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Subcontractor Template document sample
Document Sample
NAME OF SUBCONTRACTOR
SITE-SPECIFIC SAFETY PLAN
NAME OF PROJECT
LOCATION ADDRESS
DATE: JANUARY 2008
Subcontractor.SSSP.10.04.07
1
TABLE OF CONTENTS
Site-Specific Safety Plan .................................................................................................... 4
1. Responsibility/Identification of Key Line Personnel .............................................. 4
2. Statement of Safety and Health Policy ................................................................... 4
3. Identification of Competent/Qualified Persons ...................................................... 4
4. Scope of Work Evaluation ...................................................................................... 4
5. Risk/Exposure/Hazard Assessment ........................................................................ 4
6. Control Measures/Activity Hazard Analysis .......................................................... 5
7. Periodic Safety Inspections/Audits ......................................................................... 5
8. Risk Mitigation Two-Week Look-Ahead Planning ................................................ 5
9. Compliance Requirements Policy ........................................................................... 5
10. Written Progressive Disciplinary Program ......................................................... 6
11. Hazard Correction Policy.................................................................................... 6
12. Training and Instruction Policy .......................................................................... 6
13. Project Site Employees Orientation Program Subjects ....................................... 7
14. Employee Communication System and Policy ................................................... 8
15. Recordkeeping Policy ......................................................................................... 9
16. Accident/Exposure Investigations Policy ........................................................... 9
17. Emergency Action Plan ...................................................................................... 9
18. Site Specific Medical Emergency Plan ............................................................... 9
19. Hazard Communication Program ..................................................................... 10
20. Written Trenching and Shoring Plan ................................................................ 10
21. Written 100% Fall Protection Plan ................................................................... 10
22. Specific written plans as required by regulation and applicable to this project.10
23. Appendices ........................................................................................................ 10
APPENDIX A. Health and Safety Forms ......................................................................... 12
APPENDIX B. OSHA Inspections and Logs ................................................................... 24
Subcontractor.SSSP.10.04.07
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SUBCONTRACTOR
SITE-SPECIFIC SAFETY PLAN (SSSP)
NOTE: Information that is in italics is for instructional purposes only. Please delete
from final SSSP.
Every Subcontractor must establish, implement and maintain a written Site-Specific
Safety Plan (SSSP). A copy must be submitted 10 (ten) days prior to the start of any work
on the project. A copy must be maintained at each work site. This template addresses the
minimum requirements for establishing, implementing and maintaining an effective
written safety plan for every subcontractor working on a PBC job site. The Subcontractor
shall detail specific issues relating to their scope of work. Their safety plan should
address the exposures that they may encounter on the specific job site as well as their
safety management plan. Subcontractors are solely responsible for the content of their
own SSSP. This model SSSP should be modified to provide the essential framework
required for a Site-Specific Safety Plan. Sample forms for hazard assessment and
correction, accident/exposure investigation, and worker training and instruction are
provided IN Appendix A.
A subcontractor safety plan may include, but not necessarily be limited to, the following
topics:
Accountability/Responsibility/Key Line Personnel
Statement of Subcontractor’s Safety and Health Policy
Identification of Competent/Qualified Persons
Scope of Work Evaluation
Hazard/Risk/Exposure Assessment
Control Measures/Activity Hazard Analysis
Subcontractor Periodic Safety Audits/Inspections,
Subcontractor’s Weekly Safety Planning – Weekly Look Ahead Plan
Compliance Requirements and Policy
Written Progressive Disciplinary Program
Hazard Correction System
Safety Training and Instruction
Project Site Orientation
Communication System
Recordkeeping
Accident/Exposure Investigation
Emergency Action Plan
Site-Specific Medical Emergency Plan
Written Hazard Communication Program
Written Trenching and Shoring Plan (if applicable)
Written 100% Fall Protection Plan (if applicable)
Subcontractor.SSSP.10.04.07
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Other written programs as specified by regulatory agency or contract
Requirements
NAME OF SUBCONTRACTOR
SITE-SPECIFIC SAFETY PLAN
1. Responsibility/Identification of Key Line Personnel
Contractor:
Address:
Telephone Fax#:
Company Executive responsible for project: Contact No.
Project Manager/Superintendent: Contact No.
Safety Manager/Representative:: Contact No.
Foreperson(s): Contact No.
All managers and supervisors are responsible for implementing and maintaining the
SSSP in their work areas and for answering worker questions about the SSSP. A copy of
this SSSP is available from each manager and supervisor. The above personnel have the
authority and responsibility for implementing the provisions of this program for Name of
Subcontractor.
2. Statement of Safety and Health Policy
Include your company statement here
3. Identification of Competent/Qualified Persons
List/Submit Certificate
4. Scope of Work Evaluation
Describe Major Activities
5. Risk/Exposure/Hazard Assessment
List Major Exposures and Hazards associated with this project.
Subcontractor.SSSP.10.04.07
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6. Control Measures/Activity Hazard Analysis
Hazard Control Measures and/or an Activity Hazard Analysis for Risks Listed in #5
above should be included here.
7. Periodic Safety Inspections/Audits
In addition, periodic inspections to identify and evaluate on-going workplace hazards
shall be performed by the following competent persons or observers in the following
areas of our workplace.
Competent Person/Observer Area of Expertise/Responsibility
Periodic safety inspections are performed according to the following schedule:
_______________________________ (daily, weekly, monthly, etc.)
When we initially established our SSP;
When new substances, processes, procedures or equipment which present
potential new hazards are introduced into our workplace;
When new, previously unidentified hazards are recognized;
When occupational injuries and illnesses occur;
When we hire and/or reassign permanent or intermittent workers to processes,
operations, or tasks for which a hazard evaluation has not been previously
conducted; and
Whenever workplace conditions warrant an inspection
Periodic safety inspections consist of identification and evaluation of workplace hazards,
utilizing applicable construction site inspection criteria.
8. Risk Mitigation Two-Week Look-Ahead Planning
Construction projects always involve risk. It is our job and a supervisor’s priority to plan
for risk mitigation. This means that we must identify any potential exposures involved in
our work, and develop appropriate hazard controls before we begin a task. The General
Contractor’s superintendent will develop a two week look ahead plan for the overall
project. Based on that, as a subcontractor on this site, we should develop appropriate risk
mitigation strategies for work we perform so that we develop hazard controls prior to
doing the work. The risk mitigation two week look-ahead form is included in Appendix
A.
9. Compliance Requirements Policy
All safety and health policies and procedures must be clearly communicated and
understood by all employees. Managers and supervisors are expected to enforce the rules
fairly and uniformly.
Subcontractor.SSSP.10.04.07
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All employees are responsible for using safe work practices, for following all directives,
policies and procedures, and for assisting in maintaining a safe work environment. Our
system of ensuring that all workers comply with the rules and maintain a safe work
environment includes:
Informing workers of the provisions of our SSSP.
Evaluating the safety performance of all workers.
Recognizing employees who perform safe and healthful work practices.
Providing training to workers whose safety performance is deficient.
Disciplining workers for failure to comply with safe and healthful work practices.
The following practices:
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
10. Written Progressive Disciplinary Program
(State your written progressive disciplinary program)
11. Hazard Correction Policy
Unsafe or unhealthy work conditions; practices or procedures shall be corrected in a
timely manner based on the severity of the hazards. Hazards shall be corrected according
to the following procedures:
When observed or discovered;
When an imminent hazard exists which cannot be immediately abated without
endangering employees or property, we will remove all exposed workers from the
area except those necessary to correct the existing condition. Workers necessary
to correct the hazardous condition shall be provided with the necessary protection;
and
All such actions taken and dates they are completed shall be documented on the
appropriate forms.
12. Training and Instruction Policy
All workers, including managers and supervisors, must have training and instruction on
general and job-specific safety and health practices. Training and instruction shall be
provided as follows:
When the SSSP is first established;
To all new workers;
To all workers given new job assignments for which training previously has not
been provided;
Whenever new substances, processes, procedures or equipment are introduced to
the workplace and represent a new hazard;
Subcontractor.SSSP.10.04.07
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Whenever the employer is made aware of a new or previously unrecognized
hazard;
To supervisors to familiarize them with the safety and health hazards to which
workers under their immediate direction and control may be exposed; and
To all workers with respect to hazards specific to each employee’s job
assignment.
General and job-specific workplace safety and health practices include, but are not
limited to, the following:
Explanation of our SSSP, the General Contractor’s Safety Program; the site
emergency action plan and fire prevention plans; measures for reporting any
unsafe conditions, work practices, or injuries; and providing additional instruction
when needed.
Use of appropriate clothing, including gloves, footwear, and personal protective
equipment.
Information about chemical hazards to which employees could be exposed and
other hazard communication program information.
Availability of toilet, hand-washing, and drinking water facilities.
Provisions for medical services and first aid including emergency procedures.
In addition, we provide specific instructions to all workers regarding hazards unique to
their job assignment, to the extent that such information was not already covered in other
training.
13. Project Site Employees Orientation Program Subjects
We orient our workers about the following checked subjects:
Client/owner safety requirements
Our code of safe practices
Road and highway safety practices
Flagging
Traffic control
Confined space
Safe practices for inspection/operation of off-road equipment
Good housekeeping, fire prevention, safe practices for operating any construction
equipment.
Safe procedures for cleaning, repairing, servicing and adjusting equipment and
machinery
Safe access to working areas
Fall prevention on grade–slips, trips, and falls
Fall protection from elevations
Electrical hazards, including high voltage
Subcontractor.SSSP.10.04.07
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Utility disruption
Crane & hoist operations
Trenching and excavation
Proper use of powered tools
Guarding of belts and pulleys, gears and sprockets, and conveyor nip points
Machine, machine parts, and prime movers guarding
Lockout/tag out procedures
Materials handling
Hand and power tool operations
Unsafe weather conditions
Yard operations, including skidding, running lines, rigging and communication
Landing and loading areas, including release of rigging, landing layout, moving
vehicles and equipment, truck locating, loading and shipping
Use of elevated platforms, including condors and scissor lifts
Working from ladders
Driver safety
Traffic safety
Ergonomic hazards, including proper lifting techniques; working in a stooped or
cramped position for prolonged periods at one time
Personal protective equipment
Hazardous chemical/environmental exposures on site
Adjacent chemical/environmental exposures
Hazard communication
Physical hazards, such as heat stress, noise, and ionizing and non-ionizing
radiation
Laboratory safety
Blood borne pathogens or other biological hazards
Other job-specific hazards, such as _____________________________________
14. Employee Communication System and Policy
We recognize that open, two-way communication between management and staff on
health and safety issues is essential to achieve an injury-free, productive workplace. The
following system of communication is designed to facilitate a continuous flow of safety
and health information between management and staff in a form that is readily
understandable and consists of one or more of the following checked items:
New worker orientation including a discussion of safety and health policies and
procedures
Review of our SSSP
Workplace safety and health training programs
Subcontractor.SSSP.10.04.07
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Regular weekly and daily safety meetings
Effective safety and health communications between workers and supervisors,
including translation where appropriate
Posted or distributed safety information
A system for workers to anonymously inform management about workplace
hazards
15. Recordkeeping Policy
We have taken the following steps to document implementation of our SSSP:
Records of hazard assessment inspections, including the persons conducting the
inspection, the unsafe conditions and work practices that have been identified and
the action taken to correct the identified unsafe conditions and work practices, are
recorded on a hazard assessment and correction form
Documentation of safety and health training for each worker, including the
worker’s name or other identifier, training dates, types of training, and training
providers are recorded on a worker training and instruction form.
Other records are retained as required by contract specifications or by local, state
or federal OSHA regulations should be available on site. This includes the OSHA
300 Logs, first reports of injury, etc. Where regulations do not specify the length
of records retention, a period of three years after project completion will be used.
16. Accident/Exposure Investigations Policy
Our procedures for investigating workplace accidents and hazardous substance exposures
include:
Responding to the accident scene as soon as possible;
Reporting immediately to the appropriate point(s)-of-contact;
Interviewing injured workers and witnesses;
Examining the workplace for factors associated with the accident/exposure;
Determining the cause of the accident/exposure;
Taking corrective action to prevent the accident/exposure from reoccurring;
Recording the findings and corrective actions taken; and
Post-accident substance abuse testing.
17. Emergency Action Plan
(Define assembly areas, state head count procedure etc.)
18. Site Specific Medical Emergency Plan
(Define/ provide emergency contact numbers, competent first-aider, health care
providers ,by project location etc.)
Subcontractor.SSSP.10.04.07
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19. Hazard Communication Program
(Attach written program and submit copies of MSDSs for chemicals on this site to the
Prime Contractor.)
20. Written Trenching and Shoring Plan
(Attach if applicable)
21. Written 100% Fall Protection Plan
(Attach if applicable)
22. Specific written plans as required by regulation and applicable to this
project.
(Attach written sections to this plan that are specific to your craft or trade. They will
vary according to the scope of work being performed. Many of the topics may have been
identified in Section 13 of this template.)
23. Appendices
APPENDIX A. Safety and Health Forms
APPENDIX B. OSHA INSPECTIONS and LOGS
Subcontractor.SSSP.10.04.07
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APPENDICES
A. HEALTH AND SAFETY FORMS
B. OSHA INSPECTIONS and LOGS
Subcontractor.SSSP.10.04.07
11
Appendix A. Health and Safety Forms
Include copies of your Safety and Health Forms.
Sample Safety and Health Forms p. 13-14
1. Accident Report Form p. 13-14
2. Activity Hazards Analysis (AHA) p. 15
3. Competent Person Acknowledgement Form p. 16
4. Construction Safety & Health Inspection Checklist p. 17
5. Near-Miss Report Form p. 18
6. OSHA First Aid List p. 19
7. Pre-construction Safety Meeting p. 20
8. Pre-mobilization Safety Meeting p. 21
9. Project Risk Assessment - Two Week Look Ahead p. 22
10. Safety Meeting Minutes p. 23
Subcontractor.SSSP.10.04.07
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NAME OF SUBCONTRACTOR
Accident Report Form
Attach all supplemental documentation, including photos, diagrams, witness statements, and field reports
Project Title Location
Subcontractor
Project Address
Information City, State,
Zip
Contact Name Phone Number
Workers Compensation General Liability Property Dam.
Emergency Response Notified Bodily Injury/Illness Equipment
Incident (Police, Fire, Medic, etc.) Real Property Damage Material
Type First-Aid Only Personal Property Damage Machinery
Recordable Injury Utility Property Damage Work in
Progress
Time of
Date of Loss
Loss
Place (exact location)
Incident
Location
Detailed Description of Incident
Incident
Description
Contractor.PSSP.Template.2/1/08 Appendix A-1, p.1
13
Accident Report Form (Continued)
Injured Name
Address
Workers City, State, Zip
Comp Home Phone Date of Birth
or Nature of Injury
3rd Party Medical Facility Work Status
Injury Treatment Received
(circle one)
Owner’s Name
Address
City, State, Zip
Home Phone Work Phone
Property Damage Type Estimated Cost
Damage Marked or
or Utility Type Unmarked
Builder’s
Description of Damage
Risk
(circle one)
Name
Address
Witness City, State, Zip
Information Home Phone Work Phone
Where to
contact Time to contact
Describe actions taken to mitigate hazard.
Contractor
Subcontractor
Action
Signature Employer
Print Name Date
Phone No. Fax Number
Contractor.PSSP.Template.2/1/08 Appendix A-1, p.2
14
NAME OF CONTRACTOR
Activity Hazards Analysis
Page____ of _____
Project Name & Number: AHA No. Date: New:
Location: Contractor: Revised:
Required Personal Protective Equipment Analysis by: Date:
Superintendent/Competent Person Reviewed by: Date:
Work Operation: Approved by: Date:
Work Activity Potential Hazards Preventive or Corrective Measures Inspection Requirements
Training Requirements:
All assigned employees are required to familiarize themselves with the contents of this AHA before starting a work activity and review it with their Supervisor during their
Daily Safety Huddle.
Contractor.PSSP.Template.2/1/08
Appendix A-2
15
Name of Subcontractor
Competent Person Acknowledgement Form
Definition
A competent person is a person who has the ability to recognize existing and predictable hazards and has the authority to
correct them.
Responsibility
The designated competent person is responsible for recognizing and correcting safety risks/hazards. This person has the
authority to stop work in the event of any potential safety concern on the job site. This representative is considered the
contact person for the Project Manager/Superintendent on this Project.
This form must be completed by the supervisor/foreman of contractor’s designated competent person(s). Where a
subcontractor is responsible for multiple crafts, it may be necessary to maintain additional designated competent persons
and forms. This form should be completed and submitted to the Project Manager/Superintendent prior to beginning this
work and updated any time there is a change in the designated representative(s).
1. ACKNOWLEDGMENT
I, _____________________________________representing, __________________________________
Contractor Supervisor/Foreman Name of Employer
assigned _______________________________to be the competent person in the areas indicated and I
Name of Competent Person
acknowledges that this individual has been thoroughly trained and is experienced in hazard recognition and has the
authority to stop work and correct hazards in the event of a potential hazardous or imminent danger situation.
____________________________________________________________________________________
Supervisor/ Foreman (Signature) Date
I, ____________________________ acknowledge that I have been thoroughly trained and have the experience to
Competent Person (Signature)
perform the duties as the ________________________________ competent person in the areas marked below and
Name of Employer
I understand that I have the responsibility and authority to correct hazards and to stop work in the event of a potential
hazardous or imminent danger situation.
Asbestos Hearing Protection Welding/Cutting
Respiratory Protection Scaffolding Slings
Cranes/Derricks Electrical Confined Space
Fall Protection Ladders Excavations/Trenches
Demolition Mechanical Demolition First Aid/CPR
Underground Const. Material/Personnel Hoists Concrete/Forms/Shoring
Slab Lift Operations Bolting/Riveting/Fitting Other:
Contractor.PSSP.Template.2/1/08
Appendix A-3
16
NAME OF SUBCONTRACTOR
Construction Health and Safety Inspection Checklist
Project: Date:
Name: Time:
Any items that have been found deficient must be corrected before work or use.
This checklist includes, but is not limited to, the following:
Description Yes No
Safe Access and Workspace
Are safe access and adequate space for movement available for:
Emergencies
Work area
Walkways and passageways
Are ladders, stairways, and elevators properly located and functioning?
Is protection provided for floor and roof openings?
Is overhead protection provided for all areas of exposure?
Is lighting adequate?
Planning Work for Safety
Are employees provided with all required protective equipment?
Have other contractors and trades been coordinated with to prevent congestion
and avoid hazards?
Is all temporary flooring, safety nets, and scaffolding provided where required?
Utilities and Services Identification
High-voltage lines
Have all been identified by signs?
Have high-voltage lines been moved or de-energized, or barriers erected to
prevent employee contact?
Sanitary Facilities
Drinking water
Are toilet facilities adequate?
Work Procedures – Materials Handling
Is material handling space adequate?
Is material handling equipment adequate and proper?
Is material handling equipment in good condition?
Other (e.g., tunnels, excavations, shafts)
Comments:
Contractor.PSSP.Template.2/1/08
Appendix A-5
17
NAME OF SUBCONTRACTOR
Near-Miss Report Form
Facility/Project: Date:
Contractor Name:
Location:
Attention:
This form documents a near-miss incident, briefly described as:
on (date) ____________________,reported by .
This incident involved the following:
Personal Protective
Confined Space Entry Lockout/Tagout Hot Work Equipment
Knowledge of the Awareness of warning
environment alarms Evacuation routes Back-up Alarms
Environmental/Hazardous
Assembly locations Fall Protection Scaffolding Material Storage
Trenching Safe Work Practices Security Practices Office/Facility
Other:
This incident occurred at the following locations:
at the following times______________________________ and dates
The name of the employees was/were
under the supervision of .
Immediate corrective action included:
Contractor.PSSP.Template.2/1/08
Appendix A-5
18
NAME OF SUBCONTRACTOR
OSHA First Aid List
1904.7 (b)(5)(ii) What is “first aid”?
For the purposes of Part 1904, “first aid” includes the following:
A Using a nonprescription medication at nonprescription strength (for medications available in both
prescription and nonprescription form, a recommendation by a physician or other licensed health care
professional to use a nonprescription medication at prescription strength is considered medical
treatment for recordkeeping purposes)
B Administering tetanus immunizations (other immunizations, such as hepatitis B or rabies vaccine, are
considered medical treatment)
C Cleaning, flushing, or soaking wounds on the surface of the skin
D Using wound coverings such as bandages, Band-Aids™, or gauze pads; or using butterfly bandages
or Steri-Strips™ (other wound-closing devices such as sutures or staples are considered medical
treatment)
E Using hot or cold therapy
F Using any non-rigid means of support, such as elastic bandages, wraps, or back belts (devices with
rigid stays or other systems designed to immobilize parts of the body are considered medical
treatment for recordkeeping purposes)
G Using temporary immobilization devices while transporting an accident victim (e.g., splints, slings,
neck collars, back boards)
H Drilling a finger- or toenail to relieve pressure, or draining fluid from a blister
I Using eye patches
J Removing foreign bodies from the eye using only irrigation or a cotton swab
K Removing splinters or foreign material from areas other than the eye by irrigation, tweezers, cotton
swabs, or other simple means
L Using finger guards
M Using massage (physical therapy or chiropractic treatment are considered medical treatment)
N Drinking fluids to relieve heat stress
This is a complete list of all treatments considered first aid for Part 1904 purposes.
Contractor.PSSP.2/1/08
Appendix A-6
19
NAME OF CONTRACTOR
Preconstruction Safety Meeting
Date: Project/Location:
Subcontractor PBC Project
Representative: Manager:
Phone: Phone:
Subcontractor Safety PBC Safety
Rep: Manager:
Phone: Phone:
The following items were identified and reviewed with the subcontractor.
Health & Safety Medical
Site-Specific Safety Plans/Model Program Substance Abuse Screening
Competent/Qualified Person Documentation Emergency Procedures
Safety Audits/Inspections Site Security
Subcontractor Responsibilities Smoking Policy
Site Orientation Requirements Medical Services Requirements
Premobilization Safety Meeting/Date Treatment Locations/Addresses/Phone List
Crane Inspection Certification Other
Personal Protective Equipment (PPE)
Environmental Hazards
Other
Additional Notes/Comments:
Contractor.PSSP.2/1/08
Appendix A-7
20
NAME OF CONTRACTOR
Pre-Mobilization Safety Meeting
Date: ______ Project/Location: _______________________Project
Superintendent:_______________________
PBC Safety Director: ___________Subcontractor(s) :
The following project site safety, health and security requirements, procedures, and hazards have been
identified and reviewed with the above contractors.
Activity Hazards Analysis Spray Painting
Competent/Qualified Person Personal Protective Equipment
Hazardous Materials/Waste/MSDS Site Protective Measures
Vehicle/Heavy Equipment Cranes/Hoists/Annual Inspection Certs.
Lockout/Tag out Cables/Telephone/OH Power Lines
Electrical Excavations/Trenching
Fire Protection Site Security/Visitor Control/Public Exposure
Hot Work/Welding/Cutting Utility Disruption
Fall Protection/Guardrails/ Permits (Excavation/Scaffolding/Demolition/Traffic/
Scaffolding/Ladders Confined Space/etc.)
Project Safety Comments & Concerns:
. .
Other Attendees:
Name Title Company
Contractor.PSSP.2/1/08
Appendix A-8
21
Name of Contractor
Project Risk Assessment
Date: Project or Location: Name:
Risk/Hazard Detail Present Risk/Hazard Detail Present
Occ. Health Exp. PCB, Lead, Asbestos Ladders/Stairs Cleats, Rungs
UXO Tied Off
Airborne Contaminants Utility Disruption U/G Locates
(dust, mists, fumes) O/H Distribution
Bio. Haz./Blood borne P
Chemical Hazards Signs, Signals, Traffic Control
Barricades MUTCD/Flagmen
Process Safety/ Work is on or adjacent Signs/Tags
Haz. Com to operations involving
listed highly hazardous Underground/ Caissons/Cofferdams
chemicals USTs Tunnels/Shafts
Haz. Com/MSDS Trench/Excavation
UST Removal
Confined Space Permit Required
Entry Supv. Hot Work Torching, Welding,
Atmos. Test./Alarm Soldering, Brazing
Rescue Hot Work Permit
Energy Control LOTO/Isolation PPE Hard Hats
Inspection Proc. Safety Glasses
Hearing Protection
Hand/Power Tools Heads/Handles Respirators/SCBA
Cords/Plugs/Recept. Protective clothing
GFCI Fall Protection
Guards/Hoses
Powder Actuated Common Hazards Housekeeping
Falling Objects
Cranes-Mobile, Rigging, Hooks, Protruding Objects
Bridge, Tower, Shackles Illumination
Derricks/Hoists Load Capacity Sanitation
Aerial Platforms, Hand/Radio Signals Special Hazards/ Handling, removal or
Powered Industrial Cert. Operators Waste site storage
Trucks, Aerial Lifts Inspection/Maint. Debris/rubbish
Fire Protection/ Extinguishers
Scaffolds Guardrails, C.Bracing Life Safety Evac. Routes
Platforms, Ladders
NOTES/COMMENTS:
Contractor.PSSP.2/1/08
Appendix A-9
22
NAME OF CONTRACTOR
Safety Meeting Agenda/Minutes
Date & Location:
Meeting Start Time:
Meeting End Time:
Agenda:
Review of minutes of last safety meeting: Approved? Yes No
Corrections:
Unfinished business from last meeting:
Any hazards or safety concerns reported during this time period? Status of any corrective action reports?
Any accident investigations conducted since the last meeting? Describe identification of the cause and corrective
action(s)?
Is your accident and illness prevention program working? Yes No
If no, describe any recommendations to improve it.
Is your safety awareness program working? Yes No
If no, describe any recommendations to improve it
What other safety-related topics were covered in this meeting?
Health and safety concerns for the next period?
Who attended this meeting?
Minutes prepared by:
Next meeting date and location:
Contractor.PSSP.2/1/08
Appendix A-10
23
APPENDIX B. OSHA Inspections and Logs
1. OSHA Inspections
2. OSHA 300 Logs
Contractor.PSSP.2/1/08
Appendix B
24
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