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					                                                       AUDIT PROFILE

DATE:                                                                SITE MGR:

PROJECT NAME:                                                        SITE SAFETY MGR/REP.:

                                                                     AUDITOR

PROJECT NUMBER:

PROJECT LOCATION:               CITY:                       STATE:               COUNTRY:


OPERATING COMPANY

AUDIT TYPE: *              (Check One)

             CONSTRUCTION OR MAINTENANCE                             (C)                     (M)

             (Check One)

            * GENERAL
             POST ACCIDENT (Non Fatal)
             POST FATALITY
             REQUESTED BY PROJECT
             REQUESTED BY CLIENT
             CONSULTATION (Non-FD Project)



LABOR POSTURE: * *                       (Check One)

             SELF PERFORM OR CONSTRUCTION MGMT.                      (SP)                    (CM)

             (Check One)

             OPEN SHOP
             UNION
             MERIT SHOP


        ^                                                                                           Rev No.1
                                                                                                                                        ATTACHMENT A
                                                                                       SCORE                   PENALTY
                                                                               MAXIMUM     ACTUAL       * REPEATED      * * IMMINENT
                                 (FIELD EXECUTION)                                                                                            ASSESSORS COMMENTS
                                                                               POSSIBLE     SCORE    DEFICIENCES (X)   DANGER     (X)



1                          HEALTH & HYGIENE
     The required number of toilets are provided (1 toilet for every 29
A.                                                                               3.0
     workers).
B.   Provisions for servicing / cleaning toilets has been made.                  3.0
C.   Toilets are kept clean and sanitary. Toilet paper is in place.              3.0
     Washing facilities are available for worker use prior to lunch / breaks
D.                                                                               3.0
     when required.
E.   Vermin (rodents, insects, etc.) control is provided.                        2.0
     Ventilation in work areas is provided for the type of work being
F.                                                                               3.0
     performed.
G.   Local exhaust ventilation is used where necessary.                          3.0

                                      TOTAL                                     20.0           0.0         0                 0




     66d74332-43e8-4a40-a5de-d7c47aa874e2.xls                                                                                                           Rev No.1
                                                                                      SCORE                   PENALTY
                                                                              MAXIMUM     ACTUAL       * REPEATED      * * IMMINENT
                                  (FIELD EXECUTION)                                                                                    ASSESSORS COMMENTS
                                                                              POSSIBLE     SCORE    DEFICIENCES (X)   DANGER     (X)



2                        WORK AREA LIGHTING
A.   Required lighting is provided for the work being performed.                2.0
B.   Portable light plants are maintained and kept operational.                 2.0
     Portable light plants are positioned to provide maximum lighting where
C.                                                                              2.0
     required.
D.   Portable light plants are easily moved and positioned.                     2.0
E.   Portable light plant masts are easily raised and lowered.                  2.0
F.   Portable light plants are grounded prior to use.                           2.0
G.   G.F.C.I.s are provided for all temp. lighting circuits.                    2.0

                                       TOTAL                                   14.0           0.0         0                 0




     66d74332-43e8-4a40-a5de-d7c47aa874e2.xls                                                                                                    Rev No.1
                                                                                                  SCORE                 PENALTY
                                                                                          MAXIMUM     ACTUAL      * REPEATED      * * IMMINENT
                                     (FIELD EXECUTION)                                                                                            ASSESSORS COMMENTS
                                                                                          POSSIBLE     SCORE   DEFICIENCES (X)   DANGER     (X)



3            PERSONAL PROTECTIVE EQUIPMENT (P.P.E.)

A.     Head Protection
     1 Worn where required.                                                                 2.0
     2 Bills worn to the front.                                                             2.0
     3 Hard Hat suspension systems maintained in a safe manner.                             2.0
B.     Eye Protection
     1 Worn where required.                                                                 2.0
     2 Side shields required and used.                                                      2.0
     3 Lens cleaning stations and material are provided.                                    2.0
     4 Face shields are worn when required.                                                 2.0
     5 Signs are posted at bench grinders "Face shields required."                          2.0
C.     Fall Protection
       Safety harness is required and used where fall exposure > 1.8 meters is
     1
       present.                                                                             3.0
     2 Lanyard are equipped with shock absorbers.                                           3.0
       Lanyards hooks are provided with locking safety latch to prevent "Roll
     3
       Out".                                                                                3.0
       Lanyards are secured to a substantial object - fall distance is
     4
       maintained to a minimum.                                                             3.0
     5 Fall protection equipment is only used for fall protection                           2.0
       Static / cautionary lines are installed to facilitate tie-off and will support a
     6
       force of 2,450 kgs.                                                                  3.0
       Fall protection equipment is inspected on a regular basis and tagged
     7
       accordingly.                                                                         2.0




       66d74332-43e8-4a40-a5de-d7c47aa874e2.xls                                                                                                             Rev No.1
                                                                                         SCORE                   PENALTY
                                                                                 MAXIMUM     ACTUAL       * REPEATED      * * IMMINENT
                                   (FIELD EXECUTION)                                                                                      ASSESSORS COMMENTS
                                                                                 POSSIBLE     SCORE    DEFICIENCES (X)   DANGER     (X)



            PERSONAL PROTECTIVE EQUIPMENT (P.P.E.)
3                          (cont'd)
D.     Hearing Protection
     1 Noise areas are posted as areas where hearing protection is required.
                                                                                   2.0
     2 Noise surveys are performed periodically and documented.                    2.0
     3 Hearing protection is properly worn where and when required.                2.0
E.     Foot and Toe Protection
     1 Protective foot wear is worn by all employees.                              2.0
     2 If steel toe protection is required, they are used where required.          3.0
       Hand protection is provided by gloves that are selected according to
F.                                                                                 3.0
       specific hazards, anticipated or present.
       Employees working near heavy equipment operations wear high visibility
G.                                                                                 3.0
       and reflective safety vests.
       Employees working non-daylight hours are provided with reflective
H.                                                                                 3.0
       striped clothing, vests or other high visibility material.
       Employees working non-daylight hours have reflective tape on their hard
I.                                                                                 3.0
       hats.
J.     Reflective vest are provided to stand-by men, riggers and flagmen.          3.0
       All employees receive information and/or training on the proper use and
K.                                                                                 2.0
       care of PPE.

                                        TOTAL                                     63.0           0.0         0                 0




       66d74332-43e8-4a40-a5de-d7c47aa874e2.xls                                                                                                     Rev No.1
                                                                                      SCORE                   PENALTY
                                                                              MAXIMUM     ACTUAL       * REPEATED      * * IMMINENT
                                (FIELD EXECUTION)                                                                                      ASSESSORS COMMENTS
                                                                              POSSIBLE     SCORE    DEFICIENCES (X)   DANGER     (X)



4                               HAND TOOLS
A.   Correct tools are used for the work being performed.                       2.0
B.   Tools are used in an approved manner.                                      2.0
C.   Tools are carried and stored properly.                                     2.0
     Chisels, hammer wrenches and other "striking tools" are dressed at the
D.                                                                              2.0
     striking end to prevent "mushrooming".
E.   Job made / home made tools are prohibited and none were observed.
                                                                                2.0

                                     TOTAL                                     10.0           0.0         0                 0




     66d74332-43e8-4a40-a5de-d7c47aa874e2.xls                                                                                                    Rev No.1
                                                                                          SCORE                   PENALTY
                                                                                  MAXIMUM     ACTUAL       * REPEATED      * * IMMINENT
                                 (FIELD EXECUTION)                                                                                         ASSESSORS COMMENTS
                                                                                  POSSIBLE     SCORE    DEFICIENCES (X)   DANGER     (X)



5                     POWDER ACTUATED TOOLS

A.   Employees using powder actuated tools have been trained and certified.
                                                                                    3.0
B.   Correct load strengths are known and used.                                     3.0
C.   Loads are removed while the tool is stored or left unattended.                 3.0
     Proper P.P.E. is worn by the tool operator while using the tool. Proper
D.   P.P.E. includes hard hat, face shield, safety glasses and hearing
     protection.                                                                    3.0
E.   The tool and all loads are stored in a locked cabinet.                         2.0
F.   The tool and all loads are issued only to trained and certified employees.
                                                                                    2.0
     The tool is inspected on a regular basis and tagged to show that it has
G.                                                                                  2.0
     been inspected.

                                      TOTAL                                        18.0           0.0         0                 0




     66d74332-43e8-4a40-a5de-d7c47aa874e2.xls                                                                                                        Rev No.1
                                                                                        SCORE                   PENALTY
                                                                                MAXIMUM     ACTUAL       * REPEATED      * * IMMINENT
                                (FIELD EXECUTION)                                                                                        ASSESSORS COMMENTS
                                                                                POSSIBLE     SCORE    DEFICIENCES (X)   DANGER     (X)




6            POWER TOOLS AND POWER EQUIPMENT

     All power tools are inspected on a regular basis and tagged to show that
A.                                                                                2.0
     they have been inspected.
B.   Required safety guards are in place and functional.                          3.0
C.   Work rests on bench grinders are adjusted within 3mm of the wheel.           3.0
D.   Wheels on bench and stand grinders are dressed as required.                  3.0
     Discs on portable grinders are compatible with the equipmen's maximum
E.                                                                                3.0
     RPM's.
     Electrical cords are elevated, protected, or otherwise arranged so as to
F.                                                                                2.0
     prevent damage to the cord or create a tripping hazard.
     Employees are trained and certified (When required) in safe operation of
G                                                                                 2.0
     power tools.

                                      TOTAL                                      18.0           0.0         0                 0




     66d74332-43e8-4a40-a5de-d7c47aa874e2.xls                                                                                                      Rev No.1
                                                                                         SCORE                 PENALTY
                                                                                 MAXIMUM     ACTUAL      * REPEATED      * * IMMINENT
                                (FIELD EXECUTION)                                                                                        ASSESSORS COMMENTS
                                                                                 POSSIBLE     SCORE   DEFICIENCES (X)   DANGER     (X)




7              HOT WORK (Welding, Heating, Burning)

     Hot work in or near areas or processes that involve flammable,
A.   combustible or explosive materials or chemicals is performed under a safe
     work or hot work permit.                                                      4.0
     A fire extinguisher is immediately available and operable at all Hot Work
B.                                                                                 3.0
     locations.
     Welding screens are used around all ground or floor level arc welding
C.                                                                                 2.0
     operations.
D.   Arc welding is performed with a required electrical ground.                   3.0
     Welding cables and ground cables are free of damage and non-insulated
E.                                                                                 3.0
     connections.
     Welding cables and ground cables are inspected on a regular basis and
F.   are tagged or color coded to show that they have been inspected.
                                                                                   1.0
     Where cables are suspended or secured, they are done so by using non-
G.                                                                                 1.0
     conductive materials.
     Cables, cords, and hoses are elevated or pro-tected to prevent tripping
H.                                                                                 2.0
     hazards.
I.   Compressed gas cylinders are labeled as required.                             1.0
J.   Compressed gas cylinders are stored and capped as required.                   2.0
     Reverse flow or flash back arrestors are used on all oxygen/acetylene
K.                                                                                 2.0
     rigs.
L.   Regulator gauges are attached as required and in good condition.              2.0
M.   Compressed gas cylinder valves are turned off when not in use.                2.0




     66d74332-43e8-4a40-a5de-d7c47aa874e2.xls                                                                                                      Rev No.1
                                                                                        SCORE                   PENALTY
                                                                                MAXIMUM     ACTUAL       * REPEATED      * * IMMINENT
                                 (FIELD EXECUTION)                                                                                       ASSESSORS COMMENTS
                                                                                POSSIBLE     SCORE    DEFICIENCES (X)   DANGER     (X)




7         HOT WORK (Welding, Heating, Burning) (cont'd)

N.   Strikers are used to light torches.                                          2.0
     Welding rods are stored as required and rod stubs are placed in a
O.                                                                                2.0
     container to prevent a tripping hazard.
P.   Welding rods are not left in the electrode/rodholder while not in use.
                                                                                  2.0
     Compressed gas cylinders are located outside of closed areas and are not
Q.                                                                                2.0
     exposed to slag or sparks.
R.   Gas cylinders are moved and transported in the required manner.              2.0
     Hot slag and sparks are maintained and controlled as required to prevent
S.                                                                                2.0
     fires and contact with employees.
     Required P.P.E. is worn for the hot work activity being performed or
T.   immediately exposed to, including eye protection, clothing, gloves, and
     respirator if needed.                                                        2.0
U.   Oxygen / acetylene hoses are maintained free of oil and grease.              2.0

                                       TOTAL                                     44.0           0.0         0                 0




     66d74332-43e8-4a40-a5de-d7c47aa874e2.xls                                                                                                      Rev No.1
                                                                                            SCORE                   PENALTY
                                                                                    MAXIMUM     ACTUAL       * REPEATED      * * IMMINENT
                                  (FIELD EXECUTION)                                                                                          ASSESSORS COMMENTS
                                                                                    POSSIBLE     SCORE    DEFICIENCES (X)   DANGER     (X)



8                                 ELECTRICAL
     Electrical equipment is marked as to the amount of voltage and the
A.   control source.                                                                  3.0

     The required "lock out - tag out " procedure is implemented where
B.   circuits are de-energized due to maintenance, repair or other activity.
                                                                                      4.0
     Employees performing low, medium, or high voltage work are trained and
C.   certified.                                                                       4.0
     Protective gear (rubber gloves, blankets, hot sticks, etc.) are inspected by
D.   an independent testing firm.
                                                                                      4.0
     Tests are performed to determine if current carrying parts are "Hot" or
E.   De-energized                                                                     4.0
F.   All line parts are guarded or protected against contact.                         4.0
G.   GFCI controlled outlets and panels are labeled and tested                        2.0
     Electrical cords are inspected and approved for the type of usage and are
H.                                                                                    2.0
     free of breaks in the insulation.
     Outlets, receptacles, junction boxes, etc., are approved and maintained as
I.   required.                                                                        2.0
     Where electrical cords are suspended or secured, they are done so by
J.                                                                                    1.0
     using non-conducting materials.

     Electrical cords are elevated over passage ways, or are protected from
K.   damage when crossing roads or passage ways.
                                                                                      2.0
L.   Temporary lighting is installed as required using approved materials.
                                                                                      2.0
M.   Light bulbs and fluorescent tubes are guarded as required.                       2.0

                                       TOTAL                                         36.0           0.0         0                 0



     66d74332-43e8-4a40-a5de-d7c47aa874e2.xls                                                                                                          Rev No.1
                                                                                              SCORE                 PENALTY
                                                                                      MAXIMUM     ACTUAL      * REPEATED      * * IMMINENT
                                     (FIELD EXECUTION)                                                                                        ASSESSORS COMMENTS
                                                                                      POSSIBLE     SCORE   DEFICIENCES (X)   DANGER     (X)



9                          EQUIPMENT OPERATIONS
A.     CRANE OPERATIONS
     1 Load charts are posted and utilized.                                             3.0
     2 The swing radius of the counter weight is barricaded.                            3.0
     3 The crane is operated level with all out riggers fully extended.                 3.0
     4 Moving and travel practices are utilized to include the use of a flagman.
                                                                                        3.0
       The operator is trained and certified for the specific crane being
     5
       operated.                                                                        3.0
     6 Specific attention to power line clearance is given.                             4.0
         Flagman are used to signal crane operators when raising, lowering and
     7
         swinging the hook, loaded or unloaded.                                         3.0
       Load monitoring indicators(LMI) are available and utilized with each
     8
       crane.                                                                           3.0
     9 An anti-two-block limit switch is in place and functional on all cranes.
                                                                                        3.0
B.       GENERAL EQUIPMENT
     1   Seat belts are provided and used with ROP structures.                          3.0
     2   All lights are operational                                                     2.0
     3   Horns are operational                                                          2.0
     4   Back-up alarms are operational.                                                2.0
     5 Equipment is operated at a safe travel speed.                                    3.0
       Flagmen are used to signal equipment operators working in confined or
     6
       congested areas.                                                                 3.0
         All equipment operators have valid Saudi Arabian Government Heavy
     7
         Equipment License.                                                             3.0
         Seat belts are worn by driver and all passengers in equipment provided
     8
         with seat belts.                                                               3.0
C.       HAULAGE OPERATIONS
     1 Elevated roads are protected by berms and/or guard rails.                        3.0
         Warning signs are posted at intersections, steep grades, blind corners, as
     2
         required.                                                                      2.0


         66d74332-43e8-4a40-a5de-d7c47aa874e2.xls                                                                                                       Rev No.1
                                                                                             SCORE                 PENALTY
                                                                                    MAXIMUM      ACTUAL      * REPEATED      * * IMMINENT
                                     (FIELD EXECUTION)                                                                                       ASSESSORS COMMENTS
                                                                                    POSSIBLE      SCORE   DEFICIENCES (X)   DANGER     (X)



9                     EQUIPMENT OPERATIONS (cont'd)
     3 Traffic flow is regulated and enforced.                                        2.0
     4 Speed limits are posted and observed.                                          3.0
       Only authorized vehicles and equipment are allowed on the haulage
     5
       roads.                                                                         2.0
         Refueling maintenance activities are performed away from haulage road
     6
         traffic areas.                                                               2.0
     7 Haulage roads are maintained in good condition.                                2.0
     8 Storm water is channeled / controlled to minimize haulage road hazards.
                                                                                      2.0
     9 Dust control is implemented effectively when and where required.               2. 0
D.     RIGGING EQUIPMENT
     1 Approved rigging practices are used.                                           3.0
       Rigging equipment is maintained and free of damage, excess wear or
     2
       defect.                                                                        3.0
     3 All crane and sling hooks are equipped with a functional safety latch.
                                                                                      3.0
       Monthly inspections of rigging equipment are performed and the
     4
       equipment is color coded. accordingly.                                         1.0

         The load capacity of each rigging device is known by label, tag, placard
     5
         or other substantial marking attached to the device.
                                                                                      3.0
       Certifications are provided for all rigging equipment and Safe Working
     6
       Load (SWL) is visible on all lifting equipment.                                3.0
       The throat of load hooks are measured periodically to detect change in
     6
       hook gap.                                                                      2.0
E.     Warning Methods
     1 Reflective triangles are provided for all equipment and vehicles.              2.0
       Reflective triangles are employed to warn of equipment breakdown /
     2
       accident or road hazards as required.                                          2.0




         66d74332-43e8-4a40-a5de-d7c47aa874e2.xls                                                                                                      Rev No.1
                                                                                            SCORE                   PENALTY
                                                                                    MAXIMUM     ACTUAL       * REPEATED      * * IMMINENT
                                     (FIELD EXECUTION)                                                                                       ASSESSORS COMMENTS
                                                                                    POSSIBLE     SCORE    DEFICIENCES (X)   DANGER     (X)



9                     EQUIPMENT OPERATIONS (cont'd)

         Flashing lights and/or strobes are used on all slow moving vehicles that
     3
         operate in the vicinity of large excavation and haulage equipment.
                                                                                      2.0
F.       Equipment Inspections
       Equipment on site has been inspected by FAL Rigging & Heavy
     1 Equipment Supervisor, and approved inspection stickers have been placed
       on all equipment.                                                              2.0
     2 Monthly color code has been placed on the windshield of each equipment.
                                                                                      2.0
         Contractors are making routine equipment inspections and recording
     3
         results on a monthly basis.                                                  2.0
     4 Defective equipment has been removed from site for repairs.                    2.0
G.     Machine and Equipment Guarding

         Guards around pinch points, rotating equipment, shafts, pulleys, belt
     1
         drives and chain drives are guarded to prevent accidental contact.
                                                                                      3.0
       Equipment guards are firmly attached and are of a material or design that
     2 will prevent contact by hands, clothing, tools or material or any other
       accidental worker contact.                                                     3.0

       Where rotating equipment maintenance work is performed, the
     3 maintenance is performed with all guards in place. If the guards(s) must
       be removed, the equipment is locked out and tagged.
                                                                                      3.0
         Emergency stop cords are installed on all conveyor belt lines. The
     4
         emergency stop cords are functional and tested on a periodic basis.
                                                                                      3.0
         Employees servicing or working near pinch points or rotating equipment
     5
         are not wearing loose clothing or any other loose articles.
                                                                                      3.0

                                          TOTAL                                      114.0          0.0         0                 0

         66d74332-43e8-4a40-a5de-d7c47aa874e2.xls                                                                                                      Rev No.1
                                                                                           SCORE                   PENALTY
                                                                                   MAXIMUM     ACTUAL       * REPEATED      * * IMMINENT
                                   (FIELD EXECUTION)                                                                                        ASSESSORS COMMENTS
                                                                                   POSSIBLE     SCORE    DEFICIENCES (X)   DANGER     (X)



10                    EXCAVATION AND TRENCHING

A.     A supervisor is in charge of excavation and trenching.                        3.0
B.     Required Excavation permits are utilized.                                     3.0
       Documented daily inspections performed including adverse weather
C.                                                                                   3.0
       changes.
D.     Spoil dirt is at least 1 meter from the edge.                                 3.0
E.     Correct slope angle is maintained.                                            3.0
       Shoring used where required and approved installation and removal
F.     procedures are followed.
G.     Proper access and egress required.                                            3.0
H.     Physical barricades are provided.                                             3.0
       Approved barricades are erected at the edge of all open trenches and
I.                                                                                   3.0
       excavations as required.
       Prior to beginning any excavation or trenching, all underground utilities
     1
       in the work area are located.                                                 3.0

                                        TOTAL                                       27.0           0.0         0                 0




       66d74332-43e8-4a40-a5de-d7c47aa874e2.xls                                                                                                       Rev No.1
                                                                                             SCORE                   PENALTY
                                                                                     MAXIMUM     ACTUAL       * REPEATED      * * IMMINENT
                                   (FIELD EXECUTION)                                                                                          ASSESSORS COMMENTS
                                                                                     POSSIBLE     SCORE    DEFICIENCES (X)   DANGER     (X)



11   STEEL ERECTION AND FLOOR AND WALL OPENING

A.   Required access and egress provided.                                              3.0
     Required perimeter cables are used and approved installation procedures
B.                                                                                     4.0
     are followed.
C.   Wall and floor openings are guarded or covered as required.                       4.0
     Elevated areas are free of loose excess materials and debris that could
D.                                                                                     3.0
     fall to levels below.
E.   Static lines, catenary lines, etc., installed to facilitate employee tie-off.
                                                                                       3.0
F.   Bolt-up requirements are met.                                                     3.0
G.   Bolt buckets are used to contain bolts.                                           3.0
H.   Decking requirements are met.                                                     4.0
I.   Approved rigging techniques are used.                                             3.0
     Barricades and signs are posted in the area to warn employees as
J.                                                                                     3.0
     required.
K.   Employees providing hand signals have received hand signal training.
                                                                                       3.0
L.   Signals or warnings are provided when loads are raised.                           3.0
     All employees are wearing and using required PPE (safety harnesses and
M.                                                                                     4.0
     lanyards.).
N.   Taglines are used to control movement of all suspended loads.                     3.0

                                         TOTAL                                        46.0           0.0         0                 0




     66d74332-43e8-4a40-a5de-d7c47aa874e2.xls                                                                                                           Rev No.1
                                                                                           SCORE                   PENALTY
                                                                                   MAXIMUM     ACTUAL       * REPEATED      * * IMMINENT
                                     (FIELD EXECUTION)                                                                                      ASSESSORS COMMENTS
                                                                                   POSSIBLE     SCORE    DEFICIENCES (X)   DANGER     (X)



12                    MATERIAL HANDLING STORAGE.

A.       All materials are stacked and stored in an approved manner.                 2.0
B.       Aisles, passageways are maintained clean and unobstructed.                  2.0
         Employees have been trained in safe material handling techniques and
     1                                                                               2.0
         use safe handling techniques.
C.       Materials are stacked to prevent displacement and falling.                  2.0
         Employees have been trained in proper lifting methods and use proper
D.                                                                                   2.0
         lifting methods.
         Material handling equipment is used to handle / move material when
E.                                                                                   2.0
         possible.
         Materials handling equipment (mono-rails, A-frames, etc.) is labeled to
F.                                                                                   2.0
         identify load capacity.
G.       Softeners are used to protect wire and nylon chokers where needed.
                                                                                     2.0
H.       Employees use gloves to protect hands when handling materials.              2.0

                                          TOTAL                                     18.0           0.0         0                 0




         66d74332-43e8-4a40-a5de-d7c47aa874e2.xls                                                                                                     Rev No.1
                                                                                     SCORE                   PENALTY
                                                                             MAXIMUM     ACTUAL       * REPEATED      * * IMMINENT
                                (FIELD EXECUTION)                                                                                     ASSESSORS COMMENTS
                                                                             POSSIBLE     SCORE    DEFICIENCES (X)   DANGER     (X)




13                  SIGNS, SIGNALS, BARRICADES

     Accident prevention signs, symbols, tags are used as required to warn
A.                                                                             2.0
     employees where potential hazards exist.
B.   Flagmen used where required.                                              2.0
C.   Barricade methods used to prevent all unauthorized entry.                 3.0
D.   Barricades are used to warn of potential hazards.                         2.0
E.   A barricade procedure has been established.                               1.0

                                     TOTAL                                    10.0           0.0         0                 0




     66d74332-43e8-4a40-a5de-d7c47aa874e2.xls                                                                                                   Rev No.1
                                                                                             SCORE                   PENALTY
                                                                                     MAXIMUM     ACTUAL       * REPEATED      * * IMMINENT
                                    (FIELD EXECUTION)                                                                                         ASSESSORS COMMENTS
                                                                                     POSSIBLE     SCORE    DEFICIENCES (X)   DANGER     (X)



14                FIRE PREVENTION AND PROTECTION
A.     Fire extinguishers are provided as required.
     1 Located adjacent to each stairway on each floor level.                          2.0
     2 Where more than 18 liters of flammable or combustible liquids are used.
                                                                                       3.0
     3 At least one 9 kg. extinguisher at fuel dispensing areas.                       3.0
B.     Required access to fire extinguishers is maintained.                            3.0
C.     Extinguishers are identified as required.                                       2.0
       Inside storage of flammable liquids does not exceed 90 liters outside of an
D.     approved cabinet.                                                               3.0

       Inside storage cabinets are labeled as required, and maximum limits (225
E.     liters / cabinet and 3 cabinets / area are not exceeded.
                                                                                       3.0
F.     Materials that react to water are not stored with flammables.                   3.0

       Containers are electrically interconnected (bonded) when flammable
G.     liquids are transferred from one container to another.
                                                                                       3.0
       Portable storage tanks containing liquid flammables are located at least
H.     6 meters away from buildings.                                                   3.0
       NO SMOKING - NO OPEN FLAMES signs are posted where flammable
I.     liquids are used or dispensed or stored..                                       3.0
J.     LPG containers are not stored inside buildings.                                 3.0
       Smoke detectors are provided in sleeping quarters and are tested on a
K.     regular basis.                                                                  3.0
       Fire suppression systems are inspected on a regular basis to assure
L.     functional availability.                                                        3.0
M.     Employees have been trained on how to operate a fire extinguisher.              2.0

                                         TOTAL                                        42.0           0.0         0                 0

       66d74332-43e8-4a40-a5de-d7c47aa874e2.xls                                                                                                         Rev No.1
                                                                                            SCORE                 PENALTY
                                                                                    MAXIMUM     ACTUAL      * REPEATED      * * IMMINENT
                                    (FIELD EXECUTION)                                                                                       ASSESSORS COMMENTS
                                                                                    POSSIBLE     SCORE   DEFICIENCES (X)   DANGER     (X)




            LADDERS, SCAFFOLDS, AND ELEVATED WORK
15                        PLATFORMS

A.     Ladders
     1 Are in good condition.                                                         2.0
     2 Built and used in an approved manner.                                          3.0
     3 Secured in an approved manner and placed at the correct angle.                 3.0
     4 Exceed the landing area by 1 meter or have a grab rail.                        3.0
       Are not used where they can be displaced by doors, equipment, etc.,
     5
       unless protected by guards or barricades.                                      3.0
       Metal ladders are not used where contact with electrical energy is
     6
       possible.                                                                      4.0
     7 Fixed ladder landing areas are kept clear.                                     3.0
B.     SCAFFOLDS
     1 Provided with required access and egress.
                                                                                      3.0
         Has a standard guard rail (106 cm top rail, 53 cm midrail, and 10cm toe
     2
         board) whenever possible.                                                    3.0
         Scaffold tags are used to identify incomplete scaffolds and requirements
     3
         for safe use.                                                                1.0
     4   Complete decking is provided whenever possible.                              3.0
         Employees who erect and dismantle scaffolds are qualified and
     5
         competent.                                                                   3.0
     6   Scaffolds are free of defects and built per specifications.                  3.0
     7   Overhead protection is provided where there is exposure.                     3.0




         66d74332-43e8-4a40-a5de-d7c47aa874e2.xls                                                                                                     Rev No.1
                                                                                           SCORE                   PENALTY
                                                                                   MAXIMUM     ACTUAL       * REPEATED      * * IMMINENT
                                       (FIELD EXECUTION)                                                                                    ASSESSORS COMMENTS
                                                                                   POSSIBLE     SCORE    DEFICIENCES (X)   DANGER     (X)



              LADDERS, SCAFFOLDS, AND ELEVATED WORK
15                       PLATFORMS (cont'd)

          Casters are locked and pinned on mobile scaffolds when in use and no
      8
          riding allowed.                                                            3.0

          Outriggers are provided and used or the scaffold is secured to the
      9
          structure when the height exceeds 4 times the minimum base dimension.
                                                                                     3.0
     10 An approved base is provided.                                                3.0
     11 Scaffold boards are secured.                                                 3.0
     12 Two-point suspension scaffolds are erected in an approved manner.            3.0
     a.    Approved design.                                                          3.0
     b.      Approved life lines are provided.                                       4.0
     c.      Approved rope grab lanyards provided.                                   4.0
     d.      Tie-off fall protection used.                                           4.0
C         Elevated work platforms (high-jackers, scissors lifts, JLG's, etc.)
        Elevated scaffold platforms are of substantial construction and secured
      1
        properly.                                                                    3.0
      2 A means of tie-off is provided and used.                                     4.0
      3 Required access and egress is provided                                       3.0
          Elevated work platforms are used in accordance with manufacturers
      4
          recommendations.                                                           3.0
     a.      Outriggers provided and used as required.                               3.0
     b.      Ground controls operational.                                            3.0
     c.      Operators trained and certified.                                        3.0
     d.      Fall protection provided and used.                                      4.0

          Employees maintain both feet on the platform, and do not use equipment
e.        as a means of access /egress, and do not work from guard rails.
                                                                                     3.0

                                             TOTAL                                  99.0           0.0         0                 0


          66d74332-43e8-4a40-a5de-d7c47aa874e2.xls                                                                                                    Rev No.1
                                                                                        SCORE                   PENALTY
                                                                                MAXIMUM     ACTUAL       * REPEATED      * * IMMINENT
                                 (FIELD EXECUTION)                                                                                       ASSESSORS COMMENTS
                                                                                POSSIBLE     SCORE    DEFICIENCES (X)   DANGER     (X)



           CONCRETE, CONCRETE FORMS, SHORING,
16                      MASONRY

A.   Required access and egress provided.                                         3.0
     All exposed rebar ends protected from exposure, both vertical and
B.                                                                                4.0
     horizontal.
C.   Masonry saws are guarded with a semicircular enclosure cover.                3.0
     All shoring erected to contain and / or support concrete is the required
D.                                                                                3.0
     type and approved installation procedures are followed.
     Precast and lift slab operations are performed in accordance with
E.                                                                                3.0
     respective standards.
     PPE required for these operations is provided and used which would
F.   include safety glasses, gloves, proper clothing and foot wear.
                                                                                  3.0
     All connections on air hoses and pipes are secured to prevent
G.                                                                                3.0
     displacement.

                                      TOTAL                                      22.0           0.0         0                 0




     66d74332-43e8-4a40-a5de-d7c47aa874e2.xls                                                                                                      Rev No.1
                                                                                         SCORE                   PENALTY
                                                                                 MAXIMUM     ACTUAL       * REPEATED      * * IMMINENT
                                 (FIELD EXECUTION)                                                                                        ASSESSORS COMMENTS
                                                                                 POSSIBLE     SCORE    DEFICIENCES (X)   DANGER     (X)


17                               DEMOLITION
A.   All operations are planned ahead.                                             3.0
B.   Required access and egress provided.                                          3.0
     Material removal (floor holes, skip-pan, chutes, etc.) is conducted in an
C.                                                                                 3.0
     approved manner.
     Any and all asbestos containing material was removed prior to
D.   demolition.                                                                   3.0
E.   Structural member removal is conducted in an approved manner.                 3.0

                                       TOTAL                                      15.0           0.0         0                 0




     66d74332-43e8-4a40-a5de-d7c47aa874e2.xls                                                                                                       Rev No.1
                                                                                    SCORE                   PENALTY
                                                                            MAXIMUM     ACTUAL       * REPEATED      * * IMMINENT
                                (FIELD EXECUTION)                                                                                    ASSESSORS COMMENTS
                                                                            POSSIBLE     SCORE    DEFICIENCES (X)   DANGER     (X)



19                BLASTING - USE OF EXPLOSIVES
     A blasting procedure has been developed and addresses all current
A.                                                                            3.0
     blasting activities.
B.   The blasting procedure is adhered to.                                    4.0
     Storage and transport of explosives are done in accordance with
C.   regulatory requirements, manufacturers instruction and the blasting
     policy and procedures.                                                   4.0
     An approved method for identifying and safely removing / eliminating
D.   "Boot Legs" or unsuccessfully detonated charges has been developed.
                                                                              4.0
     Employees handling and using explosives have been trained and are
E.                                                                            4.0
     certified.

                                     TOTAL                                   19.0           0.0         0                 0




     66d74332-43e8-4a40-a5de-d7c47aa874e2.xls                                                                                                  Rev No.1
                                                                                            SCORE                   PENALTY
                                                                                    MAXIMUM     ACTUAL       * REPEATED      * * IMMINENT
                                  (FIELD EXECUTION)                                                                                          ASSESSORS COMMENTS
                                                                                    POSSIBLE     SCORE    DEFICIENCES (X)   DANGER     (X)



18              HIGH-PRESSURE WATER CLEANING

     Operators are wearing rainsuits, gloves, face shields, hard hats, safety
A.   glasses with side shields, rubber steel toe boots or metatarsal guards.
                                                                                      3.0
     Standby Operator(s) is wearing hard-hat and safety glasses with side
B.                                                                                    3.0
     shields.
     Operators are not allowing any part of their body to be placed in front of
C.                                                                                    4.0
     the water jet.
     Operators are not handling hose within one foot of hose-to-hose
D.                                                                                    4.0
     connections.
E.   Operators are trained annually at a minimum.                                     3.0

     Hose data such as manufacturer's symbol, serial number, working and
F.   test pressure, and certified rating which will provided a safety factor of 3
     to 1 against burst is recorded and retained at the project.
                                                                                      3.0

     Work area is barricaded at a minimum of 4.5 meters and signs stating,
G.   "DANGER - HIGH PRESSURE WATER CLEANING."
                                                                                      3.0
     Equipment to be cleaned is dismantled / isolated, locked and tagged as
H.                                                                                    4.0
     required.
I.   All fittings and components meet manufacturer's guidelines.                      3.0

J.   Records of high-pressure water cleaning equipment inspection are on file.
                                                                                      1.0
K.   Lance or mole marker 60 cm from nozzle end.                                      3.0
L.   Shotguns have a 2 meter shroud and are a minimum of 165 cm in length.
                                                                                      3.0
M.   Safety equipment has not been altered or by-passed.                              3.0

                                       TOTAL                                         40.0           0.0         0                 0



     66d74332-43e8-4a40-a5de-d7c47aa874e2.xls                                                                                                          Rev No.1
                                                                                   SCORE                   PENALTY
                                                                           MAXIMUM     ACTUAL       * REPEATED      * * IMMINENT
                                (FIELD EXECUTION)                                                                                   ASSESSORS COMMENTS
                                                                           POSSIBLE     SCORE    DEFICIENCES (X)   DANGER     (X)



19                      COMMUNITY EXPOSURE
A.   Signs are posted to warn of equipment and vehicle traffic.              3.0
     Pedestrian / vehicle crossing areas are marked and provided where
B                                                                            3.0
     required.
     Permits have been obtained from the proper athorities to begin work
C    outside construction areas.                                             3.0

                                     TOTAL                                   9.0           0.0         0                 0




     66d74332-43e8-4a40-a5de-d7c47aa874e2.xls                                                                                                 Rev No.1
                                                                SAFETY AUDIT
                                                   DETAILED ASSESSMENT SCORE SUMMARY
                                                                FIELD EXECUTION


                                                                                SCORE            SET STANDARD             REDUCTION

                                                                       MAXIMUM      ASSESSED    MINIMUM   MET / NOT      REPEAT     IMMINENT
    SECTION                              SECTION NAME
                                                                       POSSIBLE      TOTAL     STANDARD     MET       DEFICIENCY     DANGER

       1      Health & Hygiene                                           20.0           0.0       15      NOT MET         0            0
       2      Work Area Lighting                                         14.0           0.0      10.5     NOT MET         0            0
       3      Personal Protective Equipment (P.P.E.)                     63.0           0.0     47.3      NOT MET         0            0
       4      Hand Tools                                                 10.0           0.0       7.5     NOT MET         0            0
       5      Powder Actuated Tools                                      18.0           0.0      13.5     NOT MET         0            0
       6      Power Tools and Power Equipment                            18.0           0.0      13.5     NOT MET         0            0
       7      Hot Work (Welding, Heating, Burning)                       44.0           0.0       33      NOT MET         0            0
       8      Electrical                                                 36.0           0.0       27      NOT MET         0            0
       9      Equipment Operations                                      114.0           0.0      85.5     NOT MET         0            0
      10      Excavation and Trenching                                   27.0           0.0     20.25     NOT MET         0            0
      11      Steel Erection and Floor and Wall Opening                  46.0           0.0      34.5     NOT MET         0            0
      12      Material Handling Storage                                  18.0           0.0      13.5     NOT MET         0            0
      13      Signs, Signals, Barricades                                 10.0           0.0      7.5      NOT MET         0            0
      14      Fire Prevention and Protection                             42.0           0.0      31.5     NOT MET         0            0
      15      Ladders, Scaffolds, and Elevated Work Platforms            99.0           0.0     74.25     NOT MET         0            0
      16      Concrete, Concrete Forms, Shoring, Masonry                 22.0           0.0      16.5     NOT MET         0            0
      17      Demolition                                                 15.0           0.0     11.25     NOT MET         0            0
      18      High-Pressure Water Cleaning                               40.0           0.0     30.0      NOT MET         0            0
      19      Community Exposure                                          9.0           0.0      6.75     NOT MET         0            0

                                           TOTALS                       665.0           0.0     498.75    NOT MET         0            0

*    REPEATED DEFICIENCIES = -10 MAX POSSIBLE


** IMMINENT DANGER = 15% REDUCTION OF TOTAL AUDIT SCORE



     ^                                                                                                                             Rev No.1
                                                          SAFETY AUDIT
                                               DETAILED ASSESSMENT SCORE SUMMARY
                                                           HOUSEKEEPING


                                                                        SCORE            SET STANDARD                 REDUCTION

                                                               MAXIMUM      ASSESSED    MINIMUM                      REPEAT     IMMINENT
    SECTION                         SECTION NAME                                                  MET / NOT MET
                                                               POSSIBLE      TOTAL     STANDARD                   DEFICIENCY     DANGER
        1     Housekeeping                                      120.0           0.0       90        NOT MET           0            0

                                      TOTALS                    120.0           0.0       90        NOT MET           0            0

*   REPEATED DEFICIENCIES = -10 MAX POSSIBLE


** IMMINENT DANGER = 15% REDUCTION OF TOTAL AUDIT SCORE




    ^                                                                                                                          Rev No.1
                                                               SCORE                   PENALTY
                                                                                                 **
                                                                                * REPEATED
                                                           MAXIMUM    ACTUAL                 IMMINENT
                                       (ADMINISTRATION)                        DEFICIENCES              ASSESSORS COMMENTS
                                                           POSSIBLE    SCORE                  DANGER
                                                                                    (X)
                                                                                                (X)

1                       SAFETY POLICY STATEMENT
A.   Policy statement is in writing.                         1.0
B.   Dated                                                   1.0
C.   Health & Safety objectives clearly stated.              1.0
D.   Health & Safety responsibilities defined.               1.0
E.   Management commitment is stated.                        1.0
F.   Posted for all employees to read.                       1.0

G.
     All employees are made aware of the policy content.     1.0

                                           TOTAL             7.0       0.0         0             0




^                                                                                                                  Rev No.1
                                                                                            SCORE                   PENALTY
                                                                                                                              **
                                                                                                             * REPEATED
                                                                                        MAXIMUM    ACTUAL                 IMMINENT
                                      (ADMINISTRATION)                                                      DEFICIENCES              ASSESSORS COMMENTS
                                                                                        POSSIBLE    SCORE                  DANGER
                                                                                                                 (X)
                                                                                                                             (X)



2     SAFETY AND MEDICAL RECORDKEEPING PRACTICES


A.   Injury statistics tabulated and utilized to identify positive / negative trends.
                                                                                          1.0
B.   The previous years' statistics are available.                                        2.0
C.   Occupational injury / illness report utilized.                                       2.0
D.   Supervisors' injury / illness investigation form utilized.                           1.0
E.   First Aid log utilized / current / accurate.                                         1.0
     Required First Aid supplies are available / stored / dispensed in an approved
F.                                                                                        2.0
     manner.
     Prescription medications are available / stored / dispensed with approval of
G.                                                                                        2.0
     medical doctor.
H.   Person(s) administering First Aid are trained and certified.                         2.0
I.   Employee exposure and medical records are maintained.                                2.0

                                           TOTAL                                         15.0       0.0         0             0




^                                                                                                                                               Rev No.1
                                                                                 SCORE                   PENALTY
                                                                                                                   **
                                                                                                  * REPEATED
                                                                             MAXIMUM    ACTUAL                 IMMINENT
                                   (ADMINISTRATION)                                              DEFICIENCES              ASSESSORS COMMENTS
                                                                             POSSIBLE    SCORE                  DANGER
                                                                                                      (X)
                                                                                                                  (X)


3                     EMERGENCY PREPAREDNESS

A.   The emergency plan is in writing.                                         2.0
B.   There is a coordinator appointed.                                         2.0
C.   Supervisor First Aid training has been conducted.                         2.0
D.   Required emergency lighting and power are available.                      2.0
E.   Required emergency rescue equipment is available.                         2.0
F.   Emergency team training drills have been conducted.                       2.0
G.   Radios and other communication items are available.                       2.0
H.   Periodic emergency evacuation drills are conducted for all employees.     2.0

                                         TOTAL                                16.0       0.0         0             0




^                                                                                                                                    Rev No.1
                                                                                           SCORE                   PENALTY
                                                                                                                             **
                                                                                                            * REPEATED
                                                                                       MAXIMUM    ACTUAL                 IMMINENT
                                    (ADMINISTRATION)                                                       DEFICIENCES              ASSESSORS COMMENTS
                                                                                       POSSIBLE    SCORE                  DANGER
                                                                                                                (X)
                                                                                                                            (X)


4                           INFECTIOUS DISEASES
A.   A written exposure control plan has been established.                               2.0
     Employees who have potential to come in contact with an infectious disease
B.                                                                                       2.0
     have been identified and trained.
     Hepatitis B vaccination has been offered to those employees having potential
C.                                                                                       2.0
     exposure.
D.   The medical treatment facility is maintained in a clean and sanitary condition.
                                                                                         2.0
E.   Hand-washing facilities and procedures are established and utilized.                2.0
F.   Employees exposed to blood or other bodily fluids utilize the P.P.E. required.
                                                                                         3.0
G.   Surgical gloves, masks, eye / face and protective clothing are available.
                                                                                         3.0
H.   Bag valve masks are readily available.                                              3.0
     Sharps or syringes are placed in a labeled puncture- resistant, leak-proof
I.                                                                                       3.0
     container for disposal as required.
J.   Equipment and instruments are immediately disinfected after each use.               3.0
     Contaminated disposable objects or materials (bloody bandages, etc.) are
K.   placed in a leak-proof, puncture-resistant, red biohazard container for
     disposal as required.                                                               3.0

                                         TOTAL                                          28.0       0.0         0             0




^                                                                                                                                              Rev No.1
                                                                                         SCORE                   PENALTY
                                                                                                                           **
                                                                                                          * REPEATED
                                                                                     MAXIMUM    ACTUAL                 IMMINENT
                                    (ADMINISTRATION)                                                     DEFICIENCES              ASSESSORS COMMENTS
                                                                                     POSSIBLE    SCORE                  DANGER
                                                                                                              (X)
                                                                                                                          (X)


4                HAZARD COMMUNICATION PROGRAM

     A written program, specific to the operation, is in place and complete. (i.e.
A.   training, labeling, MSDS review, designated coordinator, inventory listing,
     etc.)                                                                             2.0
B.   Training is documented.                                                           2.0
C.   MSDS's for all materials on site are available.                                   2.0
D.   Copies of on site contractor hazcom programs are available.                       2.0
     Employees are knowledgeable of the hazcom program based on responses to
E.                                                                                     2.0
     questions.
F.   Vessels and material containers are labeled as required.                          2.0
G.   Hazard information posters / signs are displayed to inform employees.             2.0

                                         TOTAL                                        14.0       0.0         0             0




^                                                                                                                                            Rev No.1
                                                                                          SCORE                   PENALTY
                                                                                                                            **
                                                                                                           * REPEATED
                                                                                      MAXIMUM    ACTUAL                 IMMINENT
                                   (ADMINISTRATION)                                                       DEFICIENCES              ASSESSORS COMMENTS
                                                                                      POSSIBLE    SCORE                  DANGER
                                                                                                               (X)
                                                                                                                           (X)


5                             CONFINED SPACES

A.   A confined space entry procedure, which meets requirements, is in place .
                                                                                        2.0
     Lighting and electrical tools used inside confined spaces are 12 volt or GFCI
B.                                                                                      3.0
     protected.
     Required emergency equipment is available (i.e. body harness, S.C.B.A., fire
C.                                                                                      3.0
     extinguisher, etc.)
     Stand-by ("Hole Watch") person(s) are used and are knowledgeable of
D.                                                                                      3.0
     confined space procedures.
E.   Air sampling performed.                                                            3.0
F.   Energy isolation / lock-out is implemented relative to confined space work.
                                                                                        3.0
     Entry permits, which meets requirements are used, and sign-off for responsible
G.                                                                                      2.0
     parties is provided and adhered to.

                                        TOTAL                                          19.0       0.0         0             0




^                                                                                                                                             Rev No.1
                                                                                            SCORE                   PENALTY
                                                                                                                              **
                                                                                                             * REPEATED
                                                                                        MAXIMUM    ACTUAL                 IMMINENT
                                    (ADMINISTRATION)                                                        DEFICIENCES              ASSESSORS COMMENTS
                                                                                        POSSIBLE    SCORE                  DANGER
                                                                                                                 (X)
                                                                                                                             (X)


6                   MOBIL EQUIPMENT OPERATIONS

     There is a maintenance schedule for all mobil equipment and the schedule is
A.                                                                                        2.0
     followed.
B.   Daily pre-operational inspections are performed on all equipment.                    2.0
C.   Annual crane / recertification inspections are performed.                            2.0
D.   Mobil equipment accidents are investigated and reported.                             2.0
     Suspended work baskets are certified as safe and utilized for personnel as
E.                                                                                        3.0
     required.
F.   Suspended work baskets are built according to approved designs.                      3.0
     Suspended work baskets are labeled as required to show maximum weight
G.   capacity, maximum number of persons allowed and total basket weight (actual
     empty weight).                                                                       3.0
H.   Permits are utilized and retained for suspended work basket usage.                   3.0
I.   Critical lift permits are utilized where 70% of the crane capacity is exceeded.
                                                                                          3.0
     Non-engineered permits are utilized for lifts exceeding 5 tons and less than
J.                                                                                        3.0
     70% of crane capacity.
     Operator certification program is utilized for aerial lifts, heavy equipment and
K.                                                                                        2.0
     vehicles.
     A load test has been performed that established a safety factor of 2 times for
L.                                                                                        3.0
     the suspended work basket.

                                         TOTAL                                           31.0       0.0         0             0




^                                                                                                                                               Rev No.1
                                                                                         SCORE                   PENALTY
                                                                                                                           **
                                                                                                          * REPEATED
                                                                                     MAXIMUM    ACTUAL                 IMMINENT
                                    (ADMINISTRATION)                                                     DEFICIENCES              ASSESSORS COMMENTS
                                                                                     POSSIBLE    SCORE                  DANGER
                                                                                                              (X)
                                                                                                                          (X)


7                        INSPECTION PROCEDURES
     Regular safety inspections of the site / operation are conducted and
A.                                                                                     2.0
     documented.
B.   There is an inspection program for power tools.                                   2.0
C.   There is an inspection program for personal protective equipment.                 2.0
D.   There is an inspection program for portable ladders.                              2.0
     There is an inspection program for electrical extension cords, temporary
E.   electrical distribution installations and electric (ARC) welding equipment..
                                                                                       2.0
F.   There is an inspection program for rigging equipment and hoisting devices.
                                                                                       2.0
     There is a follow-up procedure established for the correction of deficiencies
G.                                                                                     2.0
     noted during inspections.
H.   There is an inspection program for emergency rescue equipment.                    2.0

                                         TOTAL                                        16.0       0.0         0             0




^                                                                                                                                            Rev No.1
                                                                                               SCORE                   PENALTY
                                                                                                                                 **
                                                                                                                * REPEATED
                                                                                           MAXIMUM    ACTUAL                 IMMINENT
                                        (ADMINISTRATION)                                                       DEFICIENCES              ASSESSORS COMMENTS
                                                                                           POSSIBLE    SCORE                  DANGER
                                                                                                                    (X)
                                                                                                                                (X)


8                              RESPIRATORY PROTECTION
         There is a written respiratory protection program which addresses the
A.                                                                                           2.0
         respiratory protection exposure / need as required.
B.       Fit testing is provided for all employees required to wear respirators.             2.0
C.       Respirators used are selected according to the hazard present.                      2.0
D.       Respiratory protection training is conducted.                                       2.0
         Records of training, medical evaluation and fit testing available and meets
E.                                                                                           2.0
         requirements.
F.       Breathing air for supplied air respirators meets breathing air requirements.
                                                                                             2.0
G.       If a breathing air compressor is used it is equipped with the following:
     1   A proper filtration system.                                                         2.0
     2   A carbon-monoxide alarm.                                                            2.0
     3   A reserve air tank.                                                                 2.0
     4   A compressor failure alarm.                                                         2.0
     5   Hose couplings that are incompatible with other couplings.                          2.0
H.       The air quality from the breathing air compressor is periodically sampled.
                                                                                             2.0
I.       Breathing air cylinders are labeled as required.                                    2.0
         The quantity of air available in breathing air cylinders is monitored to assure
J.                                                                                           2.0
         there is sufficient air to exit the area.

                                             TOTAL                                          28.0       0.0         0             0




^                                                                                                                                                  Rev No.1
                                                                                        SCORE                   PENALTY
                                                                                                                          **
                                                                                                         * REPEATED
                                                                                    MAXIMUM    ACTUAL                 IMMINENT
                                    (ADMINISTRATION)                                                    DEFICIENCES              ASSESSORS COMMENTS
                                                                                    POSSIBLE    SCORE                  DANGER
                                                                                                             (X)
                                                                                                                         (X)


9                   ENFORCEMENT AND DISCIPLINE

     Employee Health & Safety responsibilities have been communicated to all
A.                                                                                    2.0
     employees.
     Supervisor Health & Safety responsibilities have been communicated to all
B.                                                                                    2.0
     supervisors.
     Records of employee safety related discipline are maintained. (i.e. verbal /
C.                                                                                    2.0
     written warning, retraining, termination, etc. )

                                         TOTAL                                        6.0       0.0         0             0




^                                                                                                                                           Rev No.1
                                                                                   SCORE                   PENALTY
                                                                                                                     **
                                                                                                    * REPEATED
                                                                               MAXIMUM    ACTUAL                 IMMINENT
                                    (ADMINISTRATION)                                               DEFICIENCES              ASSESSORS COMMENTS
                                                                               POSSIBLE    SCORE                  DANGER
                                                                                                        (X)
                                                                                                                    (X)


10                      EDUCATION AND TRAINING

A.   New employee orientation is provided for employees.                         2.0
B.   Safety training programs are conducted for management and supervisors .
                                                                                 2.0
C.   Task specific training is conducted.                                        2.0
     Safety meetings are conducted for all employees, supervisors and
D.                                                                               2.0
     management.
E.   Emergency preparedness and evacuation training is in place.                 2.0
F.   Visitor safety induction program is in place.                               2.0

                                         TOTAL                                  12.0       0.0         0             0




^                                                                                                                                      Rev No.1
                                                                                          SCORE                   PENALTY
                                                                                                                            **
                                                                                                           * REPEATED
                                                                                      MAXIMUM    ACTUAL                 IMMINENT
                                    (ADMINISTRATION)                                                      DEFICIENCES              ASSESSORS COMMENTS
                                                                                      POSSIBLE    SCORE                  DANGER
                                                                                                               (X)
                                                                                                                           (X)


11                     PERFORMANCE INDICATORS

A.   There has not been a fatal injury in the workplace during the past six months.
                                                                                       10.0
     The year to date recordable injury frequency rate (RIFR) case is at or below
B.                                                                                      3.0
     the established goal.   Actual, YTD_____ Current Goal______
C.   Contractor / sub-contractor experience is reported and measured.                   1.0

                                        TOTAL                                          14.0       0.0         0             0




^                                                                                                                                             Rev No.1
                                                                                        SCORE                   PENALTY
                                                                                                                          **
                                                                                                         * REPEATED
                                                                                    MAXIMUM    ACTUAL                 IMMINENT
                                     (ADMINISTRATION)                                                   DEFICIENCES              ASSESSORS COMMENTS
                                                                                    POSSIBLE    SCORE                  DANGER
                                                                                                             (X)
                                                                                                                         (X)


12              ACCIDENT / INCIDENT INVESTIGATION

A.   There is a written accident / incident policy.                                   2.0
B.   Accident / incident policy complies with FAL reporting requirements.             2.0
C.   A standard investigation format is used.                                         1.0
     Serious injury and fatal injury accidents are communicated to management
D.                                                                                    2.0
     personnel, expeditiously as required.
E.   All lost time injury reports are reviewed by site management.                    1.0
     There is a remedial follow-up and action plan to prevent recurrent of
F.                                                                                    3.0
     accidents / incidents.
G.   Accident / incidents information is shared with other operations / projects.
                                                                                      1.0

                                          TOTAL                                      12.0       0.0         0             0




^                                                                                                                                           Rev No.1
                                                                                           SCORE                   PENALTY
                                                                                                                             **
                                                                                                            * REPEATED
                                                                                       MAXIMUM    ACTUAL                 IMMINENT
                                    (ADMINISTRATION)                                                       DEFICIENCES              ASSESSORS COMMENTS
                                                                                       POSSIBLE    SCORE                  DANGER
                                                                                                                (X)
                                                                                                                            (X)

13                                CONTRACTORS
A.   Written qualifications are established for the selection of contractors.            1.0
B.   Past Health & Safety performance is factored into contractor selection.             1.0
C.   Contractors are required to provide a copy of their safety program.                 1.0
D.   Prior to starting work on-site, contractors are provided site orientation.
                                                                                         2.0
     Prior to starting work on-site, contractors are provided the operations health
E.                                                                                       2.0
     and safety rules, and emergency procedures.
     Prior to starting work on-site, contractors are made aware of any chemicals
F.                                                                                       2.0
     they may encounter on-site.
     Prior to bringing any chemicals on-site, contractors are required to inform the
G.   operation of the chemicals and provide a materials safety data sheet (MSDS).
                                                                                         2.0
H.   Contractors are required to follow the same health and safety rules.                2.0

                                         TOTAL                                          13.0       0.0         0             0




^                                                                                                                                              Rev No.1
                                                                              SCORE                   PENALTY
                                                                                                                **
                                                                                               * REPEATED
                                                                          MAXIMUM    ACTUAL                 IMMINENT
                                    (ADMINISTRATION)                                          DEFICIENCES              ASSESSORS COMMENTS
                                                                          POSSIBLE    SCORE                  DANGER
                                                                                                   (X)
                                                                                                               (X)

14                     MANAGEMENT/SUPERVISION
A.   Supervision have attended the Safety Supervisory Training session.     5.0
B.   Supervision are completing Safety Supervisory Logbooks weekly.         4.0
C.   Supervision is present during work activities.                         4.0
D.   Management and supervision attend weekly Safety Walk-throughs.         4.0
E.   Safety Discrepancy Logbooks are present at each work location.         4.0
F.   Safety discrepancies are corrected promptly.                           4.0
G.   Management has established Safety Incentive Programs.                  4.0

                                         TOTAL                             29.0       0.0         0             0




^                                                                                                                                 Rev No.1
                                                                                     SCORE              PENALTY
                                                                                                                     **
                                                                                                    * REPEATED
                                                                             MAXIMUM     ACTUAL                  IMMINENT
                                (HOUSEKEEPING)                                                     DEFICIENCES              ASSESSORS COMMENTS
                                                                             POSSIBLE     SCORE                   DANGER
                                                                                                        (X)
                                                                                                                    (X)



1                            HOUSEKEEPING
     Material, tools and equipment are tied, stacked, or choked to prevent
A.                                                                             7.0
     rolling or falling.
B.   Provisions have been made for routing trash collection and disposal.
                                                                               7.0
C.   Trash receptacles are provided in all work areas.                         7.0
D.   Scrap lumber is free of protruding nails or other puncture hazards.
                                                                               7.0
E.   Glass containers are prohibited, none were observed.                      7.0
     Electrical cords, hoses, welding leads, etc., are elevated to prevent
F.                                                                             7.0
     tripping hazards.
     Butt cans, where used, are maintained free of combustible material
G.                                                                             7.0
     and emptied routinely.
H.   Floors are clear of tools, rod ends, and metal shavings.                  7.0
I.   Spilled liquids are cleaned immediately.                                  7.0
J.   Material on warehouse shelving is stored safely and neatly.               7.0
K.   Bridges and walkways are kept clean/free of debris.                       7.0
L.   Roads are clear of material/debris.                                       7.0
M.   Rod stub buckets are provided to welders to store rod ends.               7.0
N.   Toilet facilities are cleaned on a regular basis.                         7.0
O.   Signs are provided to encourage housekeeping.                             7.0
P.   Offices/clinics are clean and trash removed daily.                        7.0
     Elevated areas are maintained clear of debris, material, tools, etc.,
Q.   where such items could fall to areas below.                               8.0

                                     TOTAL                                    120.0          0.0       0            0


^                                                                                                                                           Rev No.1
                                                        SAFETY AUDIT
                                     DETAILED ASSESSMENT SCORE SUMMARY
                                                           ADMINISTRATION




                                                                          SCORE        SET STANDARD        REDUCTION

                                                                             ASSESSED MINIMUM MET / NOT    REPEAT IMMINENT
        SECTION                     SECTION NAME                  MAXIMUM
                                                                              TOTAL   STANDARD  MET     DEFICIENCY DANGER
                                                                  POSSIBLE

          1       Occupational health & safety policy statement     7.0        0.0      4.9    NOT MET     0         0
          2       Safety and medical recordkeeping practices        15.0       0.0     10.5    NOT MET     0         0
          3       Emergency preparedness                            16.0       0.0     11.2    NOT MET     0         0
          4       Hazard communication program                      14.0       0.0      9.8    NOT MET     0         0
          5       Confined spaces                                   19.0       0.0     13.3    NOT MET     0         0
          6       Mobil Equipment                                   31.0       0.0     21.7    NOT MET     0         0
          7       Inspection Procedures                             16.0       0.0     11.2    NOT MET     0         0
          8       Respiratory protection                            28.0       0.0     19.6    NOT MET     0         0
          9       Enforcement and discipline                        6.0        0.0      4.2    NOT MET     0         0
          10      Education and training                            12.0       0.0      8.4    NOT MET     0         0
          11      Performance indicators                            14.0       0.0      9.8    NOT MET     0         0
          12      Accident / incident investigation                 12.0       0.0      8.4    NOT MET     0         0
          13      Contractors                                       13.0       0.0      9.1    NOT MET     0         0
          14      Management/Supervision                            29.0       0.0     20.3


                                       TOTALS                      232.0       0.0     162.4   NOT MET     0         0

    *    REPEATED DEFICIENCIES = -10 MAX POSSIBLE


    ** IMMINENT DANGER = 15% REDUCTION OF TOTAL AUDIT SCORE


^                                                                                                                            Rev No.1
    SAFETY INCENTIVE PROGRAM AUDIT

    CONTRACTOR NAME:                                                       ASSESSMENT DATE:

    PROJECT MANAGER:                                                       ASSESSOR(S):


                     FINAL SCORE                    0.00




                                 ASSESSMENT SCORE SUMMARY                       IMMINENT DANGER REDUCTION (IDR)


                                                   TOTAL      COMPLIANCE            Imminent
                             MAX      ASSESSED
                           POSSIBLE    TOTAL
                                                 COMPLIANCE    STANDARD    A.      Danger          =    0
                                                   SCORE       ACHIEVED
                                                                                  Instances
    ADMINISTRATIVE          232.0      0.00         0.00         NO

                                                                                 15% of Assessed
    FIELD EXEXCUTION        665.0      0.00         0.00         NO        B.                      =   0.00
                                                                                  Subtotal
    HOUSEKEEPING            120.0      0.00         0.00         NO

    IDR POINTS (SUBTRACT                                                             IDR Points
    )
                                       0.00                                C.      (AxB)
                                                                                                   =   0.00

    REPEATED
    DEFICIENCES                        0.00
    (SUBTRACT)
    SAFETY WALK-
                                                                                 SAFETY WALK-
    THROUGH
    DEDUCTIONS
                                       0.00                                        THROUGH         =   0.00
                                                                                  DEDUCTIONS
    (SUBTRACT )                                                            D.
    TOTAL                   1017.0     0.00         0.00         NO



    *   REPEATED DEFICIENCIES = -10 MAX POSSIBLE

    ** IMMINENT DANGER = 15% REDUCTION OF AUDIT SCORE


    *** MINIMUM COMPLIANCE STANDARD = 75%


^                                                                                                                 Rev No.1
                                        SAFETY AUDIT

                                DETAIL OF NOTED DEFICIENCIES




DEFICIENCY NUMBER   DESCRIPTION OF DEFICIENCY              DATE CORRECTED   SIGNATURE   SITE MANAGER




^                                                                                           Rev No.1