Professional Documents
Culture Documents
Management
System Manual
Table of Contents
Table of Contents
Environmental Commitment
Executive Summary
Background
In 1994, in response to an Administrative Consent Order with the Department of Environmental
Protection, MassHighway began a comprehens ive environmental compliance initiative at its
maintenance facilities. At the outset, the Department performed a gap analysis to evaluate
MassHighway’s management structure and to determine the level of environmental compliance.
The gap analysis concluded that a significant financial and personnel investment was needed to
correct violations of regulatory requirements and to provide a method to ensure on-going
compliance. The need to develop and institutionalize a formal Environmental Management
System to support environmental compliance was thus identified. The efforts to develop this
system were supported by senior management at MassHighway and the Executive Office of
Transportation and Construction (EOTC). As a result, separate Management System
Improvement and Implementation Plans were prepared. Together these plans outlined the
programs and funding needed to achieve environmental compliance. During the development of
these plans it was determined that the majority of the funding for environmental compliance
would be directed toward “cleaning up” the previously accumulated wastes located at the
facilities. Six major compliance programs were immediately created: Hazardous Waste,
Wetlands, Hazardous Materials, Underground Storage Tanks, Water Quality and Solid Waste.
Under the Hazardous Waste and Solid Waste Programs, these wastes were removed and either
properly disposed of or recycled. New waste/material storage areas and equipment for spill
management were also provided through the Hazardous Material Program. The Water Quality
Program provided for facility improvements such as septic system upgrades/installation, sewer
connections, floor drain upgrades and the installation of wash water recycling systems. The
Wetland Program provided for the identification of impacts to wetlands and the development and
implementation of corrective actions. The Tank Program replaced or upgraded all USTs to meet
Federal standards. Subsequent to the development of the management plans, an additional
compliance program was instituted for managing MassHighway’s asbestos issues.
MassHighway further published a Facility Environmental Handbook particular to each facility.
This handbook is a reference document that provides guidance on conducting operations in
compliance with environmental requirements. It contains standard operating procedures and
maps to identify structures and environmentally sensitive areas such as wetlands. The handbook
is used to train MassHighway personnel on an annual basis and raise the level of environmental
awareness.
MassHighway has designed the EMS in accordance with a Plan, Do, Check, Act improvement
cycle. While considerable time has been invested in planning how the system should work, the
Department recognizes that the EMS must be dynamic and adaptive to regulatory and
operational changes. To meet this need a regular review process will be in effect to ensure that
the system can be modified and continually improved to meet the Department’s objectives.
Do
Plan
Act
Do Check Act
EMS
Check
Environmental roles and responsibilities have been assigned to all levels of MassHighway. A
general description of roles and responsibilities of each Division, Section, and District is
provided in Section I of this manual. Procedures for implementing each component of the
system as well as a description of an employee’s specific role and responsibility is described in
further detail in Section II of the manual.
Environmental Discusses the environmental laws and regulations that apply to operations at
Requirements maintenance facilities, and the procedures for identifying proposed and new
regulatory changes that affect operations at maintenance facilities.
Emergency Preparedness Identifies the MassHighway procedures for planning and responding to spills at
MassHighway facilities.
Standard Operating Describes the methods for identifying the need for environmental standard operating
Procedures procedures (SOPs) as well as the development, review, revision and, endorsement
of environmental SOPs to guide facility staff on environmental management
requirements.
Facility Environmental Identifies the purpose of the Facility Environmental Handbook and Maps and,
Handbook and Maps provides for the identification of the roles and responsibilities for updating the
handbook.
Training Documents the procedures for planning, delivering and tracking environmental
training of MassHighway personnel that support environmental compliance.
Compliance Tracking Defines the procedure MassHighway uses to identify, correct, and track compliance
issues.
Self-Auditing Describes the procedures for conduct of MassHighway’s program for evaluating the
status and return to environmental compliance at MassHighway Facilities.
Pollution Prevention Describes the activities MassHighway conducts to prevent pollution through
conservation and reduction programs.
EMS Review and Evaluation Describes the procedures and schedules for review and update of MassHighway’s
EMS and its associated Manual.
Commissioner
The Commissioner is responsible for ensuring that MassHighway’s EMS is integrated as a
fundamental part of daily operations and is supported by all managerial and supervisory levels of
the Department. In doing so, the Commissioner’s Office ensures the following:
• The EMS is consistent with the Department’s overall Mission Statement, Goals and
Objectives;
• The facilitation of agreements with other Massachusetts State Departments including the
Department of Environmental Protection;
• Adequate EMS related funding and staff levels as recommended by the Chief Engineer.
Chief Engineer
The Chief Engineer ensures that the needs for staffing and resources for the sustainability of this
EMS are defined and communicated to the Commissioner and that environmental policies and
programs are effectively implemented and communicated by senior management. The Chief
Chief Counsel
The Chief Counsel provides legal support and advice to the Department relative to regulatory
and legal issues involved with supporting the EMS including the Department’s obligations for
adhering to all applicable environmental requirements, Administrative Consent Orders and,
Agreements. The Chief Counsel ensures that a member of its staff is knowledgeable of
environmental requirements and available to assist the Department in meeting its
EMS/regulatory goals and objectives.
Information Responsible for supporting EMS information management tools including EnviroTrac
Technology Systems system, and posting of the EMS documents on the MassHighway intranet. Provides
software and hardware support.
Training Responsible for the tracking of environmental training, preparation and monitoring of the
environmental training budget
Budget In cooperation with the Operation Division sand the Environmental Section, prepares the
annual spending budget for compliance activities at MassHighway Facilities. Coordinates
with the District Administrative Managers on the allocation and management of the funds for
compliance activities
Safety Presents annual Right-to-Know training for facility personnel. Responsible for regular facility
inspections for emergency response supplies and material safety data sheets. Responds to
exposure issues to suspected asbestos fiber releases. Responds to material/wastes
deposited on rights of way and highway spills.
Environmental Section
The Environmental Section provides expertise in interpretation of environmental regulations,
compliance program development and implementation, compliance budget analysis, compliance
inspection and reporting and environmental SOP/policy review and development. The
Environmental Section supports the EMS with defined roles and responsibilities to maintain
environmental compliance at facilities. Below is a summary of general Environmental Section
roles and responsibilities. Specific roles and responsibilities are provided in the descriptions of
the individual EMS components of this manual.
Audit Coordinator Ensures that the Self -Audit Program functions in accordance with the MassHighway Self
Audit Protocol. Performs regular review of the program and recommends modifications in
accordance with changes in MassHighway’s operations at Facilities.
Training Coordinator Administers Environmental Training Program by maintaining a current lis t of required
training and notifies respective staff of upcoming training. Coordinates submittal of
training registration documentation. Maintains training records for Environmental Section.
EMS Task Force Participates in the annual EMS Review and evaluation process.
Supervisor of Manages NOI and RDA process; obtains and tracks Order of Conditions; file
Wetlands and Water Completeness Reports; oversees Departments compliance with storm water regulations.
Quality Ensures corrective actions are implemented to comply with the Massachusetts Wetland
Regulations and Administrative Consent Orders.
Boston HazMat Staff Play key roles in implementation of EMS components including Environmental
Requirements, Environmental Training, and SOPs. Manage contracts and timelines to
support compliance with environmental requirement, EMS support programs and
administrative consent orders; submit reports that track compliance progress to DEP and
EPA. Track the status and provide guidance on permit renewal and assist as needed to
ensure MassHighway remains in compliance with applicable permits. Manage MCP
consultant contracts; assist supervisor of HazMat/HazWaste Unit with MGL ch. 21E and
the MCP tank permitting; manage Stage II Vapor Recovery forms/documentation; assist
with NOI and RDA process
Highway Operations Ensures proper support of the EMS from Highway Operations including Communications,
Engineer Drainage Structure Maintenance, Bridge Maintenance; ITS Programs (HOV Lane).
Ensures that MassHighway personnel are aware of Environmental requirements,
Environmental Standard Operation Procedures and policies and that contracts contain
proper language to support the EMS and adherence to environmental permitting Standard
Operation Procedures, Policies and Administrative Consent Orders. Ensures that copies of
permits are forwarded to the respective District and the Environmental Section.
Facilities Engineer Provides contract support and guidance to Highway Operations personnel and District
maintenance personnel in such a manner that supports compliance with the EMS. The
Facilities Engineer ensures that personnel are aware of MassHighway Environmental
Standard Operating Procedures, Policies, Administrative Consent Orders and
environmental regulatory requirements. The ensures that facility project designs include
proper environmental permitting in accordance with Federal and state regulations. The
Facilities Engineer ensures that provisions are included for the proper operation of
completed designs (septic system, floor drain discharge etc.) in accordance with issued
environmental permits.
Maintenance Engineer Provides contract support and guidance to Unit and District maintenance personnel in such
a manner that supports compliance with the EMS. The Maintenance Engineer ensures
that personnel are aware of MassHighway Environmental Standard Operating Procedures,
Policies, Administrative Consent Orders and environmental regulatory requirements. The
Maintenance Engineer ensures compliance with environmental requirements, SOPs and
Policies for activities related to the Central Stockroom in Franklin, Heavy Equipment
maintenance, repair, storage of vehicles at state auctions, Truck and Car fleet, Medford
Sign Shop, Paint Crew (long Lines) and , Fuel Management. The Maintenance Engineer
ensures that appropriate provisions are included within contracts to support the EMS. The
Maintenance Engineer ensures snow and ice/Roadside operations are conducted in a
manner that supports MassHighway environmental SOPs and, environmental regulations
and that the District Maintenance Engineers maintain awareness and support compliance
with the EMS. Responsible for implementation of the EMS and environmental compliance
for Line Painting operations including cleaning of painting equipment without releasing
cleaning residuals into the environment and ensures proper storage of any hazardous
material and/ or wastes. Ensures that the foreman of each paint crew coordinates
environmental related activities with the respective Facility Foreman to ensure
environmental compliance.
Director of Equipment Provides for EMS compliance at the Central Stockroom relative to proper hazardous
and Materials material storage, appropriate HazMat labeling/signage, and proper management of
Material Safety Data Sheets. Purchases materials that support EMS such as absorbents
(pads, booms, Speedi-dri) spill kits for distribution to District stockrooms, and maintains an
effort to purchase environmentally preferred products whenever practical. Ensures an
adequate supply of fuel equipment such as nozzles and hoses that comply with the
Department’s current fueling system. Provides for the support of the Department fuel
management system; perform testing, inspection and reporting of storage tanks and
monitors storage tank leak detection systems. Ensures that decommissioned vehicles are
stored in a manner that supports compliance with the Departments SOPs, and this EMS.
Administrator of Responsible for the implementation of the EMS and environmental compliance at the HOV
ITS/HOV Lane Facility including: monitoring compliance with applicable permits; maintaining
permits/as -built plans at the facility; scheduling installation of appropriate backflow
prevention devices; establishing proper hazardous material storage areas; providing
appropriate HazMat labeling/signage; establishing appropriate temporary accumulation
Privatization Engineer
The Privatization Engineer oversees the management of privatized maintenance areas and
ensures that appropriate provisions for environmental management are in place. The
Privatization Engineer prepares contracts on a biennial basis and coordinates with the
Environmental Section to ensure that appropriate environmental provisions are incorporated into
privatized contracts to support the EMS.
Construction Division
The Construction Division is responsible for ensuring that environmental laws and regulations
are considered and properly addressed during construction of projects on MassHighway
facilities.
The Districts are responsible for the implementation of the EMS at District facilities and to
ensure that operations at facilities are in compliance with environmental regulations and
MassHighway SOPs. A summary of District EMS roles and responsibilities for facility
compliance is provided below.
District Maintenance The District Maintenance Engineer (DME) must maintain an awareness of the EMS and is
Engineer responsible for coordinating facility maintenance activities in accordance the procedures
of the EMS Manual. This includes ensuring that facility personnel are allotted sufficient
time to perform house keeping tasks that support environmental compliance and notifying
appropriate MassHighway personnel of an emergency situation at facilities in accordance
with MassHighway’ s Emergency Response Plan (ERP) and Spill Prevention Control and
Countermeasure (SPCC) Plans at specific facilities. Obtains and ensures compliance with
all applicable permits for District facilities.
Contract Specialist The Contract Specialist III/Area Supervisor (CS III/AS) ensures that: all personnel within
III’s/Area Supervisor the Area receive yearly Annual Environmental Awareness Training; facility inspections are
conducted and that corrective actions are completed as required; EMS and Environmental
Program documentation (generated by Facility Foreman and personnel) such as regular
inspection checklists, Stage II Vapor recovery system checklists, Hazardous Waste area
inspections checklists and oil/water separator inspection reports are forwarded to the
District Maintenance Engineer. Responsibilities also include: review and submittal of the
facility inspection reports/self-audit findings to the DME and initiating corrections as
required; scheduling work as needed at facilities to maintain compliance including: septic
system pump-outs, septic system inspections, vehicle washing recycling system
maintenance and holding tank and oil/water separator pump-outs. The CS III/AS is also
the designated Primary Emergency Coordinator as defined by MassHighway’s
Emergency Response Spill Plan.
Contract Specialist The Contract Specialist II/ Facility Foreman (CSII/FF) is responsible for ensuring that all
II’s/Facility Foreman operational activities that impact environmental compliance at District Facilities are
conducted in accordance with the EMS and specifically with the provisions of the Facility
Environmental Handbook. This includes maintaining proper areas for material and
hazardous waste storage; using the emergency response call down procedures; adhering
to guidelines presented in the Annual Environmental Awareness Training; staying current
with the Environmental Standard Operating Procedures and being familiar with the
location of wetlands, buffer zones and other areas of environmental concern.
Facility Personnel The Facility Personnel are res ponsible for keeping work areas clean and materials and
wastes stored properly, performing inspections on the Hazardous Material and Hazardous
Waste storage areas, maintaining labels on material and waste containers, reporting spills
of hazardous materials from machinery and heavy equipment and, attending annual
refresher training related to environmental compliance.
Plan Act
EMS
Check
Do
Funding
Funding
Annual review of funding needs and sources is critical for maintaining environmental
compliance at MassHighway’s facilities. Projects, Environmental, Highway Operations, and the
Districts are all responsible for identifying the operational areas that require environmental
compliance funding to the Administrative Services Division. Environmental monitors the need
for consultant and contractor services and generally provides Project Manager support for
capital- funded projects. Highway Operations maintains an awareness of District and facility
activities that will impact environmental compliance and activities that require funding to
maintain compliance. Highway Operations will review annual compliance budgets prepared by
the Districts and provide recommendations regarding the approval to Administrative Services.
The Districts are responsible for identifying specific activities that impact environmental
compliance and are responsible for providing accurate estimates for the annual budget. The
District HazMat Coordinators may assist with the District budget preparation and validation
process.
Administrative Services identifies the potential accounts available to support the funding
requests. This annual review coincides with the Commonwealth of Massachusetts fiscal year,
which begins on July 1 and ends on June 30. Financial resources for environmental compliance
at facilities are provided from two sources: legislative appropriations for operational budget
needs and transportation bonds that are eligible for capital funded projects. Ultimately,
Administrative Services is assigned funding from the State Department of Administration and
Finance.
An overview of the procedure that the Department will follow in identifying and soliciting
funding for implementing the EMS and a description of the roles and responsibilities with
MassHighway is provided below.
DEP and EPA Consent Order Matters Implementation of DEP and EPA Consent Order-mandated environmental
projects to address Consent Order mandates.
3rd Party Environmental Compliance Environmental Compliance Audits of all maintenance facilities to be
Audits conducted by an outside audit firm.
Consultant Contracts for Compliance Procurement of consultants to implement capital environmental projects
Program design support i.e. Water Quality, Wetlands, Solid and Hazardous Waste, Hazardous
Materials, and Tanks.
The roles and responsibilities for funding through the Capital Spending Plan are described
below.
Chief Engineer Submits the Division budgets to Administrative Services and, approves the
Department Spending Plan prior to submittal to Administration and Finance.
Deputy Chief Engineer Prepares capital funding needs for submittal to the Chief Engineer
Environmental
Training Administrator Identifies funding needs for environmental training programs
Highway Operations Staff Provide input to Environmental concerning environmental program funding
needs
Hazardous/Medical Waste/ Disposal Disposal of hazardous waste, waste oil, universal waste, and medical
waste.
Wastewater Disposal Analysis and disposal of industrial holding tank wastewater, oil/water
separator cleaning, septic tank pump outs, etc.
Inspection & Testing Inspection and testing of storage tanks and associated leak detection
equipm ent; inspection and testing of Stage II vapor recovery equipment.
Spill Containment Equipment & Leak and spill response supplies, absorbent materials, etc.
Supplies
The Deputy Chief Engineer Highway Operations submits the spending plan to the Chief
Engineer for review. Upon approving the final spending plan, the Chief Engineer submits the
plan to Administrative Services. Administrative Services compiles the Department Spending
Plan for submittal to Administration and Finance. A summary of the roles and responsibilities
for the Operations Spending Plan is provided below.
Deputy Chief Engineer Highway Operations Assumes responsibility for ensuring that Boston Operation’s
environmental compliance funding needs are identified and
solicited.
District Administration Managers Prepare the district budgets for submittal to the Chief
Engineer.
United States
Environmental Protection Agency
Environmental Requirements
This EMS component identifies the procedure for reviewing the applicability of state and federal
laws and regulations affecting MassHighway Maintenance Facilities. As regulations are subject
to change over time, and as new regulations are promulgated by regulatory agencies, periodic
reviews of regulations to stay current on compliance requirements are conducted as necessary.
Likewise, facility operations can change over time, and must also be periodically reviewed to
ensure that operations subject to regulation are conducted in compliance with such regulations.
MassHighway routinely reviews federal and state regulatory information sources to stay current
on compliance requirements.
MassHighway maintains an Environmental Requirements List, which identifies federal and state
environmental regulations applicable to MassHighway Maintenance Facilities. This list covers a
wide variety of environmental compliance areas including Air Quality, Hazardous Materials and
Hazardous Waste, Tanks, Waste Site Clean-up (21E) and Solid Waste Landfill Closure, Water
Pollution Control/Underground Injection Control/Drinking Water Supply (Water Quality),
Wetlands, and Asbestos. Environmental regularly reviews and updates the Environmental
Requirements List to reflect changes to facility operations, changes to existing regulations, or the
introduction of new regulations. The Environmental Requirements List is available for review in
MassHighway’s self- audit protocol document.
The procedure and roles and responsibilities for managing the Environmental Requirements
Component of the EMS are described below.
Procedure
During the course of the year, Environmental staff, as summarized in the following table, is
responsible for monitoring proposed regulations and policies applicable to current MassHighway
operations. Regulatory monitoring may include but not be limited to periodic review of DEP,
EPA and Federal Register websites for information on new or upcoming regulations. Also
reviewed are the existing Codes of Massachusetts and Federal Regulations (CMRs and CFRs).
Changes in facility operations will be identified through periodic inspections performed by
DHC’s and through regular communication between Highway Operations, District and,
Environmental Section staff.
The Supervisor HazMat/HazWaste Unit determines whether revisions are needed to the
Environmental Requirements List, and if so, requests approval from the Deputy Chief Engineer
Environmental to revise the list and propose necessary changes to maintain compliance. The
Environmental Management System Manual
December 2003
Page 12
need for any additional equipment and resources is coordinated within the Department, as
applicable. Upon receipt of the Deputy Chief Engineer Environmental directive, the Supervisor
HazMat/HazWaste Unit prepares the necessary revisions, posts the revised Environmental
Requirements List on the MassHighway intranet, and informs the Environmental Section staff of
the changes to the list and their respective implications on other EMS components.
Each year, the Supervisor HazMat/HazWaste Unit or other Designee coordinates a meeting to
review the current Environmental Requirements List and Requirements Program procedures.
The meeting will be convened with the Environmental Section Supervisors and Highway
Operation’s staff between November and January to coincide with the Facility Environmental
Handbook, Maps and Standard Operating Procedure review process. The criteria for the review
include opportunities to improve effectiveness and efficiency. The Supervisor HazMat/HazWaste
Unit collects the comments and reports recommended revisions to the Deputy Chief Engineer
Environmental.
Supervisor of HazMat/HazWaste Unit Responsible for tracking and review of existing and proposed
regulations and policies. Provides regular updates to the
Deputy Chief Engineer Environmental on status of pending
new regulations or changes to existing regulations or changes
to facility operations subject to regulation. Ensures that the
updated requirements list is incorporated into the facility self-
audit protocol. Maintains current Environmental Requirements
List and Requirements Procedure document.
Convenes/coordinates annual meeting to review
Requirements List and Requirements Procedure. Meets with
DEP regional office and policy staff to discuss pending
regulations that may affect MassHighway maintenance facility
operations.
Supervisor of Wetlands and Water Quality Responsible for tracking and review of existing and proposed
regulations and policies related to wetlands, waterways, and
natural resource protection programs. Provides regular
updates to the Supervisor HazMat/HazWaste Unit on status of
pending new regulations or changes to existing regulations.
District HazMat Coordinators and Boston Responsible for review of regulations and policies as directed
Environmental Section Staff by the Supervisor of the HazMat/HazWaste Unit. Responsible
for reviewing changes in facility operations and receiving input
from District Maintenance Engineers concerning facility
operational changes that could be subject to environmental
regulation/policy. Provides regular updates to the Supervisor
of HazMat/HazWaste Unit on status of pending new
Highway Operations Engineer, Maintenance Responsible for notifying Environmental Section staff
Engineer and District Maintenance Engineers concerning actual or anticipated changes in facility operations
that should be reviewed for compliance with
regulations/policies.
Procedure
MassHighway has distributed the Emergency Response Spill Plan (ERSP) to all
MassHighway facilities. Spill Prevention Countermeasure Control (SPCC) plans have also
been prepared for those facilities that require a SPCC plan. These two plans assist
MassHighway personnel in responding to hazardous material spills at facilities. Personnel
having responsibilities under these plans are provided with the necessary training to ensure
they are competent to fulfill the roles established in the plans. Reports generated from
training drills assist MassHighway in making the plans more efficient and comprehensive.
Facilities have been supplied with emergency spill equipment for use in emergency
response. The District HazMat Coordinators and Safety Inspectors regularly inspect
maintenance facilities to ensure that adequate spill supplies are available and information
contained in the plans is current. Inspections generally confirm the following for those
facilities that maintain hazardous waste storage areas:
Regular review of the ERSP for MassHighway facilities is necessary to ensure that the plan
reflects current operations at Maintenance Facilities. The ERSP is reviewed at least
annually to identify areas where updates and/or revisions are needed. The Supervisor
solicits input from Office, District, Division, and Section personnel to provide review and
comment, as deemed appropriate, on any emergency responses performed during the
previous year and make recommendations on procedural and organizational improvement
of the Plan. The Supervisor of Facility HazMat/HazWaste Unit updates the plan and
forwards it to the Deputy Chief Engineer Environme ntal for review. Upon receipt of
Deputy Chief Engineer Environmental approval, the revised plan is submitted to the Chief
Engineer and Division Engineers and District Highway Directors for approval. Upon
receipt of the Chief Engineer’s approval, the plan is submitted to the Commissioner for
signature. The Commissioner reviews and endorses the plan for distribution to the
Department. The DHCs ensure that the plans are distributed to the Maintenance facilities
and incorporate any changes into the annual Environmental Awareness Training program.
Chief Engineer Reviews and provides comment on Emergency Response Spill Plan
revisions.
Deputy Chief Engineer Environmental Ultimately responsible for ensuring that the Emergency Preparedness
Component of the EMS remain current and effective.
District Highway Director Ultimately responsible for ensuring that District adheres to emergency
response procedures.
District Maintenance Engineer/Operations Responsible for notifying appropriate MassHighway personnel during
Engineer emergency response.
CS III or Other Designee of the District Is the as Primary Emergency Coordinator for the ERSP. Initiate spill
Highway Director response efforts and contact the DME upon notification of a spill.
CS II/Facility Foreman or Other Designee of Act as the Secondary Emergency Coordinator for the ERSP. The
the District Highway Director Secondary Emergency Coordinator assumes the role of Primary
Emergency Coordinator in the absence of the Primary Emergency
Coordinator.
Supervisor of HazMat/HazWaste Unit Responsible for convening the EMS Task Force to review the Emergency
Response Spill Plan for MassHighway Facilities, and District HazMat
Coordinators to review the SPCC plans. Serves as the Emergency
response Coordinator for the ERSP. Revises and reissues spill plans.
HazMat/HazWaste Unit Member Act as the Emergency Response Coordinator. Available for assistance
during a spill emergency and coordinate spill response efforts.
Procedure
Below are the two primary methods by which MassHighway manages the applicability and
endorsement of environmental SOPs; 1) identification of the need for new SOPS and the
revision of existing SOPs; 2) the development, revision, final review and endorsement of
all SOPs.
The Supervisor of HazMat/HazWaste Unit will draft a cover summary memo explaining
the content and need for the new or revised SOPs to assist the Chief Engineer’s, Division
Director’s, and Highway Director’s review. The SOP shall be amended by the Supervisor
of the HazMat/HazWaste Unit to reflect the comments before forwarding to the
Commissioner for signature. The Commissioner will review and endorse the SOP for
distribution to the Department. The comment resolution and SOP preparation is intended
to be an objective process that will addresses all operational and environmental concerns.
Chief Engineer Provides final approval of all SOPs prior to obtaining the
Commissioner’s endorsement.
Deputy Chief Engineer Environmental Maintains ultimate responsibility for the development and
revision of SOPs.
Highway Operations Engineer and District Notify Environmental of any changes in operations that affect
Maintenance Engineer environmental compliance at Maintenance facilities.
Supervisor of HazMat/HazWaste or other Coordinates and directs SOP development and revision
Designee process.
District HazMat Coordinators, Boston Hazmat Serve as the primary developers of SOPs.
Staff
Representatives of Administrative, Highway Provide guidance to Environmental relative to operational
Operations, Construction, Projects Division and demands and feasibility of implementation of SOPs.
Districts
Annual review and updates to the Facility Environmental Handbook and Facility Maps
ensure the text and information reflect any regulatory, operational, or administrative
changes. Environmental assumes the lead in the update and distribution of the Facility
Environmental Handbooks and Facility Maps. MassHighway relies on these reference
materials for its annual Environmental Awareness Training.
Procedure
The Supervisor of the HazMat/HazWaste Unit directs members of the Environmental
Section staff to review the Facility Environmental Handbook and recommend needed
changes to the descriptive text, addition or removal of SOPs, and updates to the Emergency
Response Spill Plan. Upon receipt of these recommendations, the Supervisor of
HazMat/HazWaste Unit directs staff to revise the handbook text. The Supervisor of
HazMat/HazWaste Unit provides the revised handbook text SOPs and maps to the DHCs
and other Environmental staff for review and comment within a designated comment
period.
During the annual self-audits and/or regular inspection of MassHighway facilities, DHCs
ensure the Facility Maps reflect current operating conditions at the facilities. DHCs will
indicate any changes to operating conditions (establishment of new solid waste collection
areas, new hazardous waste collection areas, presence of additional spill kits, etc.) on the
Facility Maps during their audits/inspections and submit the changes to the Supervisor of
the HazMat/HazWaste Unit. MassHighway CADD staff or a consultant may be used to
make the necessary changes to the Facility Maps.
The Supervisor of the HazMat/HazWaste Unit collects and reviews the revisions made to
the Facility Environmental Handbook and Facility Maps before submitting them to the
Deputy Chief Engineer Environmental for review and comment. The Deputy Chief
January
Plan
Train
October April
Issue Review
June
Facility Handbook and Facility Map Review and Revision Roles and Responsibilities
Role Responsibility
ITS Responsible for posting the Facility Environmental Handbook and Facility
Maps onto the MassHighway intranet.
Deputy Chief Engineer Environmental Maintains ultimate responsibility for the review and revision of the Facility
Handbook And Facility Maps.
District HazMat Coordinators Provide comment on revisions to the Handbook. Responsible for updating
information for Facility Profiles and dis tributing revised handbook pages to
the facilities. Responsible for updating the Facility Maps to reflect any
infrastructure changes that have occurred in the facility. Ensure, through
regular inspections, that the most recent versions of the Facility Maps are
available at the facility.
Environmental Section Staff Responsible for providing comments on revisions to Facility Environmental
Handbook.
Procedure
Environmental, with assistance from Highway Operations, trains the personnel that have
been selected for training according to their roles and responsibilities within the EMS.
Records of attendance are maintained by the employees respective Division and/or District
and are provided to regulatory agencies upon request. The Training Coordinator conducts
an annual review of the Environmental Training Program to ensure the program is both
current and relevant to MassHighway facility operations.
Projects Division Training Responsible for developing an annual budget for submission to
Coordinator Administrative Services, coordinating the training schedule, ensuring
contracts are in place for training consultant services and conducting the
annual review of the training program in accordance with the EMS.
Supervisor of HazMat\HazWaste Responsible for the approval of training program content revisions.
Unit
DHCs The DHCs develop and deliver the Annual Facility Environmental Awareness
Training program and initial SPCC training within their District and participate
in the annual review of the environmental training program.
Environmental Staff Environmental staff annually reviews the environmental training programs to
determine if regulatory or operational changes necessitate revisions to the
program. Share training materials over the MHD intranet.
EMS Task Force Provides comment and guidance to the Environmental Section, Safety Unit
(Administrative, Highway and Incident Response Unit relative to the feasibility and content of
Operations, Construction and environmental training programs.
Projects Divisions)
Administrative Services Identifies environmental training budgetary needs as part of the operations
budget, communicates the availability of funding to the Environmental
Section, and maintains training documentation for the Department
Identification
Self-Audits
Unresolved compliance information identified through MassHighway’s Self- Audit Program is
documented in Corrective Action Reports and Clean State Matter Reports, as required by the
Self- Audit Program. This information is maintained at Boston Environmental and District
Headquarter Offices by the Audit Coordinator and District HazMat Coordinators respectively.
The Audit Coordinator submits a copy of the CSMR to the Supervisor of the HazMat/HazWaste
Unit for review. Upon approval of the Supervisor and the Deputy Chief Engineer
Environmental, the Clean State Matter Report is entered into the Clean State Database.
Facility Inspections
A facility designated for vehicle or heavy equipment repair will be inspected monthly whereas a
seasonal snow and ice facility is inspected quarterly. These regular inspections permit
MassHighway to gather compliance information on a more frequent basis as compared to the
self-audits. The results of these inspections are transmitted to the District Maintenance Engineer
who facilitates the correction of any out-of-compliance issues. Corrections are coordinated
between the DME the CS III, Facility Foreman and the DHC. The results of these inspections
and the documented corrections are maintained at the District headquarters. The respective
District HazMat Coordinator reports compliance matters that cannot be corrected within 14 days
of identification to the Supervisor of the HazMat/HazWaste Unit. The Supervisor instructs the
MassHighway Clean State Database Coordinator to enter the matter into the database with a
schedule for correction. Progress made on correcting the compliance matter is reported to the
Clean State Database on a quarterly basis.
Environmental Management System Manual
December 2003
Page 29
Routine Facility Observations
MassHighway personnel are expected to keep facilities neat and generally adhere to good
housekeeping practices. Furthermore, facility personnel are expected to report issues that may
pose a potential compliance issue to their supervisor. Examples of potential issues that should be
reported include but are not limited to the identification of dumping of materials in non-
designated areas, missing spill equipment, spills and/or dripping fluids from containers and/or
equipment.
DMEs Responsible for ensuring that compliance matters are properly identified and
corrected by District Personnel.
Supervisor of HazMat/HazWaste Responsible for ensuring those out-of-compliance matters are addressed as
Unit quickly as possible and that issues that cannot be corrected within 14
calendar days are properly reported to the Clean State Database. Requests
compliance tracking data from the District HazMat Coordinators and the Audit
Program Coordinator.
DHCs Perform regular inspections that ensure the compliance matters are properly
addressed at the facilities. Ensure proper review of weekly inspection reports
submitted by the CSIII/Area Supervisors and or the CSII/Facility Foreman.
Audit Program Coordinator Maintains a record of all Self-audits including the Corrective Action Reports
and the Clean State Matters Reports. Upon request by the Supervisor of the
HazMat/HazWaste Unit will produce a record of all compliance issues
identified by the Self –Audit Program.
MassHighway is committed to keeping the Self- Audit Protocol current. The Self- Audit Program
and Protocol is reviewed at least annually to identify areas where updates and/or revisions are
needed due to either regulatory or operationa l changes. Review of the Program is necessary to
ensure continual improvement and ensure that the Protocol reflects current regulations, SOPs,
and facility operations.
Procedure
This section presents an overview of the procedures and roles and responsibilities for conduct of
MassHighway Self-Audits. The actual MassHighway Self- Audit Protocol Handbook is available
for a detailed discussion of the procedures and roles and responsibilities. The procedures
discussed below generally involve five MassHighway staff members; the Audit Coordinator, the
Lead Auditor, District Maintenance Engineer, the Facility Forman and the District HazMat
Coordinator. There are three Phases to a MassHighway Self- Audit; the Pre-audit Preparation,
the Audit Site Visit and the Post Audit Phase. The process is described below.
Pre-audit Preparation. The Audit Coordinator prepares a schedule for facility audits. Once
the schedule has been prepared, the Audit Coordinator will designate a DHC as the District Lead
Auditor. The Lead Auditor will be a DHC from a District other than the one being audited. The
Lead Auditors are provided with facility and District contact information needed to complete the
self-audit notifications, site visit, and follow up reporting. The Lead Auditor will notify the
DHC and DME in the District of the scheduled audit at least two weeks in advance of the audit.
The DHC and DME will ensure pre audit questionnaires are completed, Facility foremen are
contacted, and that facility records are made available at the time of the audit.
Audit Site Visit. The Lead Auditor will conduct a pre-audit briefing with facility personnel to
1) inform facility personnel of the purpose of the audit; 2) inform facility personnel of their audit
responsibilities and required participation in the audit; and 3) answer any preliminary questions
the facility personnel may have regarding the audit. After the briefing, the Lead Auditor
conducts a facility walkthrough, recording any environmental compliance findings in field notes
and facility plans. The Lead Auditor also performs a record review of applicable compliance
Environmental Management System Manual
December 2003
Page 32
documents, such as manifests and environmental permits. During the walkthrough and records
review, the Lead Auditor completes the Audit Protocol Checklist. Findings that may be
immediately corrected should be completed during the walkthrough and documented by the
auditor. The Lead Auditor then conducts exit briefings and submits the draft findings list to the
Facility Foreman at the completion of each audit. The list is provided so facility personnel may
initiate corrective actions in advance of receiving a Corrective Action Report (CAR).
Post Audit Phase. Following the audit site visit, the Lead Auditor prepares a CAR, which
summarizes the audit findings. An electronic version is forwarded to the Audit Coordinator and
the DME. Upon receipt of the CAR, the DME coordinates with the facility foreman to ensure
facility personnel conduct the necessary corrective actions. DHCs are responsible for correcting
or managing corrective actions that fall outside operational responsibility of the Facility Foreman
or DME.
The Facility Foreman ensures that the corrective actions have been completed and documents
corrective actions in the space provided on the CAR. The completed CAR is forwarded to the
Lead Auditor for review and confirms that the completed actions adequately address the findings
on the CAR. The completed CAR is forwarded to the Audit Coordinator along with a memo that
summarizes the completed self-audit.
For each unresolved regulatory finding, the Lead Auditor completes a Clean State Matter Report
(CSMR). If a completed CAR has not been received within 14 days of the audit a CSMR is
completed for all regulatory findings identified on the original CAR. Within two days of
receiving the completed CAR, the Lead Auditor forwards all audit field notes, checklists,
completed CAR, and CSMRs to the Audit Coordinator for archiving in the Environmental
Section’s Self-Audit Program files. The Audit Coordinator will enter all unresolved regulatory
findings documented on the CSMRs into the EOEA’s Clean State Database.
The Audit Coordinator provides the audit findings to the DHC. The DHC will complete and
transmit to the Audit Coordinator and DME a Corrective Action Plan (CAP) for each unresolved
regulatory finding on the completed CAR. The DHC will provide quarterly CAP progress reports
to the Audit Coordinator until the CAP has been completely resolved. The Audit Coordinator
will enter the updates into the Clean State database. Once a CAP has been completely resolved,
the Audit Coordinator will complete and submit a request for de- listing of a regulatory finding
from the EOEA’s Clean State Coordinator and the Clean State database.
A summary of the timelines described in the preceding sections for conducting Self-Audits and
audit follow-up activities is provided below.
Notify DHC, DME, and Facility foreman Lead Auditor At least two weeks before audit site visit date
of impending Self-Audit
Complete and submit CAR to DHC, Lead Auditor Within two days after audit site visit.
DME, and Foreman
Complete and submit CAR and CCAR Foreman/DHC Within 14 days of the date the audit was
to Lead Auditor conducted
Complete audit summary memo and Lead Auditor Within 1 week after receipt of CCAR or within 2
CSMRs and submit to Audit Coordinator days of CCAR due date
Enter audit results into Clean State Audit Coordinator Within 2 weeks after receipt of CCAR from Lead
database and submit final CAR to DHC Auditor
Complete Corrective Action Plan DHC Within 21 days after receipt of final CCAR from
Audit Coordinator
Complete CAP Progress Reports DHC Quarterly – ongoing until Final CAP Completion
Report issued
Update of Clean State database Audit Coordinator Quarterly – ongoing until Final CAP Completion
Report issued
Lead Auditor The Lead Auditor will typically be a DHC from a District other than the audited facility’s
District who will manage the Audit Team through all phases of the Self-Audit. The Lead
Auditor is responsible for: notifying the DHC of the impending Self-Audit; completing the
Self-Audit Protocol and field documents; leading the Site Visit Phase of the Self-Audit;
completing the audit Corrective Action Report; completing an audit summary report
memorandum; completing Clean State Matter Reports for unresolved regulatory findings.
District HazMat The DHC serves as the District’s liaison to federal, state, and local environmental agencies
Coordinators with respect to environmental compliance issues and is responsible for facility
environmental compliance that is outside the day to day operational control of facility staff.
The DHC is responsible for notifying the DME and facility personnel of an impending self-
audit; providing compliance documents for review during audit; assisting with the conduct of
the self-audits; assuming Lead Auditor role when assigned by the Audit Coordinator;
assisting the Facility foreman in the implementation of Corrective Actions; completion or
managing of Corrective Actions outside the operational control of the Facility foreman and/or
DME; development of Corrective Action Plans for unresolved findings; follow-up
coordination, tracking and reporting on the status of Corrective Action implementation;
providing assistance to the Audit Coordinator with modifying the Self-Audit Protocol and
Program Documents on a regular basis to incorporate changes in environmental regulations
and MassHighway SOPs; ensuring audits are performed in accordance with the Self-Audit
Program. Provide comment on revisions to the Self-Audit Program procedures and Protocol.
Facility foreman The Facility foreman is responsible for day-to-day facility-operations -related environmental
activities, as described in the Facility Environmental Handbook. With regard to the Audit
Program, the Facility foreman is responsible for assisting with the conduct of the Self-Audits
and Corrective Actions.
DME and Highway The DME and Highway Operations Engineer are is responsible for facility operational
Operations activities, including compliance with environmental regulations and MassHighway SOPs.
Engineer, With regard to the Self-Audit Program, the DME or Highway Operations Engineer is
Maintenance responsible for assisting with the scheduling and allocating resources for conducting Self-
Engineer Audits and completion of Corrective Actions
Initiatives
Ongoing pollution prevention initiatives relative to the operation of MassHighway maintenance
facilities include:
Media Initiatives
Air Pollution Prevention Fleet inspections to ensure vehicle emissions
compliance; Garage location consolidations to reduce
overall fume emissions; and installation of vapor
recovery systems for underground storage tanks.
Energy Conservation Installation of high efficiency lighting systems.
Sold Waste Source Reduction Waste reductions have been realized through the
expanded use of recycled and re-manufactured products
including the construction of salt sheds composed of
50% recycled plastic aggregate.
Water Conservation and Pollution Prevention Installation of vehicle washwater recycling units at
several maintenance facilities.
Toxics Use Reduction The Pollution Prevention Task Force has prepared
technical evaluations of products and made
recommendations for reduction of the following
substances: petroleum -based hydraulic and lubricating
oils; automotive parts cleaning solvents and associated
cleaning systems; perchlorethylene cleaning solvent and
miscellaneous automotive lube/cleaning products.
In response to these recommendations, the Department:
switched to non-chlorinated solvent brake cleaner;
eliminated solvent parts cleaner tanks in some districts,
and; reduced automotive fluid use through the leasing
and out-servicing of fleet vehicles.
Future Goals
While much has been accomplished, the Department will continue to identify, evaluate and
implement pollution prevention initiatives. Pollution prevention opportunities and activities
under current consideration include:
§ purchasing low volume high pressure washers for vehicle/equipment cleaning to reduce
water use.
§ purchasing aqueous brake cleaning systems to eliminate all brake solvent use and
eliminate asbestos dust hazards
§ identifying specific areas within a given project for experimental or full usage of new
products comprised of solid waste materials;
§ developing specifications and special provisions for incorporating recycled materials into
construction projects;
§ developing and tracking test applications of recycled products and materials to document
product effectiveness relative to standards for highway performance and environmental
acceptability;
§ investigating and implement economically viable opportunities to reuse and recycle solid
and hazardous waste generated by routine operations suc h as waste oil, street sweepings,
catch basin cleanings, tires, construction and demolition debris, special waste, scrap
metal and wood waste;
§ working with state agencies and other organizations to develop training and educational
workshops of the use of recycled materials;
§ actively participating with state and federal regulatory agencies on Beneficial Reuse
policies.
Act
Plan
EMS Review
and Evaluation
Check
DO
EMS Review and Evaluation
This EMS component establishes the procedures for reviewing the overall effectiveness of the
EMS. MassHighway’s EMS review is a dynamic process designed to ensure that the EMS
adapts to regulatory and operational changes that affect environmental compliance and full
integration of the EMS into MassHighway activities. To this end, regular review of the EMS is
essential to its success and therefore all elements of the EMS are reviewed annually.
MassHighway uses a three-tier review: 1) Annual Senior Management Review, 2) Annual EMS
Task Force Formal Review, and 3) Bi-annual Independent EMS Review performed by an
external EMS consultant/reviewer. This process ensures all levels of the organization provide
comment on the success of the EMS and its individual components. The EMS is updated to
reflect applicable recommendations made during the review process to ensure continual
improvement.
Procedure
The independent reviewer prepares a summary of findings and submits this report to the Deputy
Chief Engineer Environmental who reviews the auditor’s report and ensures copies are provided
to the senior managers and the EMS Task Force during their annual review meetings. The senior
managers and EMS Task Force will provide their recommendations for correction and
implementation of the findings from the audit, and the Deputy Chief Engineer Environmental
will implement the applicable recommendations within the EMS.
Deputy Chief Engineer Environmental Assumes ultimate responsibility for the EMS Program review.
Coordinates Senior Management Review and EMS Task Force
reviews. Coordinates independent EMS audits. Implements
recommendations from the review into the EMS
Supervisor HazMat/HazWaste Unit Conducts the annual EMS Task Force review meeting. Prepares a
summary of EMS Task Force recommendations for the Deputy
Chief Engineer Environmental
EMS Task Force Participate in annual EMS Task Force review process. Provide
comments on EMS effectiveness and make recommendations for
improvements.
EMS Independent Reviewer Conduct bi-annual EMS program reviews. Prepare a summary of
findings for submission to the Deputy Chief Engineer
Environmental
Commissioner
John Cogliano 617-973-7800
Chief Engineer
Thomas F. Broderick III, P.E. 617-973-7830
Administrative Services
Director Susan Bristol 617-973-7404
Budget George McNamara 617-973-7269
Training Administrator Adam Swan 617-973-7263
Safety/Risk Management Joseph DeSisto 617-973-7702
Information Technology Charles McCarthy 617-973-8492
Personnel Thomas Keely 617-973-7308
Projects Division
Deputy Chief Engineer John Blundo 617-973-7521
Training Coordinator Peter Vanbuskirk 617-973-7445
Environmental Section
Deputy Chief Engineer Gregory H. Prendergast 617-973-7484
Supervisor of HazMat/HazWaste Steven Miller 617-973-8248
Audit Coordinator Robert Johnson 617-973-8409
Supervisor of Wetlands Henry Barbaro 617-973-7419
District 1 HazMat Coordinator David Abbott 413-637-1750
District 2 HazMat Coordinator Douglas Spink 413-584-1611
District 3 HazMat Coordinator Michael Giando 508-929-3865
District 4 HazMat Coordinator Kenneth Leach 781-641-8473
District 5 HazMat Coordinator Gregory Fulgione 508-884-4362
Construction Division
Deputy Chief Engineer Michael McGrath 617-973-7610
District 1 413-637-1750
District 2 413-584-1611
Highway Director Al Stegemann (Acting)
Maintenance Engineer Kenneth Wanar
District 3 508-929-3800
Highway Director Thomas Waruzila
Maintenance Engineer Charles Mistretta
District 4 781-641-8300
Highway Director Stephen O’Donnell
Maintenance Engineer John Hayden
District 5 508-824-6633
Highway Director Bernard McCourt
Maintenance Engineer Roy Fierra