1 Preferred Industrial Contractors, Inc SAFETY, HEALTH AND ENVIRONMENTAL MANUAL Preferred Industrial Contractors, Inc PO Box 1047, Mont Belvieu, Texas 77580 Office 281 421 0474/Fax 281 421 0007 PIC Re[.]
1 Preferred Industrial Contractors, Inc SAFETY, HEALTH AND ENVIRONMENTAL MANUAL Preferred Industrial Contractors, Inc PO Box 1047, Mont Belvieu, Texas 77580 Office 281.421.0474/Fax 281.421.0007 PIC Rev 12/12/11 SAFETY, HEALTH & ENVIRONMENTAL PROCEDURES & GUIDELINES MANUAL PRINTED April REVISED December 12, 2011 PIC Rev 12/12/11 SAFETY, HEALTH AND ENVIRONMENTAL MANUAL TABLE OF CONTENTS PREFERRED INDUSTRIAL CONTRACTORS SECTION NUMBER TOPIC COMPANY STATEMENT , POLICY AND SAFETY DIRECTORY PAGE DRUG AND ALCOHOL ABUSE POLICY SAFETY, HEALTH AND EVIRONMENTAL OBJECTIVE ORGANIZATION AND RESPONSIBILITIES 11 PROCESS SAFETY MANAGEMENT 49 SAFETY ORIENTATION, EDUCATION AND TRAINING 53 RECORDS AND REPORTS 74 SAFE PROGRAM AND JOB SAFETY ANALYSIS 227 INCIDENT INVESTIGATION PROCEDURES 234 10 GENERAL SAFETY, HEALTH AND ENVIRONMENTAL RULES 256 11 FIRST AID AND MEDICAL 264 12 EMERGENCY ACTION PLAN 272 13 PERSONAL PROTECTIVE EQUIPMENT 277 14 CLOTHING REQUIREMENTS 304 15 HEALTH AND SANITATION 306 16 FIRE PROTECTION AND PREVENTION 311 17 HOUSEKEEPING AND CLEAN‐UP 326 18 MATERIAL HANDLING, STORAGE AND USE 331 19 FLAMMABLE AND COMBUSTIBLE LIQUIDS 337 20 TOOLS 347 21 SIGNS, SIGNALS AND BARRICADES 359 22 COMPETENT PERSON 362 6‐7 PIC Rev 12/12/11 PREFERRED INDUSTRIAL CONTRACTORS SECTION NUMBER TOPIC PAGE 23 EXCAVATION AND TRENCHING 371 24 SCAFFOLDING AND LADDERS 399 24.2 LADDERS 413 25 ELECTRICAL, LIGHTING AND HEATING 429 26 LOCKOUT / TAGOUT 435 27 TEMPORARY FLOORS, STAIRS, RAILINGS AND TOEBOARDS 451 28 MECHANICAL, VEHICLES, MOBILE EQUIPMENT AND CRANES 458 A APPENDIX – CRANE INSPECTION, MAINTENANCE, AND OPERATION MANUAL AERIAL LIFTS (BOOM AND SCISSOR LIFTS) 478 MOBILE‐ HYDRAULIC CRANES 515 FORKLIFTS 542 RESERVED – (BACKHOES/ FRONT END LOADERS) 593 RESERVED – (VEHICLES) 622 29 STELL ERECTION GENERAL REQUIREMENTS 643 30 RIGGING 650 31 WELDING AND CUTTING 666 32 CONCRETE AND MASONRY 677 33 DEMOLITION 681 34 CRAFT SAFETY RULES 685 35 INDUSTRIAL HYGIENE PROCEDURES 703 RESERVED – (COMMON OCCUPATIONAL HEALTH HAZARDS) PIC Rev 12/12/11 PREFERRED INDUSTRIAL CONTRACTORS SECTION NUMBER TOPIC PAGE HAZARD COMMUNICATION 703 CONFINED SPACE PROCEDURES 734 RESPIRATORY PROTECTION PROGRAM 777 BLOODBORNE PATHOGENS PROCEDURE 819 RESERVED – (ERGONOMICS PROCEDURE) HEARING CONSERVATION PROGRAM 827 LEAD CONTROL PLAN 845 BUTADIENE AWARENESS 867 10 RESERVED ‐ (INDUSTRIAL HYGIENE ACTION LEVELS AND CONTROLS) 11 RESERVED – (INDUSTRIAL HYGIENE SAMPLING PROCEDURE) 12 RESERVED – (INDUSTRIAL HYGIENE FORMS AND RECORDS) 13 RESERVED – (INDUSTRIAL HYGIENE EQUIPMENT ‐ MAINTENANCE AND CALIBRATION) 36 GENERAL EXPOSURE CONTROL PLAN FOR BENZENE 870 37 HYDROGEN SULFIDE (H2s) REQUIREMENTS 877 38 NATURALLY OCCURRING RADIOACTIVE MATERIAL (NORM) 881 40 GENERAL EXPOSURE CONTROL PLAN FOR HEXAVALENT CHROMIUM 886 41 HAZARDOUS WASTE OPERATIONS (HAZWOPER) 897 42 GENERAL EXPOSURE CONTROL PLAN FOR CADMIUM 964 43 HOT WORK ON CONTAINERS AND PIPING SYSTEMS 976 44 ENVIRONMENTAL PROTECTION PLAN 982 45 WORKING OVER OR NEAR WATER 989 46 LINE BREAKING/BLINDING AND EQUIPMENT OPENING PROCEDURES 994 47 TIE‐IN PROCEDURE 1000 48 INDEX OF SAFETY FORMS/HANDOUTS & MISC FORMS 1005 PIC Rev 12/12/11 PREFERRED INDUSTRIAL CONTRACTORS, INC COMPANY STATEMENT THIS MANUAL IS PROVIDED FOR THE USE OF THE MANAGEMENT AND EMPLOYEES OF PREFERRED INDUSTRIAL CONTRACTORS, INC AND ANY OF ITS OFFICES, DIVISIONS, SUB‐ DIVISIONS, PROJECTS, AND SPONSORED JOIN VENTURES ONLY IT IS NOT INTENDED FOR THE USE OF ANYONE OR ANY ENTITY OUTSIDE OF PREFERRED INDUSTRIAL CONTRACTORS, INC.’S OPERATIONS PREFERRED INDUSTRIAL CONTRACTORS, INC DOES NOT ASSUME NOR ACCEPT ANY LIABILITY OR RESPONSIBILITY FOR ANY USE OF THIS MANUAL OR ITS MATERIAL BY ANYONE OUTSIDE THIS SPHERE OF INFLUENCE PIC Rev 12/12/11 PREFERRED INDUSTRIAL CONTRACTORS, INC POLICY STATEMENT EMPLOYEES ARE OUR MOST IMPORTANT ASSET; THEIR SAFETY IS OUR GREATEST RESPONSIBILITY IT IS THE RESPONSIBILITY OF THE COMPANY TO MAKE EVERY EFFORT TO PROVIDE A SAFE WORKING ENVIRONMENT, TO ELIMINATE SAFETY HAZARDS AND TO PROVIDE ADEQUATE PPE AND SAFETY DEVICES FOR ALL OF OUR EMPLOYEES FURTHER, IT IS OUR GOAL TO CREATE A CULTURE OF SAFETY AWARENESS AMOUG OUR MANAGEMENT AND EMPLOYEES SO THAT EACH INDIVIDUAL UNDERSTANDS THAT HE / SHE HAS THE ULTIMATE RESPONSIBILITY TO WORK SAFELY UNSAFE WORK PRACTICES BY AN INDIVIDUAL CAN OFTEN LEAD TO ACCIDENTS EVEN IN A SAFE WORKING ENVIRONMENT IT IS OUR GOAL TO ELIMINATE BOTH UNSAFE WORK CONDITIONS AND UNSAFE WORK PRACTICES IT IS OUR RESPONSIBILITY TO: COMPLY WITH ALL FEDERAL, STATE, LOCAL REGULATIONS AND CLIENT RULES GOVERNING SAFETY ON OUR PROJECTS TAKE EXPEDIENT ACTION TO CORRECT UNSAFE CONDITIONS AND WORK PRACTICES PROMOTE SAFETY AWARENESS HOLD EACH MANAGEMENT PERSONNEL AND EMPLOYEE ACCOUNTABLE FOR HIS/ HER INDIVIDUAL RESPONSIBILITY FOR SAFETY ENCOURAGE OUR EMPLOYEES TO INFORM THEIR SUPERVISOR IMMEDIATELY WHEN UNSAFE CONDITIONS ARE PRESENT WITHOUT FEAR OR REPRISAL PROVIDE THE TRAINING TO SUPPORT THE ACCIDENT REDUCING TECHNIQUES NECESSARY IN IMPLEMENTING OUR RESPONSIBILITIES EVERY REASONABLE EFFORT WILL BE TAKEN TO ASSURE THAT THE EMPLOYEES CAN ACCOMPLISH THE SAFE COMPLETION OF ASSIGNED TASKS NO TASK IS SO IMPORTANT, OR SO URGENT, THAT WE CANNOT TAKE THE TIME TO DO IT SAFELY DIRECTOR AND OWNER PIC Rev 12/12/11 2.0 DRUG AND ALCOHOL ABUSE POLICY The Company prohibits the use, possession, or distribution on its premises, facilities, or work places any of the following: alcoholic beverages, intoxicants and narcotics, illegal or unauthorized drugs (including marijuana), “look alike” (simulated) drugs, drug related paraphernalia, inhalants, firearms and unauthorized explosives Company employees must not report for work under the influence of any drug, alcoholic beverage, intoxicant, or narcotic or other substance (including legally prescribed drugs or medicines) which will in any way adversely affect their working ability, alertness, coordination, response, or adversely affect the safety of others on the job All applicants for employment and employees of Preferred Industrial Contractors, Inc may, as a condition of employment or continued employment, be required to submit to a drug and/or alcohol screening test at the discretion of the company, (allowing random, post‐accident, and “for cause” testing) Entry into, or presence on company premises, facility or work place by any person is conditioned by the company’s right to search the person, personal effects, vehicles, lockers and baggage of any employee or other entrant for any substance described in the above paragraph By entering into or being present on Company premises, facility or workplace, any person is deemed to have consented to such searches which may include periodic and unannounced searches of anyone while on, entering or leaving Company premises, facility or workplace The searches may include the use of electronic detection devices, scent trained dogs, or the taking of blood, urine or salvia samples for testing to determine the presence of substances named above The taking of blood, urine, or salvia samples for testing may also be required from any person on Company premises, facility, or workplace who is suspected of being under the influence of drugs or alcohol, or who is involved in an accident or is injured in the course of employment This program is designed to notify, identify, and provide penalties for those employees and applicants who by their possession, use, or sale of an illegal drug or alcohol, or who is involved in an accident or is injured in the course of employment Any person who refuses to submit to a search, screening or testing as described in this policy or who is found using, possessing or distributing any of the substances described above, or who is found under the influence of any such substances, is subject to disciplinary action up to and including immediate discharge of an employee, voluntary withdrawal of employment application, or removal from the premises, if not our employee PIC Rev 12/12/11 3.0 SAFETY, HEALTH AND ENVIROMENTAL OBJECTIVE 3.1 Purpose A To eliminate injuries in order to achieve zero injury status for all our employees To promote maximum efficiency, in order to affect savings by the reduction of business interruptions due to accidents To provide direction and coordination of a program which will be in compliance with established industry practices, OSHA, MSHA, state and owner safety and health standards 3.2 Methods of Obtaining Objective A Plan all work, first at the project level, then, at the task level, to eliminate personal injury, property damage and loss of productive time B Maintain a system for prompt detection and correction of faulty procedures, unsafe practices and conditions C Make available and requiring the use of approved personal protective equipment and mechanical guards D Establish an effective system of tool and equipment inspection and maintenance E Establish an educational program to maintain interest and cooperation of all levels of employment through: Safety orientation and training Investigation of all accidents and incidents to determine cause and to take necessary corrective action Safety meetings and craft training held at regular intervals Enforcement of safety requirements on all operations Use of bulletins, posters and other similar materials to stress safety and provide relevant information Solicit safety suggestions from employees Adherence to the Company’s Drug and Alcohol Abuse Policy Provide monetary incentive to all employees to achieve safety goals PIC Rev 12/12/11 10 PIC Rev 12/12/11 1013 6.0 Fall Arrest Systems A Employees working over any operating machinery, open spaces, hazardous substances, unguarded heights, steep slopes or otherwise subjected to falls feet or greater and not protected by fixed scaffolding, guard rails or safety nets shall be secured with a safety harness, a shock absorbent lanyard and/or lifeline B Safety/Body harness means a design of straps which may be secured about the employee in a manner to distribute the fall arresting forces over at least the thighs, pelvis, waist, chest, and shoulders with means for attaching it to other components of a personal fall arrest system C A personal fall arrest system is designed to arrest an employee in a fall from a working level It consists of an anchorage, connectors, and a body harness and will include a shock absorbent lanyard with double locking snap hooks, deceleration device, lifeline, or suitable combination of these D All personnel will be required to wear an approved full body harness with a twin shock absorbing lanyard when working or traveling at elevations where a fall exposure exist E Safety harnesses, lanyards and lifelines shall be used only for safeguarding employees and for no other purposes F Safety belts shall be used only as part of an employee work positioning system and shall no longer be used for fall protection G Safety harnesses, lanyards, and lifelines shall be inspected and maintained in safe condition Prior to use, they shall be visually inspected for any signs of damage or deterioration such as wear, fraying, cuts, tears, or damage caused by heat (melting, charring, burning) Safety harnesses shall be inspected also for stitch failures in fabric or worn, cracked, or deformed buckle and D‐rings Lanyards found to have one or more damaged areas which exceed 25 by 25 by 03 inch deep, or eight or more damage areas which exceed 20 by 20 by 01 inch deep, and any other fall protection equipment which is found to be damaged, shall be removed from service Defective equipment shall be removed from service and repaired or destroyed Must meet ANSI/ASTM standards H Any safety harness, lanyard, or lifeline, subjected to in‐service loading as a result of a fall shall be removed from service I Lifelines, lanyards and safety straps shall be free of knots or splices except at the terminals J Lifelines, lanyards and safety straps shall be so arranged that the worker cannot free fall more than six feet or contact any lower level 1014 K All Personal Fall Arrest Systems, Subsystems and Components shall meet the safety standard requirements of ANSI Z359.1‐2007 L All safety harness and lanyard hardware, except rivets, shall be capable of withstanding a tensile loading of 5,400 pounds without cracking, breaking, or making a permanent deformation M Employees shall be provided with and be required to use an approved safety harness, adjusted to the correct size to properly fit them N The safety harness shall be attached by means of a lanyard with double locking snap hooks to either a fixed anchor or a lifeline O Persons tying reinforced steel over feet above the ground or surface shall wear safety harnesses equipped with appropriate closed type hooks or snaps Positioning lanyards shall be attached to the d‐rings located at the waist belt location and be supported by an appropriate work belt Positioning lanyards need not be of shock absorbing type and must not be used for fall protection The positioning lanyard must always be backed up by a properly secured shock absorbing fall protection lanyard P Each employee will wear a safety harness with a lanyard secured to a separate vertical lifeline while working from swing scaffolds, bos’n chairs or other suspended platforms where a falling hazard is present Q Where the employee must be lifted through a manhole or other opening of such size as to necessitate lifting him in a vertical attitude, that worker shall wear a harness, which will permit lifting him in such a manner A waist‐harness alone is not acceptable for this purpose 7.0 Lanyards A “Lanyard” means a rope or strap, suitable for supporting one person One end is fastened to a safety harness and the other end is secured to an approved attachment point or a safety line B Lanyards must be of the shock absorbing, double locking snap type when used for fall protection C The fall protection lanyard shall be attached to the d‐ring located in the middle back of the safety harness D The safety harness lanyard will have a maximum length to provide a fall of no greater than feet To provide 100% fall protection, in most cases, requires the use of a “double lanyard” system E When tools are used which are likely to sever, abrade or burn the nylon lanyard or lifeline protective covers or wire rope lanyard systems must be used to prevent damage F Lanyard connectors (snap hooks and carabineers) are designed to be used only as specified by manufacturer’s recommendations Examples of inappropriate connections include; Two snap hooks connected to a single D‐ring A manner that would result in a load on the gate Two snap hooks connected to each other Snap hooks are not to be connected back to the lanyard (unless the manufacturer’s instructions for both the lanyard and connector specifically allow such a connection) To any non‐compatible object which is shaped or dimensioned such that the snap hook or carabineer will not close and lock, or that rollout could occur 1015 G Large throat opening snap hooks should not be connected to standard size D‐rings or similar objects which will result in a load on the gate if the hook or D‐ring twists or rotates unless specifically designed for that use by the manufacturer Large throat snap hooks are generally designed for use on fixed structural elements such as rebar or cross members such as tube and clamp or system scaffolding that are not shaped in a way that can capture the gate of the hook 8.0 Lifelines A A lifeline is a component consisting of a flexible line for connection to an anchorage point at one end to hang vertically (vertical lifeline), or for connection to anchorages at both ends to stretch horizontally (horizontal lifeline), and which serves as a means for connecting a lanyard or safety harness to the anchorage Lifelines must be capable of supporting at least 5400 pounds B Secure attachment points shall be used and each shall be visually inspected for damage or deterioration immediately prior to use Any visual damage or deterioration will be considered adequate reason for replacement or repair of the questionable attachment point C Each employee must have a separate lifeline when the lifeline is vertical, such as when working from suspended scaffolds, bos’n chairs or other suspended work platforms where a falling hazard is present, or when required to work on stored materials in silos, hoppers, tanks and similar storage D The design of systems using horizontal lifelines must be done by a qualified person E Extreme care should be taken in considering a horizontal lifeline for multiple tie‐offs Horizontal lifeline and anchorages strength should be increased for each additional employee to be tied‐ off F Lifelines used shall be of sufficient length to reach the bottom of the potential drops and fastened to approved attachment points located above the personnel being protected G Thimbles shall be installed to protect ropes from chaffing at points of connection to eyes, rings and snaps H Lifelines shall be secured above the point of operation to an anchorage or structural member capable of supporting a minimum dead weight of 5,400 pounds I Lifelines used in areas where the lifeline may be subjected to cutting or abrasion, shall be a minimum of 7/8‐inch wire core manila rope For all other lifeline applications, a minimum of 3/4‐inch manila or equivalent, with a minimum breaking strength of 5,400 pounds, shall be used J When a worker is employed under circumstances where he/she might become entrapped by material, or be overcome by any other cause, he/she shall wear a safety harness attached to a lifeline or other device, attended by another person who shall be stationed, equipped and capable of immediately affecting a rescue 9.0 Safety Nets A Safety nets shall be provided when work places are more than 25 feet above the ground, water or other surfaces where the use of ladders, scaffolds, platforms, or safety belts and lifelines are impractical B Nets shall be inspected daily for damage from abrasion, chemicals or heat and repairs shall be made before work above the net is resumed C Nets shall extend feet beyond the edge of the work surfaces where employees are exposed and shall be no more than 25 feet below the work surfaces D Maximum mesh of nets shall be inches by inches 1016 E Where public traffic, pedestrians or other workmen are required to be under a work area, safety nets or other suitable protection devices or structures such as enclosed walkways shall be used Nets should be lined with material having a maximum mesh of inch by inch out of 22‐gauge wire or no 18 synthetic twine F The net suspension shall be designed and constructed with at least a safety factor of four and as a minimum shall withstand the test loading without permitting contact between the net and any surface or object below the net G Forged steel safety hooks or shackles shall be used to fasten the net to its supports H Connections between net panels shall develop the full strength of the net 10.0 Training – Fall Protection A A training program shall be provided for each employee who might be exposed to fall hazards The program shall enable each employee to recognize the hazards of falling and shall train each employee in the procedures to be followed in order to minimize these hazards B The Corporate SH&E Department is responsible for the training development and also ensure that each Project Superintendent is trained as the competent person The Project Superintendent will conduct the fall protection training on the project unless there is a full time SH&E Supervisor assigned C Employees will be re‐trained if work conditions change or if the training program has been revised D Each employee must be trained by a competent person qualified in the following areas: The nature of fall hazards in the work area The correct procedures for erecting, maintaining, disassembling, and inspecting the fall protection systems to be used The use and operation of guardrail systems, personal fall arrest systems, safety net systems, warning line systems, safety monitoring systems, controlled access zones and other protection to be used The role of each employee in the safety monitoring system when this system is used The limitations on the use of mechanical equipment during the performance of roofing work on low‐sloped roofs The correct procedures for the handling and storage of equipment and materials and erection of overhead protection The role of employees in fall protection plans E Preferred Industrial Contractors, Inc will maintain a copy of the latest written certification records of fall protection training containing the name of the employees trained, the date(s) of the training, and the signature of the person who conducted the training If the training was conducted by another employer, the certification record shall indicate the date it was determined the prior training was adequate F Preferred Industrial Contractors, Inc will perform re‐training when any of the following are noted: Changes in the workplace render previous training obsolete Changes in the types of fall protection systems or equipment to be used render previous training obsolete Inadequacies in an affected employee's knowledge or use of fall protection systems or equipment indicate that the employee has not retained the requisite understanding or skill 1017 11.0 Schedule Of Inspections A It is the responsibility of the USER to inspect his safety equipment daily before each use, regardless of ownership B Quarterly inspections are to be performed and documented by a qualified person using the criteria listed in this program or other recognized procedures, which will ensure the integrity of, fall protection systems in use C ANY EQUIPMENT FOUND TO BE DEFECTIVE SHALL BE REMOVED FROM SERVICE! DEFECTIVE EQUIPMENT IS TO BE REMOVED FROM THE PROJECT SITE AND DESTROYED! 12.0 In Service Testing A Safety harnesses, lanyards, lifelines or other components of an in service fall arresting system (FAS) are not to be tested Any tests performed to prove whether the system can take the maximum impact loading are to be considered as destructive tests, and the components tested are to be considered unsafe for further use and must be destroyed Components of a fall arresting system, which have been subjected to an actual fall impact, are to be destroyed to prevent reuse Retractable lanyards subjected to actual fall impacts are to be tested and re‐certified by the manufacturer 13.0 Cleaning A Clean synthetic rope and webbing by removing dust, dirt, and other foreign matter with a damp sponge Then with a mild solution of commercial soap and warm water, work up to a thick lather with a vigorous back and forth motion Wipe dry with a clean cloth and hang to dry, but away from excessive heat 10 1018 SAF-24.0-1 FALL PROTECTION PLAN Ltoion of Wol'k; Job Desn:iption; IDate: _j _j l Identify aD faD h:uards fl or more in the work area: 0 0 _j Leading Edg.e Perimeter Edge Scaffold Erection/Disassemble Other(descme): Identify Method off all Protection: Full Body Harness Srock Absorbing Lanyan:i Horizontal Lifeline Verticallifeline Other Dueribe: _ j Stairways Ladders Exx:avation Wall Opening Floor Opening Steel Erection GuaxdRails Banicades f WarningLines 6'From Edge Platforms f Aerial Lifts Baniers f Covers Walls f Fences Perimeter Cables Safety Nets Roof Permit J riD beethe procedures for assembly, maintenance, and disassembly of fallprotection systems to be UJed: s 11 1019 FALL PROTECTION PLAN (CONT’D) 12 1020 FALL PROTECTION PLAN 13 1021 / / 46' 4" ' 46• I 44• I 42' I 40' f-!- 36' 34' 32' 28' I 20' 14' 12' 10' 8' 6' 10" I I 22' (' v._ I -1 'x / "'- v I 24' ' / "" ' / / r " / / / I / / 1'\ - 1\ 30° .-\ \ \ \ -rr- r\ w w wwww RADIUS IN FEET FROM / v / [\_· lY /1\'\ // V 1-\ II / / i\ , I I/ II/ L - l-L -I' > 45° I I / N - , 'I 26' "- , I I 30' 16' I t7 r I I 38' 18' CRANE CAPACITY CHART IC-80.;3F !' ,60° ., I '-"" I \ 15' \ ft R_OTATION w w M - TO LOAD USE TWO PART 41 LOADUNE FOR LOADS TO 18000 LBS (WT 124LBS.) 1022 / , 1023 IC-80-3F CAPACITIS$_APPLY TO GPERATION QN FIRM LJ;VB SU.RFACE ,MAIN BOO M OR EXTENSIO N CAPA'Ci.tiES IN POUNDS LOAD OVER FRONT 3.60° ROTATION RADIUS ON OUTRIGGERS FEET ON RUBBER ON OUTRIGGERS ON RUB ER - ::?: 0 Cl z - < w ::?: 10 12 14 16 18 20 22 24 26 28 30 32 34 : 36 38 40 0 BOOM Cl ANGLE b 10 *f () t15 t3{) 9400 7550 5250 3600 26-sp2050 16bo 125.0 1050 850 750 650 55.0 450 350 250 200 150 100 17000 14000 10000 11400 10000 8-100 6100 T76o 6100 5200 4.400 365Ci 3.050 2650 2300 2050 1850 1650 1550 1400 1250 1100 1000 18000 140DO 10000 7'760 445'0 610 5200 :3400 4460 27:QG 2200 1800 1550 1.3'$0 1150 1000 39.00 34bo 3d50 2800 _·· 2550 2:3.50 215.0 ' 19/)0 9oo - 750 65b 550 450 400 !BOO : 165_0 1500 1400 10-FOOT B_O_OM E;>.CTi;:NSIQ- TRAIGHT OR OFFSET MAIN BOOM ANGLE () 2250 - 3{) 2.600 2400 2250 45 3200 2700 2500 60" 5000 3500 3000 7() 7000 4200 3300 • USE o· FOR STRAIGHT,BOOM EXTENSION • t USE {), 15" OR 3{) FOR OFFSET BOOM EXTENSION BOOM EXTENSION LOADS MUST NOT EXCEED MAIN BOOM CAPACITY 1024 48.0 Index of Safety Forms / Handouts and Miscellaneous Forms TABLE OF CONTENTS 1.0 Section 04 04.0 ‐ Organization and Responsibilities SAF‐04‐1 – Project Safety, Health and Environmental Program Checklist SAF‐04‐2 – Safety, Health, and Environmental Guidelines SAF‐04‐3 – Rules of Conduct 2.0 Section 06 06.0‐1 – Safety Orientation, Education, and Training SAF‐06.0‐1 – New Hire Safety and Health Knowledge Questionnaire SAF‐06.0‐2 – Weekly Safety Training Meeting 3.0 Section 08 08.0 ‐ Job Safety Analysis (JSA) Job Safety Analysis Safety Awareness For Employees Instruction 4.0 Section 09 09.0 – Accident / Incident Investigation Procedures SAF‐09.0‐1 – Accident Investigation Worksheet SAF‐09.0‐2 – Checklist SAF‐09.0‐3 – Witness Statement (Supervisory Instructions) SAF‐09.0‐4 – Photo Evidence Sheet SAF‐09.0‐5 – Accident Participant’s Log SAF‐09.0‐6 – Accident Investigation Narrative Report 5.0 Section 10 10.0 – General Safety, Health, and Environmental Rules SAF‐10.0‐1 – Mandatory Safety, Health and Environmental Rules 6.0 Section 11 11.0 – First Aid and Medical Training SAF‐11.0‐1 – Daily first Aid Treatment Record 7.0 Section 13 13.0 – Personal Protective Equipment SAF‐13.0‐1 – Personal Protective Equipment Quiz and Answers 8.0 Section 14 14.0 – Pre‐Job Safety Plans SAF‐14.0‐1 – Job Safety Analysis (JSA) 9.0 Section 17 17.0 – Housekeeping and Cleanup Housekeeping Inspection 10.0 Section 23 23.0 ‐ Excavation And Trenching Daily Excavation Permit Digging And Drilling Permit Excavation And Trench Safety Checklist 1025 Section 24 A 24.0 – Fall Control – Protection and Prevention SAF‐24.0‐1 – Fall Protection Work Plan B 24.1 – Scaffolds SAF‐24.1‐1 – Scaffold Safety Checklist SAF‐24.1‐2 – Examples of Tags SAF‐24.1‐3 – Examples of Scaffolds C 24.2 – Ladders SAF‐24.2‐1 – Ladder Training SAF‐24.2‐2 – Ladder Questionnaire 10.0 Section 26 26.0 – Energy Isolation – Lock / Tag / Verify Procedure SAF‐26.0‐1 – Lockout/Tagout/Verify Permit to Work SAF‐26.0‐2 – Lock and Tag Removal Form 11.0 Section 28.0 28.0 Mechanical – Vehicles, Equipment and Cranes Compactors – Operating, Instructions, Report Dump Trucks – Operating, Instructions, Report Equipment Operator’s Proficiency Qualification Excavator – Operating, Instructions, Report Fuel Truck ‐ Operating, Instructions, Report Operators Safety Checklist Random Safety Inspection Water Truck – Operating, Instructions, Report 12.0 Section 28.1 A 28.1 – Aerial Lifts (Boom and Scissor Lifts) SAF‐28.1‐1 – Boom Lift Test SAF‐28.1‐2 – Boom Lift Operator Observational Checklist SAF‐28.1‐3 – Scissor Lift Test SAF‐28.1‐4 – Scissor Lift Operator Observational Checklist SAF‐28.1‐5 – Operators Safety Checklist (Sample) SAF‐28.1‐6 – Hazard Assessment for Boom Lifts and Scissor Lifts B 28.2 – Mobile Hydraulic Cranes SAF‐28.2‐1 – Mobile Crane Questionnaire SAF‐28.2‐2 – Crane Operator Physical Observational Checklist SAF‐28.2‐3 – Crane Operation Analysis SAF‐28.2‐4 – Conventional Crane Periodic Safety Inspection SAF‐28.2‐5 – Cranes – Operating, Instructions, Report SAF‐28.2‐6 – Critical / Multiple Lift Plan SAF‐28.2‐7 – Dresser 15A Test SAF‐28.2‐8 – Hydraulic Crane Periodic Safety Inspection SAF‐28.2‐9 – Operator Qualification Checklist 10 SAF‐28.2‐10 – Suspended Personnel Platform Approval Form 11 SAF‐28.2‐11 – Suspended Personnel Platform Inspection Report 12 SAF‐28.2‐12 – Wire Rope Inspection Report 1026 C 28.3 – Crane Inspection, Maintenance and Operation Manual SAF‐28.3‐1 – Sample Load Chart For Crane SAF‐28.3‐2 – Hand Signal Chart SAF‐28.3‐3 – Required Clearance for High Voltage Lines SAF‐28.3‐4 – Sling Angle Requirements SAF‐28.3‐5 – Suspended Personnel Basket Inspection Report SAF‐28.3‐6 – Personnel Basket Approval Form D 28.4 – Forklifts (Industrial Trucks) SAF‐28.4‐1 – Forklift Test and Answers SAF‐28.4‐2 – Forklift Operator Observational Checklist SAF‐28.1‐5 ‐ Operator’s Safety Checklist E 28.5 – Backhoes / Front End Loaders SAF‐28.5‐1 – Loader / Backhoe Training Learning Experience SAF‐28.5‐2 – Backhoe Operator Observational Checklist SAF‐28.5‐3 – Skid Loader Test 13.0 Section 30 30.0 – Slings and Rigging SAF‐30.0‐1 – Effect of Angle SAF‐30.0‐2 – Proper Use of Cribbing SAF‐30.0‐3 – Good and Bad Rigging Practices 14.0 Section 31 31.0 – Welding and Cutting SAF‐31.0‐1 – Welding/Burning – Hot Work Permit 15.0 Section 35 A 35.2 – Hazard Communication Program SAF‐35.2‐1 – List of Potentially Hazardous Substances, Which May Be found on Construction Projects SAF‐35.2‐2 – Sample Hazard Labels SAF‐35.2‐3 – Sample MSDS Letter Request SAF‐35.2‐4 – Hazard Communication Employee Training Program SAF‐35.2‐5 – Terms Commonly Found on the MSDS SAF‐35.2‐6 – Hazard Communication Training Certificate SAF‐35.2‐7 – Hazard Communication Program (Cover Sheet) SAF‐35.2‐8 – Chemical Inventory and MSDS Log B 35.3 – Confined Space Procedures SAF‐35.3‐1 – Type of Confined Space – Decision Flow Chart SAF‐35.3‐2 – Permit Required – Confined Space Flow Chart SAF‐35.3‐3 – Non‐Permit Required Confined Space Work Form SAF‐35.3‐4 – Alternate Entry Confined Space Work Form SAF‐35.3‐5 – Confined Space Entry Permit SAF‐35.3‐6 – Permit – Required Confined Space Quiz and Answers SAF‐35.3‐7 – Acknowledgment of Permit Required Confined Space Training C 35.4 – Respiratory Protection Procedures SAF‐35.4‐1 – Respiratory Selection For Routine Use of Respirators SAF‐35.4‐2 – Physician’s Release Statement SAF‐35.4‐3 – Respirator Training Record 1027 SAF‐35.4‐4 – Training For Person Issuing Respirators SAF‐35.4‐5 – Training Record For Supervisors of Respirator Instruction SAF‐35.4‐6 – Respiratory Protection Qualification Sheet SAF‐35.4‐7 – Respirator Selection Worksheet SAF‐35.4‐8 – Respirator Inspection, Cleaning, Maintenance, and Storage Checklist SAF‐35.4‐9 – Respiratory Protection Training 10 SAF‐35.4‐10 – Respirator Protection Indoctrination and Training 11 SAF‐35.4‐11 – Respiratory Protection Procedure Evaluation Guide 12 SAF‐35.4‐12 – Procedures For Qualitative Respirator Fit Testing with Irritant Smoke 13 SAF‐35.4‐13 – Company Approved Respirators D 35.5 – Bloodborne Pathogens Procedures SAF‐35.5‐1 – Declination Statement E 35.7 – Hearing Conservation Program SAF‐35.7‐1 ‐ Hearing Conservation Program Training Certificate SAF‐35.7‐2 – Hearing Conservation Program Information Sheet SAF‐35.7‐3 – Permissible Noise Exposure SAF‐35.7‐4 – Conversion From “Percent Noise Exposure” or “Dose” to “Eight‐ Hour” Time Weighted Sound Level (TWA) SAF‐35.7‐5 – Audiometric Testing Program F 35.8 – General Exposure Control Plan for Lead In Construction SAF‐35.8‐1 – Respiratory Protection For Lead Exposures SAF‐35.8‐2 – General Lead Compliance Program Outline for Job Location or Project SAF‐35.8‐3 – Lead Exposure Control Plan SAF‐35.8‐4 – Lead Compliance Plan 16.0 Section 47 47.0 – Tie‐In Procedure SAF‐47.0‐1 – Tie In Permit 17.0 Section 48 48.0 – Miscellaneous Forms SAF‐48.0‐1 – Material Gate Pass SAF‐48.0‐2 – Medical and Work Questionnaire SAF‐48.0‐3 – MSHA Certificate of Training (Sample) SAF‐48.0‐4 – Post Task Review SAF‐48.0‐5 – Safety Inspection Log SAF‐48.0‐6 – Preferred Industrial Contractors, Inc Safety Meeting Report SAF‐48.0‐7 – Safety Self‐Assessment Program SAF‐48.0‐8 – Subcontractor’s Safety Violation Notice Disciplinary Procedure SAF‐.01‐1 – Violation of Safe Practice Fall Protection SAF‐24.0‐1 ‐ Fall Protection Plan Additional Crane Test IC-80-3F CRANE OPERATOR TEST, CAPACITY CHARTS and HAND SIGNALS PIC REV 02/06/2012