibility for EH&S. Line management is responsible for the protection of the public, the workers, and the environment. More specifically, Laboratory line managers are responsible for integrating ES&H into work and for ensuring active communication up and down the management line and with the workforce.

2. Clear Roles and Responsibilities. Clear and unambiguous lines of authority and responsibility for ensuring EH&S are established and maintained at all organizational levels within the Laboratory, and for work performed by its contractors. At the Berkeley Lab, this principle is manifested in contract language, position descriptions, P2R reviews and work authorization documents.

3. Competence Commensurate with Responsibilities. Personnel possess the experience, knowledge, skills, and abilities that are necessary to discharge their responsibilities. Berkeley Lab management takes steps to ensure the appropriate depth and breadth of technical talent in EH&S is available and that the Laboratory has in place the means for periodically evaluating competencies. Competence includes training, experience and fitness for duty.

4. Balanced Priorities. Resources are effectively allocated to address EH&S, programmatic, and operational considerations. Protecting the public, workers, and the environment is a priority whenever activities are planned and performed.

5. Identification of EH&S Standards and Requirements. Before work is performed, the associated hazards are evaluated and an agreed upon set of standards and requirements are established which, if properly implemented, provide adequate assurance that the public, workers and the environment are protected from adverse consequences. At the Berkeley Lab this is accomplished through periodic review of the agreed upon set of standards developed using the Work Smart Standards protocol. Results of Self-Assessment roll-ups, planned EH&S Division reviews and other independent or external reviews will be considered during this review. The appropriateness of the current standards set will be established at least annually.

6. Hazard Controls Tailored to Work Being Performed. Administrative and engineering controls to prevent and mitigate hazards are tailored to the work and associated hazards being performed. The Berkeley Lab recognizes that tailoring requires judgment to be exercised at the appropriate decision level.

7. Operations Authorization. The conditions and requirements to be satisfied for operations to be initiated and conducted are clearly established and agreed upon. Chapter six of PUB-3000 outlines a method for ensuring the form and content of authorizations. Examples for the Berkeley Lab include Radiation Work Authorizations (RWAs) and Activity Hazard Documents (AHDs), Safety Analysis Document (SAD) for the NTLF and HWHF, etc. another form of authorization that exists for the Lab is the site-wide Environmental Impact Report (EIR). The Lab conducts an EIR review during renewal of the 5-year ODE/UC Contract.

These Guiding Principles are implemented through the following Core EH&S Functions, which must become a part of every aspect of work at the Laboratory:

1. Work Planning - Clear definition of the tasks that are to be accomplished as part of any given activity.

2. Hazard and Risk Analysis - Analysis and determination of the hazards and risks associated with any activity, in particular risks to employees, the public, and the environment

3. Establishment of Controls - Controls that are sufficient to reduce the risks associated with any activity to acceptable levels. Acceptable levels are determined by responsible line management, but are always in conformance with all applicable laws and Work Smart Standards.

4. Work Performance - Conduct of the tasks to accomplish the activity in accordance with the established controls.

5. Feedback and Improvement - Implementation of a continuous improvement cycle for the activity, including incorporation of employee suggestions, Lessons Learned, and employee and community outreach, as appropriate.

These Core EH&S Functions apply at all levels of the Laboratory - at the institutional level, the division or department level, and at the level of individual projects or work activities. This plan describes how these core functions are addressed at these three levels at the Berkeley Lab, and how activities involving Laboratory contractors are managed for environment, health and safety concerns.

The Guiding Principles and the Core EH&S Functions are closely related. Each level of organization at the Laboratory will be assessed by determining (1) how each of the Core EH&S Functions are being performed at every level, and (2) how well each of the Core EH&S Functions reflects the Guiding Principles. The self-assessment criteria, which are published each year, will be written to evaluate progress and successful implementation of ISMS.

III. Accountability

The Division Director is responsible and accountable for assuring that all ALS activities are carried out in a safe manner, in accordance with all Laboratory requirements. Program Heads, Group Leaders, and individual contributors are expected to identify hazards, implement controls, and increase general employee awareness of workplace ES&H issues. Division supervisory personnel are responsible and accountable to the Division Director for assuring that all activities are carried out in a safe manner, and in accordance with all of the Laboratory EH&S requirements. While this responsibility and accountability cannot be delegated, all Division employees are responsible for conducting themselves safely at all times. Safe conduct includes adherence to all institutional ES&H policies and procedures as a condition of employment. It is the responsibility of the ALS Division supervisory personnel to ensure all participating guests, subcontractors, and visitors know and follow the safety requirements that apply to their work while at the ALS. Managers, PI's, and supervisors are responsible for the safety of contracted work by assuring qualified contractors are selected, hazards are identified, and work performed at the ALS is performed safely.

The EH&S Coordinator oversees the Division ES&H program. At the ALS, the Division EH&S Coordinator is a full-time professional matrixed from the Environment, Health, and Safety (EH&S) Division. ALS management will supply clear guidance to the ALS EH&S Coordinator as to the needs of the ALS for EH&S support. ALS management will provide constructive input to the Performance Expectations and the P2R of the ALS Division EH&S Coordinator, and will review the completed P2Rs of the ALS Division EH&S Coordinator and the support personnel for accuracy and completeness with respect to performance of their duties at the ALS. The ALS also has a matrixed radiation technician. The ES&H Administrator functions are performed by AFRD personnel matrixed part-time to ALS.

The Division is divided into Groups concentrating on certain areas of operations and/or research. Each Group is headed by a Group Leader who reports to the Division Head and is responsible for ensuring that work performed by members of the group is conducted in accordance with applicable QA and ES&H programs, procedures, and requirements.

All supervisors (including Principal Investigators) are responsible for ensuring work is planned considering ES&H risks, all assigned employees are trained in ES&H responsibilities appropriate to the tasks performed, and work is performed in accordance with all applicable ES&H work authorizations and requirements.

All ALS personnel (including ALS employees, matrixed employees, temporary employees, and students) are assigned to a QUEST team, with the exception of short-term personnel. Persons whose participation in work activities at ALS are anticipated to occur over a period of less than 90 days may be included in QUEST team activities as determined by the Division Head. Each QUEST team has charge of self-assessment for the work space of it members.

Employees who matrixed from other divisions to ALS are responsible for following the safety requirements of their home division.

All ALS employees, contractors, and participating guests are responsible for stopping work activities considered to be an imminent danger. An imminent danger is defined as any conditions or practices that could reasonably be expected to cause death or serious injury, or environmental harm. Stopping work involves:

Alerting the affected employees and requesting the work be stopped.
Calling the Berkeley lab emergency telephone number (x7911) and reporting the incident. The EH&S duty officer will be notified through this contact.
Notify the immediate supervisor and ALS management and or EH&S coordinator.

IV. ES&H Committee

The Division will maintain an ES&H/QA Committee is headed by the Division Director, chaired by his representative (the Division EH&S Coordinator), and attended by at least one representative from each group in the Division, QA Representative, and QUEST team leaders. The ALS ES&H/QA Committee will meet monthly and discusses ES&H/QA problem areas and suggests improvements to the self-assessment program. The Committee discusses ES&H and QA concerns of the programs and lessons learned from them, and information on lab-wide ES&H and QA issues. Committee participation will be recorded in minutes. The minutes together with action items and dissemination of any lessons learned will be distributed to all division employees through their individual QUEST teams.

The Committee will maintain the Division Safety Plan, promote ES&H awareness and training, and ensure that the Division works to improve the effectiveness of the Division safety program through the s from the QUEST team.

This Committee will perform an annual self assessment of all spaces within its respective jurisdiction. This assessment is described in Appendix 1.

V. Scope of the Work Authorized

The Advanced Light Source (ALS) is a national facility for scientific research and development located at the Lawrence Berkeley National Laboratory of the University of California. Its purpose is to generate beams of very bright light in the far ultraviolet and soft x-ray regions of the spectrum. Within these regions, the ALS produces the world's brightest light available as an experimental tool. This national user facility, funded by the US Department of Energy, is available to qualified researchers from industry, universities, and government laboratories.

The ALS produces light in the form of bright beams of x rays using a synchrotron storage ring. A hair-thin beam of electrons is generated by an electron gun and accelerated to 50 MeV in a linear accelerator, and then to 1.5 GeV in a booster synchrotron. The electrons are then transferred to the 200-meter storage ring. After the 10-minute filling time, the electrons remain stored for about 4 hours. As they travel around the storage ring, the electrons emit synchrotron radiation energy in the form of photons which is directed by specialized optics down 12-meter long beamlines to experiment endstations.

Since the light is produced continuously while the electrons circulate in the ring, many beamlines (presently about 16) can be used simultaneously for different experiments. This bright x ray light is used for research in materials and surfaces, combustion dynamics, protein crystallography, biological microscopy, and many other fields.

Division and Program Managers, group leaders, and supervisors (including principal investigators) are responsible for considering ES&H hazards, risks, and concerns during the work planning process and appropriate controls are determined prior to authorizing work. ALS work authorization procedures are tailored to the level of hazard of the work. General duties are authorized by the employee job descriptions and by completion of training requirements determined by the supervisor. Work recognized as posing special hazards is planned and authorized as described in Chapter 6 of PUB 3000, the ISMS, Section 1.3 of the OAP, and ALS procedures. Work authorization methods commonly utilized for ALS operations are described below:

Field Task Proposal/Agreements (FTP/As), Work For Others requests (WFOs), Cooperative Research and Development Agreements (CRADAs), and Laboratory Directed Research and Development (LDRD) documents are carefully reviewed for compliance with environment, health, and safety concerns. The conceptual design process includes documented involvement of applicable EH&S Division personnel in the review of performance and regulatory requirements, codes and standards, and EH&S criteria.

Major projects (according to DOE classification criteria) undergo a formal Operational Readiness Review (ORR) or Accelerator Readiness Review (ARR) under DOE direction. Smaller projects undergo an internal readiness review and work authorization process performed by program and Division management as described below.

For experiments or facilities that require an Activity Hazard Document (AHD), the AHD is reviewed and signed by the Division Director, ALS Division EH&S Coordinator, Principal Investigator, and EH&S Division representatives.

Work requiring a Radiological Work Authorization, Sealed Source Authorization, or other EH&S permit or authorization will be performed in accordance with the authorization issued by the EH&S Division.

All modifications to the ALS personnel safety systems are authorized by the ALS Technical Safety Committee according to ALS Procedure EE 02-01. The ALS Technical Safety Committee is an ad hoc committee that also reviews and approves all changes in policies that have potential safety impact. The members of the committee are its ex-officio member, the Head of ALS Operations; and whichever experts are technically qualified to advocate the changes and those who are qualified to approve them. The committee is convened by the ALS Division EH&S Coordinator.

New and modified beamlines at the ALS are reviewed and authorized by the Beamline Review Committee in accordance with Procedure BL 08-16.

To conduct research at the ALS, the user submits an ALS Experiment Form describing the experiment and all potentially hazardous materials and equipment to be brought to the ALS. The ALS identifies any problems or safety issues that need to be resolved before the experiment begins. The ALS uses the Experiment Form to generate an Experiment Summary Sheet (ESS) that must be completed and posted by the beamline before the experiment may begin. The ESS is used to verify that the safety and training/medical requirements are met by the equipment and users.

Scientists from other divisions have labs and offices located within the ALS complex. To ensure a comprehensive ES&H program at the ALS, Memoranda of Understanding are negotiated between ALS and these divisions as to the EH&S roles and responsibilities of the respective divisions for these spaces.

ALS personnel working off-site are required, at a minimum, to comply with the EH&S requirements applicable to the site at which they are working.

ALS contractor oversight will comply with the requirements of PUB-3000 and the RPM.

VI. Qualification and Training

ALS selects, assigns, and retains personnel in accordance with the RPM procedures. In selecting from a group of applicants, the Division director or Division head selects the person who, based on the evaluation of the Division director or Division head, possesses the qualifications to perform the duties of the position most effectively. In making this judgment, the Division director or Division head compares the knowledge, skills, abilities, and other qualifications of the applicants with those required for successful performance of the duties of the position. ALS contractor selection will comply with the requirements of PUB-3000 and the RPM. Effective and successful performance of duties includes performance in a manner that protects the health and safety of employees and the general public and that does not endanger the environment, as defined by the Laboratory's EH&S policies and requirements contained in the RPM, PUB-3000, ISMS, and OAP.

Each supervisor is responsible for ensuring all assigned employees whose anticipated assignment with ALS exceeds three months have completed a Job Hazards Questionnaire within the first month of employment. Whenever an employee's job assignment changes, the Job Hazards Questionnaire is reviewed to ensure that the hazards, program assignments, and safety roles entered are still valid. Annually, in conjunction with the Performance Review process, the Job Hazards Questionnaire and the employee's completion of required training is reviewed, and a training plan is developed for each employee for the next twelve month period..

VII. Balanced Resources

Principal Investigators incorporate appropriate resource allocation for ES&H concerns in all research proposals, including cost of safety equipment, permits, training, maintenance, waste disposal, and facilities modifications unless covered by institutional funding sources.

VIII. ES&H Resources

To facilitate implementation and execution of the Division ES&H Program, the following resource is matrixed from AFRD:

0.2 FTE Division ES&H Administrator

ES&H efforts are integral part of all ALS activities and are performed by all ALS personnel as needed and appropriate to the job task. The estimated level of effort is anticipated to include, but is not limited to:

> or = 1.5 hr/employee/month QUEST activities

The following resources are made available by the EH&S Division on a matrix basis. They are available to assist ALS with any aspects relating to the implementation of this Plan.

1.00 FTE ALS Division EH&S Coordinator
1.00 FTE ALS Radiation Technician

The matrixed individuals are accountable to the Director of the Advanced Light Source.

In addition to the matrixed personnel, ALS will require support from EH&S Division professionals on an as-needed basis. EH&S estimates that direct support activities may require a level of effort of approximately 2.5 FTE, as described in Appendix 2, Estimated EH&S Support of ALS. ALS also expects to receive EH&S general programmatic support as described in PUB 3000, including, but not limited to, EH&S training courses.

IX. Validation, Feedback, and Improvement

ALS ís primary method of assessing and validating the effective implementation of this Plan is our self-assessment process, described in detail in Appendix 1, the QUEST Program.

Our self-assessment process is evaluated annually and findings are summarized in the annual ALS Self-Assessment Report. Performance measurement criteria for this report are described in Appendix 3. Additional opportunities for improvement will be identified through LBNL self-assessment activities, as described in PUB-5344, ES&H Self-Assessment Program, including Integrated Functional Appraisals, Integrated Hazard Assessments, Safety Review Committee MESH reviews, and Appendix F performance reports. DOE, UC, and ES&H regulatory agency oversight activities may identify necessary improvements.

This Plan will be reviewed and updated annually, and may be revised more frequently as needed to facilitate compliance with regulatory and contract requirements and enhance the effectiveness of the Plan.

Advanced Light Source

Environment, Safety, and Health Management Plan

Review and Approval

Signatures:

Submitted by:

___________________________________

Brian Kincaid, Director

Advanced Light Source

EH&S Resource Commitment:

____________________________________

David C. McGraw, Director

Environment, Safety, and Health Division

Accepted:

____________________________________

Charles V. Shank, Director

Lawrence Berkeley National Laboratory

APPENDIX 1: QUEST PROGRAM

QUEST GUIDE

The QUESTING SCOREBOARD identifies members of each team by its leaders; also, each team area of responsibility, and which checklists are applicable. The team leaders from each team decide how to split up the applicable checklist inspections. The safety checklists for each team are available electronically; call Georgeanna (x7407) for more information. An example checklist is included.

These are annual inspections, the year beginning in October. The purpose of these checklists are to ensure that every space at the ALS has received all applicable inspections once each year. These inspections can be conducted by anyone/everyone in the group -- whatever makes the most sense.

There are two types of QUEST reporting forms. Both should be sent to Georgeanna Perdue (MS 80-101 or fax 5800) upon completion. One for the results of the inspections conducted from safety checklists, and the other is for a meeting where there is no inspection, but a discussion of safety and/or QA issues. In both cases, there are several possible conclusions for each concern:

The issue can be resolved on the spot in the case of an inspection, or during the process of discussing the issue a resolution is reached immediately; therefore, check the box marked resolved immediately.

The issue can be solved by this group, but not immediately.

The issue is referred to either the ALS EH&S Program Manager, the QA Officer, or someone else.
When this issue is resolved, please notify Georgeanna Perdue, who will note the date of the resolution.

If an issue cannot be resolved within two months of being identified, it will be forwarded by Georgeanna Perdue to the AFRD Office for r inclusion into the LSAD data base for further tracking.

There will still be a meeting of the QUEST team leaders to receive information passed down from ALS and for us to send our concerns upline. It will be the responsibility of each team leader to pass the information up and down.

APPENDIX 2: Estimated EH&S Support of the ALS

From the EH&S Division General Science/Operations Group

Function	FTE EH&S
Liaison - AHD Reviews Inspections (IFA, Self assess. Consultations, meetings, SAARs etc.)	.09
ALS safety support(electrical safety, Lockout-Tagout, ALS EHS Coordinator Back up, Laser safety)	.26
IH Hazard evaluations (including chemical issues, respirators, lead, noise, confined space, air quality, project support)	.06
ORPS	.05
Waste (including training and consultations)	.01
Matrix: Rad Tech. support	1.00
Matrix: ALS ES&H Coordinator	1.00
Totals:
Division Liaison Function	.09
Safety Support Function	.26
Other EH&S Support	.12
EH&S matrix Support	2.00
TOTAL	2.47

APPENDIX 3: ALS Self-Assessment Performance Measures

Performance Criteria Expectations Evidence

1. Define Work

Division integrates ES&H into work and activities.

Line Management consistently review ongoing work and associated hazards to ensure that work is done under the appropriate authorization basis (RWA, AHD, SAD).
1A. Division Director and Line Management communicates EH&S expectations, goals, & policies to staff. Examples of appropriate communications include:
-Annual all-hands division meeting
-Research procedures and protocols include safety notes
-Safety as a performance item in staff P2R reviews.
1.A.1 ALS ES&H/QA Committee meeting agendas and minutes maintained in the ALS ES&H office.

1.A.2 Annual all-hands meeting.

1.A.3 Annual safety memo.

1.A.4 Copies of all safety documents and records are kept in the ALS ES&H office.

1B. Division has an approved and validated Safety Plan. 1.B Copy of signed and dated ES&H Plan maintained in the ALS ES&H office.

1C. Adequate funds and resources are allocated for controls of ES&H hazards. 1.C Facility budgets are available electronically on the LBNL budget page.

2. Identify Hazards

Line Management evaluate work (new and modifications) to identify hazards before work is performed and to establish authorization for performing work safely.

Line Management systematically evaluates hazards to mitigate risk posed by work in their area..
2A. Line Management uses Chapter 6 of PUB 3000 or equivalent for evaluating hazards and necessary authorizations for doing work safely.
2.A. Beamline safety reviews are in the ALS Experimental Systems Group files.

Experiment safety reviews and AHDs are maintained in the ALS ES&H office and posted at each experiment.

2B. Based on the hazards identified, the appropriate authorizations have been issued(note: covers all experiments and projects including non-AHD activities).
2.B.1 Current AHDs are on file in the ALS ES&H office and posted at the work area for all projects requiring AHDs.

2.B.2 Current Sealed Source Authorizations are on file in the division offices and maintained at the work area for all projects requiring SSAs.

2C. Division maintains an inventory of its hazardous chemicals. 2.C Chemical inventory database maintained annually.

2D. Division and Line Management maintain an inventory of its hazardous activities and operations.

2.D.1 QUEST team assessment records/meeting notes maintained electronically by the ALS QA officer and hard copies are located in the ALS ES&H office files.

2.D.2 IHA database and records of updates maintained in AFRD ES&H Administrator files, pending inclusion into the ES&H IHA database.

3. Control Hazards

Administrative and engineering controls tailored to the hazards have been implemented.
3A. Staff have been designated and assigned responsibilities to manage safety systems.
3.A.1 Copy of current Plan maintained in ALS ES&H office and on ALS web site.

3.A.2 QUEST team rosters maintained electronically b the AFRD administrator.

3B. Certification of engineering controls and safety instrumentation are up to date.
3.B.1 Documentation of equipment inspection and servicing maintained in Electronic Maintenance Office.

3.B.2 Documentation of calibration and maintenance on radiation monitors is maintained by EH&S.

3C. All authorizations are current. 3.C.1 Current AHDs are on file in the ALS ES&H office and/or at the work area for all projects requiring AHDs.

3.C.2 Documentation of current SSA's maintained by the site EH&S division and at the work area for all projects requiring SSA's.

3D. Signage and postings are appropriate for the work and associated hazards, including emergencies. 3.D. QUEST team assessment records/meeting minutes maintained electronically by the ALS QA officer and by the AFRD administrator and hard copies are located in the ALS ES&H files.

3E Building/Facility Emergency Plan is current and emergency. 3E Emergency evacuation routes do not reflect recent building renovations. EH&S has committed to update its evacuation routes, and this process is in progress.

4. Perform Work

Work is consistently performed within authorization.

Work is conducted in manner that protects the environment.

Safety controls are checked prior to performing work.

Line Management ensures that staff possess proficiency and knowledge commensurate with conducting their assigned work safely.

4A. Line Management ensures that their work is performed within authorization, safely, and in a manner that protects the environment.
4.A.1 Copies of signed AHDs maintained in ALS ES&H office, and/ or at work site.

4.A.2 Copies of JHQs maintained in LBNL institutional training database.

4.A.3 Division safety committee meeting minutes maintained in ALS ES&H office.

4B Training records document that required training for staff is current. 4.B Completed JHQs and training profiles maintained in LBNL institutional database.

4C. Line Management ensure that Building Emergency Team members are fully trained to perform their responsibilities during and emergency. 4.C Training profiles maintained in LBNL institutional training database.

4D. Site and task-specific training under authorizations (RWA, SSA, AHD) is current.
4.D.1 Copies of JHQs maintained in LBNL institutional training database.

4.D.2 Training profiles maintained in LBNL institutional training database.

4E. System for management of waste streams is matched to handle the categories and quantities of waste produced. 4.E Exception reports from EH&S.

4F. Stewardship: waste minimization performance goals are met or exceeded (data provided by EH&S). 4.F EH&S waste minimization performance information.

4G. Administrative and engineering controls called for in all authorizations are in place. Division provides assurances of implementation.
4.G Copies of signed ALS procedures are located in the ALS procedure center .

5. Feedback and Improvement

Line Management actively participates in corrective action planning and ensures that plans are effectively executed.

5A. To ensure hazards are mitigated, Line Management and staff do:

Walkthroughs (No formal data needed. Response will be verified during OAA validation)

Participate in S/A (Document S/A team membership)

5.A.1 QUEST team rosters, assessment records/meeting notes maintained in division offices. ALS ES&H/QA Committee meeting notes discussing QUEST activities.

5.A.2 The schedules of EH&S and ALS division director's and operations heads' walkthroughs are available in their respective electronic schedules.

5B. Division has system for Line Management to track corrective actions, including institutional issues.
5.B.1 LSAD database.

5.B.2 Division QUEST assessment records/meeting minutes maintained in Division offices.

5C. Division communicates to all staff lessons learned from EH&S incidents and occurrences. 5.C. ALS ES&H/QA Committee meetings and QUEST teams review lessons learned. ALS ES&H/QA Committee and QUEST meeting agendas and minutes maintained in division offices.

5D Division ES&H committee reviews EH&S data and reports (e.g. lessons learned, SAARs, incident reports, EH&S monitoring reports, Appendix F performance measures, etc.) and institutes appropriate mitigation measures or opportunities for improvement.
5.D.1 ALS ES&H/QA Committee meeting minutes maintained in ALS ES&H office.

5.D.2 Division QUEST team minutes maintained electronically by the ALS QA officer.

5.D.3 Review of all division accident and injury reports and subsequent corrective actions and their completion in ES&H/QA committee meeting.

Noteworthy Practices

NP1 Safety is an agenda item in research meetings.

NP2 Describe incentive division for recognizing contributions to EH&S division.

NP3 Peer reviews by and benchmarking with work groups with comparable challenges are conducted with the aim of enhancing the self-assessment division and improving safety and research productivity.

NP.1 PPAC meeting minutes maintained electronically in ALS administrative files.

NP.2 Spot award records maintained electronically in ALS administrative files. Hard copies are forwarded to home divisions where applicable.

NP.3 Records of activities maintained in division offices. Verification by participating divisions.

Advanced Light Source Integrated Safety Management Plan