Ghilotti Construction Company Foreman Procedure Manual – Table of Contents 1. Quick Reference Materials 12. IIPP 1.1 Alternate Emergency Phone Numbers 12.1 Injury and Illness Prevention Program 1.2 Crisis Management – Field Response 12.2 Subcontractor Safety Compliance 1.3 Drug Testing Facilities 1.4 Designated Medical Facilities 13. Hazard Communication Program 1.5 Public Works & Utility Contact Numbers 14. Emergency Action Plan 2. Foreman Duties 15. Substance Abuse Policy Summary 3. Dispatch Procedures 16. Code of Safe Practices 4. Scheduling 4.1 Completed Schedule (Sample) 4.2 Scheduling Procedures FORMS & CHECKLISTS: • Supervisor’s Report of Injury – WC 5. Time Sheet Procedure 5.1 Completed Time Sheet (Sample) • Incident Report Form – P&C 5.2 Procedures/General Information • Damaged Utility – Claim Form • Employee Incident Report Form 6. Equipment and Vehicles • New Job Site – Safety Review Checklist 6.1 Equipment Procedures • Safety Provisions Checklist (Order Form) 6.2 Vehicle Use Policy 6.3 Equipment Rollovers/Accidents • Vehicle/Equipment Inspection Checklist • Vehicle/Equipment Safety Log 7. Property & Casualty Incidents • Trenching/Excavation Checklist 7.1 Incident Reporting Procedures 7.2 Accident Investigation Guidelines 7.3 Incident Reporting Form (Sample) 7.4 Damaged Utilities – Claims Procedures 8. Workers’ Compensation Incidents 8.1 Injury Reporting Procedures 8.2 Work-Related Injuries (Guidelines) 8.3 Cal/OSHA Injury Reporting 8.4 Supervisor’s Report of Injury (Sample) 9. Trenching/Competent Person 9.1 Trenching/Excavation Operations 9.2 Competent Person 10. Underground Services/USA Marking 10.1 Underground Service Marking Policy 10.2 Utility Delineation & Excavation Guidelines 11. Safety Policies & Procedures 11.1 Policies & Procedures (Web Access) 11.2 CalOSHA Site Visits 11.3 Contaminated Projects 11.4 Daily Hazard Inspections 11.5 Documenting Safety Violations 11.6 First-Aid Kit Policy 11.7 Non-Harassment Field Policy 11.8 Disciplinary Policy Statement 11.9 Tailgate Meetings & Posting Notices 11.10 Supervising Field Personnel 11.11 Pre-Job Safety Planning 11.12 Conducting Effective Safety Meetings 11.13 New-Hire Field Orientation Guidelines TOC_092506 Foreman Procedure Manual – Table of Contents Ghilotti Construction Company Alternate Emergency Phone Numbers IMPORTANT: The following alternate emergency phone numbers replace the use of “911” when calling from a cell phone. These numbers should be used for emergencies only. Prior to beginning operations in an applicable area, it is recommended that you program the number in your cell phone for easy dialing. If you are working in an area not listed below, contact the local police department and ask for the “seven-digit emergency line.” For general inquiries and routine reports, contact the police department’s main number (call information). Alameda (510) 337-2100 Napa (707) 253-0911 Alameda County (510) 667-7721 Novato (415) 897-1122 Albany (510) 525-7300 Oakland (510) 444-1616 American Canyon (707) 253-4451 Palo Alto (650) 321-2231 Antioch (925) 757-1313 Petaluma (707) 762-2727 Belvedere (415) 435-3838 Pittsburg (925) 933-1313 Benecia (707) 745-2424 Pleasanton (925) 838-6691 Berkeley (510) 642-3333 Redwood City (650) 368-1421 Campbell (408) 378-8161 Richmond (510) 223-4422 Cloverdale (707) 894-2525 Rio Vista (707) 374-2300 Concord (925) 933-1313 Rohnert Park (707) 584-2611 Contra Costa County (925) 933-1313 Ross (415) 453-2727 Cotati (707) 792-4611 Sacramento (916) 228-3000 Cupertino (408) 299-3144 San Anselmo (415) 258-4610 Dixon (707) 678-7080 San Carlos (650) 592-2222 Dublin (925) 447-4257 San Francisco (415) 861-8020 East Palo Alto (650) 321-1112 San Francisco (South) (650) 873-3333 Emeryville (510) 596-3737 San Jose (408) 277-8991 Fairfax (415) 453-5330 San Leandro (510) 618-3490 Fairfield (707) 428-7300 San Martin (408) 277-8911 Foster City (650) 368-1421 San Mateo County (650) 368-1421 Fremont (510) 793-3434 San Pablo (510) 223-4422 Gilroy (408) 546-0400 San Rafael (415) 485-3393 Healdsburg (707) 431-3366 Santa Clara (408) 299-3144 Los Altos (650) 948-8222 Santa Rosa (707) 576-1365 Los Altos Hills (650) 299-3233 Saratoga (408) 299-3233 Los Gatos (408) 354-8600 Sausalito (415) 485-3000 Marin County (415) 482-0911 Suisun (707) 421-6622 Menlo Park (650) 325-4424 Sunnyvale (408) 736-6244 Mill Valley (415) 389-4100 Tiburon (415) 789-2801 Millbrae (650) 697-1212 Union City (510) 471-1441 Milpitas (408) 998-7214 Vacaville (707) 449-5452 Monte Sereno (408) 354-8600 Vallejo (707) 552-3285 Morgan Hill (408) 299-3144 Windsor (707) 565-2121 Mountain View (650) 903-6395 Alternate_Emergency_Phone_Numbers_0807 Foreman Procedure Manual – Section 1.1 Ghilotti Construction Company Crisis Management – Field Response In the event of a major crisis or incident, the following guidelines are established to assist field personnel who are the first individuals on the scene. The first, and most important, action to be taken is to remain calm, and then take the following steps necessary to provide for the protection of life and property: Checklist: Call 911 and request the applicable emergency services needed. If anyone is injured, and you are trained and certified, administer First Aid. Secure the site. Your Leadman should assist with securing the job site and directing all field personnel to the designated area (away from the media). Contact the following individuals (order of contact): Brian Ongaro, Senior VP of Operations (707) 953-9624 1 Julie Thornton, Claims & Safety Director (707) 480-4812 2 Area Superintendents Jess Todd (707) 953-2843 Nick Basich (707) 953-4236 Ralph Ardito (707) 953.9602 Instruct all field personnel to refrain from talking to the Media. If questioned by legitimate authorities (Police, Fire, OSHA, etc.), they should cooperate, but keep their answers confined to the facts known. If approached by the media, you may stress the following (example wording): “We are working to get the situation under control and can not respond to any questions at this time.” “The company designated spokesperson will be able to respond to any questions, after the situation is secured and the facts are gathered.” NEVER release the name(s) of injured individuals to the Media. As with all incidents, take pictures and obtain names and contact information on witnesses and involved parties. Document all relevant details to include responding authorities. 1 The Claims & Safety Director will be responsible for contacting the Equipment Manager and CalOSHA, as applicable 2 The Area Superintendent will be responsible for contacting the Project Manager Crisis_Management_Field_Response_073106 Foreman Procedure Manual – Section 1.2 Ghilotti Construction Company Drug Testing Facilities GCC REQUIRES POST-ACCIDENT DRUG TESTING ON ALL EMPLOYEES. If the employee is at- fault, or liability is questionable, drug testing is mandatory. Please contact Julie at (707) 480-4812 to advise location of testing facility. IMPORTANT NOTE: When directing the employee to a facility for testing, if there is 1 reasonable suspicion that the employee may be intoxicated and or under the influence of a substance, the employee should not be permitted to drive (provide transportation, as appropriate). Preferred locations for post-accident drug testing (please call ahead for directions): Concentra Medical Centers (8am to 5pm) Rohnert Park – 6174 State Farm Drive (707) 586-4320 Richmond – 2970 Hilltop Mall Road, Ste 203 (510) 222-8000 Oakland – 384 Embarcadero West (510) 465-9565 ADTS – Rohnert Park (707) 588-1234 ADTS – Ukiah (707) 463-1230 Kaiser Occupational Centers San Rafael – 99 Montecillo Road (415) 444-2900 Vacaville – 3700 Vaca Valley Pwky (707) 453-5515 Petaluma – 3900 Lakeville Hwy (707) 765-3940 ON-SITE (Drug) Testing/Post-Accident (707) 588-1234 (OPTIONAL) Foremen: Contact Julie Thornton or the Job Superintendent before scheduling ON-SITE to perform the drug test. Not all locations can be accommodated due to distance and or time of day. 1. Contact ON-SITE Medical Testing @ (800) 564-9152 2. Upon arrival, the examiner will “dry room” the facility (blue room) 3. The Foreman/Superintendent will notify the employee to conduct testing 4. The examiner administers the collection. Using a Rapid Drug Screen device, results will be acquired within 10 minutes. If the test is NEGATIVE, the results are recorded on a test form and the employee is released. The employee should report to the Foreman/Superintendent with the negative test result. 5. If a negative result is not provided to the employee, the examiner will leave with the specimen for continued processing and confirmation to be provided to GCC designated personnel. 6. Employees that do not receive a confirmed-negative result when the test is performed will not be permitted to continue working. • Employees should be advised by the Foreman/Superintendent: “Until a negative test result is provided, they will not be permitted to work.” • Employees should arrange to be picked-up from the job site, or taken home if necessary. • Employees will be paid based on union requirements, for the day work was performed. • If a negative test result is confirmed by the Medical Review Officer and the employee had not been permitted to work, the employee will be entitled to full pay for the days missed. • If the test is determined to be positive, the employee is not entitled to be paid for the missed time (except for the day the accident occurred), and the appropriate process for addressing positive test results will be initiated. 1 Reasonable suspicion means suspicion based on specific personal observations that the employer representative can describe concerning the appearance, behavior, speech, or the breath odor of the employee (where the odor is detected in addition to appearance, behavior, or speech). Suspicion is not reasonable, and thus not a basis for testing, if it is based solely on the observations and reports of third parties. Drug_Testing_Facilities_073106 Foreman Procedure Manual – Section 1.3 Ghilotti Construction Company Designated Medical Facilities (Non 911 Injuries) GCC uses designated medical facilities for the treatment of work-related injuries. Employees are provided with written information regarding their rights under workers’ compensation laws at the time of hire. In the event an injury occurs, employees are required to immediately notify management or the lead supervisor. Note: When choosing the facility, take into consideration type of injury and where employee lives. Preferred Designated Medical Facilities Concentra Medical Center (Rohnert Park) 6174 State Farm Drive Rohnert Park, CA 94928 (707) 586-4320 NorthBay Healthcare Group (Vacaville & Fairfield) 1010 Nut Tree Road, Ste 100 1101 B Gale Wilson Blvd, Ste 307 Vacaville, CA 95687 Fairfield, CA 94533 (707) 446-5735 (707) 429-7701 Kaiser Occupational Centers Kaiser – Napa (707) 258-4907 Kaiser – Santa Rosa (707) 571-3000 Address: 3285 Claremont Way, 2nd Fl, Napa Address: 401 Bicentennial Way East Bldg, 2nd Floor, Suites 260 and 270 Kaiser – Oakland (510) 752-1244 Address: 235 W. MacArthur Blvd., 3rd Floor Kaiser – Vacaville (707) 453-5515 Address: 3700 Vaca Valley Pkwy Kaiser – Petaluma (707) 765-3800 Kaiser – Vallejo (707) 651-1370 Address: 3900 Lakeville Highway Address: 975 Sereno Drive Medical Office Two, 1st Floor Kaiser – Walnut Creek (925) 906-2060 Kaiser – Santa Rafael (415) 444-2900 Address: Park Shadelands – 320 Lennon Lane Address: 99 Montecillo Road Lassen Bldg, 2nd Floor Medical Office One, 1st Floor Designated_Medical_Facilities_1206 Foreman Procedure Manual – Section 1.4 Ghilotti Construction Company Public Works & Utility Contact Numbers AT&T Santa Rosa: (707) 528-6812 AT&T Repairs: (707) 542-8324 Comcast Cable TV: (800) 266-2278 East Bay Mud: (510) 835-3000 Fairfield (City of): (707) 428-7590 Mare Island Public Works: (707) 648-4302 Napa (City of) (707) 257-9540 Pacific Bell: (707) 575-2191 PG&E: (800) 743-5002 Public Work Departments: Santa Rosa (707) 524-7282 American Canyon (707) 647-4550 Mendocino City (707) 463-4363 Vallejo (707) 648-4300 Healdsburg (707) 433-2265 Dixon (707) 678-7080 Rohnert Park (707) 588-3300 West Sacramento (916) 373-5850 Cotati (707) 792-4687 Vacaville (707) 449-5170 Sonoma County (707) 795-5314 Oakland (510) 482-7853 Sonoma (707) 928-2055 El Cerrito (510) 215-4382 Napa City (707) 257-9540 Richmond (510) 231-3011 Napa County (707) 253-4300 Berkeley (510) 981-6300 Santa Rosa Sewer & Water: (707) 543-3805 Sonoma County Administration: (707) 565-2041 Sonoma County Airport: (707) 565-7240 Underground Service Alert: (800) 642-2444 Vacaville (City of): (707) 449-5170 Vallejo Sewer: (707) 644-8949 Windsor (City of): (707) 575-6576 Public_Works_Contact_Numbers_0504 Foreman Procedure Manual – Section 1.5 Ghilotti Construction Company Foreman Duties (Essential Duties & Accountability) 1. Participate at Pre Job Meeting Be Familiar With/Review: Job Productions Sub Contractors Long Lead Items Schedules Dumpsites Material Opportunities/Short-cuts 2. Coordinate Execution of Specific Jobs with Superintendent Order Key Material Schedule Subs 3. USA Job 4. OSHA Permits Annual Job Specific 5. Call in Crews and Equipment to Dispatch no later than 2:00 PM 6. Complete/Coordinate Weekly Schedule with Superintendent by 8:00 AM Thursday Material Equipment List Attachments (Weekly) Sub Contractors Personnel 7. Beat or Make Productions – Know Why and Discuss with Superintendent 8. Prepare/Complete Daily Time Sheets Labor (All) – Pay attention/be aware of Cost Types • Coordinate time with other Foreman when moving employees from one job to another Equipment (All) (Standby) (Available) (Rental) • Document and Communicate to the Equipment Manager Repair Needs • Control Small Tool Rentals Buy/Haul Material Logical and Realistic Quantities Diary on Time Sheets • Conversations • Where Worked (Street Name(s), Station, Lot #, Coordinates Right or Left) • Describe Work Done • Contract or Extra Work (Signed Extra Work by Owner) 9. Maintain/Complete all Required Job Documentation 10. Maintain Safety Documentation 11. Maintain a Safe and Clean Jobsite Container 12. Perform Weekly Tailgate Meeting 13. Be sure jobsite is Safe at the End of the Day 14. Know All Safety Regulations Pertaining to Specific Jobs 15. Know the closest location of the Medical and Drug Testing Facility in your area 16. Start Job at Start Time 17. Review Weekly Job Costs with Superintendent 18. Make Inspection Appointments 19. Know What is Contract Work vs. Extra Work (Time & Materials) 20. Timely Accurate Incident (Accident) Reports 21. Know Your Crew Make Sure Employees are Trained and Experienced with Their Job Task Make Sure Employees are Courteous to the Public (i.e. Drivers, Flaggers etc.) 22. Notify Crew of the Location of the Job Posting (Truck or Container) 23. Print and Sign tags (Need to Know the Name) Foreman_Duties_0204 Foreman Procedure Manual – Section 2.1 Ghilotti Construction Company Dispatch Procedures GENERAL GUIDELINES: Foreman/Superintendents: Call in your schedule to dispatch between 12:00pm – 2:00pm. Calls will be monitored, and late calls will be addressed. Absolutely no calls to dispatch after 2:00pm. If changes are needed after 2:00pm, contact your Superintendent to make adjustements. Notify Dispatch of available equipment (to include Compressors, Tack Pots, Small Dumps, etc.) Order (Daily) Compressors, Tack Pots, Small Dumps Requests for equipment (everything from dozers and excavators to trucks and compressors) should be called in early in the event rentals are needed to accommodate your needs. When calling Dispatch for USA Notification, be prepared to provide at the minimum: Street Name Address Number(s) Distances Advise Dispatch WHO is driving which vehicle When ordering trucks, be prepared to advise Dispatch what type of Truck is needed, Quarry, Load Times, Material to be handled Notify Dispatch of any labor or equipment corrections for the preprinted time sheet (i.e. worker or equipment that is not on the job but is showing up on the time sheet, etc.) DISPATCHING PROCEDURES: Field Process: 1) Requests for workers (new and re-hires) must be communicated to Brian Ongaro and Bob Hatch/Santa Rosa Dispatch 2-days in advance (minimum) 2) All workers must be processed through the Santa Rosa Dispatch office Dispatch Process: 3) Workers will be instructed to report to the Dispatch office at 8:00 am (no earlier). Workers will not be processed after 11:00 am. 4) Workers without, or unable to obtain, dispatch referral cards can not be processed. 5) Workers unable to provide required I-9 documentation will not be processed. 6) Workers will be directed to the designated facility for drug-testing and pre-placement physicals. Upon receipt of the confirmed negative drug-test result and completion of the pre-placement physical, the following will be coordinated: 7) New-hires will complete: ClickSafety New-Hire Orientation Driver Proficiency and Field Test (performed at the Santa Rosa Yard) 8) Completion of the following will be verified: Personnel paperwork Driver Proficiency training ClickSafety (if applicable) 9) Upon completion of the in-house safety training, the employee will be dispatched to the jobsite designated Foreman or Superintendent, at which time if will be confirmed that the worker is able to performed assigned duties. Foreman should document any job or task specific training provided on the daily time sheet. Dispatch_Procedures_073106 Foreman Procedure Manual – Section 3.1 Completed By: PROJECT 5555 Planet Mars Reconstruct WORK SCHEDULE FOR WEEK OF 10/10 - 10/14 , 2099 Albert Einstein MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY NEXT WEEK 10/10 10/11 10/12 10/13 10/14 PROCEDURES Place catch basin tops Finish Paving Backfill planters Raise Iron Begin Finish Base Rock Pave Stripe Test Sewer EQUIPMENT Onsite: WT-5 (Reference what is BH-10 (2', 3' buckets) Available ONSITE, NEEDED, and L-42 (GP, sidedump) Available AVAILABLE) BD-16 (D-8) Available Need: Blade Available Rock Roller Available Paddle Wheel Available Skip loader Need: Paver 224 Roller LABOR CB Tops: Pave: NOTES 1-operator 4-operator Joe Smith 2-laborers 4-laborers Jack Doe Planters: Jill Doe 1-operator Steve Doe 3-laborers Rock: 4-operators 3-laborers MATERIAL Syar CLIIAB Madison Syar-AC 1/2" Lake Herman 3,000TN 1,000TN Schedule_Form_Example_0104 Foreman Procedure Manual - Section 4.1 Ghilotti Construction Company Scheduling Procedures Schedules need to be turned in to dispatch by 8:00 AM Thursday Under Procedures • Give a brief description of the task/tasks and it duration by using arrows or lines Under Equipment • List all Equipment and Attachment onsite • Equipment available or on stand-by needs to be identified • Equipment that is required also needs to be identified Under Labor • Name employees that are already on the job, that need to remain • List the skilled trade (i.e. Labor, Operator, Cement Mason, etc.) and the quantity of personnel needed for the week Under Material • List Supplier, Location, Materials and Quantity Scheduling_Procedures_0104 Foreman Procedure Manual – Section 4.2 Job No.: 5999 ITEM NUMBERS C.O. NUMBERS Weather: Clear & Hot rs GHILOTTI CONSTRUCTION COMPANY Hou urs Date: 06/01/2099 0 0 0 0 DAILY TIME SHEET 4-60 8-25 0-11 7-10 2-00 l Ho Start Time: 6am & 7am mpt 10-0 30-0 10-1 70-3 90-0 Tota See other side Exe Day Night Name Craft Equip No. ot/st ot/st ot/st ot/st ot/st ot/st ot/st ot/st Work in Progress/Location: 9462 Doe, John L 2 1/2 2 1/2 2/8 Cut sub-grade W. Steele to Marlow Rd. access to 9481 Smith, John L DT99 Dispatched to other job 0 residents (dirt ramps). Placed AC base for access. 9216 Crockett, Davey O 2 Left early/ill 2 Off hauled to Sonoma County Dumpsite. Cut rough 9246 Johnson, John L UT99 2/2 2 1/1 3 3/8 subgrade 68-75 to 75-75 to generate off haul material 9016 Doe, Jane O 1/6 1/2 2/8 2 rolls of 600x (yard stock) delivered to job. Had 9025 Einstein, Albert FOR PT99 1/2 1/1 1/2 3 3/8 to send trucks back to make up for load counts to C99 4 4 complete intersection. Would have finished early L99 8 8 with little OT, if any, but had to send truck back to TRA99 4 4 8 make up for load counts to complete intersection XBH999 Available 0 (back charge to trucking company). Safety XL999 2 2 2 2 8 barricades are in place to protect public access. 9928 Smith, Jane L DT99 2 1/2 2 1 /2 2/8 Discussion/Agreement/Visitors/Inspectors: Had discussion with John Boy about work at A10 building for storm drain (see notes for details) Extra Work/Changes/Delays: Today we helped the paving crew off and on. We had to slurry every thing back because our 10" pipe is too shallow (placed per plans). When they come to grade the area for paving you don't want to DAILY QUANTITIES 1892sy 378sy 100.7T 1785cy 95% crush the storm drain. Material & Rentals Subcontractors Working/Location: Turtle Trucking Transfer, Tag # 219772 100% Met with Doe Subcontractor. Reviewed scope of Rock Industries, Tag # 253848/253840 (provide material description) work to be done and safety requirements. Dirt Supply Co., Tag # 557603 (exchanged MSDS info) Safety Notes: No hazards noted. Trained flaggers on today's flagging operations. No accidents or incidents. Received By: Foreman Signature: Albert Einstein AGREED HOURS ARE "ACCEPTABLE FOR PROGRESS ESTIMATE PURPOSES" Time_Sheet_Sample_0404 Foreman Procedure Manual - Section 5.1 Time_Sheet_Sample_0404 Foreman Procedure Manual - Section 5.1 Ghilotti Construction Company Time Sheet Procedures GENERAL INFORMATION Documentation of the daily occurrence on your job is a vital part of project reporting. This information starts with the field and can only be accurately documented by the Project Foreman. Foremen are required to provide a detailed daily time sheet with an accurate listing of employees and their hours, equipment and the equipment hours, quantities, materials, subcontractors, and rentals. It is also necessary to record your time sheet with a diary of the work performed and all occurrences taking place on your jobsite on a daily basis, to include the condition of the jobsite at the end of the day (i.e. condition of the job site to include matters of safety). Your time sheet is not just a source for payroll purposes; it is utilized as back-up support justifying contract and change order work billings to owners as well as back charges to other companies. In addition to billing support, the time sheets are legal documents supporting our company should any claims arise. Important Reminders: • Sign the Time Sheet on the line provided. • Make sure your Time Sheet correctly reflects the employee’s working for you. • All Supervisors are required to turn in time sheets to the main office on a DAILY basis. Friday, Saturday and “Lingering” time sheets are due by the end of the day on Monday. Processing will take place on Tuesday (no exceptions). To allow for internal processing requirements (bank deadlines), input is not possible on Tuesday mornings. If you have any questions, or would like additional training, feel free to contact the VP/Operations Manager, Brian Ongaro. Following are the procedures necessary for creating an accurate time sheet. Some of the information will be pre-printed, but it is your responsibility to ensure that the information is accurate. JOB & DATE INFORMATION 1. JOB NUMBER: The “Job Number” must be documented. It is not necessary to document the name of the job. If you are unaware of the “Job Number,” contact the Area Manager Assistant or the Area Manager. 2. WEATHER: Report the weather conditions for the day. 3. DATE: There have been many instances where an incorrect date has been documented. Verify the date recorded is correct. 4. DAY: The day of the week should be indicated. Make sure it is correct. 5. START TIME: Record the start time of your entire crew on this line. Should any of your employees report to the jobsite at a different time, notate this information on your time sheet. A brief explanation should be reference in your diary. 6. DAY/NIGHT: An appropriate check under “Day” or “Night” is required. Time_Sheet_Procedures Page 1 of 6 Foreman Procedure Manual – Section 5.2 JOB & DATE INFORMATION - CONTINUED The following is a view of the time sheet section the above procedures apply to. Reference each by their corresponding number: 1. Job No: 2. Weather: 3. Date: 4. Day: 5. Start Time: 6. Day Night PHASE NUMBER INFORMATION 1. ITEM NUMBER: List the “CORRECT” phase number ONLY as it applies to the work performed as shown in the diagram below. Receipt of a time sheet referencing a description of the item number instead of the actual number is incorrect. If you have not received the project budget, contact either the Area Manager’s Assistant or the Area Manager immediately. 2. CHANGE ORDER NUMBER (C.O.): List the “CORRECT” c.o. number as it applies to the work performed in the specific section. A list of the project c.o. numbers together with the description may be obtained from the Area Manager’s Assistant. All NEW change order numbers must be acquired immediately and no later than the end of the work day from the Area Manager’s Assistant. The Area Manager’s Assistant will issue an updated list of the project c.o. numbers with descriptions to the Project Foreman at the end of the week or at the request of the Foreman. This list will only be issued if there has been activity or changes. The following is a view of the time sheet section the above procedures apply to. Reference each by their corresponding number: 1. Item Numbers 2. C.O. Numbers urs 0 0 0 0 8-25 0-11 4-60 7-10 2-00 l Ho 10-1 10-0 30-0 70-3 90-0 Tota EMPLOYEE/EQUIPMENT INFORMATION 1. NAME: The employee’s name should be listed LAST NAME, FIRST NAME. Indicate the employee number, if known. IMPORTANT: Make sure the employee names listed are correct. Do not rely on a body count; know the employees that are working on your job site! 2. CRAFT: The employee’s craft must be correctly listed. Following are the abbreviations: Carpenter: CP Laborer: L Cement Mason: CM Teamster: T Equipment: EQ Operators: O APPRENTICES: List apprentices with “-A after the abbreviated craft as shown above. (Example: CP- A, CM-A, O-A, etc.). Refer to the diagram shown below for additional clarification. Time_Sheet_Procedures Page 2 of 6 Foreman Procedure Manual – Section 5.2 EMPLOYEE/EQUIPMENT INFORMATION - CONTINUED 3. EQUIP NO: Every piece of equipment, owned or rented, is assigned an equipment number. Rental equipment is assigned a number beginning with “X”. If you are unaware of the assigned equipment number for equipment located on your jobsite, contact Dispatch or the Equipment Department and we will provide you with the correct number. The following is a view of the time sheet section the above procedures apply to. Reference each by their corresponding number: Name (1) Craft (2) Equip No. (3) 9646 Foreman, Joe O-F PT99 9216 Laborer, Joe L FT99 9016 Teamster, Joe T TT99/TRA99 9928 Carpenter, Joe CP-A REPORTING HOURS 1. LABOR HOURS: Allocate all labor hours for each employee by placing the number of hours under the item or change order number box which work was performed. It is also the Foreman’s responsibility to indicate where overtime hours should be applied. This may be done by reporting the “number of overtime hours” in the upper left corner of the box, a “slash” in the center of the box, and the “number of straight time hours” in the bottom right corner of the box, and a “0” in the bottom right corner of the box (as referenced in our diagram under “Item Number 30-10-600” on the following page). Each of the employee’s total hours reported must calculate correctly with the number of hours allocated in the item/c.o. number(s) box. For those employees performing work at more than one jobsite, it is required by all Foremen to document this on his timesheet by reporting the employee as “See Job 5001”. If you are utilizing one of GCC’s Teamsters, be sure to collect his time sheet (copy of the GCC Teamster Time Sheet) at the end of the day. It will be the responsibility of the Project foreman to assign the time/c.o. number(s) for work performed by the Teamster. The Foreman shall list the Teamster and the equipment operated on his time sheet (as he does with all workers on his crew). The time card completed by the Teamster will be submitted as a back-up tag together with all other tags and turned in to the Area Manager with your time sheet. It is the responsibility of the Teamster to track load counts, tag numbers of material loads and/or dumps and tonnage amounts per load from origination to destination on his time card report. The Foreman is required to document this information on his time sheet under “Daily Quantities, Materials & Rentals” (please refer to Section 5 for further instruction). If the Teamster is not being utilized at your jobsite for the entire day, please confirm with the Teamster the number of hours being charged to your project and record his next destination or his origination (i.e. See Job 5001) on your time sheet. The Teamster will sign out and submit his time card to you and will begin a new time card for his next task and/or new jobsite. It will not be the responsibility of the Foreman to track GCC Teamsters transporting equipment to the various jobsites. The Teamster will be responsible to track the total number of hours together with the jobsite he has delivered equipment to. The Teamster will then turn his time card into Dispatch for approval and processing. Any Foreman utilizing an Operating Engineer Apprentice is required to document “when” and “why” (i.e. weather, personal, doctor appointment, car problems, ill, etc) his apprentice is absent for any part of the workday. Time_Sheet_Procedures Page 3 of 6 Foreman Procedure Manual – Section 5.2 REPORTING HOURS - CONTINUED 2. EQUIPMENT HOURS: It is REQUIRED to list all equipment by its assigned equipment number, UTILIZED OR NOT, on your time sheet. Refer to the following guidelines for “Available” and “Stand- by” Equipment: “Available” Equipment: • “Available” means a specific piece of equipment is no longer needed on the job. • If you have equipment that becomes “Available” at your jobsite, contact Dispatch immediately. • With equipment that is Available, hours do not need to be charged to the machine, but expect it to be moved out at anytime. • If it is “Available” document it on your time sheet and Work Schedule. “Stand-by” Equipment: • “Stand-by” means a specific piece of equipment is not needed until a later date (i.e. whether it is 1 day or 1 month). • If you have equipment that is on “Stand-by” notify Dispatch immediately on the duration of its idle time. • For equipment that is on Standby, a minimum of 4-hours must be charged. • For Rental Equipment that is on Stand-by, a minimum of 8-hours must be charged (unless Damon Calegari has arranged an hourly agreement with the rental agency). • If it is “Standby” document it on your time sheet and Work Schedule. When ordering GCC vehicles, you must let Dispatch know who is driving the vehicle. Not only will the employee be matched up with the vehicle on the time sheet, but this will also help us know who is responsible for which vehicle. urs 0 0 0 0 Example of Section 4 Procedures: 0-11 2-00 7-10 4-60 8-25 l Ho Tota 10-1 70-3 90-0 10-0 30-0 Name Craft Equip No. ot/st ot/st ot/st ot/st ot/st ot/st ot/st 9462 Doe, John L PT99 2 1/2 2 1/2 2/8 9481 Smith, John L BH04 See Job 5001 0 9016 Doe, Jane O DT99 1/6 1/2 2/8 9025 Einstein, Albert FOR PT99 1/2 1/1 1/2 3 3/8 Standby C99 8 Available L99 n/c Time_Sheet_Procedures Page 4 of 6 Foreman Procedure Manual – Section 5.2 REPORTING QUANTITIES, MATERIALS & RENTALS 1. QUANTITIES: IMPORTANT! When reporting quantities for each item of work, refer to the project budget. The “Unit of Measure” reported MUST match the “Unit of Measure” specified in the budget. Foremen are REQUIRED to report quantities on their time sheet DAILY. Document this information on the row entitled “Daily Quantities” under the box available for each item number shown in the diagram below. It is not necessary to report quantities for change order work, although, if you are aware that the work performed completes the scope of that change order, indicate this by documenting “100%” under the quantity box for that change order number. When reporting quantities for rental trucking and GCC Teamster trucking, be sure to separate the total amount reported by the GCC Teamster from the total amount reported for the rental. 2. MATERIALS: All materials either received or ordered is REQUIRED to be reported on your time sheet DAILY. Materials received are to be listed by the vendor name, a brief description of the material, the total quantity amount and the tag number. (It will not be necessary to list tag numbers for numerous material receipts by the same vendor). It is necessary to indicate which item/change order number(s) are to be charged for the material by placing an “X” in the appropriate item/change order number box. If the cost for materials is to be split by 2 or more item/c.o. numbers, document the exact quantity amount in the appropriate item/c.o. box under the header listing the vendor and material information. FOREMEN ARE REQUIRED TO SUBMIT ALL BACK-UP TAGS TOGETHER WITH TIME SHEETS ON A DAILY BASIS. Back-up tags are also to be documented with the item/c.o. numbers (consistent with the information provided on your time sheet) for application of costs. 3. RENTALS: Document all rentals consistent with material documentation by listing the rental company, a brief description of the rental and the tag number. Indicate the appropriate item/c.o. number(s) to be charged for this rental. It the cost of the rental is to be split by 2 or more item/c.o. numbers, document the length of rental time (i.e. hours, days, amounts, etc.) under each item/c.o. numbers on your time sheet. This information is also required to be documented on the back-up tag supplied by the rental company. Document your time sheet with the broker name as well as “How Many” and “What Type” of trucks. When reporting the trucking quantities, be sure to match the units. It the trucker is to be paid per ton, document the quantity of tons (excluding the GCC tonnage). If it is per hour, document the hours (excluding the GCC hours). The same applies if the trucker is paid per load (also address in Section 4 under labor Hours of this procedure manual). It is also extremely important to document the sign-out time on each trucker tag (the actual time the truck was signed-out). ours 0 0 0 0 Example of Section 5 Procedures: 0-60 0-20 2-00 3-00 0 1 100 100 lH 30-1 30-1 70-3 70-3 Tota 900 900 NAME CRAFT EQUIP NO. OT ST OT ST OT ST OT ST OT ST OT ST OT ST OT ST OT ST DAILY QUANTITIES 30SF 20SF 1 EA 23T 100% MATERIALS & RENTALS Shamrock, 9CY 6sk 1" Conc. #791597 4CY 5CY Canyon Rock, 23.16T 3/4" AB2 #953669 X V. Donlan Trucking, 1 Semi, 4 hrs #76345 X Pacific Trench, (1) 8x10 Plates, #732555 X Time_Sheet_Procedures Page 5 of 6 Foreman Procedure Manual – Section 5.2 DIARY 1. WORK IN PROGRESS/LOCATION: It is required to address all work performed together with the location it was performed at. It is critical to provide as much detailed information possible (We do not need to know when everyone went to the restroom. Keep the information specific to the actual scope of work performed. What and where it was done.) If you need additional room to write, continue the additional comments on the backside of your time sheet. 2. DISCUSSION/AGREEMENT/VISITORS/INSPECTORS: Document any discussions or agreements made at the jobsite, indicating the person you were having the discussion or agreement with and the discussion topic or agreement made. If there are any visitors or inspectors at the jobsite, please list their name, reasons and results of their visit or inspection. Documentation of Operating Engineer Apprentice absentee hours and reasons for absence, and placements, must also be addressed here. 3. EXTRA WORK/CHANGES/DELAYS: List a brief description of the extra work followed by a diary of the work performed under this section of your diary information. This will assist us in following the work performed to the hours being charged against each change order. Again, if needed, continue writing information on the backside of your time sheet form. We will supply you with a photocopy of the backside at your request. 4. SUBCONTRACTORS WORKING/LOCATION: Report all subcontractors on the jobsite together with the location and description of the work performed. Document completion of the pre-job conference and that safety issues were discussed. 5. SAFETY NOTES: Under the Safety Notes section, the following are examples of useful and/or required documentation: • Document all identified hazards and corrections (note: if immediate correction of a potential hazard is completed before work begins, documentation is not mandatory). • Note any accidents and/or injuries that occurred at the job site, no matter how insignificant. A detailed report must be completed on the applicable company required form. • Document job or task specific training (i.e. flagging operations, new-hire orientation). • Note observed (significant) condition of the jobsite at the beginning and end of each day (i.e. prior to start barricades had been knocked down or relocated by other and/or at the end of the day job site was secured with barricades and caution tape, etc.) • Document if job site pictures were taken Time_Sheet_Procedures Page 6 of 6 Foreman Procedure Manual – Section 5.2 Ghilotti Construction Company Equipment Procedures Repairs to equipment must be called into the Santa Rosa Shop or Equipment Manager. Repairs to equipment can only be completed by authorized personnel. Safety concerns regarding equipment must be immediately reported to the Equipment Manager or Santa Rosa Shop. Defective equipment and/or safety devices should be tagged to prevent use and immediately reported to the Santa Rosa Shop or Equipment Manager. Equipment must be lined up at the end of the shift in order to fuel and grease efficiently in the morning. Red fuel is ONLY to be used in off-road equipment and NEVER to be used in any vehicles including water trucks. Red fuel can be used in the compressors. Always verify that only permitted drivers are operating GCC vehicles. Only Class B drivers (with Tank and Air Brake Endorsements) are permitted to operate Water Trucks. Rental equipment must be billed 8-hours a day. When use of rental equipment is completed, notify Dispatch. Equipment and vehicles must be locked at end of shift (doors, latches, and compartments, including fuel, radiator, oil fill). Master switches must be turned off on all equipment at end of shift. Equipment involved in a roll-over, or sustaining major damage, must be reported to the Equipment Manager immediately in order to direct appropriate recovery operation. Cell phones are for business only. Usage is monitored. Available and Standby equipment must be communicated to Dispatch. Operators are expected to keep the cabs free of trash and debris. Tracks are to be free of packed dirt and mud at the end of shift. Every vehicle that returns to the yard at night (excludes teamsters) must report to the shop for a return inspection. Individuals who are issued a vehicle are responsible for oil changes every 3,000 miles. GCC has accounts at Jiffy Lube and Pennzoil for service. Compressors, tack pots, and water buffalos must be scheduled through Dispatch. Traffic laws must be adhered to at all times. Foreman are responsible for coordinating completion of the Vehicle/Equipment Safety Log at the weekly Tailgate Safety Meetings (see Forms) Equip_Procedures_073106 Foreman Procedure Manual – Section 6.1 Ghilotti Construction Company Vehicle Use Policy Purpose Company owned vehicles are used daily in our operations. In order to protect our employees, clients and the public, established safe operations procedures must be followed by all drivers. All employees driving on behalf of Ghilotti Construction Company are required to operate their vehicles safely and legally at all times. The following rules are are to be adhered to whenever operating a vehicle for business purposes – regardless of vehicle ownership. All personnel, authorized to drive as part of their duties, must acknowledge receipt of this directive, and agree to adhere to safe use of equipment and training thereof, prior to operating a vehicle on behalf of Ghilotti Construction Company. All drivers are to receive this directive immediately with signature acknowledgement filed with the Equipment Manager. General Rules: 1. Vehicles owned or leased by Ghilotti Construction Company are to be used only for company business. 2. Any employee who drives a company vehicle must have a valid California Driver’s License in their possession at all times and must maintain an acceptable driving record. (Refer to the DMV Employer Pull Notice Program for additional information). 3. ONLY company employees who have been pre-authorized to operate vehicles for the company are permitted to drive (herein referred to as “Drivers”). The ONLY exception to this is when injury and/or death are imminent and the vehicle must be operated by others in an emergency. Assignment of company vehicles can only be made by Management. An exception of this policy, even on a temporary basis, must be with the knowledge and permission of the Equipment Manager, per episode. 4. Personal use of company vehicles is limited to travel to and from work (direct path of travel). This applies to all hourly employees. For salaried employees, this policy is only slightly relaxed and other use must be within reason. Any other personal use of company vehicles and equipment must be with the knowledge and expressed permission of the Equipment Manager and/or an officer of Ghilotti Construction Company. If in doubt about what constitutes reasonable personal use, contact the Equipment Manager. 5. Drivers assigned vehicles are responsible for timely and routine maintenance in accordance with the company maintenance procedures. 6. All drivers are required to abide by all federal, state, and local motor vehicle regulations, laws, and ordinances. 7. All fines, defense costs and other legal penalties arising out of ticketed offenses are the responsibility of the driver. Pre-Trip: 8. Prior to starting a vehicle, drivers are required to inspect the vehicle exterior and the area around the vehicle, checking tires, leaks, body condition, and clearances to other vehicles and objects. Any defects or concerns must be reported immediately. Unsafe vehicles must be tagged “DO NOT USE.” 9. Drivers are responsible to ensure that all required documents are in the vehicle (Registration, Insurance Card and Accident Reporting Kit/Camera). 10. A driver may not operate a vehicle at any time when his/her ability is impaired, affected, or influenced by alcohol, illegal drugs, prescribed drugs, medication, illnesses, fatigue, or injury. Vehicle_Use_Policy_050404 Page 1 of 2 Foreman Procedure Manual – Section 6.2 Pre-Trip (Continued): 11. No driver may have, or permit possession of, alcohol or illegal drugs in a vehicle being used for business purposes. 12. The driver and all occupants are required to wear safety belts when operating or riding in a vehicle. The driver is responsible to ensure all passengers are wearing their safety belts at all times. 13. Passengers must be properly seated at all times and wearing their seatbelt. Riders are not permitted in rear, or on running boards, of truck. 14. Drivers are responsible for ensuring that all doors are locked while the vehicle is in motion. 15. Drivers are required to drive with their headlights on at all times. 16. Only authorized/approved passengers (i.e.: those with a defined business relationship) are permitted in the vehicles during the course of business use. 17. Drivers shall not pick-up hitchhikers. 18. Drivers shall not use any radar detector, laser detector, or similar devices. 19. Drivers shall not transport flammable liquids and gases unless a DOT or UL approved container is utilized, and only then in limited quantities and only when necessary. 20. Drivers shall not transport or use ignitable or burning flares, unless authorized by the Equipment Manager. The preferred method is the use of reflective triangles. 21. Drivers shall not assist disabled motorists or accident victims beyond the level of their medical training: EMT, CPR, Basic First-Aid, etc. If a driver is not qualified to provide the above services, he/she must restrict his/her assistance to calling the proper authorities. Post-Trip: 22. All accidents must be reported immediately to your Supervisor, Damon Calegari, or Julie Thornton. Reporting requirements include completion of any forms utilized by the company for the purpose of documentation and recordkeeping. 23. All vehicle problems, or defects, must be reported immediately to your supervisor or the shop. Reporting requirements include completion of any forms utilized by the company for the purpose of documentation and recordkeeping. 24. Drivers are required to notify their supervisor of any tickets, accidents, or other violations they have received while driving. Notification must be as soon as reasonably possible but in no way later than the next scheduled driving duty to be performed. Note: Speeding includes driving too fast for the conditions, e.g. rain, fog and heavy traffic. 25. Traffic Violations are not considered reimbursable costs. All violations, including parking tickets and speeding tickets, will be the responsibility of drivers. Violations will be subject to disciplinary action, up to and including termination, in accordance with the severity of the violation. Violations of any of the above provisions may result in disciplinary action ranging from a written reprimand to a temporary or permanent loss of company driving privileges, suspension or dismissal. Vehicle_Use_Policy_050404 Page 2 of 2 Foreman Procedure Manual – Section 6.2 Ghilotti Construction Company Equipment Rollovers/Accidents To preserve the condition of the accident, and minimize the potential of creating additional damage to the equipment and/or property, following are the guidelines for dealing with stuck equipment, rollovers, and accidents involving damage to the equipment: 1. DO NOT MOVE THE EQUIPMENT! (i.e. do not free-it, upright-it, straighten-it, etc.) 2. Immediately report the situation to the Equipment Manager, Damon Calegari. 3. The Equipment Manager and a field mechanic will be responsible for responding to the job site and determining the appropriate course of action. Necessary photographs will be taken by the Equipment Manager or field mechanic. 4. The Lead Foreman or Superintendent will be responsible for completing a detailed written report (Incident Form) outlining the circumstances. All parties involved must be identified, with their respective involvement outlined. 5. The completed report must be provided to the Equipment Manager within 1 working day. If the incident resulted in property damage, and was caused by operator-error and/or contributory negligence of a co-employee, drug testing is mandatory. Equipment_Rollovers_0906 Foreman Procedure Manual – Section 6.3 Ghilotti Construction Company Incident Reporting Procedures (P&C) STOP! For serious accidents, refer to the Crisis Management – Field Response guideline (Section 1 Quick Reference Materials). All Property & Casualty (P&C) incidents must be reported accurately and timely. Examples of P&C incidents include: Incidents/Damages caused by a GCC Employee Incidents involving GCC Property Incidents not involving GCC but related to our job Incidents witnessed by GCC Damaged Utilities (Use Damage Utilities – Claim Form) Procedures for reporting P&C incidents All employees must immediately report to their supervisor any incident or injury that occurs at the job site. Superintendents or Leadmen/Foremen are responsible for completing the incident report and conducting the appropriate investigation (involved employees will be responsible for completing the Employee Incident Report Form). Provide immediate verbal notification to Julie Thornton and/or Damon Calegari Complete “Incident Report Form – P&C” 1. Identify all relevant details 2. TAKE PICTURES! Show directions, visible signs/postings, obstacles, barricades, pre-existing vs. new, height, etc. 3. Identify complete location of accident (Street, X-Street, Direction Traveling, City) 4. Identify any potential exposures to additional parties involved. 5. Provide all known facts on injured person(s) and/or property. 6. Identify any questionable areas or discrepancies. 7. Provide contact information for witnesses (name and phone) For Auto Accidents 1. Stop Immediately! Remain at the scene of the accident. 2. Request police assistance (and medical, if needed). If a phone is not available, radio GCC office for assistance. 3. Obtain a Collision Report Information Card from reporting police officer/CHP. 4. TAKE PICTURES! and complete the form in the GCC accident-reporting kit located in all GCC company trucks. Submit the report form and any relating documents to Julie Thornton for processing, within 1 working day. If you are unsure how to proceed, contact Julie Thornton or your immediate supervisor for assistance. COMPANY CONTACTS: Julie Thornton (707) 480-4812 Damon Calegari (707) 953-9604 NOTE: GCC REQUIRES POST-ACCIDENT DRUG TESTING ON ALL EMPLOYEES Refer to the Drug Testing Facilities under Section 1 (Quick Reference Materials) Incident_Reporting_Procedures_073106 Foreman Procedure Manual – Section 7.1 Ghilotti Construction Company Accident Investigation Guidelines The purpose of an investigation is to find the cause of an accident, assist with proper handling, and prevention of further occurrences. Following are the basic rules for conducting an accident investigation: Observe and Analyze the Situation: • First look for danger signs and determine any action needed to protect lives and property. If dealing with a severe injury, assist only to the extent necessary, unless you have been properly trained to administer emergency medical care. • Request proper authorities be notified (i.e., ambulance, fire, policy). Management will make the determination as to whether or not OSHA should be notified. • Cooperate with the proper authorities and keep responses to known specifics. Take Charge of the Investigation: • Gather and document facts as soon as possible. • Identify involved parties and the cause of the accident while the facts are fresh. • Keep documentation specific in nature. Do not document speculations, unless you are quoting a statement provided by another individual. Identify Contributing Factors: • Was a subcontractor involved? If yes, request that they provide an accident report. • Did the incident occur due to a product owned and/or operated by a 3rd party? • Did a defective product contribute to the incident occurring? Determine and document name of owner and/or manufacturer. Locate Witnesses: • Obtain names of all witnesses and request written statements be provided. Identify the relationship. Obtain contact information, including the name and phone number of their nearest relative, in the event that they re-locate. • Document names of individuals that may have knowledge of the incident, but may have not been present at the time. Survey Accident Site & Take Pictures! • Take pictures! Pictures should include any apparent medical evidence, personal affects, equipment, instrumental readings and control positions, and any evidence, which is removable (i.e. barricades, temporary railing, caution tape, etc.). • Use diagrams as needed and take measurements when appropriate. Also, attempt to include measurements within a picture, if possible. • Details are important. If weather or other circumstances possibly contributed to the accident, document it. Preserve Evidence: • Save physical evidence, if possible. Accident_Investigation_Guidelines_073106 Foreman Procedure Manual – Section 7.2 INCIDENT REPORT FORM - P&C COMPANY NAME PROJECT NAME/ JOB # Ghilotti Construction Company Sonoma Overlay, #5000 SUPERVISOR/LEAD FOREMAN RESPONSIBLE EMPLOYEE (Driver/Operator) GENERAL INFO Steve Doe John Doe DATE OF ACCIDENT / TIME OF ACCIDENT OPERATOR ERROR? Yes No 1/15/04, 10:15 am Drug Tested? Yes No LOCATION OF ACCIDENT PICTURES TAKEN? Yes No Sonoma HWY 12, Sonoma County Turned in to shop GCC VEH/EQUIP # AND DESCRIPTION DESCRIBE DAMAGE, if any BH01 No Damage DESCRIPTION OF INCIDENT Operator did not pay attention to overhead lines and struck PG&E electrical line to private residence. Operator was moving thru project with bucket raised. DESCRIPTION Witness? (Provide Names and Contact Numbers) GCC Laborer, Albert Einstein Any Exposure to 3rd Party (i.e. subcontractor or faulty equipment, etc.)? No Were Public Agencies Notified Yes No , If yes, agencies notified: Police Report Filed Yes No , If yes, Police Dept, Report Number: 3RD PARTY INJURY OR PROPERTY DAMAGE Injury Property Damage At Fault/Contributory Negligence? No CLAIMANT/Property Damaged CLAIMANT'S NAME, ADDRESS & PHONE: PG&E, Field Rep Michael Angelo (707) 555-1212 See attached business card Homeowners: Edward Smith, 12000 Sonoma Highway 12, Sonoma (707) 555-2000 DESCRIBE INJURY(S) n/a DESCRIBE PROPERTY DAMAGE Damaged line, downtime 2 ½ hours and possible damages due to loss of power at residence COULD ANYTHING HAVE BEEN DONE TO PREVENT THE ACCIDENT/EXPOSURE? If yes, explain: Operator should have lowered bucket when moving thru project and paid attention to overhead lines ACTION PLAN TO PREVENT RECURRENCE (Modification of Machine, Mechanical Guarding, Environment, Training) RECOMMENDATIONS Training, reminder to operators on proper safety precautions IMMEDIATE CORRECTIVE ACTIONS TAKEN Referred to Safety Committee for disciplinary action SAFETY COMMITTEE REVIEW - ACTIONS/RECOMMENDATIONS Completed by Steve Doe 1/15/2004 GCC ed. 01/04 Foreman Procedure Manual - Section 7.3 Supervisor/Foreman (Print Name) Date GCC ed. 01/04 Foreman Procedure Manual - Section 7.3 Ghilotti Construction Company Damaged Utilities – Claim Procedures Before any investigation begins, the first thing that must be done is to ensure that the site is safe and that the general public in the area is not in danger. When entering a jobsite to perform an investigation, the investigator must follow applicable safety rules and policies, and must never enter into a trench, confined space, or work area unless it is safe to do so. Incident Procedures: 1. Investigate Immediately A thorough investigation of any accident or utility damage must include an examination of the events leading up to the incident. Was there a locate request? Was there a miss-locate? Were the marks removed or did they fade away? Did the operator maintain the proper tolerance zone? Was the depth of the line verified before digging? Were crossing lines potholed in advance? Did the utility line veer off course due to an underground obstruction? 2. Document Details All information should be collected in a timely manner, clearly documented, legible, accurate, and factual. Pictures should be taken at the site to document the damage (use a sign board to document the location in the picture) The location of marks in relation to the trench, and any other conditions should be documented Obtain the following information: Date & Time Type of Facility Name of repair technicians Location Owner of Facility One-call Ticket Locator Name (if known) Number Investigator for Owner Inspect the site to determine the types of markings (paint, flags, stakes, whiskers) used to identify the facilities in the area Make a judgment about the accuracy of the marks and the quality of the marks Make a record (diagram) of all the pictures and the direction in which each picture was taken. Use a measuring devise with large numbers to document the actual depth and location Determine the size and type of facility that was hit and the extent of the damage, if possible Determine if surrounding businesses, homes, etc. were affected by the damaged utility Utility_Claim_Procedures_073106 Foreman Procedure Manual – Section 7.4 Ghilotti Construction Company Injury Reporting Procedures (Work Comp) ALL EMPLOYEE INJURIES OR ILLNESSES MUST BE REPORTED IMMEDIATELY, NO MATTER HOW MINOR THE INJURY OR ILLNESS APPEARS. Supervisors/Foremen Procedures: If appropriate, and properly trained, provide on-site First Aid treatment. If medical treatment is needed, the employee should be referred to the closest GCC Designated Medical facility (refer to the Designated Medical Facilities under Section 1 – Quick Reference Materials). If it is an emergency, call 911 or transport the employee to the nearest emergency facility. Contact 1 Julie at (707) 480-4812 to report the injury. If possible, or if there is any question as to whether or not the employee should drive, accompany the employee to the doctor’s office. The supervising Foreman or Superintendent must complete the “Supervisor’s Report of Injury - WC” form and provide to Julie for processing. Note: The form must be completed within the same workday. The injured worker will be required to meet with Julie at the Santa Rosa office (alternate arrangements can be made when needed due to location, etc.). Instruct the employee to make contact with Julie @ (707) 585-1221. If you have any questions as to how to proceed, or if the employee refuses need for treatment, contact Julie immediately. Please communicate any RED FLAGS when reporting the injury: A delayed report A new employee Injuries not consistent with assigned job duties Injuries not consistent with the facts of the accident Injuries occurring at the beginning or end of work shift An un-witnessed injury An injury report following an announcement of impending reduction in force or other employee- perceived threat to job security. IMPORTANT NOTE: If you become aware of a non-industrial injury, please advise Julie. If a worker has been off due to a non-industrial injury (i.e. car accident, skiing injury, etc.) they will still be required to obtain a release to return to work. 1 When Julie is not available – Default chain of contacts: 1) Carolyn Murakami; 2) Glenda Barbera; 3) Damon Calegari at the Santa Rosa office (707) 585-1221 Injury_Reporting_Procedures_073106 Foreman Procedure Manual – Section 8.1 Ghilotti Construction Company Work Comp Guidelines Following are general guidelines to assist with the management of work-related injuries and illnesses. When unsure of the proper procedures, contact Julie at the Santa Rosa office. 1. When an accident occurs on the job, which results in injury to an employee, it is mandatory that medical treatment be rendered. 2. In situations where the employee indicates that no injury was sustained, but the exposure is significant (i.e. equipment roll-over), medical observation is mandatory. 3. No employee will be permitted to return to work without medical clearance. 4. Ghilotti Construction Company maintains the first 30-days medical control, unless the employee had designated their own medical provider (in writing) prior to the injury occurring. 5. Injured employees should be directed to the nearest GCC Designated Medical facility, unless emergency treatment is necessary, at which time they should be taken to the nearest emergency room. 6. An Incident Report form must be completed by the lead Foreman or Superintendent and turned in to Julie at the Santa Rosa office within 1 working day. (Refer to the Cal/OSHA Injury Reporting guidelines for special instructions) 7. The injured worker will be required to meet with Julie at the Santa Rosa office (alternate arrangements can be made when needed due to location, etc.). The employee should be instructed to contact Julie @ (707) 585-1221. Temporary Light/Modified Duty: 1. When an employee is injured on the job and is released to modified or light duty, it is the policy of Ghilotti Construction Company to evaluate the ability to return the employee to work, within the restrictions noted by the treating physician. 2. Written Return-To-Work authorization, outlining the work restrictions, must be obtained from the designated medical provider, before the employee can return to work. 3. When returning an employee to temporary modified duty, contact Julie at the Santa Rosa Office to ensure that the appropriate documentation has been processed. For specific guidelines on returning employees to temporary modified positions, review the Return to Work Program, edition date 04/02. Note: For injuries and illnesses not related to employment, a medical release is required before the employee will be permitted to return to work. WC_Guidelines_073106 Foreman Procedure Manual – Section 8.2 Ghilotti Construction Company Cal/OSHA Reporting Guidelines Cal/OSHA requires that they be notified within 8-hours of the following types of injuries: Fatalities Serious injuries/accidents • Any injury or illness that requires hospitalization for a period of 24 hours or longer (for other than observation only) • Any employee that suffers a loss of any member of the body • Any employee that suffers a serious degree of physical disfigurement Serious Exposures • One or more employees that have been exposed to a hazardous substance and the exposure is to the extent that there is substantial probability that death or serious physical harm could result in the present or future Catastrophe • Inpatient hospitalization of 3 or more employees due to a workplace hazard or condition, regardless of duration of hospitalization or if actual treatment is administered When a work-related injury occurs (meeting this criteria), regardless of the time of day, we must be notified immediately. Chain of Contact: Julie Thornton, Claims & Safety Director (707) 480-4812 Brian Ongaro, Senior VP of Operations (707) 953-9624 Damon Calegari, Equipment Manager (707) 953-9604 CalOSHA Enforcement Offices - http://www.dir.ca.gov/dosh/DistrictOffices.htm Santa Rosa (707) 576-2388 Concord (925) 602-6517 Oakland (510) 622-2916 Sacramento (916) 263-2800 CalOSHA_Reporting_Guidelines_073106 Foreman Procedure Manual – Section 8.3 SUPERVISOR'S REPORT OF INJURY - WC COMPANY NAME PROJECT NAME/ GCC JOB # Ghilotti Construction Company Sonoma Overlay, #5000 GENERAL INFORMATION EMPLOYEE NAME (GENDER M / F) JOB TITLE John Doe Laborer DATE OF INJURY/ILLNESS TIME OF ACCIDENT 1/15/04 10:15 am LOCATION OF INJURY/ILLNESS Sonoma HWY 12, Sonoma County DID EMPLOYEE RETURN TO WORK THE TYPE OF ACCIDENT/ILLNESS (Slip/Fall, Struck by Object, etc.) TREATMENT SAME DAY? Laceration First Aid Medical Yes No BODY PART & TYPE OF INJURY (Cut, Strain, Fracture, etc.) MEDICAL FACILITY/LOCATION Rt Index Finger Kaiser, Santa Rosa HOW DID THE INJURY HAPPEN? Employee was moving rebar and cut finger DESCRIPTION Witness? (Provide Names and Contact Numbers) Albert Einstein, Mike Doe (Subcontractor 555-1212) Pictures Taken (defective equipment, housekeeping, condition of site, etc.) Yes No SPECIFY MACHINE, TOOL, SUBSTANCE OR OBJECT CONNECTED WITH THE ACCIDENT Handling Rebar PERSONAL FACTORS (Lack of Knowledge or Skill, Slow Reaction, Fatigue, Attitude) Attitude towards using PPE CAUSES ANY EXPOSURE TO 3RD PARTY (i.e. subcontractor or product)? No PERSONAL PROTECTIVE EQUIPMENT (PPE) REQUIRED: Gloves WAS PPE BEING USED? No COULD ANYTHING HAVE BEEN DONE TO PREVENT THE ACCIDENT/EXPOSURE? If yes, explain: Employee was previously told to wear gloves, but ignored instructions ACTION PLAN TO PREVENT RECURRENCE (Modification of Machine, Mechanical Guarding, Environment, Training) Remind crew to use proper PPE at all times RECOMMENDATIONS IMMEDIATE CORRECTIVE ACTIONS TAKEN Report PPE violation to Safety Committee SAFETY COMMITTEE REVIEW - ACTIONS/RECOMMENDATIONS Completed by Steve Doe 1/15/2004 Supervisor/Foreman (Print Name) Date THIS FORM MUST BE COMPLETED BY THE SUPERVISOR - NOT THE EMPLOYEE! Supervisor_Report_Sample_073106 Foreman Procedure Manual - Section 8.4 Ghilotti Construction Company Trenching/Excavation Operations Competent Person Responsibility: The designated Competent Person must be on site to identify hazards at all times. If the Competent Person finds evidence of a hazard, workers must be removed from the dangerous area. No employee is to be permitted to enter a trench or excavation unless the Competent Person is on site. The following minimum guidelines have been established: An inspection must be completed at the beginning of each shift in order to identify any new hazards and or changes in the classification of soil. Document any adjustments on the daily time sheet. Routine visual inspections must be completed throughout the shift. When unsure of the correct soil classification and/or type of protection required, contact Tom Woosley, the Area Superintendent, or Brian Ongaro immediately. As appropriate, the services of an independent soils engineer will be obtained. If you are placed in charge of jobsite activities, even if only temporarily, and you do not feel you have received the appropriate training to meet the definition of a Competent Person, please speak to your supervisor or Brian Ongaro immediately. Any employee left in charge of a jobsite must be educated and be able to respond appropriately in the event of any identified hazardous condition or practice. Trenching/Excavation Checklist: For designated projects (to be established by Safety Committee), a GCC Trenching/Excavation Checklist must be completed on a daily basis and turned in with the daily time sheet for recordkeeping. The checklist will be attached to the daily time sheet by dispatch for designated projects. At a minimum, the information outlined on the checklist must be evaluated daily, and as hazards change, for all trenching operations. Trenching_SOP_0705 Foreman Procedure Manual – Section 9.1 Ghilotti Construction Company Competent Person (Cal/OSHA Requirements) Cal/OSHA Construction Safety Orders define “Competent Person” as: “One who is capable of identifying existing and predictable hazards in the surroundings or working conditions which are unsanitary, hazardous, or dangerous to employees, and who has authorization to take prompt corrective measures to eliminate them.” (§1504) The term “Competent Person” is used in many Cal/OSHA standards. In a broad sense a Competent Person is an individual who, through training and/or experience, is: Knowledgeable of applicable standards, Capable of identifying site specific workplace hazards, Designated by the employer, and Has authority to take appropriate corrective actions With respect to trench and excavation exposures, Cal/OSHA requires that site evaluations and safety provisions be carried out by a Competent Person. Under Cal/OSHA Policies and Procedures, a Competent Person may be interviewed by a Cal/OSHA inspector to determine whether that person has knowledge of: The Title 8 requirements for excavations, trenches and earthwork, Use of protective systems, Soil analysis as required in Title 8 provisions pertaining to trenches, excavations, and earthwork, and Ability to recognize and test for hazardous atmospheres Knowledge and ability will be demonstrated through training or experience, and by performance, as follows: Training shall be determined by furnishing a copy of a certificate, a letter or other written evidence, indicating completion of competent person training conducted by the employer, an employer association, or third party trainer, or Experience shall be determined by asking the designated competent person to satisfactorily demonstrate that they have acquired the requisite knowledge and ability through previous experience, and Performance shall be determined by an evaluation of whether the competent person has been given the required authority and has fulfilled the responsibilities of the competent person. To comply with training requirements, all Leadmen, Foremen, and Superintendents must complete the required ClickSafety training (or classroom training) to meet the definition of a “Competent Person.” The designated Competent Person must be on site to identify hazards. If the Competent Person finds evidence of a hazard, workers must be removed from the dangerous area. No employee is to be permitted to enter a trench or excavation unless the Competent Person is on site. For designated projects (to be established by Safety Committee), a GCC Trenching Checklist must be completed on a daily basis and turned in with the daily Time Sheet for recordkeeping. The Checklist will be attached to the daily Time Sheet by dispatch for designated projects. At a minimum, the information outlined on the checklist must be evaluated, daily and as hazards change, for all trenching operations. If you are placed in charge of job site activities, even if only temporarily, and you do not feel you have received the appropriate training to meet the definition of a Competent Person, please speak to your supervisor or Brian Ongaro immediately. Any employee left in charge of a jobsite must be educated and be able to respond appropriately in the event of any identified hazardous condition or practice. Competent_Person_0405 Forman Procedure Manual – Section 9.2 Ghilotti Construction Company Underground Service Marking Policy GCC POLICY: All requests for USA markings will be provided by the Superintendent, in writing, to Dispatch a minimum of 72 hours before work is to begin in the proposed area. A minimum of two days prior to any excavation performed on a project by GCC, there will be a request faxed or called in, by dispatch, to USA for proper identification of all known utilities within the proposed area of work. The service will be valid for 14 days from the date requested and requires renewal every 14 days from the prior request. This renewal is required until all excavation is completed within the area marked by USA. The renewals will take place until such time that the Superintendent notifies Dispatch that the project is complete and/or that USA markings are no longer required. UNDERGROUND SERVICE ALERT CALL BEFORE YOU DIG! 1-800-227-2600 WHO: Every person planning to dig should call USA at 1-800-227-2600 OUTLINE YOUR DIGGING SITE: Prior to calling USA, outline the digging location with white chalk paint or another manner sufficient to enable USA underground facility members to determine the area of digging to be field marked. WHEN: Two (2) working days before your planned digging. USA TICKET NUMBER: At the end of your call, you will be given a ticket number, referencing your digging. Hold on to your ticket number in case you need to call USA back. Your USA ticket will be active for only 14 calendar days from the day you called it in. If digging is continuing past the 14 calendar day active period, call USA back to extend your ticket before it expires. HAND DIGGING: Before you use power equipment, expose the underground facilities in conflict by hand. See Marking Guidelines for hand digging requirements (4216.4, see page 9) Refer to following Suggested Guidelines for Prospective Excavation Site Delineation and Facility Owner Location Markout for additional information. See Section 8 of this manual for Damaged Utilities – Claim Procedures USA_Marking_Policy_0205 Foreman Procedure Manual – Section 10.1 Ghilotti Construction Company Utility Delineation & Excavation Guidelines USA must be contacted 48-hours (2 working days) before excavation begins. 1. Outline your excavation area with white paint [4216.2 (a)] 2. Call USA two working days before you dig [4216.2 (a)] 3. USA will notify its members of your excavation [4216.2 (c)] 4. The USA members will provide information about, mark, or stake the horizontal path of their facilities, or will advise of clearance [4216.3 (a)] 5. Expose the underground facilities before using power equipment [4216.4] 4216.4. (a) The excavator shall determine the exact location of subsurface installations in conflict with the excavation by excavating with hand tools within the area of the approximate location of subsurface installations as determined by the field marking provided in accordance with Section 4216.3 before using any power-operated or power-driven excavating or boring equipment within the approximate location of the subsurface installation, except that power-operated or power-driven excavating or boring equipment may be used for the removal of any existing pavement if there are no subsurface installations contained in the pavement. If documented notice of the intent to use vacuum excavation devices, or power-operated or power-driven excavating or boring equipment, has been provided to the subsurface installation operator or operators and it is mutually agreeable with the operator or operators and the excavator, the excavator may utilize vacuum excavation devices, or power-operated or power-driven excavating or boring equipment within the approximate location of a subsurface installation and to any depth. (b) If the exact location of the subsurface installation cannot be determined by hand excavating in accordance with subdivision (a), the excavator shall request the operator to provide additional information to the excavator, to the extent that information is available to the operator, to enable the excavator to determine the exact location of the installation. 6. Keep the USA request number to validate your excavation permit [4216.9 (a)] General Excavation Information (Provided by USA North/Dig Safely Guidelines): • Prior to starting an excavation, examine the excavation site for physical evidence (manholes, valve covers, water meters, sewer cleanouts, vaults, utility maintenance boxes, pole risers, etc) that would indicate the existence of underground facilities. Always excavate, as cautiously and prudently as possible. • USA North accepts calls from excavation work on public or private property, on Military Bases, on Indigenous People’s Reservations and even on waterways within their covered territory. • Limit your excavation location description to a site that can be completed within a 28 calendar day period that the members can reasonably locate within 2 working days. • USA North limits excavation work to areas no longer in length than 1 ½ miles in a metropolitan area and 3 miles in a rural area. • Dividing larger excavation areas into smaller manageable sites helps the members respond to the excavation site more promptly. • When working on private property the excavator should determine what facilities belong to the property owner and what easements may exist on the property, if any. In general, ownership of underground facilities transfers to the property owner behind the curb, behind the sidewalk, clean out, at the meter or point of entry. • USA North notifies only its members of the excavation work. Non-members should also be notified. Excavation_Delineation_0906 Page 1 of 6 Foreman Procedure Manual – Section 10.2 Five Steps to a Safe Excavation (Provided by USA North/Dig Safely Guidelines): 1. Survey and Mark: Survey the proposed excavation site. Make a list of affected operators of underground facilities (operators) at the job site, their needs and requirements. Mark the excavation site on paved surfaces with white spray chalk paint; use flags, stakes, whiskers, etc. on unpaved surfaces. 2. Call Before You Dig. 3. Wait the Required Time: The 2 working day notice allows USA North members to examine their underground facility records and respond. 4. Respect the Marks: Maintain facility marks for the duration of the job. In any of the operator markings are not reasonably visible, you must call USA North and request remarking. 5. Dig with Care: Facilities that are in conflict with the excavation are to be located and protected before power equipment is used. Damage Notification (Provided by USA North/Dig Safely Guidelines): • An excavator discovering or causing damage to a subsurface installation shall notify the operator of the installation and USA North. • USA North will provide the excavator with the emergency telephone number of the member(s) whose utilities were damaged. Emergency Notification (Provided by USA North/Dig Safely Guidelines): • If the damage results in the escape of any flammable, toxic, or corrosive gas or liquid or endangers life, health or property, the excavator responsible must immediately call 911 and notify the facility owner. • The excavator must take reasonable measures to protect themselves and those in immediate danger, general public, property, and the environment until the facility owner/operator or emergency responders have arrived and completed their assessment. Guidelines for Excavator’s Delineation (Provided by USA North/Dig Safely Guidelines): Single Point Excavations Markings The following are examples of marking illustrations of how excavators may choose to mark their area of proposed excavation. The use of white marking products (e.g. paint, flags, stakes, whiskers, or a combination of these) may be used to identify the excavation site. Delineate the proposed area of excavation through the use of: a continuous line, dots marking the radius or arcs, dashes marking the four corners of the project or dashes outlining the excavation project. Limit the size of each dash to approximately 6” to 12” in length and 1” in width with interval spacing approximately 4’ to 50’ apart. The mazimum separation of excavation marks is to be reduced to a length that can be reasonably seen by the operator’s locators when the terrain or excavation side conditions warrant it. Excavation_Delineation_0906 Page 2 of 6 Foreman Procedure Manual – Section 10.2 When an excavation site is contained within a 50’ maximum radius, or less, it can be delineated with a single stake that is positioned at the proposed center of the excavation. If the excavator chooses this type of delineation they must convey that they have delineated the excavation site with a single stake at the center of the excavation and include the radius of the site in the notification to the One-Call Center. The single stake is to be white in color with the following information: excavator’s company identifier (name, abbreviations, or initials) and the radius of the excavation site in black letters on the stake or with a notice attached to the stake. Mark in white paint the proposed centerline of planned excavation 6” to 12” x 1” arrows, approximately 4’ to 50’ apart to show direction of excavation. The maximum separation of excavation marks is to be reduced to a length that can be reasonably seen by the operator’s locators when the terrain at an excavation site warrants it. Mark lateral excavations with occasional arrows showing excavation direction from centerline with marks at curb or property line if crossed. Dots may be used for curves and closer interval marking. Delineate the proposed area of excavation through the use of: stakes, flags or whiskers to mark radius or arcs, the four corners of the project or outlining the excavation project instead of using spray paint. Limit the interval spacing to approximately 4’ to 50’. The maximum separation of excavation marks is to be reduced to a length that can be reasonably seen by the operator’s locators when the terrain at an excavation site warrants it. Stakes, flags, or whiskers provide to illustrate arcs or radii may be placed at closer intervals in order to define the arc or radius. Stakes, flags or whiskers are white in color with the excavator’s company identifier (name, abbreviations, or initials) provided on the stake, flag or whisker. Guidelines for Operator’s Facility Field Delineation (Provided by USA North/Dig Safely Guidelines): Color Code Identifiers WHITE Proposed Excavation RED Electric Power Lines, Cables, Conduit and Lighting Cables ORANGE Communication, Alarm or Signal Lines, Cables of Conduit PURPLE Reclaimed Water, Irrigation and Slurry Lines PINK Temporary Survey Markings YELLOW Gas, Oil, Steam, Petroleum or Gaseous Materials BLUE Potable Water GREEN Sewers and Drain Lines Excavation_Delineation_0906 Page 3 of 6 Foreman Procedure Manual – Section 10.2 Operator markings of facilities include; the appropriate color for their facility type; their company identifier when other companies are using the same color, the number and width of their facilities and a description of the facility. They may use paint, flags, stakes, whiskers, or a combination to identify the operator’s facility(s) at or near an excavation site. Excavation_Delineation_0906 Page 4 of 6 Foreman Procedure Manual – Section 10.2 Excavation_Delineation_0906 Page 5 of 6 Foreman Procedure Manual – Section 10.2 Excavation_Delineation_0906 Page 6 of 6 Foreman Procedure Manual – Section 10.2 Ghilotti Construction Company Policies and Procedures (Web Access) The Employee Safety section of the Ghilotti Construction Company website provides access to company Statements, Policies/Procedures, Checklists/Forms, Company Memorandums, and Tailgate Safety Topics. Supervisory field personnel need to review the information made available to assist with enforcement of safety in the field. If you do not have access to the Internet, all company policies and procedures are available for your review upon request. www.Ghilotti.com User Name: gccsafety Password: first Web_Access_073106 Foreman Procedure Manual – Section 11.1 Ghilotti Construction Company Cal/OSHA Job Site Visits When a Cal/OSHA enforcement officer shows up on the jobsite to perform an inspection, the following guidelines should be followed: 1. Be cordial and professional. 2. Ask for identification. 3. Ask why the inspection is taking place. 4. If a Superintendent is not present, advise that you need to contact the main office or appropriate individual to assist with the inspection. The Superintendent or Management representative (Owner or Area Manager) should accompany the compliance officer at all times during the inspection, when feasible. 5. Do not offer any information or attempt to hide any information. The compliance officer should be provided only what is asked for. Important: Never speculate or respond to a question if you are unsure of the answer. 6. A written report must be completed by the individual accompanying the compliance officer. Document all discussions and any statements of facts made. 7. Take pictures of areas identified by the compliance officer (duplicate all pictures taken by the compliance officer). 8. All documentation/information should be provided to management for review and appropriate response. Cal/OSHA enforcement officers have the right to interview individual employees, without the presence of an employer representative. The company Injury & Illness Prevention Program (IIPP) and Code of Safe Practices should readily accessible and made available for review at all times. CalOSHA_Site_Visit_0305 Foreman Procedure Manual – Section 11.2 Ghilotti Construction Company Contaminated Projects This policy is intended to provide general guidelines for adhering to environmental safety and health requirements when working in or around contaminated job sites. When specifications of a project indicate potential exposures to contaminated soil and ground water, the following procedures will apply: 1. In coordination with the Project Manager and Owner/Developer, the designated Environmental Safety & Health Team (Pacific Northwest EnviroNet Group) will be retained to develop the Health and Safety Plan specific to the potential contaminates identified at the project. 2. The GCC designated safety coordinator will be responsible for developing the job site binder, in accordance with the Health & Safety plan. 3. Upon notification of the assigned crew, the GCC designated safety coordinator will be responsible for scheduling the required Blood Level Testing and Respirator Medical Clearance testing for designated employees that may be exposed to the yellow and red zones. 4. Required Respirator Fit Testing will be conducted at the job site, prior to performing work in the designated zones. 5. The Project Manager (or designated/trained individual) is responsible for maintaining the job site binder and required documentation. The binder will remain accessible at the job site during the course of the project. 6. The Project Manager (or designated/trained individual) will be responsible for conducting the required testing in the green and yellow zones. All testing will be documented. 7. The designated ES&H Team will be retained to conduct, and document, the required testing in all red zones. 8. Upon receiving notification of completion of the project, the GCC designated safety coordinator will be responsible for scheduling the required post-job Blood Level Testing. Procedures upon discovery of contaminated soil, ground water, and debris during excavation, construction, or demolition projects: 1. During construction, the Responsible Individual (Project Manager/Superintendent) will look for evidence of unexpected contamination (Discolored, Malodorous, or Suspected Contamination in Soil). 2. When contamination is suspected or identified, the Responsible Individual will: a. Stop work, and b. Rope off area, and c. Immediately notify the Area Manager and the GCC designated ES&H Team (Pacific Northwest EnviroNet Group) 3. The ES&S Team will be responsible for recommending soil/debris management strategy and developing the Health & Safety Plan specific for the job site. 4. The Health & Safety Plan will be implemented before construction continues. Contaminated_Jobs_0505 Foreman Procedure Manual – Section 11.3 Ghilotti Construction Company Daily Hazard Inspections Policy Subchapter 4 of the Cal/OSHA Construction Safety Orders, §1511, requires that: No worker shall be required or knowingly permitted to work in an unsafe place, unless for the purpose of making it safe and then only after proper precautions have been taken to protect the employee while doing such work. Prior to the presence of its employees, the employer shall make a thorough survey of the conditions of the site to determine, so far as practicable, the predictable hazards to employees and the kind and extent of safeguards necessary to prosecute the work in a safe manner. The Cal/OSHA Safety Orders requires that documentation be maintained on all hazard inspections and corrections. To comply with these requirements, the following policy has been established: 1. Foremen will be required to complete a daily walk-through, before assigning job tasks and permitting employees to begin work. 2. Hazards that exist, but cannot be corrected immediately, will be communicated to all employees and affected individuals at the work site. Identified hazards and applicable training will be documented on the Daily Time Sheet. Daily_Hazard_Inspections_0907 Foreman Procedure Manual – Section 11.4 Ghilotti Construction Company Documenting Safety Violations Field Supervisors (Leadmen, Foremen, Superintendents, Managers) are responsible for ensuring the safety of their crew. Safe work practices and conditions must be enforced at all times. This includes enforcing compliance with wearing PPE, seat belts, etc. in accordance with the company Code of Safe Practices. If you are having reoccurring violations by an individual, contact the Area Superintendent or Brian Ongaro to allow for appropriate disciplinary action. Documenting_Safety_Violations_0907 Foreman Procedure Manual – Section 11.5 Ghilotti Construction Company FIRST-AID KIT POLICY Cal/OSHA requires that: Every employer working on or furnishing personnel on a construction project and on other short duration transient jobs shall: Provide at least one first-aid kit in a weatherproof container. Inspect the contents regularly to ensure that the expended items are promptly replaced Arrange the contents so they remain sanitary and can be located quickly The minimum first-aid supplies must be cleared by a licensed physician or in accordance with the following table: Type of supply required by # of Employees Items in adequate quantities consisting of: 1-5 6-15 16-200 Over 200 Adhesive dressings x x x x Adhesive tape rolls, 1-inch wide x x x x Eye dressing packet x x x x 1" gauze bandage roll or compress x x x 2" gauze bandage roll or compress x x x x 4" gauze bandage roll or compress x x x Sterile gauze pads, 2" square x x x x Sterile gauze pads, 4" square x x x x Sterile surgical pads/pressure dressings x x Triangular bandages x x x x Safety pins x x x x Tweezers and scissors x x x x *Additional equipment in adequate quantities consisting of: Cotton-tipped applicators x x Forceps x x Emesis basin x x Flashlight x x Magnifying glass x x Portable oxygen and breathing equipment x Tongue depressors x Appropriate record forms x x x x Up-to-date “standard” or “advanced” first-aid x x x x textbook, manual or equivalent *To be readily available, but not necessarily within the first-aid kit GCC Company Policy: The Foreman, or designated Leadman, is responsible for ensuring that there is a stocked First-Aid Kit at the job site location. All Foremen should have a First-Aid Kit readily available in their company vehicle. Every job container/cabinet should be stocked with a First-Aid Kit. The contents must be maintained and restocked as needed. Supplies for restocking the kits are available at the Shop Trailer. First_Aid_Kit_0703 Foreman Procedure Manual – Section 11.6 Ghilotti Construction Company Non-Harassment Field Policy GCC is committed to providing a work environment free of unlawful harassment. This includes sexual harassment, as well as harassment based on such factors as race, color, creed, religion, national origin or ancestry, age, gender identity, medical condition, marital status, physical or mental disability, sexual orientation, or any other basis protected by federal, state or local law. All such harassment is unlawful. This includes harassment based on the perception that a person possesses any of these characteristics, or is associated with a person who possesses, or is perceived as possessing, any of these characteristics. GCC will not tolerate harassment of our employees by anyone, including any supervisor, co-worker, vendor, associate, or customer of ours. Harassment Defined: Harassment refers to behavior that is unwelcome, is personally offensive, debilitates morale, and interferes with the work performance and effectiveness of an employee. It includes inappropriate and disrespectful conduct and communication. Prohibited harassment includes, but is not limited to, the following behavior: Verbal conduct such as epithets, derogatory jokes or comments, slurs or unwanted sexual advances, invitations or comments; Visual conduct such as derogatory and/or sexually-oriented posters, photography, e-mails, cartoons, drawings or gestures; Physical conduct such as assault, unwanted touching, blocking normal movement or interfering with work because of sex, race or any other protected basis; Threats and/or demands to submit to sexual requests in order for an employee to keep their job, or to avoid some other loss, and offers of employment benefits in return for sexual favors; Retaliation for having reported or threatened to report harassment. Violations: Violations of this policy will not be tolerated. Anyone engaging in such activity is acting beyond the scope of any authority they may have from the Company. Any supervisor who is made aware of a complaint of harassment and fails to take action will be subject to corrective action, which may include termination. Complaint Procedure: If you feel that you have experienced or witnessed harassment, you are encouraged to first confront the individual (if you are comfortable doing so), and ask him or her to stop. The next step is to notify a Superintendent or Brian Ongaro, verbally or in writing. GCC encourages all employees to report any incidents of harassment immediately so that complaints can be quickly resolved. No employee should feel they must tolerate an inappropriate or uncomfortable situation. We will take your concerns seriously. Every complaint of harassment that is reported will be investigated thoroughly, promptly, and in as confidential a manner as possible. If a harassment investigation determines that inappropriate and/or unlawful harassment has occurred, GCC will take specific action that is in line with the severity of the offense. Any employee determined by GCC to be responsible for harassment will be subject to appropriate corrective action, up to and including termination of employment. In addition, appropriate action will be taken to prevent any future harassment. GCC will not retaliate against any employee for filing a complaint, and will not knowingly permit retaliation by any representative of the organization. If we become aware of any retaliatory activity, appropriate corrective action will be taken. Your Rights: GCC encourages all employees to report any incidents of harassment immediately, using the complaint procedures described above. You should also be aware that you have the right to contact your respective Union Hall, the Federal Equal Employment Opportunity Commission (EEOC) and the California Department of Fair Employment & Housing (DFEH). The nearest offices are listed in the telephone book. Non_Harassment_Field_Policy_0405 Foreman Procedure Manual – Section 11.7 Ghilotti Construction Company Disciplinary Policy Statement This disciplinary policy shall be utilized as a method to emphasize and ensure that all Ghilotti Construction Company (GCC) field workers employed by GCC understand the responsibility that they have in complying with our employee policies and in adhering to safe work practices at job sites. Policy We have formulated our disciplinary policy and procedure in order to discipline employees for violations. The procedures outlined in our various employee policies are for the protection of all employees, particularly when it comes to safety and security. Appropriate Action The appropriate disciplinary action implemented against the employee may be based on his/her previous history of non-compliance and/or the seriousness of the violation. Warnings may be verbal or in writing and will be noted in employee files. The employer shall retain the right to take any appropriate disciplinary action for violations of company policies up to and including termination of employees. Safety_Disciplinary_Policy_0906 Foreman Procedure Manual – Section 11.8 Ghilotti Construction Company Tailgate Meetings & Posting Notices Tailgate Safety Meetings Tailgate Safety Meetings will be held every Monday, at every jobsite location Completed/Signed Tailgate Safety forms must be turned in on Tuesdays by Foreman Posting Notices Every Superintendent and/or Foreman will have the required State, Federal, and Cal/OSHA posting notices (in binder or poster format) available for review at every jobsite location Specific Cal/OSHA Permits and Notices will be posted, as required by Cal/OSHA Location of positing notices must be communicated verbally at the start-up of new projects and periodically throughout duration of the job Tailgates_Posting_073106 Foreman Procedure Manual – Section 11.9 Ghilotti Construction Company Supervising Field Personnel It is common for a supervisor to achieve their position based on their knowledge and experience in a particular craft. All of a sudden a new supervisor can find himself or herself responsible for an entire crew, craft or department comprised of workers that used to be their peers. The new responsibilities not only include the multitude of duties associated with production, but also the safety of each and every worker that they supervise. They are in charge of orienting new employees, training new and existing employees, conducting safety meetings and safety inspections, performing thorough accident investigations and so on. Success in carrying out these duties requires a new set of skills. To help, the following action steps are offered as tools for enhancing supervisory skills: Communicating Performance Standards • Meet with your crew to review the duties of their job. Make sure these duties are clearly understood. • Discuss performance standards for each area of responsibly. • Get commitment by having the individual describe the steps he or she will take to meet the standards. • Ask for and respond to any questions or concerns. • Tell the individual that you have confidence in his or her ability to achieve the performance standards, and encourage the him or her to ask you for any help, if needed. • Follow-up with the individual in order to address any areas of concern that may have arisen since your original talk. Delegating Responsibility: • Indicate what new responsibly you want the employee to handle and why they are the right person for the job. • Describe the new responsibility in detail, outlining the specific task, performance standards, and any training procedures needed. • Don’t forget - to succeed, they need to be given the authority to be able to fulfill the responsibly. • Ask for questions and comments. • After dealing with any concerns, ask for a commitment and make it clear that you are available if help is needed. • Remember, you can only delegate the duties. As a Supervisor, you still hold the responsibility to make certain the task is done correctly, and safely. Dealing with Performance Problems: • Focus on the performance problem rather than on the individual’s personality or attitude. • Be prepared to clearly state the nature of the performance problem. • Express you confidence in the individual’s ability to correct the problem. • Praise the employee when the job performance has improved. • If improvement does not occur, disciplinary action will need to be taken. Note: When dealing with problem employees, speak to the VP of Operations to determine an appropriate course of action for dealing with the individual. Supervising_Employees_0906 Foreman Procedure Manual – Section 11.10 Ghilotti Construction Company Pre-Job Safety Planning During construction projects, the work activity and site are constantly changing. New hazards are created with each new phase. This situation creates some unique and difficult challenges in the area of safety management. One of the best tools to help in meeting these challenges is Pre-Job Safety Planning. The chances of a successful result are increased if proper planning is used. Safety planning will ensure that safety is taken into account along with costs, schedules, quality, and other important goals. If it is not included in the planning stage, it is unlikely that safety will receive much consideration during the actual construction process. Planning for safety needs to start at the estimating phase. At Ghilotti Construction Company, the total bid budgets a reasonable amount of money for this function. Pre-Job Safety Planning Meeting: A pre-job meeting should be held after the contract is awarded and before the project begins. This meeting should be used to discuss the entire safety program and define responsibilities and any other special requirements for the job. The five main items to address in the meeting are: 1. Safety management strategies, 2. Specific hazards and controls, 3. Subcontractor requirements, 4. Job hazard analysis, and 5. Extra safety supplies needed for the project Safety Management Strategies: • Training: Training is the most important aspect of your program and is required by OSHA. Training begins with a thorough employee safety orientation. The orientation should include general information needed for every employee at the jobsite. • Safety Inspections: A safety self-inspection program is necessary to ensure that unsafe conditions and practices are identified and corrected. • Incident and Accident Investigations: Investigations are necessary in order to find out the cause so steps can be taken to prevent similar recurrences. Timely reporting of every incident and/or accident is essential for the investigation to be effective. Subcontractors: The activities of workers employed by one contractor can create hazards for workers employed by others in the immediate area. In many states, the general or prime contractor assumes safety responsibility for all contractors and workers on the project. Subcontractors need to be informed of the course of action that will be taken to resolve any safety issues that arise due to subcontractor activity. Conclusion: If you include safety in the early stages of the pre-job planning process, positive results will naturally follow. Reductions in the frequency and severity of accidents will transform into higher productivity, lower insurance costs, and a competitive advantage when bidding against other contractors for future projects. PreJob_Safety_Planning_0906 Foreman Procedure Manual – Section 11.11 Ghilotti Construction Company Conducting Effective Safety Meetings The supervisor is the key person in any program to create and maintain interest in safety, and is responsible for promoting safety among field personnel. How well you meet this responsibility will determine how favorably field personnel adhere to safe work practices. Setting a good example is one of the most effective ways that you can promote safety. WHY ARE SAFETY MEETINGS IMPORTANT? It is not only mandatory, but it is important to meet regularly with your crew to discuss the various aspects of jobsite safety. Only through face-to-face contact can effective communication take place. The open, informal atmosphere of a small group meeting is designed to encourage the kind of questions and discussion that “personalize” the issues of safety by focusing on its day-to-day applications. Safety meetings are designed to: • Encourage safety awareness • Get employees involved • Motivate employees to following safety procedures • Identify potential hazards and prevent accidents and injuries • Introduce workers to new safety rules, equipment, and preventive practices To be effective, try to relate the discussion to current working conditions at the jobsite. Following are the basic steps that should be followed when conducting a meeting on almost any safety topic. • Choose the topic - You do not have to use the topic provided. If there are issues present at the jobsite that need to be addressed, choose the appropriate topic from the tailgate library located in the old dispatch office. • Introduce the topic - summarize the purpose of the subject and why it is relevant to the current working conditions. • Present the facts - be concise as possible in providing the crew with any necessary background on the subject. Then present your facts and figures in as interesting a manner as possible. • Demonstrate - Acting out, or role-playing, a safety procedure is one way of making sure your message has been received. Using visual aid is another way to demonstrate the subject and get the crew involved. It gives your meeting added impact and makes it more interesting. • Open the meeting up for discussion - Use the discussion period to answer questions, clarify misunderstandings, and obtain feedback. An active discussion is usually a good indication that your meeting has been successful. DO NOT JUST HAND THE FORM TO EMPLOYEE TO SIGN! It is important that relevant topics be discussed and that field personnel are educated and informed about the potential exposures present at the jobsite. Conducting_Safety_Meetings_0906 Foreman Procedure Manual – Section 11.12 Ghilotti Construction Company New-Hire Field Orientation Guidelines This guideline is designed to assist supervisory employees with conducting new-hire field safety orientations. Discuss IIPP and procedures for reporting workplace injuries and accidents • i.e. Immediately report any injury or accident to Supervisor; Treatment provided by GCC designated medical facility • Reporting identified safety hazards Emergency Action Procedures and location of safety equipment (i.e. Fire Extinguishers, First Aid kits, etc.), and jobsite posters Discuss the following (as applicable): • Scope of work performed at the job site • Specific job tasks assigned (verify they are trained to perform tasks assigned) • Jobsite specific hazards • MSDS – potential exposures • Required PPE and company dress code • Power/Hand Tool Safety (tagging defective equipment) • Working Around Mobile Equipment • Flagging/Traffic Control Safety • Cement/Concrete Safety • Paving/Asphalt Safety • Trenching/Excavation Safety • Machinery Guarding/Hazards • General company policies (i.e. required rest and lunch breaks, cell phone use, etc.) New_Hire_Orientation_Guidelines_0606 Foreman Procedure Manual – Section 11.13 Ghilotti Construction Company Injury and Illness Prevention Program (IIPP) Ghilotti Construction Company has developed the following Injury and Illness Prevention Program, in compliance with Title 8 of the California Code of Regulations, General Industry, and Construction Safety orders. Our primary objective is to avoid accidents through the means of eliminating unsafe practices and conditions. It is the policy of Ghilotti Construction Company (GCC) that the safety and health of our employees is of the highest priority. Accident prevention shall be considered of primary importance in all phases of operations and administration. It is GCC’s intent to maintain effective standards that will guard against injuries and illnesses occurring on the job. OUR GOAL IS ZERO ACCIDENTS AND INJURIES Our Injury and Illness Prevention Program is designed to address, in detail, the following areas: 1) Program Implementation and Responsible Persons 2) Compliance Procedures 3) Communication Policy 4) Training and Safety Instruction 5) Workplace Assessment and Corrections 6) Accident Investigation Procedures 7) Documentation and Recordkeeping Policy 8) Multi-Employer Job Site Exposures 1) PROGRAM IMPLEMENTATION AND RESPONSIBLE PERSONS Brian Ongaro, Senior VP of Operations, is responsible for overseeing the implementation and maintenance of the IIPP. Full authority is granted to the appropriate individuals to properly manage and enforce all provisions of this program and the related safety policies and procedures. Julie Thornton, Claims & Safety Director, is responsible for the development, implementation, and management of safety and risk-management programs, policies, and procedures to comply with safety legislation and industry practices. Managers, Field Superintendents, and Foremen are responsible for assisting with the effective implementation, enforcement, and communication of required elements of the company IIPP and related safety policies and procedures. GCC has a Safety Committee established to assist with identifying and communicating exposures specific to operations performed, and the adoption of policies and procedures designed to support safe work practices and conditions. Established members of the Committee include Brian Ongaro, Julie Thornton, Damon Calegari (Equipment Manager), and John Klapperich (Field Safety Inspector). Rotating members consist of Area Managers and Superintendents. Safety Committee responsibilities, at the minimum, include the following: Identify and communicate exposures specific to operations performed by GCC Assist with the development of safety programs, policies and procedures Enforce compliance with all company safety programs, policies and procedures Conduct periodic safety meetings with Field Superintendents, Foremen, and Leadmen Review all job site activity, documented inspections, safety violations, accident/near-miss reports, and employee safety suggestions, to ensure that unsafe conditions and practices have been properly identified and adequate steps taken to eliminate hazardous exposures Oversee the Field Safety Incentive Program(s) Oversee required safety training for all employees Perform periodic reviews of the IIPP and related safety programs, polices and procedures IIPP_020107 Page 1 of 6 Foreman Procedure Manaual – Section 12.1 Ghilotti Construction Company – Injury Illness Prevention Program Managers, Field Superintendents, and Foremen Managers, Field Superintendents, and Foremen are responsible for assisting with the effective implementation, enforcement, and communication of required elements of the company IIPP and related safety policies and procedures. Project Managers and Field Superintendents are responsible for ensuring that Foremen are instructed on all matters of safety, and that they are enforcing safe work practices and conditions at the job site. All supervisory personnel, as applicable, are required to complete extended ClickSafety training. At the minimum, responsibilities include the following: Communicate identified exposures/safety hazards to the Safety Committee Communicate matters of safety to employees under their supervision Enforce compliance with all programs, policies and procedures implemented Provide leadership, motivation, and instruction to promote safety Be familiar with laws pertaining to safety and health for the work being performed Assist management with the new hire safety orientation process Perform task-specific training, as needed, and assist with coordination of safety training for all employees under their supervision Assist with completion of formal job site inspections (performed by Field Safety Inspector) Conduct accident investigations Comply with all documentation requirements Coordinate matters of safety at the job site with all project team members and subcontractors Actively contribute to GCC’s efforts to maintain a safety and healthy workplace for all employees Field Foremen and/or Leadmen Foremen are responsible for the immediate safety of their crew and must enforce safe work practices and conditions at all times. Foremen are responsible for ensuring that the Leadman, as applicable, are instructed on all matters of safety. All Leadmen are required to complete extended ClickSafety training. At the minimum, responsibilities include the following: Conduct daily job site inspections to assess any potential hazards, to include inspection of trenching operations, when applicable Take immediate action to correct all identified safety hazards, or immediately communicate existence of identified hazards to the project Superintendent or Manager when immediate correction is not possible Communicate safety expectations to all employees (under their supervision) during daily and weekly meetings Maintain ongoing safety communication with all project team members and subcontractors Provide leadership, motivation, and daily instruction to ensure compliance with all safety programs, policies and procedures Enforce employee compliance with safe work practices Ensure that employees are trained to safely perform assigned tasks Ensure all required job site posting notices are displayed and/or readily accessible, to include the Code of Safe Practices and list of Hazardous Substances and corresponding MSDS Make available at the job site all necessary Personal Protective Equipment (PPE), and provide training on the appropriate use, as applicable Perform accident investigations and adhere to required reporting procedures Conduct weekly tailgate meetings Comply with all safety and job site documentation requirements Communicate needs for additional training and instruction to the Superintendent Actively contribute to GCC’s efforts to maintain a safety and healthy workplace for all employees IIPP_020107 Page 2 of 6 Foreman Procedure Manaual – Section 12.1 Ghilotti Construction Company – Injury Illness Prevention Program All Employees All employees, field and administrative, will be required to complete the new-hire orientation process, to include ClickSafety training, and will be provided a copy of the company Code of Safe Practices. All employees are provided access information to the Safety & Health section of the GCC website, which provides access to all company implemented safety programs, policies, and procedures. At the minimum, expectations from all employees include: Adhere to safe work practices and conditions at all times Take responsibility for personal safety Do not expose co-workers to unsafe acts or conditions Communicate need for additional training when unsure how to safely perform an assigned task Use required PPE at all times, as applicable Immediately report unsafe conditions Immediately report all injuries, illnesses, accidents, or near-misses Actively contribute to GCC’s efforts to maintain a safety and healthy workplace for all employees 2) COMPLIANCE PROCEDURES Mandatory compliance with GCC safety programs, policies and procedures is required from all employees, permanent and intermittent, to include Managers, Field Superintendents and Foremen. Field Superintendents and Foremen are responsible for safe work practices and conditions at the jobsite. Enforcement of safe work practices will be conducted in a fair and uniform manner. Managers, Field Superintendents, and Foremen, are responsible for evaluating the performance of all employees under their supervision, and providing specific training to employees whose work habits are unacceptable. Supervisory personnel are responsible for informing management when employees fail to comply with safe work practices. Safety violations will be reviewed to determine the appropriate disciplinary action required. The appropriate disciplinary action implemented against the employee may be based on his/her previous history of non-compliance and/or the seriousness of the violation. Warnings may be verbal or in writing and noted in employee files. The employer shall retain the right to take any appropriate disciplinary action for violations of company policies up to and including termination of employees. Field Safety Incentive Program: To support GCC’s commitment to company wide safety, programs are established to help motivate employees and acknowledge safe work practices and behaviors. Safety incentive programs are reviewed on an ongoing basis to ensure the effectiveness of promoting and acknowledging safety in the field. 3) COMMUNICATION POLICY Ghilotti Construction Company encourages all employees to report unsafe work practices and conditions to their immediate supervisor and/or management. The Safety Communication Policy Statement is incorporated into the Code of Safe Practices, which is provided to all employees at the time of hire. Employee Safety Information forms and suggestion boxes are available at all division offices to allow employees the opportunity to anonymously provide suggestions, or report an unsafe workplace condition or practice. Employees who report identified hazards, or identify unsafe work practices, will not suffer retaliation because of their active participation in supporting GCC’s efforts to maintain an effective IIPP. An employee’s participation in securing a safe and healthy workplace is expected. Employees are advised of their role in safety prevention at the time of hire. IIPP_020107 Page 3 of 6 Foreman Procedure Manaual – Section 12.1 Ghilotti Construction Company – Injury Illness Prevention Program At the minimum, methods used to facilitate a continuous flow of safety communication include: New Hire Orientation process, which includes completion of ClickSafety training On-site review of job assignments/responsibilities The Code of Safe Practices handbook State and Federal Posting Notices GCC website (access information provided at hire) Tailgate Safety Meetings (Field) Quarterly Safety Breakfasts and annual Safety Kickoffs (mandatory attendance for Management, Engineers, Field Superintendents, Foremen, and Leadmen) Mandatory, and optional, extended safety training Payroll Stuffers GCC Safety Roadtracks Newsletter Incident-Specific Safety Alerts Email Communications and Health & Safety Correspondence (Admin) 4) TRAINING AND SAFETY INSTRUCTION All employees, permanent and intermittent, will be provided necessary training and instruction on general and job-specific safety and health practices. Management will provide supervisory personnel with the proper tools, and training, to assist with the enforcement of the company IIPP and related policies and procedures. At the minimum, the methods of training and instruction include: New Hire Packet documentation, which includes (available in English and Spanish): Code of Safe Practices Vehicle Use Policy Hazard Communication Program Notice Disciplinary Policy Statement Prop 65 Notice New Employee’s Guide to WC Asphalt Exposure Safety Acknowledgement of Receipt Substance Abuse Policy Summary Rest & Meal Periods Work Place Violence Policy DMV Employer Pull Notice Program Non-Harassment Field Policy GCC website information for access all company safety programs, policies and procedures implemented (hardcopies provided upon request) ClickSafety new-hire orientation training (available in English and Spanish) Driver proficiency training Job site and task-specific training (conducted by the Foreman when dispatched) Extended ClickSafety training for all supervisory personnel At the minimum, methods of ongoing training and instruction include: Task and/or job site specific training when new duties are assigned, new hazards or unsafe conditions are identified, new equipment or substances are introduced to the job site Required use of PPE, accessibility of all job site safety documentation and materials, and provisions for emergency services Seasonal safety newsletters, payroll stuffers, safety alerts, email communications Optional and extended ClickSafety training Enforcement of compliance with safety policies and procedures implemented, and consequences for violations IIPP_020107 Page 4 of 6 Foreman Procedure Manaual – Section 12.1 Ghilotti Construction Company – Injury Illness Prevention Program 5) WORKPLACE ASSESSMENT AND CORRECTIONS Field: Prior to the presence of employees, the Foreman and/or Leadman will make a thorough survey of the conditions of the job site to determine, so far as possible, the predictable hazards to employees and the kind and extent of safeguards necessary to proceed with work in a safe manner. At the minimum hazard inspections and corrections will occur: When new substances, procedures or equipment are introduced at the job site When new or previously unidentified hazards are identified When an accident, injury or near-miss occurs Whenever a work practice or condition requires attention In addition to daily job site inspections, formal inspections will be conducted by the Field Safety Inspector for the purpose of identifying and evaluating work place hazards. These inspections are documented on the GCC Job Site – Safety Survey form. General and Field: Identified unsafe or unhealthy work practices and conditions will be corrected in a timely manner to be consistent with the severity of the identified hazard. Under no circumstances will an employee be permitted to work under conditions that pose a clear or imminent danger. Identified hazards and corrections will be documented. When an imminent hazard is identified and immediate correction is not possible, all exposed workers will be removed from the area. Employees responsible for correcting the hazardous condition will be provided with the necessary training and protection. 6) ACCIDENT INVESTIGATION PROCEDURES In the event of an accident or near-miss incident, an investigation will be conducted by the supervising employee and/or the Claims & Safety Director. The applicable company form(s) will be used to document the findings, which may include the following: Contact information for involved parties/injured employee(s) and witnesses General description of what occurred Survey of area/accident location (pictures are required) Identified hazards and/or contributing factors and immediate corrective actions taken Means of avoiding incident/accident Any immediate training conducted or employee corrective actions taken The Claims & Safety Director must be notified immediately of any accident or near-miss incident, and may assist with the on-site investigation, as appropriate. The required reporting form(s) must be provided within 1 working day of the occurrence. The Claims & Safety Director will be responsible for the internal processing of all claims. 7) DOCUMENTATION AND RECORDKEEPING POLICY The following records will be retained for a minimum of 3 years: Scheduled and unscheduled inspections, which will include methods used to identify, evaluate and correct work site conditions and practices. Records relating to individual and group safety and health training will include: Employee’s Name/Signature Date of Training Training Topic Name of Trainer IIPP_020107 Page 5 of 6 Foreman Procedure Manaual – Section 12.1 Ghilotti Construction Company – Injury Illness Prevention Program Records relating to the investigation of accidents and near-miss exposures Records relating to the implementation and maintenance of policies and procedures The following records will be retained for at least 5 years: Records relating to workplace fatalities, injuries and illnesses Required OSHA Forms The following records will be retained for at least 30 years, as applicable: Records relating to employee exposure to hazardous and toxic substances, in accordance with 8CCR §3204 General Industry Safety Orders 8) MULTI-EMPLOYER JOB SITE EXPOSURES Subcontractors to Ghilotti Construction Company are contractually required to maintain safety program(s) in compliance with Cal/OSHA Standards (applicable to the scope of operations performed). Subcontractors are responsible for taking all necessary precautions while performing its work to ensure the safety of its employees and others, and communicate matters of safety affecting other contractors/employees present at the job site. Ghilotti Construction Company will communicate matters of safety to subcontractors as they pertain to the safe and healthy work practices and conditions of the job site. IIPP_020107 Page 6 of 6 Foreman Procedure Manaual – Section 12.1 Ghilotti Construction Company Subcontractor Safety Compliance Under Cal/OSHA regulations, the following categories of employers can be cited for a violation, even if their own employees were not exposed to the alleged (enforceable) unsafe condition. Controlling Employer: The employer who was responsible, by contract or through actual practice, for safety and health conditions on the worksite; i.e. the employer who had the authority for ensuring that the hazardous condition is corrected Exposing Employer: The employer whose employees were exposed to the hazard Creating Employer: The employer who actually created the hazard Correcting Employer: The employer who had the responsibility for actually correcting the hazard When GCC is the responsible entity for overall site coordination on a project, and deemed responsible for safety and health conditions at the work site, we are exposed to being cited as the “controlling employer” and/or “correcting employer” for violations created by our subcontractor. Subcontractors are contractually held responsible for providing a safe work place for its employees and to comply with all laws, regulations, and orders issued by governing bodies, public officers, and Ghilotti Construction Company. (Refer to Page 2) To ensure Subcontractors to GCC are in compliance, and all hazardous exposures are identified and communicated, the Lead Foreman is responsible for the following activities: Complete initial project orientation with the Subcontractor, to include matters of safety (2-way conversation should take place to ensure communication of known hazards respective of the work being performed by each party). Document that the meeting occurred on the Daily Time Sheet. Include matters of safety during progress meetings Accidents involving and/or caused by the subcontractor must be investigated (assist in the subcontractor’s investigation and obtain copy of their report, as appropriate) Require the Subcontractor, and their employees present at the work site, to participate at GCC’s weekly Safety Tailgate meetings. (Not applicable to suppliers and subcontractors with sporadic presence at the jobsite) Communicate and document identified safety violations created by the Subcontractor (provide to the Area Manager for response). NOTE: Contact the Area Manager or Brian Ongaro with immediate concerns regarding Subcontractor safety compliance. GCC Subcontractors are contractually required to comply with the following safety guidelines: 1. Have readily available at the job site a copy of the Code of Safe Practices, specific to the scope of operations performed by the Subcontractor. If requested, the Subcontractor shall provide a written plan that identifies how Subcontractor will address specific safety concerns for his work performed on the project. 2. Have readily available at the job site a list of all hazardous substances used, with corresponding Material Safety Data Sheets. 3. Provide a written report of all accidents and injuries to the GCC Superintendent or Lead Foreman. Subcontractor_Safety_0304 Foreman Procedure Manual – Section 12.2 4. Ensure that all equipment brought on site complies with current safety and state motor vehicle requirements. Any equipment in violation of these requirements shall be immediately repaired or removed from the job site. 5. Hold weekly safety meetings with its employees. Minutes of each meeting, including an attendance record, shall be made available for review upon request. 6. Perform its work and maintain its safety program to ensure full compliance with all aspects of the OSHA and Cal/OSHA rules and regulations, Senate Bill 198 (California), and any subsequent related regulations. 7. Immediately correct any and all safety violations. Safety Notices may be issued to the Subcontractor and its individual employees when a safety infraction is observed. This notice will identify the observed violation and require immediate correction. A copy of the notice will be provided to the involved employee and the Subcontractor’s supervisor or Safety Director. Repeat violations of safety rules is grounds for removal of an employee from the job. 8. Communicate all safety responsibilities and requirements required by law and by this agreement to its sub- subcontractors and suppliers. Subcontractor shall at all times be responsible for the safe performance of its sub-subcontractors and suppliers. 9. Comply with the Code of Safe Practices (provided by disk or print format) established by Ghilotti Construction Company, to include adhering to all dress code and personal protective equipment requirements. GCC is a mandatory Hard Hat and Safety Vest company. Subcontractor_Safety_0304 Foreman Procedure Manual – Section 12.2 Ghilotti Construction Company Hazard Communication Program GHILOTTI CONSTRUCTION COMPANY has developed the following Hazard Communication Program in compliance with Title 8 of the California Code of Regulations, Section 5194. The Hazard Communication Program has been designed to address the following areas: 1) Program Implementation and Responsible Person 2) Supervisor’s Responsibilities 3) Inventory List(s) 4) Material Safety Data Sheets and Trade Secrets 5) Container Labeling 6) Post-Exposure Emergency Procedures 7) Employee Notification and Training 8) Multi-Employer Job Site Exposures 9) Proposition 65 Exposures 1) Program Implementation and Responsible Person Damon Calegari has been assigned as the responsible individual for the implementation and maintenance of the Hazard Communication Program for Ghilotti Construction Company. DAMON CALEGARI is responsible for the following functions: Identifying all hazardous substances used by Ghilotti Construction Company Developing and maintaining the master Hazardous Substance Inventory List Obtaining Material Safety Data Sheets (MSDS) for all identified substances Monitoring all new substances introduced to the company, and at specific job sites, to ensure receipt and distribution of MSDS Coordinating the enforcement of the Hazard Communication Program with Supervisors Monitoring procedures implemented to ensure employee notification and training Damon Calegari will be responsible for documenting resources used to evaluate substances and obtaining MSDS, as appropriate. Supervisors will be required to have accessible at all time a binder that contains the Hazard Communication Program, Hazardous Substance Inventory List, and MSDS. This program was is reviewed and updated in accordance with regulatory requirements implemented by Cal/OSHA, and in response to changing needs within the company. 2) Supervisor’s Responsibilities Supervisors are responsible for maintaining compliance with the Hazard Communication Program at the job sites. A copy of this program is provided to each Supervisor and lead employee for his or her reference. At specific job sites, Supervisors will be responsible for the following functions: Communicating existence of the Hazard Communication Program to all employees, and interested parties Maintaining a current list of all substances present at a specific job site, with corresponding MSDS Identifying Hazardous Substances used by other subcontractors/employers at the job site to ensure that there are no unidentified exposures Providing notification and training to all employees on exposures, and measures implemented to ensure safety Hazcom_Program_0705 1 of 4 Foreman Procedure Manual – Section 13 3) Inventory List(s) A master inventory list of all substances used by Ghilotti Construction Company will by maintained by Damon Calegari at the main office, with all corresponding MSDS. A list of all substances used at a specific job site will be maintained by the Supervisor and lead employee, with corresponding MSDS. Supervisors will be responsible for advising Damon Calegari of any new substances introduced at a job site. 4) Material Safety Data Sheets (MSDS) and Trade Secrets MSDS will be obtained for each hazardous substance used by the company. Manufactures and Importers of hazardous substances are required to provide the MSDS for each product they produce or import. The MSDS is required to contain the following elements: Identification and Contact Information of MSDS Preparer (Manufacturer) Product Identification (Chemical & Common Name) CAS numbers for each hazardous ingredient (California manufactured products) Physical & Chemical properties Physical Hazards (i.e. fire, explosion, reactivity data) Health Hazards (including signs and symptoms of exposure and medical conditions that could be aggravated by exposure) Potential Routes of Entry Exposure Limits (OSHA PELs, ACGIH TLVs, etc) Potential Carcinogen? Precautions (for handling, hygienic practices, protective measures) Procedures for Spills or Leaks Emergency & First Aid Procedures Developed or Revision Date of MSDS CC’d to Director by MSDS Preparer If the required MSDS is not provided with the product, Damon Calegari will request a copy from the Manufacturer, or additional resources will be used to obtain the necessary MSDS (i.e. Internet access to Manufacturer MSDS). MSDS for all substances used by the company are retained at the main office. Copies of the MSDS for all substances used at a specific job site will be maintained by the Supervisor and made available to all employees upon request. MSDS are made accessible to employees during working hours. Supervisors will be responsible for advising Damon Calegari when a MSDS is needed for a specific substance being used at the job site. Substances will not be used unless the accompanying MSDS has been obtained. Trade Secrets: When obtaining a MSDS that indicates that the chemical identity is being withheld as a trade secret, measures will be taken to ensure that information relevant to all other aspects of a MSDS are disclosed. Hazcom_Program_0705 2 of 4 Foreman Procedure Manual – Section 13 5) Container Labeling All hazardous substances will be labeled, with product identity and hazard warnings noted. Labels will be legible and prominently displayed on the container. No unlabeled containers of hazardous substances will be used. Supervisors are responsible for ensuring that all containers are labeled at specific job sites. Additional labeling of products sold to the general public (consumer), as defined in the Consumer Product Safety Act and Federal Hazardous Substances Act, will not be required (unless product is being used outside of its intended use). 6) Post-Exposure Emergency Procedures First Aid and Emergency Procedures will be determined in accordance with the MSDS provided for the respective substance. When necessary, employee(s) exposed to a hazardous substance will be taken to the appropriate medical facility for observation and/or treatment. Information pertaining to the substance will be provided to the treating physician for reference. When requested, employees and their authorized representative(s) will be provided information relevant to hazardous substances that they might have been exposed to. 7) Employee Notification and Training All Employees, permanent and intermittent, to include Managers and Supervisors will be provided necessary training and instruction with respect to hazardous substances used by Ghilotti Construction Company. Supervisors will be provided with the proper tools to assist with the enforcement of the Hazard Communication Program. The following documentation will be used to ensure compliance with notification requirements: New/Re-Hire Packet includes: A Hazard Communication Program – Notice to Employee Prop 65 Warning acknowledgement Prop 65 Asphalt Exposure summary Ongoing communication includes: Hazard Communication Posting Notices accessible at all job site locations Weekly Tailgate Safety Topic forms will be used to document training on new substances introduced by the Company, and/or new exposures identified at job sites Information and training will consist of: Communicating the identity of the designated person responsible for the implementation and maintenance of the Hazard Communication Program Location of the Program, Master Inventory List, and corresponding MSDS Overview of Hazard Communication requirements Location(s) of all operations where hazardous substances are present Job specific review of all substances used, and the associated hazards Identification of any non-routine tasks requiring special training How to detect the presence or release of hazardous substances Emergency and First Aid procedures Review of how to read container labels and MSDS in order to ensure proper handling of hazardous substances Hazcom_Program_0705 3 of 4 Foreman Procedure Manual – Section 13 7) Employee Notification and Training - Continued Periodic training will consist of: Reviewing existing substances and exposures Introduction of new substances and exposures Use of Personal Protective Equipment (PPE) Proper handling procedures Emergency procedures Employees will not be permitted to bring any hazardous substances to the workplace, unless the Supervisor gives prior approval. Supervisors will be responsible for documenting all individual and group training. Damon Calegari will retain all documentation relevant to employee training. Ghilotti Construction Company will take necessary steps to accommodate any specific needs of an individual with respect to comprehension of this program and required training. 8) Multi-Employer Job Site Exposures To ensure continued compliance with the Hazard Communication Program requirements, Supervisors will make available the Hazardous Substance Inventory List, and corresponding MSDS, to all contractors/employers at a specific job site. A review of hazardous substances used by other contractors/employers at the job site will be performed by the Supervisor to ensure that additional instruction is not required. 9) Proposition 65 Exposures Required notification/notices will be posted, as required by Prop 65, when employees and/or the public are exposed to substances that are listed as being known to the State to cause cancer or reproductive toxicity. Specific notification and training will be conducted to address exposures relating to asphalt, and respective chemical exposures. Hazcom_Program_0705 4 of 4 Foreman Procedure Manual – Section 13 GHILOTTI CONSTRUCTION COMPANY EMERGENCY ACTION PLAN (FIELD) Ghilotti Construction Company has developed the following Emergency Action Plan (EAP), in compliance with Title 8 of the California Code of Regulations, General Industry, and Construction Safety orders. The EAP has been designed to address, in detail, the following areas: 1) Program Implementation and Responsible Person 2) Superintendents and Leadmen/Foremen Responsibilities 3) Emergency Posting Notice 4) First Aid / Emergency Medical Services 5) Alarm System 6) Designated Employees – Training Procedures 7) Employee Notification and Training 8) Emergency Escape and Evacuation Procedures 9) Multi-Employer Job Site Exposures 10) Crisis Response Procedures 1) Program Implementation and Responsible Person Brian Ongaro, co-owner of Ghilotti Construction Company and VP of Operations, is responsible for overseeing the implementation and maintenance of the EAP. Full authority is granted to the appropriate individuals to properly manage and enforce all provisions of this policy. A Safety Committee has been established to assist with the implementation of policies, procedures, and maintenance of the EAP. Established members of the Committee include Brian Ongaro, Julie Thornton (Claims & Safety Director), Damon Calegari (Equipment Manager), and John Klapperich (Field Safety Inspector). Rotating members will consist of Area Managers and Superintendents. Safety Committee Member’s responsibilities will include, but are not limited to: Identifying, evaluating and establishing procedures for potential emergencies Maintaining a sufficient inventory of emergency equipment and First Aid supplies Coordinating implementation and maintenance of the EAP with Superintendents and Leadmen/Foremen Coordinating First Aid Training, and other applicable training, for all designated employees Providing safety material to assist with employee training requirements Maintaining all documentation relevant to the implementation and maintenance of the EAP Enforcing compliance with requirements the EAP 2) Superintendents and Job Foremen Responsibilities Lead employees are responsible for maintaining compliance with the Emergency Action Plan, and establishing procedures that are job site specific. A copy of this program is provided to each Superintendent and Lead Foreman for his or her reference. At specific job sites, lead employees be responsible for the following functions: Identifying and documenting appropriate evacuation routes and safe location for employees to assemble Designating employee(s) to assist with Crisis Response and Emergency Evacuation procedures Providing notification and training to employees Coordinating continued enforcement of the EAP with Safety Committee members Monitoring inventory of First Aid Kit contents at job sites Emergency_Action_Plan_0906 Page 1 of 5 Foreman Procedure Manual – Section 14 Ghilotti Construction Company – Emergency Action Plan (Field) 3) Emergency Posting Notice A posting notice will be displayed at all job sites, which will identify the following: Identity of the Site Manager and After Hours Contact Information Name, address and directions to job site Fire & Rescue – Phone Number Police Department – Phone Number Ambulance – Phone Number Nearest Hospital – Phone Number Nearest Cal/OSHA Office – Phone Number, and Map of job site that identifies the location of the area to assemble in the event of an emergency requiring evacuation 4) First Aid / Emergency Medical Services (§1512) Outside services will be the primary source of Emergency Medical Treatment (i.e., ambulance, medics, and fire department). 1st Aid Kits will be maintained and accessible at all job sites. Contents of the First Aid Kit will adhere to requirements consistent with the number of employees working at the job site, and will be kept in a weatherproof container. The lead employee will be responsible for performing weekly inventory checks to make sure used contents are replaced. Lead employees will ensure that a suitable number of employees are certified to provide First Aid / Emergency Medical Services. This training will be coordinated with the Safety Committee. Only certified employees will be allowed to perform First Aid / Emergency Medical Services. Action taken will only be to the extent deemed necessary to preserve life. 4) Alarm System (§6184, Article 165) In the event of an emergency requiring evacuation of all employees, several warning systems may be utilized, depending on the work site conditions or emergency involved, including: • Verbal Communication • Vehicle Horn • Air Horns The lead, or designated, employee, will be responsible for sounding the alarm and locating any hearing- impaired employees to ensure proper evacuation. 5) Designated Employees – Training Procedures Lead employees will be responsible for the job site coordination of the EAP and assignment of tasks to designated employee(s) that will assist with emergency procedures. Designated employees will be provided with the proper training to assist with the following functions: First Aid / Emergency Medical Services Fire Suppression Crisis Response Procedures Evacuation Procedures No employee will be permitted to perform any action that might endanger his/her life or the life of others. Emergency_Action_Plan_0906 Page 2 of 5 Foreman Procedure Manual – Section 14 Ghilotti Construction Company – Emergency Action Plan (Field) 6) Employee Notification and Training All employees, permanent and intermittent, to include managers and supervisors will be provided necessary training on all elements of the EAP. Employee notification and training will occur when: Work begins at a new job site (Group Training) A new hire is assigned to a specific job site (Individual Training) An employee is transferred to a new job site (Individual Training) All training will be documented in accordance with the company IIPP. Emergency Posting Notices will be displayed at all job sites Employee notification and training relevant to the EAP will consist of: Employees right to review the EAP policy Location of Emergency Posting Notice (Safety Bulletin Board) Procedures implemented for Crisis Response Identity of the Alarm System (sound) that will be used to trigger an evacuation Location of exit routes and designated location for employee to assemble First Aid and Emergency Medical Services available to employees When an evacuation occurs: Employees must proceed directly to the designated assembly area Employees are not to stop and pick up personal belongings when exiting the job site/structure Employees are not to block areas that would be considered access for emergency vehicles Employees will not be allowed to re-enter the job site/structure without clear indication that it is safe Employees can not leave the job site (assembly area) unless advised to do so by a designated employee or Supervisor Employees will be instructed not to respond to news media. Contact with the media is limited to designated Supervisors or Management The most important focus of an emergency is the protection of human life. 7) Emergency Escape and Evacuation Procedures Lead employees will be responsible for evaluating new job sites in order to identify emergency evacuation routes and a safe location for employees to assemble. This information will be documented and posted on the safety bulletin board. Identified exit routes will be checked periodically to ensure they remain unobstructed. The following tasks will be carried out in the event of an emergency requiring evacuation: The lead, or designated, employee will sound the evacuation alarm The lead employee will instruct a designated employee to contact the necessary emergency facilities and Management, and proceed to the identified assembly area to perform the necessary head-count The lead employee and designated employee(s) will be responsible for making sure the job site / structure is clear of all employees that have not been assigned with specific duties to assist with the evacuation 8) Multi-Employer Job Site Exposures Other contractors/employers that have a contractual obligation to Ghilotti Construction Company are required by contract to be in compliance with Cal/OSHA regulations. Every attempt will be made to ensure that all exposed employees are evacuated in the event of an emergency. Emergency_Action_Plan_0906 Page 3 of 5 Foreman Procedure Manual – Section 14 Ghilotti Construction Company – Emergency Action Plan (Field) 9) Crisis Response Procedures 10.a Fire and Explosion All employees will be trained on how to properly use fire suppression equipment All employees will be instructed on the following: Assess the situation: Any employee discovering a fire should quickly and carefully remove any person who is injured or in immediate danger, unless doing so will create the possibility of personal injury Employees in the immediate vicinity of the fire, as well as those in surrounding areas, who may be threatened by the fire, must be notified of the existence of the fire Only properly trained and authorized employees may attempt to extinguish a small fire, which does not involve electrical components or hazardous substance. If the fire appears to be to large, involves toxic substances, or is electrical based, all employees are to leave the area immediately and notify management When the fire can not be extinguished using a portable fire extinguisher: The lead employee will initiate the evacuation procedures The fire will be reported to the appropriate agency(s) The emergency evacuation alarm will be sounded Without creating exposure to personal injury, attempts should be made to contain the fire, by properly trained and designated employees only (i.e. closing doors and windows in the immediate vicinity and removing any flammable materials) 10.b Earthquake All employees will be instructed to: Move away from windows, temporary walls, partitions, freestanding and heavy objects Duck or drop down to the ground Attempt to take cover under fixed objects, or interior framing, that may provide safety from falling objects Avoid being near any electrical units, flammable or combustible materials STAY PUT until the ground / structure stops shaking and it is safe to move 10.c Natural Disasters Including, but not limited to, Floods, Tornadoes, and Severe Thunderstorms Most natural disasters are usually forecast sufficiently in advance for emergency action to be initiated before the exposure becomes serious. In most cases, advising employees of the approaching danger and seeing to it that they are in a safe location will be sufficient, should the incident occur during normal working hours. 10.d Chemical Leak, Spill or Threatened Release The following procedures will be carried out in the event of a hazardous substance spill: All employees will be instructed to: Notify the lead employee immediately All employees, not trained to deal with the exposure, will be instructed to leave the immediate area The lead and/or designated employee(s) will: Determine the nature and source of the spill/release. MSDS will be used to determine the characteristics of the material and identify necessary precautions for dealing with the material Depending on the classification and amount of the spill, if warranted, the local fire department and appropriate local environmental agency will be notified Clean-up procedures will be performed by qualified personnel Emergency_Action_Plan_0906 Page 4 of 5 Foreman Procedure Manual – Section 14 Ghilotti Construction Company – Emergency Action Plan (Field) 10.e Bomb Threat If a bomb threat is received, the following procedures will be carried out: All employees will be instructed to: Notify the lead employee immediately The lead employee and/or designated employee(s) will: Notify the Police and Fire Department The emergency evacuation procedure will be initiated, unless the threat includes instructions not to do so (proper law/emergency enforcement agencies should determine proper course of action in this situation) The individual who received the threat should be instructed to document every word of the conversation immediately, if applicable A search of the building will be performed by the appropriate law enforcement personnel only Access to the building/job site will not be permitted until clearance is given by the appropriate personnel (i.e. police, fire department) 10.f Civil Disturbance Civil disorders, usually in the form of large unruly crowds, can interfere with business operations and could cause damage to property and employees. The lead or designated employee will notify the appropriate authorities for assistance. Steps will be taken to assure the safety of all employees, business property and equipment, without creating exposure to personal injury. Emergency_Action_Plan_0906 Page 5 of 5 Foreman Procedure Manual – Section 14 Ghilotti Construction Company Substance Abuse Policy Summary DRUG AND ALCOHOL POLICY STATEMENT Ghilotti Construction Company (“GCC”) is committed to providing a safe work environment and promoting the well-being and health of its employees. That commitment is jeopardized when any GCC employee illegally uses drugs on the job, comes to work under the influence, or possesses, distributes, or sells drugs in the workplace. These activities may adversely affect an employee's work performance, efficiency, safety, and health, and therefore seriously impairs his/her value as an employee. In addition, these activities constitute a potential danger to the welfare and safety of other employees and the public, and exposes GCC to risks of property loss or damage. The company Substance Abuse Policy is designed to be consistent with all current collective bargaining agreements and includes provisions for mandatory pre-placement, post-accident, random, and reasonable suspicion/for cause testing where applicable in the agreements. GCC has established the following guidelines: 1. The company will not tolerate or condone substance abuse. It is the policy of GCC to maintain a workplace free from alcohol and other forms of drug abuse and its effects. 2. It is a violation of company policy for any employee to possess, use, buy, trade, or offer for sale illegal drugs or otherwise engage in the illegal use of drugs on the job. 3. It is a violation of company policy for anyone to report to work under the influence of illegal drugs. 4. It is a violation of company policy for anyone to use prescription drugs illegally. However, nothing in this policy precludes the appropriate use of legally prescribed medications, unless doing so hinders the performance of essential job functions and/or creates identified safety hazards. Employees who believe, or have been informed, that their use of any prescription drug may present a safety risk are to report such drug use to their supervisor or management to insure the safety of themselves, other employees, the public, and employer property. It is a violation of this policy to utilize prescribed medication, during the course of employment, which impairs performance. 5. The use of alcohol during work hours; or the abuse of prescribed drugs will be subject to disciplinary action up to and including termination. 6. Violations of this policy are subject to disciplinary action up to and including immediate termination. Employees found to be engaged in the sale or purchase of illegal drugs during working hours shall be subject to immediate termination and shall not be eligible for rehire. Ghilotti Construction Company expects the full support of this policy by all employees and all persons doing business with the company. EMPLOYEE VOLUNTARY REFERRALS An employee who abuses drugs and/or alcohol is encouraged to participate in an Employee Voluntary Self-Help Program. Employees who seek voluntary assistance for alcohol and/or substance abuse may not be disciplined for seeking such assistance. GCC reserves the right to approve a reasonable time for a leave of absence under this policy. The leave of absence will be handled confidentially. Voluntary assistance obtained independently, or under the condition of an Informal Referral, will be considered confidential. No information can be released to GCC without the employee’s written consent. Substance-Abuse-Summary_0905 1 of 5 Foreman Procedure Manual – Section 15 EMPLOYER/COMPANY RESPONSIBILITY To provide a drug and alcohol-free working environment, GCC will: 1. Establish definitive rules and regulations consistent with respective collective bargaining agreements. 2. Provide increased awareness through training, education, and communication on the subject of alcohol and other drug abuse. 3. Recognize that there may be employees who have an alcohol or other drug problem and stand willing to assist in the solution of that problem by encouraging employees to seek help through employee assistance programs provided by their respective unions. 4. Administer a program that takes into consideration an employee’s rights and is within legal boundaries. 5. Take any other actions deemed necessary and appropriate within guidelines established by the respective collective bargaining agreements, to include issuing Informal Referrals. 6. Maintain consistent enforcement of the company Substance Abuse Policy. Any supervisor who knowingly permits a violation of this policy by employees under his/her direct supervision shall be subject to disciplinary action. 7. Cooperate with outside law enforcement agencies. 8. Conduct post-accident, and post-injury, drug and alcohol testing immediately following any accident that results in bodily injury or property damage, whether a citation is issued or not. Post-accident testing includes any accident that occurs during the course of work. This includes accidents in personal vehicles while performing job tasks. EMPLOYEE RESPONSIBILITY GCC believes that each employee has the responsibility to: 1. Report to work at all times free of alcohol or other drugs and their effects. 2. Not possess or use, or have the odor of alcohol or drugs on his/her breath. 3. Seek and accept assistance for alcohol and drug abuse. 4. Not operate GCC equipment, or engage in any work related activity when taking medications or drugs (prescription or non-prescription), and/or alcohol that may create an unsafe or dangerous situation for the employee, the public, or the employee’s co-workers, including but not limited to valium, muscle relaxants, and painkillers. 5. Immediately report any incident involving property damage or bodily injury that would require post- accident/post-injury drug testing to the supervisor or management. 6. Testing must be performed by a designated facility immediately after occurrence of an incident where the employee appears to be the cause of, or contributed to, an accident involving bodily injury or property damage. For on-site testing, the employee must remain at the job site location. If circumstances require off-site testing, the employee must be accompanied from the job site to a designated testing facility by a company-representative immediately, but not to exceed 4-hours, after occurrence. Post-Accident Drug Testing Facilities : ON-SITE Medical Testing – (800) 564-9152 ADTS – (707) 588-1234 5865 Labath Avenue, Rohnert Park Concentra/Sutter Health – (707) 586-4320 6179 State Farm Drive, Rohnert Park For additional locations, contact the Claims & Safety Director at (707) 585-1221. Substance-Abuse-Summary_0905 2 of 5 Foreman Procedure Manual – Section 15 DRUG AND ALCOHOL TESTING PROCEDURES All testing will be coordinated through the Santa Rosa Office. Company individuals responsible for the coordination include Senior Management, the Equipment Manager, Lead Dispatcher, and Executive Administrator. Substances that can be tested for include: • Alcohol • Opiates • Amphetamines • Marijuana • Cocaine • Methaqualone, by products • Barbiturates • PCP Types of testing that can be performed include: • Urine, blood, breath (except for Carpenters 46 Counties: Urine Only) Refusal by an employee to submit to testing will be considered cause for immediate discharge. Testing will be performed under the following conditions, in compliance with collective bargaining agreements: A. PRE-PLACEMENT TESTING Pre-placement testing is mandatory for all new hires (not employed by GCC within the last 30- days/Exception: 60-days for Pile Drivers). Employees will not be permitted to work while pending receipt of test results. An employee who refuses to submit to a drug/alcohol test when dispatched will not be employed by GCC, or receive show-up pay. For DOT regulated assignments, refer to the respective collective bargaining agreements for appropriate guidelines. B. POST-ACCIDENT/POST-INJURY TESTING Post-Accident/Post-Injury testing is mandatory for all accidents resulting in bodily injury or property damage, unless employee is deemed an “innocent victim.” With respect to Pile Drivers, direct involvement is required to be subject to testing. With respect to all other collective bargaining agreements, testing can be performed whether the exposure is direct or indirect. C. RANDOM DRUG TESTING GCC shall conduct random drug tests of only those employees for whom random testing is required by current D.O.T. regulations. Such testing shall be consistent with the requirements of applicable D.O.T. regulations and the respective collective bargaining agreements. D. FOR CAUSE/REASONABLE SUSPICION TESTING When an authorized representative of Ghilotti Construction Company has "reasonable suspicion" to believe that the employee is under the influence of controlled substances, and/or alcohol, GCC may require the employee to submit to drug testing. In this situation, the Ghilotti Construction Company representative will inform the employee that he/she may have a union representative present. Reasonable suspicion means suspicion based on specific personal observations that the employer representative can describe concerning the appearance, behavior, speech, or the breath odor of the employee (where the odor is detected in addition to appearance, behavior, or speech). Suspicion is not reasonable, and thus not a basis for testing, if it is based solely on the observations and reports of third parties. The grounds for reasonable suspicion must be documented by two supervisors. The employee shall be informed that refusal to submit to testing will constitute a presumption of intoxication and subject the employee to immediate discharge. This will be raised in the event that Ghilotti Construction Company had reasonable suspicion for testing in the first place. The employee's refusal shall be in writing. Substance-Abuse-Summary_0905 3 of 5 Foreman Procedure Manual – Section 15 If the employee consents to the testing, he/she shall sign a consent form authorizing the collection of a specimen of urine and/or the conduct of an EBT test and a release of the results of the laboratory testing and/or EBT test to Ghilotti Construction. Before the actual drug testing, the employee will be examined by a medical doctor at the designated facility. This examination will be made to determine whether the conduct or behavior observed may have been caused by a reason other than the possible influence of drugs and/or alcohol. If the medical doctor decides that the conduct or behavior observed by the supervisor is for a reason other than possible influence of drugs and/or alcohol, no test will be given and the employee will be returned to work without loss of pay, provided the medical doctor releases (in writing) the employee to return to work. CHAIN OF CUSTODY PROCEDURES GCC utilizes the services of qualified facilities for conducting all drug and alcohol testing. At the time a specimen is collected, the employee shall be given a copy of the specimen collection procedures. The collection and laboratory process will be consistent with guidelines established under the respective collective bargaining agreements and Substance Abuse and Mental Health Services Administration (SAMHSA) standards. POSITIVE RESULTS – PROCESSING GUIDELINES All testing results are established in accordance with the guidelines determined by SAMHSA. The cut-off levels (impairment levels) for both the screening and confirmatory tests shall be per Federal standards as determined by the U. S. Department of Health and Human Services. Only tests that are positive, based on SAMHSA standards, will be reported to the Medical Review Officer (MRO). If the test result is positive for pre-placement/new hires: 1. A MRO will verify all positive test results. 2. A MRO shall interview the employee concerning the test results within five (5) days. The employee will be given an opportunity to explain and substantiate his/her use of legal drugs (prescription or over-the- counter) or other substances that may have resulted in a positive test result. 3. The MRO shall inform the employee of his/her right to have a second confirmatory test at a second D.H.H.S. approved laboratory. The employee shall have 72 hours within which to request the confirmatory test. If the second test is negative, the employee will be considered to have tested negative. 4. The MRO is responsible for reporting the final/positive results to the employer. 5. Employees who test positive will be referred for evaluation and treatment (through their respective Unions/Substance Abuse Programs). 6. GCC is not obligated to employ any such worker, even after being cleared through a qualified Substance Abuse Program. If the test result is positive for existing employees: 1. A MRO will verify all positive test results. 2. A MRO shall interview the employee concerning the test results within five (5) days. The employee will be given an opportunity to explain and substantiate his/her use of legal drugs (prescription or over-the- counter) or other substances that may have resulted in a positive test result. 3. The MRO shall inform the employee of his/her right to have a second confirmatory test at a second D.H.H.S. approved laboratory. The employee shall have 72 hours within which to request the confirmatory test. If the second test is negative, the employee will be considered to have tested negative. 4. The MRO is responsible for reporting the final/positive results to the employer. 5. After the results have been confirmed as positive, the employee shall be referred to a counselor for evaluation and recommendation for treatment. Exception: GCC is not required to refer an employee for treatment that violates any provision that prohibits the sale of, attempted sale of, or manufacture of prohibited substances. 6. The manager or supervisor shall take appropriate actions based upon the evaluation and treatment recommendations. Substance-Abuse-Summary_0905 4 of 5 Foreman Procedure Manual – Section 15 First Offense: 1. Upon receipt of a confirmed positive test result, the employee will be provided a written formal referral and Information Release Authorization form for signature. 2. To be reinstated to work, the employee must have a signed release from a qualified counselor or physician stating that they are fit for work and do not pose a safety hazard. 3. Employees will be required to adhere to any conditions set forth in a Reinstatement /Return-to-Work Agreement and be subject to random drug testing, in accordance with collective bargaining agreements. 4. The employee must have a current test performed with a negative result before being permitted on the job site. 5. An employee may not be discharged from employment if he/she agrees in writing to undergo the counseling/treatment prescribed. GCC reserves the right to re-employ the worker upon release, if current work is available. GCC is not required to lay-off any current employee in order to create an open position. Second Offense: 1. An employee who has previously tested positive and allowed to return to work can be discharged immediately for any subsequent positive drug screen, at the discretion of Ghilotti Construction Company management. CONFIDENTIALITY Every effort will be made to ensure that all employees substance abuse problems will be discussed in private and actions taken will not be made known to anyone other than those directly involved in coordinating the testing and obtaining the results, or who are required to be involved in the disciplinary procedures. Only designated company individuals will receive testing results. He/she will notify other Ghilotti Construction Company managers strictly on a need-to-know basis. No laboratory or medical reports or test results shall appear in an employee's personnel folder. All necessary measures shall be taken to keep the results of the test confidential. Because collective bargaining agreements can vary with respect to administration of a drug testing policy, employees are encouraged to review their collective bargaining agreements to obtain information specific to their Union. Richard W. Ghilotti President Substance-Abuse-Summary_0905 5 of 5 Foreman Procedure Manual – Section 15 SUPERVISOR'S REPORT OF INJURY - WC COMPANY NAME PROJECT NAME/ GCC JOB # Ghilotti Construction Company GENERAL INFORMATION EMPLOYEE NAME (GENDER M / F) JOB TITLE DATE OF INJURY/ILLNESS TIME OF ACCIDENT LOCATION OF INJURY/ILLNESS DID EMPLOYEE RETURN TO WORK THE TYPE OF ACCIDENT/ILLNESS (Slip/Fall, Struck by Object, etc.) TREATMENT SAME DAY? First Aid Medical Yes No BODY PART & TYPE OF INJURY (Cut, Strain, Fracture, etc.) MEDICAL FACILITY/LOCATION HOW DID THE INJURY HAPPEN? DESCRIPTION Witness? (Provide Names and Contact Numbers) Pictures Taken (defective equipment, housekeeping, condition of site, etc.) Yes No SPECIFY MACHINE, TOOL, SUBSTANCE OR OBJECT CONNECTED WITH THE ACCIDENT PERSONAL FACTORS (Lack of Knowledge or Skill, Slow Reaction, Fatigue, Attitude) CAUSES ANY EXPOSURE TO 3RD PARTY (i.e. subcontractor or product)? PERSONAL PROTECTIVE EQUIPMENT (PPE) REQUIRED: WAS PPE BEING USED? COULD ANYTHING HAVE BEEN DONE TO PREVENT THE ACCIDENT/EXPOSURE? If yes, explain: ACTION PLAN TO PREVENT RECURRENCE (Modification of Machine, Mechanical Guarding, Environment, Training) RECOMMENDATIONS IMMEDIATE CORRECTIVE ACTIONS TAKEN SAFETY COMMITTEE REVIEW - ACTIONS/RECOMMENDATIONS Completed by _________________________________________________________________________ ______________ Supervisor/Foreman (Print Name) Date THIS FORM MUST BE COMPLETED BY THE SUPERVISOR - NOT THE EMPLOYEE! Supervisors_Report_WC_0104 Foreman Procedure Manual - Forms INCIDENT REPORT FORM - P&C COMPANY NAME PROJECT NAME/ JOB # Ghilotti Construction Company SUPERVISOR/LEAD FOREMAN RESPONSIBLE EMPLOYEE (Driver/Operator) GENERAL INFO DATE OF ACCIDENT / TIME OF ACCIDENT OPERATOR ERROR? Yes No Drug Tested? Yes No LOCATION OF ACCIDENT PICTURES TAKEN? Yes No GCC VEH/EQUIP # AND DESCRIPTION DESCRIBE DAMAGE, if any DESCRIPTION OF INCIDENT DESCRIPTION Witness? (Provide Names and Contact Numbers) Any Exposure to 3rd Party (i.e. subcontractor or faulty equipment, etc.)? Were Public Agencies Notified Yes No , If yes, agencies notified: Police Report Filed Yes No , If yes, Police Dept, Report Number: 3RD PARTY INJURY OR PROPERTY DAMAGE Injury Property Damage At Fault/Contributory Negligence? _____ CLAIMANT/Property Damaged CLAIMANT'S NAME, ADDRESS & PHONE: DESCRIBE INJURY(S) DESCRIBE PROPERTY DAMAGE COULD ANYTHING HAVE BEEN DONE TO PREVENT THE ACCIDENT/EXPOSURE? If yes, explain: ACTION PLAN TO PREVENT RECURRENCE (Modification of Machine, Mechanical Guarding, Environment, Training) RECOMMENDATIONS IMMEDIATE CORRECTIVE ACTIONS TAKEN SAFETY COMMITTEE REVIEW - ACTIONS/RECOMMENDATIONS Completed by Supervisor/Foreman (Print Name) Date Incident_Report_Form_0104 Foreman Procedure Manual - Forms DAMAGED UTILITY - INCIDENT REPORT FORM Before any investigation begins, the first thing that must be doen is to ensure that the site is safe and that the general public and workers are not in any danger. When entering a jobsite to perform an investigation, the investigator must follow applicable safety rules and policies, and must never enter into a trench, confined space, or work area unless it is safe to do so. Procedures: COMPLETE INFORMATION (do not leave information blank, indicate n/a or unknown, as applicable) TAKE PICTURES (use props, i.e. rulers to show depth and distance, markers to identify location etc.) COPY PLAN (depict the location of markings and where the ultility was struck) GET INFO TO JULIE (turn in report and pictures/film to Julie at the Santa Rosa Yard) COMPANY NAME PROJECT NAME/ JOB # Ghilotti Construction Company SUPERVISOR/LEAD FOREMAN EMPLOYEE INVOLVED (Driver/Operator) GENERAL INFO DATE OF ACCIDENT / TIME OF ACCIDENT OPERATOR ERROR? Yes No Drug Tested? Yes No LOCATION OF ACCIDENT ONE-CALL TICKET NUMBER & LOCATOR: GCC EQUIP # AND DESCRIPTION (describe any damage) WAS THERE DOWN-TIME FOR THE CREW? Yes No If yes, how long? ________ DESCRIPTION OF INCIDENT (provide additional details i.e. depth of ulility, were surrounding businesses or homes affected, etc.) DESCRIPTION Witness? (Provide Names and Contact Numbers) Any Exposure to 3rd Party (i.e. subcontractor or faulty equipment, etc.)? Were Public Agencies Notified Yes No , If yes, agencies notified: Was the utility marked? _____ If not marked - distance from closet marking?_______________ (depict on plans) Type of Utility Damaged (circle one): CLAIMANT/Property Damaged GAS WATER ELECTRIC SEWER CABLE TELEPHONE Other:______________________________________ OWNER/COMPANY, CONTACT NAME, ADDRESS & PHONE (attach business cards): Name(s) of Repair Technician and Investigator: DESCRIBE PROPERTY DAMAGE Completed by Supervisor/Foreman (Print Name) Date Damaged_Utility_Incident_Report_Form_0704 Foreman Procedure Manual - Forms Damaged_Utility_Incident_Report_Form_0704 Foreman Procedure Manual - Forms Ghilotti Construction Company Employee Incident Report Form Employee's Name: EE#: Job#: Date & Time of Accident: Location: Date & Time accident/exposure was reported: Task(s) being performed when accident/exposure occurred: Witnesses?/Provide names: Injury(s)/Property Damage? – If yes, describe: Describe how the accident/exposure occurred: Continued on other side What actions, events or conditions possibly contributed to this accident/exposure? Could anything have been done to prevent the accident/exposure? If yes, explain: Additional Comments: Employee’s Signature: Date: Reviewed/Witnessed by: Date: EE_Incident_Report_Form_073106 Foreman Procedure Manual - Forms Ghilotti Construction Company New Job Site – Safety Review Checklist Establish locations of the following and communicate to all employees: State, Federal & Cal/OSHA Notices—Bulletin Fire Extinguishers (charged and accessible) Board or Mobile Poster Pack First Aid Kit (stocked and accessible) Company Code of Safe Practices—Must be at the Parking arrangements for the project job site and accessible at all times Emergency exit routes and safe location for List of Hazardous Substances present at the job employees to assemble in the event of an site (w/MSDS) evacuation Designated Medical Facility in the Area (Kaiser) Identify and communicate the following: Identified job site hazards and potential exposures and the safety controls to be implemented Personal Protective Equipment needed for exposures at job site (must be readily accessible for use) Time and location of scheduled safety meetings—Mandatory every Monday morning Responsible employee in the event of Superintendent and Lead Foreman’s absence Lead employee(s) responsible for assisting with job site safety Equipment that will be present at the job site (daily inspections must be performed) Emergency Evacuation Procedures—Identify alarm system that will be used to initiate evacuation Housekeeping procedures Storage and handling procedures for flammable or combustible materials, if applicable Storage and handling procedures for hazardous substances, if applicable Substances used by other contractors/employers at the job site and any required safety precautions Required mandatory attendance at scheduled and unscheduled Tailgate Safety Meetings Verify: Employees are trained to perform assigned tasks Remind Employees: They are not to perform duties that they are not trained or certified to perform They are not to operate equipment that they are not trained or certified to operate They must immediately report identified unsafe job site conditions or practices They must immediately report any injury or illness that they believe to be caused by work GCC uses designated medical facilities for the treatment of work-related injuries and illnesses They must report any near-miss incidents, or accidents resulting in damage or injury to another party The company disciplinary policy will be enforced to ensure the safety of all employees The HazCom and IIPP is available for every employees review upon request The company has a Field Safety Incentive program to reward safe work practices Confirm Required Notifications: USA Notified/Lines Marked (800) 227-2600 Cal/OSHA Permit(s) obtained PG&E Notified/10’ Rule (800) 743-5000 Cal/OSHA Activity Notification Review/Coordinate Specific Operations: Trenching operations and requirements Site Specific Flagging Operations New_Job_Site_Safety_Checklist_0906 Foreman Procedure Manual - Forms Ghilotti Construction Company Safety Provisions Checklist (Order Form) The Foreman, or designated Leadman, is responsible for ensuring that safety supplies remain available, and stocked, at the jobsite location and/or job container at all times. Supplies can be obtained from the Equipment Department (Santa Rosa Yard). JOBSITE/JOB CONTAINER – Safety Supplies (minimum requirement): Written Documentation: Code of Safe Practices Hazardous Substance Inventory List and corresponding MSDS Copy of Annual Trenching Permit Foreman Procedure Manual w/Incident Report Forms & Checklists (Includes IIPP) Forms and Checklists Supervisor’s Report of Injury – WC (ed. 01/04) Incident Report Form – P&C (ed. 01/04) Damaged Utilities – Claim Form (ed. 07/04) Employee Incident Report Form (ed. 04/06) New Job Site – Safety Checklist (ed. 07/05) Safety Provisions Checklist (ed. 07/06) Vehicle/Equipment Inspection Checklist (ed. 07/06) Vehicle/Equipment Safety Log (ed. 03/07) Trenching/Excavation Checklist (07/04) Job Site Posters or Binders containing Job Site Posters (mobile poster pack) Personal Protective Equipment: Safety Glasses Gloves (Rubber) Respiratory Equipment Ear Protection Vibratory Gloves Air-monitoring Equipment Emergency Eye Wash Kits Rain Suits (Underground) Spare Hard Hat Coveralls (Disposable) Safety Vest Waterproof Boots Standard Supplies First Aid Kit – needs to be restocked regularly and maintained in a waterproof container Eye Wash Kits Fire Extinguisher(s) – needs to be checked monthly and serviced annually Accident Report Kit and/or Camera Reflective Triangles Water Cooler COMPRESSOR SUPPLY BOX – Personal Protective Equipment: Steel Toes Ear Protection Air tool oil Safety Vest Hose Leashes Safety Glasses Additional hose gasket ______________________________________________________________________________ ______________________________________________________________________________ Please indicate any supplies need, sign, and return the form to the Equipment Dept.. Foreman/Supervisor (Print Name) & Date Safety_Provisions_Checklist_0705 Foreman Procedure Manual – Forms Ghilotti Construction Company Vehicle/Equipment Inspection Checklist Date: Vehicle/Equipment #: Operator/Driver: Regular maintenance is important. A quick check of the following items can help correct potential problems before they become serious, and help ensure your safety. Checking the following items is each driver’s daily responsibility. Check for signs of vandalism Lights (High and Low Beams) Check for visual signs of leaks Working Brake & Tail Lights, Turn Signals Fuel Supply (Small trucks need to be fueled in Horn the morning) Glass (Windshield, Rear, and Side) and Engine Oil Levels Windshield Wipers Radiator Coolant Level Rear view and side mirrors Emergency Brake and Working Parking Brake Check tires for damage or worn tread or Micro Lock Check All Safety Features Seat belts for each passenger Camera/Incident Reporting Kit Equipment Specific Check Back-up Alarm Check rollers for cracks on lips or need for cleaning Check rails for broken pins or link, or worn pins Check under equipment for leaks from belly pan Check for broken or missing bolts or track pads Check sprockets for cracks, broken bolts and wear Check all hydraulic cylinders for leaks, cracks in mountings and leaking/cracked hydraulic hoses Check dozer blade for wear, missing bolts, corner bits, or cutting edges Check tilt cylinder mountings and hydraulic hoses Check hoses, piping and clamps Comments/Remarks: Immediately report defects and safety concerns to your supervisor or Damon Calegari. Do not operate the vehicle or equipment if it is not in safe working condition. For documentation purposes – complete this form, or the GCC Equipment Repair Order form, and turn-in to Damon for handling. Vehicle_Equip_Checklist_073106 Foreman Procedure Manual - Forms WEEKLY SAFETY REPORT LOG Date: ______________ Supervisor/Foreman ______________________________ Job#_______ Vehicle/Equipment Safety Log As a driver and/or equipment operator, it is your responsibility to inspect and continuously monitory your vehicle/equipment for defects and potential safety hazards. In addition, regular maintenance is important. A quick check of the following items can help correct potential problems before they become serious. DO NOT OPERATE VEHICLES AND EQUIPMENT IF THERE ARE UNSAFE WORKING CONDITIONS IDENTIFIED. General Items: Equipment Specific: Check for signs of vandalism Glass (windows) and wipers Check Back-up Alarm Check of visual signs of leaks Rear and side view mirrors Check windows for defects or damage (clear visability) Engine Oil Levels Check tires for damage Check for leaks (fuel, engine oil, hydraulic oil, coolant) Radiator Coolant Level Check all safety feathers Confirm all lights are in working order Emergency Brake Camera/Incident Report Kit Confirm brakes are working (effectively stopping) Turn Signals and Horn Confirm seat/seat belt function properly Lights (High/Low Beams) Report any odd sounds or actions Working Brake & Tail Lights Report low tire pressure or slow leaks Working Parking Brake or Micro Brake Make sure equipment doors are locked, including fuel and Working Seat Belts (for each passenger) battery compartments Make sure Master Switch is shut off every night See Foreman for equipment lock-out tags Document concerns/requests below: Vehicle/Equipment #:________________ Driver/Operator:________________________________________ ________________________________________________________________________________________________________ ___________________________________________________________________________________________ Vehicle/Equipment #:________________ Driver/Operator:________________________________________ ________________________________________________________________________________________________________ ___________________________________________________________________________________________ Vehicle/Equipment #:________________ Driver/Operator:________________________________________ ________________________________________________________________________________________________________ ___________________________________________________________________________________________ Vehicle/Equipment #:________________ Driver/Operator:________________________________________ ________________________________________________________________________________________________________ ___________________________________________________________________________________________ Vehicle/Equipment #:________________ Driver/Operator:________________________________________ ________________________________________________________________________________________________________ ___________________________________________________________________________________________ Vehicle/Equipment #:________________ Driver/Operator:________________________________________ ________________________________________________________________________________________________________ ___________________________________________________________________________________________ Vehicle/Equipment #:________________ Driver/Operator:________________________________________ ________________________________________________________________________________________________________ ___________________________________________________________________________________________ THIS FORM MUST BE TURNED IN TO THE EQUIPMENT DEPARTMENT Vehicle_Equipment_Safety_Log_0306.pmd Foreman Procedure Manual - Forms Ghilotti Construction Company Trenching/Excavation Checklist Date: Job/Location: Superintendent/Foreman: Design Considerations Designer: 1. Design Checks a) Soil Type A B C D b) Adjacent to the trench locations, are there: Yes No Utility Poles? Yes No Roads or alleys? Yes No Buildings or structures? Yes No Existing Utility Lines? c) Crossing the trench locations, are there: Yes No Roads or alleys? Yes No Existing Utility Lines? d) Will runoff/drainage flow down to trench location? Yes No e) Is right of way and clearance from adjacent facilities adequate? Yes No 2. Field Checks a) Soil Type A B C D Is there less than 10% gravel (by weight) in the soil? Yes No b) Tests Performed Yes No Plasticity & Pat tests? Yes No Thumb Penetration test? Yes No Dry Strength test? Yes No Drying test? c) Soil Conditions: Soil submerged, saturated, fissured? Yes No Explain_____________________________ Weak soil layers, under rock layers? Yes No Explain_____________________________ 4:1 slope or steeper? Yes No Explain_____________________________ Can soil stand on a 3:1 slope? Yes No Explain_____________________________ 3. Field Checks a) Select Type of Protection Sloping Benching Hydraulic Shoring Trench Shield None/Other b) Reference Drawing 4. Pre-construction Meeting (Additional Items to be discussed) a) Depth to groundwater table Feet b) Length of time trench will be open Days c) Will the trench: Be near construction blasting? Yes No Be greater than 5’ deep? Yes No Require walkway crossing designed? Yes No d) Other Items At the minimum, the information outlined on this checklist must be evaluated daily, and as hazards change, for all trenching operations. Trenching_Checklist_0906 Forman Procedure Manual - Forms GCC Policy, ed.