Activity & Training
Authorization
Department/Group Name
Resident Buildings or Areas:
AARD
104D, 222, 223, 225, 407,
128, 129, 062
ATA:KEN SOONG
EDGAR PERALTA
JOHNNY NG
Date, Revision:
June 16, 2009
Buildings or Areas with off-shift or
annual releases (if applicable).
ATA Duration (if < 12
months)
End Station B (b.062, 128, 129)
(not to exceed 12 months)
(Copy of release attached to ATA)
Activities
Basic Hazards
Basic Controls, including boundary
conditions (engineering, procedural or
PPE)
ESH Training,
Qualifications, Skills,
Certifications, etc.
Operate the E163 Laser System,
which includes class IIIB and IV
lasers.
Eye damage leading to blindness.
Skin damage (minor burns).
ALL work must be conducted in strict
accordance with the Laser Safety Standard
Operating Procedure for End Station B/ E163
Laser Room, version 1.1.
Engineering controls, administrative controls,
and PPE requirements are delineated in the
above-referenced SOP.
Boundaries/Limitations:
 Do not add other class IIIb or class
IV lasers to the system
Course 253 - Laser Worker
Safety Training, to be renewed
every 24 months
Course 253ME – Laser Worker
Baseline Medical Exam, to be
completed once.
Documented On-The-Job
Training
Unescorted access to accelerator
areas
Radiation, both prompt and residual.
 Wear personal dosimeter on upper torso
Course 219 – Employee
Orientation to ES&H
Course 115 – General
Employee Radiological Training
ATA for Soong, Peralta, J. Ng for 2009-2010
Page 1 of 6
ATA TITLE: Soong/Peralta/Ng 2009-2010
ATA#
Work in a PPA laboratory
environment.
 Electrical – use DVMs
and oscilloscopes to test
electronic instruments
 Chemical – use small
quantities of solvents to
clean vacuum parts and
optical components
 Vacuum – be present
during system venting
and pump down
 ODH – be present during
system venting




Startle hazard from electrical hazards
below 50 V, 10 A, 10J stored energy
Chemical burns and blindness resulting
from chemical exposure
Cuts and lacerations resulting from
implosion of a vacuum window
Asphyxiation resulting from oxygen
displacement by nitrogen boiloff
Electrical Hazards
 Engineering controls: Equipment
covers.
 Administrative controls: signage.
 PPE: none.
 Boundaries: Do not operate
electronic equipment with the
protective covers removed.
Chemical Hazards
 Engineering controls: Equipment
covers.
 Administrative controls: signage.
 PPE: nitrile or latex gloves and
goggles or face shield
 Boundaries: Use restricted to
Isopropanol, Methanol, Ethanol, and
Acetone in 1 Liter point-of-use
bottles only.
Vacuum Hazards
 Engineering controls: Experimental
chamber cannot be pressurized
 Administrative controls: Avoid
contact with all glass vacuum
windows.
 PPE: none required
 Boundaries: do not pressurize any
vacuum system under any
circumstance.
Oxygen Deficiency Hazards
 Engineering controls: ODM and
shut-off valve in LN line
 Administrative controls: Personal
ODM placed near point of most
probable ODH
 PPE: none.
 Boundaries: Use only the plumbedin LN system. Do not bring dewars
into the accelerator housings.
Course 110 – Lab Safety for
Particle Experimentalists
=OR=
(Course 239 – General
Electrical Safety
=OR=
Course 251 – Electrical and
General Safety for R & D)
=AND=
Course 170 – Cryogen and
ODH Safety
2 of 6
ATA TITLE: Soong/Peralta/Ng 2009-2010
ATA#
Use of hand tools (non-powered)
such as wrenches, hammers,
saws, screw drivers.
o
o
o
o
cut hands/knuckles
Stab wound
Eye injury
Smash hand or fingers
o
o
Soldering
o
o
Burns
Inhalation of fumes
o
Wear gloves when practical
Use liquid wench or similar material to
pre-loosen tight bolts.
o Apply force away from your body when
prying with hand-tools.
o Wear safety glasses if something may fly
into your eye.
o Keep tools sharp
Use the right tool for the job
o
o
Climb ladders. Climbing on
machines and equipment.
o
o
o
Falling
Head injury
People run into ladder
o
o
o
o
o
o
Course 255 – Personal
Protective Equipment is highly
recommended.
Use protective holder to store heated
iron.
Properly dispose of solder dross
Use in well ventilated areas
None.
Don’t stand on steps not designed for
standing (usually the top step and top of
ladder)
Inspect ladders before use. Do not use
damaged ladders.
Zone off area if there is a potential of
falling objects to personnel below.
Require use of hardhats if your work may
potentially drop something below on
workers.
Have someone hold ladder if it will
provide more support
Use barricades or signs to warn of
presence of ladder
Do not position ladder in front of closed
Course 293 – Stairway and
Ladder Safety is highly
recommended.
3 of 6
ATA TITLE: Soong/Peralta/Ng 2009-2010
ATA#
o
o
Working in tight spaces
o
o
o
Stack or handle lead
bricks
o Limited to working
with lead to 30
minutes/day
o Excludes cutting,
drilling, or machining
lead, grinding.
o Exposure to hazardous materials
(lungs, skin, eyes)
o Contamination of equipment and
environment
o Crushing of fingers, hands, or feet
Bumping into things with body or head
Trip hazards
Getting in each others’ way
o
o
o
o
door that can open into the ladder.
Use the right ladder for the job. For
example, do not use an “A” frame ladder
to lean against a building…use an
extension ladder.
Store ladders so they will not block exits
in the event of an earthquake.
avoid rushing
wear hard hat/ wear bump hat
practice good housekeeping
be aware of your surroundings
o Limit daily activity (stacking) to
30 minutes
o Wear gloves. Store gloves in
marked zip lock baggie for
future use or dispose of as “lead
contaminated debris”
o Containerize (sealed bag) all
waste, properly label, and
request disposal; label as
follows:

None.
No lead training or
medical surveillance is
required if you limit
handling of lead to 30
minutes/day
The words “hazardous
waste-Lead
contaminated debris”
4 of 6
ATA TITLE: Soong/Peralta/Ng 2009-2010
ATA#

The word “poison”

Date

Name and phone
extension/pager
number
ATA EXPIRES: June 30, 2010
5 of 6
ATA TITLE: Soong/Peralta/Ng 2009-2010
ATA#
I will maintain compliance with my STA training requirements, including staying current with recertifications. I
understand the type of activities, including boundary conditions, which I am authorized to perform, and the
hazards and controls associated with such activities.
Worker Name (please print)
Signature
Date
I have reviewed the basic steps, hazards, controls & boundary conditions described in this ATA with all workers
listed above. Workers listed above possess the skills, knowledge, training & qualifications to perform work as
described in this ATA and are therefore authorized to carry out such work. Workers are also released to carry out
such work in their resident work area, as defined in this ATA.
Supervisor Name
Signature
Date
I acknowledge the extension of the Resident Work Area to include End Station B and adjoining buildings. All
yellow work in ESB must be released at the 9:30am daily operations meeting.
Test Facilities Head
Signature
Date
6 of 6