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1 HASPOffice (413)536-1267 Fax (413) 536-2230 1 PROJECT NAME DATE Shared Use & Sidewalk Ramps 4/22/2020 OWNER PRIME CONTRACTOR City of Northampton Marion Excavating Co., Inc. ADDRESS ADDRESS 210 Main Street 749 New Ludlow Rd. Northampton, MA 01060 So. Hadley, MA 01075 SUBCONTRACTOR SUPPLIER ADDRESS ADDRESS SPECIFICATION SECTION DRAWING REFERENCES NUMBER TITLE NUMBER DETAIL 181.1 HASP PRODUCTS:MANUFACTURERS: Comments: Attached is the HASP submittal SUBMITTALS Marion Excavating Co., Inc. Safety & Health Manual 2 Safety Policy Company Policy Marion Excavating is dedicated to providing a safe and healthy work environment for all of our employees, sub-contractors, and customers. The Company shall follow operating practices that will safeguard employees, the public and Company operations. We believe all accidents are preventable. Therefore, we will make every effort to prevent accidents and comply with all established safety and health laws and regulations. Management Commitment to Safety Management is concerned about employee safety. Accidents, unsafe working conditions, and unsafe acts jeopardize both employees and Company resources. Injuries and illnesses result in discomfort, inconvenience and possibly reduced income for the employee. Costs to the Company include direct expenses (workers’ compensation premiums, damaged equipment or materials, and medical care) and indirect expenses (loss of production, reduced efficiency, employee morale problems, etc.). These indirect costs are reported to cost 4-10 times more than the insured costs of an accident. Accordingly, Management will provide sufficient staffing, funds, time, and equipment so that employees can work safely and efficiently. Assignment of Responsibilities Safety is everyone’s responsibility. Everyone should have a safe attitude and practice safe behavior at all times. To best administer and monitor our safety policies, the following responsibilities are delegated. This list should not be construed as all-inclusive and is subject to change as needed. 1. Management (will) a. Provide sufficient staffing, funds, time, and equipment so that employees can work safely and efficiently. b. Demand safe performance from each employee and express this demand periodically and whenever the opportunity presents itself. c. Delegate the responsibility for a safe performance to the Safety Director, Supervisors, and Employees, as appropriate. d. Hold every employee accountable for safety and evaluate performance accordingly. e. Periodically review the Safety Program effectiveness and results. 2. Safety Director Kevin Marion (will) a. Provide the resources, direction, and audits to integrate safety into the management system. b. Perform all pre-project planning tasks at the start of all new projects or jobs. c. Establish and maintain a safety education and training program. d. Periodically conduct safety surveys, meetings, and inspections. e. Advise supervisors and employees on safety policies and procedures. f. Assure that all newly hired employees have been given a thorough orientation concerning the Company’s Safety Program. g. Coordinate with Human Resources to maintain the company’s drug-testing program. h. Work with management, supervisors and employees to maintain & implement new and ongoing safety programs and comply with recommendations provided by outside consultants, OSHA inspectors, and insurance companies. i. Make available all necessary personal protective equipment, job safety material, and first-aid equipment. 3 j. Review all accidents with management, supervisors and/or employees and ensure that corrective action is taken immediately. 3. Superintendent/Foreman The superintendent or foreman on each job site will: a. Implement all rules and regulations outlined in this manual. b. Comply with all Contractor Safety Rules. c. Assure that each employee, agent, invitee, and subcontractor is trained and follows all applicable OSHA standards, codes, laws, and ordinances. 4. Supervisors Each employee who is in charge of a specific work area, supervises the work of others, or to whom an employee is assigned for a specific task or project, is responsible and accountable for their safety. Supervisors will: a. Establish and maintain safe working conditions, practices, and processes through: • Pre-Project Planning • Job Inspections • Safety Meetings • Safety Training b. Observe work activities to detect and correct unsafe actions. c. Ensure that all injuries are reported promptly and cared for properly. Make available first aid treatment. d. Investigate all accidents promptly. Review all accidents with the Safety Director and employees and correct the causes immediately. e. Seek out alternative work so injured employees can return to work in a modified job. f. Consistently enforce safety rules/regulations, programs, and protective measures (i.e. use of personal protective equipment, machine guarding, proper clothing, etc.) g. Post signs, notices, and instructions as needed or required. h. Brief your employees of any new hazards before they start work and weekly host brief safety meetings to discuss safety practices related to job hazards and general safe work behavior. i. Work with management, the Safety Director and employees to maintain & implement new and ongoing safety programs and comply with recommendations provided by outside consultants, OSHA inspectors, and insurance companies. j. Supplying all required personal safety protective devices and clothing, e.g. goggles, face shields, gloves, masks, etc. 5. Employees Each employee is responsible for his/her own safety. No task should be completed unless it can be completed safely. Employees will: a. Comply with all company safety programs, rules, regulations, procedures, and b. instructions that are applicable to his/her own actions and conduct. c. Refrain from any unsafe act that might endanger him/herself or fellow workers. d. Use all safety devices and personal protective equipment provided for his/her protection. e. Report all hazards, incidents, and near-miss occurrences to their immediate supervisor or Safety Director, regardless of whether or not injury or property damaged was involved. f. Promptly report all injuries and suspected work related illnesses, however slight, to his/her immediate supervisor or Safety Director. g. Participate in safety meetings, training sessions, and surveys as requested and provide input 4 into how to improve safety. h. Notify the Safety Director immediately of any change in physical or mental conditions or use of prescription drugs that would affect the employees job performance or the safety of him/herself or others. i. Notify the Human Resources Manager within five days of any serious driving, drug/alcohol, or criminal convictions. j. Be a safe worker on (and off) the job. Help coworkers do their job safely. Come to work everyday with a safe attitude. 6. Subcontractor and Their Employees All subcontractors and their employees must: a. Maintain a safe and health hazard free work environment. b. Adhere to all minimum safety requirements on all job sites. c. Sign in every day at those job sites that require such action to take place. d. Stay in only their assigned work areas. e. Use only authorized machines, tools, shop equipment, and vehicles. These items must be authorized by the Safety Director. f. Not bring any explosives, firearms, alcoholic beverages, or drugs onto any job site. g. Wear appropriate clothing at all times. Short pants and shirtless attire are prohibited. Sturdy leather shoes with steel toes must also be worn at all times. Safety glasses and hard-hats must also be worn at all times while on any job site. h. Failure of any subcontractor complying with these rules is a breach of contract and could result in either withheld payments or contract termination. Specific subcontractor employees could also be banned from any job site for failing to abide by these rules. Accountability for Safety Everyone is accountable for safety. Management and the Safety Director will establish safety objectives and develop and direct accident prevention activities. All employees should strive to reach those objectives and will be evaluated accordingly. All managers’ and supervisors’ annual appraisals will include safety (results to objectives in their area and companywide) as well as an audit of their performance of their safety responsibilities. All employees’ salary reviews will be affected by the company’s safety performance record. Appraisals, which include safety records, will also be performed on all employees seeking a promotion. Opinion Survey The Company requests ongoing comments and feedback from all employees. Be honest. You know your job better than anyone else. Therefore you can provide valuable input into performing the job safely. Changes to existing safety programs, rules, procedures, etc. may be influenced by your responses. Full cooperation of all employees is expected. Employee Suggestions Safety suggestions from employees are welcomed and encouraged. The suggestion will be reviewed by the Safety Director and responses to suggestions will be discussed with the individual. 5 Standards Emergencies & Evacuation 1. Emergency Procedures Our goal is to provide prompt and immediate action in any emergency to protect life, property, and equipment. In case of an emergency, the employee nearest the stricken person should call 911 (or the emergency phone number posted in your area) and direct a fellow employee to: a. Notify the nearest supervisor to come to the scene; and b. Simultaneously dispatch available employees to quickly retrieve the first aid kit. c. An individual trained in first-aid should apply emergency rescue procedures until medical assistance arrives. The Safety Director should be notified. The President or Safety Director (in that order) or their designees will decide whether or not to evacuate, inspect or shut down a facility / jobsite. Safe Operating Procedures All employees are responsible for safety. The following applies to all employees: 1. Rules a. Comply with all established safety rules, regulations, procedures, and instructions which are applicable to your own actions and conduct. b. Promptly report all accidents, hazards, incidents, and near-miss occurrences to your immediate supervisor, regardless of whether or not injury or property damage was involved. c. Do not visit, talk to, or distract another employee who is operating a machine, or who is engaged in a work activity where the possibility of injury exists. d. Do not participate in horseplay, scuffling, pushing, fighting, throwing things, or practical jokes. e. Observe all no-smoking signs and regulations f. Do not run on Company premises. g. Use handrails on steps, elevated platforms, scaffolds, or other elevations. h. Assist others and ask for assistance in lifting and carrying heavy or awkward objects. i. Firearms, ammunition, and explosives are prohibited on Company premises. j. Personal stereos with headphones, e.g. Walkman, are not permitted to be worn in the workplace. k. Alcohol and drug use and possession on Company property is prohibited. 2. Housekeeping a. Unless otherwise specified, waste material and scrap must be put in the proper containers and removed from the job site by the subcontractor. b. Work areas, passageways and stairs, in and around buildings and structures must be kept clear of debris. Construction materials should be stored in an orderly manner. Job site storage areas and walkways must be maintained free of dangerous depressions, obstructions, and debris. c. The entire job site should be cleaned daily and debris must be disposed of in dumpsters, or off site, in accordance with all EPA regulations. d. Failure to maintain adequate housekeeping and clean-up can result in contractual action by the contractor. 6 3. Machine Guarding a. It is the responsibility of the Safety Director to see that guards are installed on machines where needed. b. Employees should report any malfunctions of the guards to the Safety Director. c. The Safety Director should determine if the machine should be locked and tagged-out until the guard can be fixed or replaced. d. The guards increase safety on the machine. Machinery with the guards removed shall not be used by any employee without permission from the Safety Director. 4. Material Handling & Back Safety a. Know the approximate weight of your load and make certain your equipment is rated to handle it. (All powered equipment and rigging is rated as to safe working load. This rating is posted on the equipment. Never exceed the manufacturer’s recommended safe working load). b. Lift heavy objects as instructed, with the leg muscles and not with the back. On average, do not manually lift over 50 pounds. c. Call for assistance as needed for handling heavy or bulky objects or materials. d. Use an appropriate, approved lifting device (i.e. special trucks, racks, hoists, and other devices) for lifting very heavy, bulky, large or unyielding objects. e. All ropes, chains, cables, slings, etc., and other hoisting equipment must be inspected each time before use. f. A load should never be lifted and left unattended. g. Wear safety gloves when handling materials. h. Properly stack and secure all materials prior to lifting or moving to prevent sliding, falling, or collapse. i. Avoid moving or lifting loads by hand whenever possible. Tips for manual lifting: a. Get a good footing. b. Place feet about shoulder width apart. c. Bend at the knees to grasp the weight. d. Keep back as straight as possible. e. Get a firm hold. f. Lift gradually by straightening the legs. g. Don’t twist your back to turn. Move your feet. h. When the weight is too heavy or bulky for you to comfortably lift - GET HELP. i. When putting the load down, reverse the above steps. Note: If lifting stacked materials, materials should be carefully piled and stable. Piles should not be stacked as to impair your vision or unbalance the load. Materials should not be stacked on any object (i.e. floor, scaffold) until the strength of the supporting members have been checked. 5. Forklift & Heavy Equipment Safety The following are the minimum safety practices for the operation of fork lifts and heavy equipment (bulldozers, backhoes, etc.): a. Only trained and authorized operators are permitted to operate a forklift or heavy equipment. All operators will be trained by their Supervisors or the Safety Director. b. Prior to operating the forklift or equipment, the operator must test: the brakes, steering 7 controls, warning light, clutch, horn, fluid levels, and other devices for safe and proper operation. c. Never check the engine while it is running. d. Document your inspection results and equipment defects using the attached Inspection Report Form. Report defects to your supervisor immediately. No defective equipment shall be used. Adjustments and repairs should be made by authorized personnel only. e. Wash the equipment whenever necessary. The equipment must be kept clean and free of oil and grease. f. Employees should operate the equipment/forklift with safe speed and within rated load capacity. Drive to the right. Do not exceed 10 miles per hour, or posted authorized speeds, on plant roads. g. Passengers are not permitted on forklifts or heavy equipment except for training purposes. h. Mobile equipment should never be left unattended without first shutting off power, neutralizing controls, setting brakes, and lowering forks or bucket. Do not park on an incline. i. All mobile equipment must have a functional fire extinguisher on board. j. Sound horn at exits, corners, cross aisles, intersections, and when approaching pedestrians. Do not use horn needlessly or at undue length. k. Always look in the direction equipment is traveling, looking backward when backing up, even for a short distance. Keep a clear view of the path. When forward vision is obstructed, drive in reverse. l. When traveling, with or without a load, keep forks or bucket as low as possible. m. Avoid following pedestrians or other vehicles too closely, especially when operating on inclines or in noisy areas. n. Ascend/descend all ramps and inclines slowly. Wait for passengers to exit the ramp before attempting to ascend/descend. When descending, always use low gear and the slowest speed control. Do not descend ramps with the load at the front of the forklift. Never ascend in reverse. When ascending, loaded forklifts should be driven with the load upgrade. o. A man cage must be used when elevating personnel with a forklift. Attach the cage prior to use. Do not travel with passengers in the man cage. p. Personal protective equipment should be used as instructed. Hard hats should be worn where danger of falling objects exists. q. If the forklift is equipped with a seatbelt, the belt must be worn at all times. 6. Ladders a. Manufactured ladders must comply with OSHA, ANSI, manufacturer and job specifications. b. Ladders with broken or missing rungs and/or broken or split side rails should not be used. c. All portable ladders should be equipped with non-skid safety feet and should be placed on a stable base. All access areas should be kept clear. d. The six foot fall protection procedure applies when working from a ladder. All ladders should be secured with a rope or other substantial device. e. Ladders should be maintained free of lines, ropes, hoses, wires, cables, oil, grease, and debris. No objects should be left on ladders. f. Single portable ladders over 30 feet in length should not be used. g. Side rails should extend 36 inches above the landings. All ladders in use should be tied, blocked, or otherwise secured to prevent accidental displacement. h. Never stand or sit on the top two steps of a ladder. i. Never climb or work from the back of a ladder. j. Never work with another person on the same ladder. 8 k. The contractor should provide training programs on ladders for all employees. l. Straight or extension ladders should be placed at a one to four ratio (ladder base to wall) and (floor to top touch point of ladder) . i.e. If ladder is resting against an upper level 16’ off the ground, the base of the ladder should be 4’ away from the wall. m. Never ascend or descend a ladder while carrying anything. n. Always keep your belt buckle between the rails of the ladder. Don’t overreach. o. Always check to see that safety dogs or latches are engaged before using an extension ladder. Extension ladders must be overlapped a minimum of three rungs. 7. Small Tools a. Proper storage for tools should be provided by the Contractor. b. Repair all damaged or worn tools promptly. Temporary and makeshift repairs are prohibited. Tools that can’t be properly repaired should be discarded immediately. The contractor reserves the right to require any subcontractor to stop work for using any defective or improperly used tool. c. The subcontractor will supply all required tools unless otherwise specified. All equipment must conform to OSHA Safety and Health Regulations for Construction Part 1926. d. Power tools should not be used if safety equipment has been removed. e. Employees using tools that cause objects to be thrown should wear personal protective gear, including proper eye and hearing protection. f. Gas powered tools should not be used in unventilated areas and gas should be dispensed from U.L. approved cans only. All gas-powered tools must be turned off before being refueled. g. Portable grinders must have hood-type guards and side enclosures that cover the spindle and at least 50% of the wheel. All wheels should be inspected regularly for fractures, etc. Defects should be promptly reported to the Safety Director. h. Bench grinders should have deflector shields and side cover guards. Tool rests should have a maximum clearance of 1/8” from the wheel. i. Air-supply lines should be inspected regularly and maintained in good condition. j. To prevent “whipping” in the event of hose separation or failure, air sources supplying hoses should be protected with an excess flow valve. Completely bleed all air from tools before disconnecting them. k. For cleaning purposes, the pressure of compressed air used should be 30 psi or less and hose extensions should always be used. l. Only trained employees are to use OSHA specified powder-actuated tools. m. Trained employees should inspect all powder-actuated tools on a daily basis. Any tool not found to be in proper working condition must immediately be removed from service. n. Any area where a powder-actuated tool is used must have a warning sign posted. o. All powder-actuated tools should be of the low velocity, cushioned pistol grip, piston type design. p. Powder-actuated tools should not be used in areas where hazardous ignitable dust, gases, or liquids are present. q. All maintenance work on powder-actuated tools must be performed according to manufacturer specifications and must be done by qualified persons only. r. Do not raise or lower power tools by their electrical cord or pneumatic line. s. Powder-actuated tools should be locked-up when not in use to prevent unauthorized persons from using them. t. Torque is the circular or rotating motion in tools such as drills, impact wrenches and saws that result in a strange twisting force. Be prepared in case of jamming. u. Proper guards or shields must be kept in place on power tools that are being used. 9 8. Excavation and Trenching a. The design of the supporting system should be considered carefully based on the following: depth of cut, anticipated changes in the soil due to air, sun, and water, ground movement caused by blasting, and earth pressures. b. Any trench or excavation over five feet deep must be sloped, shored, benched, or braced. If soil conditions are unstable, excavations shallower than 4 feet must also be sloped, supported, or shored. c. A competent person must be designated or trained in the recognition of trenching and excavation hazards. d. Shoring systems should be installed from the top down. Cross beams should be placed in a horizontal position and spaced vertically at appropriate intervals. Braces must also be secured to prevent sliding, falling, or kickouts. e. All materials used for shoring should be in good condition and free of defects. Timbers with large or loose knots should not be used. f. Installation of shoring should closely follow the excavation work. g. One of the following methods of support should be used to ensure worker safety: shoring- sheeting; tightly placed timber shores; bracing; trench jacks; piles; or other materials installed in a manner strong enough to resist the pressures surrounding the excavation. h. OSHA standards require that diversion dikes or ditches be used to prevent surface water from entering an excavation and to provide adequate drainage of the area adjacent to the excavation. Water should not accumulate in a trench or excavation as it causes erosion and soil softening. i. Excavations greater than four feet deep should be inspected daily for oxygen deficiencies and hazardous gases, etc. If hazardous conditions exist, proper respiratory protection or ventilation should be provided by the Contractor. j. Exit ladders must be stationed no farther than 25 feet from any person in trenches four feet or more in depth. k. Locations of all underground utilities should be located before excavation begins. l. As soon as all work is completed and the shoring is dismantled, backfilling should begin. If the soil is unstable, ropes must be used to pull out the jacks or braces from above. m. Trenches should be inspected daily for cracks, slides, and wall fractures. Inspections should also be made after rain storms or any other changes in conditions. If any dangers are detected, all work must stop until the problem is corrected. n. Employees should have a secure footing when drilling. o. Vehicles and equipment should be kept safely from the edge of the excavation. All dirt from the trench should be piled at least two feet from the excavation. q. Spoil dirt must be kept back at least two feet from the sides of a trench. r. A competent person must inspect trenches at the start of shifts, after poor weather, and whenever there have been changes that could impact conditions in the trench. s. The maximum legal slope, without soil classification, is 34 degrees or 1 ½ feet horizontal to 1 feet vertical. 9. Fire Prevention a. Good housekeeping is the first rule of fire prevention. Oily rags, paper shavings, trim, etc. should be cleaned up and placed in trash receptacles. b. Welding or cutting should not take place near locations where flammables or combustibles are present. When welding or cutting occurs, the area should be protected with fire resistant 10 blankets. An approved fire extinguisher should also be located at each welding or cutting facility. c. All flammable liquids should be stored in an approved manner and dispensed in approved safety containers. Welding gases should also be stored in an isolated area. d. Liquefied Petroleum (LP) Gas presents special fire and explosion hazards. Only qualified persons are to handle LP gas. LP gas units should be inspected daily for leaks, etc. e. Open fires of any kind are not permitted. f. Combustible materials or equipment in combustible containers should be stored properly. Fire extinguishers should be kept within close proximity to any combustible container. g. Fire extinguishers should be recharged and inspected regularly. A tag indicating the date of recharging should be affixed to each extinguisher. h. Access to fire hydrants should be maintained at all times. Fire hydrants should never be blocked or obstructed in any way. i. All combustible waste materials, rubbish, and debris should be disposed of daily. j. Smoking is prohibited in any hazardous area and “No Smoking” signs should be posted in these areas. k. Gas cylinders should be transported and stored in an upright position. When stored for extended periods of time, they must be kept at least twenty five feet from oxygen cylinders. l. No material should be stored within three feet of an electrical panel, outlet, or fire suppression equipment. m. Portable power equipment must not be refueled while running or when hot. Attach a ground wire before refueling. 10. Motor Vehicles and Equipment a. On-site construction vehicles and equipment should be inspected and tested. Proper documentation must be available for the Safety Director to review prior to bringing such equipment on site. b. All motor vehicles must be equipped with the following: - Adequate braking system - Two headlights and tail lights - Brake lights - Horn - Seat Belts - Good tires - Windshields and powered wipers - Defrosters - Rear-view mirror - Fuel cap c. Only authorized, licensed drivers are permitted to operate vehicles or equipment. Accidents must be reported to the Safety Director immediately. d. Employees should not use motor vehicles or equipment that have an obstructed rear view unless: 1. The vehicle has a backup alarm audible above the surrounding noise level; 2. The vehicle is backed up only when an observer signals that it is safe to do so. e. No person should attempt to get on or off moving vehicles or equipment. f. Heavy machinery and equipment which is suspended by slings, hoists, or jacks must be blocked before employees are permitted to work under or between them. g. All hauling vehicles, where payload is loaded by crane, power shovel, loader, similar equipment must have a cab shield and/or canopy to protect the operator from shifting or falling 11 materials. The operator of any vehicle should leave the cab and stand clear of the equipment while it is being loaded. h. Engines must be shut off during all maintenance and fueling operations. i. Trip handles of dump truck and heavy equipment tailgates must be positioned so that the operator will be clear of any danger during dumping procedures. j. Employees are required to inspect their assigned vehicles at the beginning of each shift to assure that the vehicle is in safe operating condition and free of any apparent danger. Any defects must be immediately reported to the Safety Director. k. Employees are not permitted to ride with arms or legs outside the truck body. l. No heavy equipment is to be driven at speeds greater than 15 MPH. m. Only approved standard hand signals for crane, derrick, and boom equipment are to be used. These hand signals must be posted near the driver’s seat of all equipment. n. All manufacturer specifications and limitations concerning the operation of cranes and other hoisting equipment are to be followed. o. Rated load capacities, operating speeds, and special hazard warnings must be posted near the driver’s seat on all equipment. p. A certified agency must inspect all hoisting machinery on an annual basis. Records of dates and inspection results for all equipment must be readily available for review. q. Wire rope safety factors are to be in compliance with American National Standards Institute B30.5. The Safety Director shall maintain these standards. r. All exposed belts, gears, shafts, pulleys, sprockets, spindles, drums, flywheels, chains, and other moving parts must be guarded. s. The swing radius on the back of any crane must be barricaded so as to prevent people from being struck or crushed by the crane. t. A fire extinguisher must be available in all cabs of equipment and vehicles. u. Rollover protection (ROPS) as specified by OSHA is required for all applicable equipment operated on the project. Grandfather clauses are not acceptable. v. Employees are required to obey all state law, local, and company laws, rules and regulations while operating vehicles or equipment. w. Personal cars are not to be used for company business unless authorized by the appropriate supervisor. Passengers not employed by the company are also prohibited. x. Any vehicle or piece of equipment with material extending four feet or more from the rear of the vehicle must have a red flag or cloth 12 inches square attached to the material. Accident Management Accident & Near Miss Reporting Procedures If you have a near-miss situation while working, notify your supervisor immediately. The situation will be investigated and corrective action implemented to prevent future injury. Employees and witnesses must fully cooperate in the investigation. If you are injured on the job: a. Contact your supervisor, or the nearest coworker (who should notify a supervisor) if you are unable to contact your supervisor due to the severity of your injury. b. The designated employee who is trained in first-aid and/or CPR should be immediately notified to assist in the situation. c. First aid kits, which are prominently displayed throughout the jobsite, should be made available and 12 medical supplies promptly refilled (by the Safety Director). d. If needed, the supervisor or his other designee should transport the injured worker to the company’s designated medical facility to receive appropriate medical attention. A post-accident drug and/or alcohol test will be conducted in accordance with the company’s Drug-Free Workplace Policy. e. If rescue personnel are summoned, the supervisor should delegate an individual to wait for the rescue team and escort them to the injured employee. f. All witnesses to the accident should be available to speak with the Safety Director and/or supervisor and cooperate in all accident investigations. g. The Safety Director should immediately notify the insurance company of the accident and file a workers’ compensation claim. Every accident or near-miss situation should be reported immediately. Injured employees and witnesses to the accident will assist the supervisor in completing an accident investigation. Injured employees must comply with the medical treatment provided by the treating physician, cooperate with the insurance company and its designees, and abide by the company’s return-to-work policy. Return-to-Work Policy It is the Company’s policy to return injured workers to productive work, although not necessarily to their pre-injury duties, as early as possible during their recovery. This type of work is often referred to as “modified-duty work.” The Company has adopted this policy because employees who remain off work for long periods of time not only affect the Company’s productivity and workers’ compensation costs, they often experience slow healing and a loss of self-esteem. Within the requirements of their treating medical providers, the limitations of the law, and the economic and physical limitations of our own properties, the Company will make every effort to provide meaningful work wherever and whenever possible. Any recovering employee who is offered a physician-approved, modified-duty position will be required to accept the offer. A copy of the tasks needed to complete the employee’s regular duties should be provided to the treating physician, along with the following Job Physical Assessment form. The Safety Director or Supervisor should request the treating medical provider complete this form. The supervisor should identify a modified-duty position to offer the employee that is within their physician’s restrictions. Workers’ Compensation By law our company is required to obtain workers’ compensation insurance. The company pays for this insurance. Our insurance premiums are not government funded in any way. Because workers’ compensation is a substantial cost of doing business, our goal is to prevent and manage accidents. What benefits are you entitled to? When an employee is injured during the course of employment, workers’ compensation insurance provides payments to the injured worker or the treating physician(s) for medical treatment, disfigurement, death benefits, and indemnity (lost wages) payments. The scope and amount of these payments are determined by state law. Attorneys are not needed for you to get what you are entitled to. Attorneys, when hired, typically work on a contingent fee basis and may receive a portion of your benefits. If you report injuries immediately to your supervisor and cooperate with your treating physician and the insurance company, the system will work with you to get you healthy and back to work. Workers’ compensation insurance payments may be denied if: 1) the employee tests positive for drugs or 13 alcohol following the accident, 2) a pre-existing injury or non-work related injury was the cause of the accident, or 3) fraud exists. Medical treatment: Medical care, services, and supplies as necessary to cure or relieve the effects of an injury sustained on-the-job. Disfigurement: Additional compensation is paid to an injured worker for permanent disfigurement from a work-related injury (i.e. scars, discoloration, disfigurement, etc.) Indemnity Payments: Wage replacement while recovering from an industrial injury. Death Benefits: Weekly payments to the surviving spouse and dependent children of a worker whose work-related injury results in death. Burial and funeral expenses are also paid. Workers’ Compensation Fraud Filing false workers’ compensation claims is punishable with a substantial fine and imprisonment. The insurance company has many red flags to identifying workers’ compensation fraud and will investigate any accident they suspect may be fraudulent. They may deny or reduce benefits whenever a claim is found to be fraudulent or an employee is found to be abusing the workers’ compensation system. The following is considered workers’ compensation fraud or abuse: 1. Faking an accident or injury. 2. Exaggerating the seriousness of an accident or injury. 3. Taking more time off than is really needed to recover. 4. Attempting to collect benefits for an injury that is not job-related. 5. Submitting false or exaggerated medical bills for payment. 6. Working at another, equally demanding job while collecting workers’ compensation benefits. 7. Conspiring with, or being persuaded by, another person to do any of the above. When people abuse workers’ compensation benefits, we all pay. Your company is charged higher insurance premiums, which increases our expenses and lowers profitability. The best way to safeguard against fraud is to prevent accidents from happening. If you are aware of fraud, speak up by talking or calling the safety Director. Fleet Safety Program Motor Vehicles Rules All employees who drive a company car or delivery vehicle must abide by the following safety rules: 1. Employees are required to inspect their assigned vehicle (before taking it on the road) to ensure that it is in safe working condition. This includes properly working brakes, horns, and back-up alarms. 2. Any defects in the company vehicle should be reported promptly. 3. Employees are required to obey all state, local, and company traffic regulations. 4. Engines are to be stopped and ignition keys removed when parking, refueling, or leaving the company vehicles. 5. Employees are not permitted to use personal cars or motorcycles for company business, unless specifically authorized by the supervisor. 6. Passengers not employed by the company are not permitted unless authorized by the supervisor. 14 7. Employees should drive safely. Defensive driving must be practiced by all employees. 8. Seat belts and shoulder harnesses are to be worn at all times. 9. Vehicles must be locked when unattended to avoid criminal misconduct. 10. Vehicles must be parked in legal spaces and must not obstruct traffic. 11. Employees should park their vehicles in well-lighted areas at or near entrances to avoid criminal misconduct. 12. Employees should keep their headlights on at all times when driving a vehicle. 13. A vehicle when loaded with any material extending 4 feet or more beyond its rear shall have a red flag or cloth 12 inches square attached by day, or a red light visible for 300 feet by night, on the extreme end of the load. 14. Articles, tools, equipment, etc. placed in cars or truck cabs are to be hung or stored in such a manner as not to impair vision or in any way interfere with proper operation of the vehicle. 15. When you can not see behind your vehicle (truck), the driver should walk behind the truck prior to backing. 16. Personal use of vehicles is not permitted without approval of management. Children are prohibited from using company vehicles. 17. Operating a company vehicle while under the influence of alcohol and other drugs is prohibited. Violators are subject to termination of employment. 18. Every accident should be reported to the Safety Director. The Safety Director should investigate all accidents and review them with the Supervisor and employees. 19. All subcontractor personal vehicles must be parked in areas designated as contractor parking. 20. When operating vehicles on the job site, speeds must not exceed 5 M.P.H. Commercial Drivers License (CDL) Drivers who operate a commercial vehicle, as defined below, are required to obtain a commercial drivers license. 1. A vehicle with a gross vehicle weight rating of 26,001 or greater pounds, or 2. A vehicle designed to transport 15 or more passengers (including the driver) or 3. A vehicle of any size transporting hazardous material in sufficient quantities meeting the hazardous materials transportation regulations posting requirements. Drivers must meet the following requirements: 1. All commercial drivers must be in good health and pass a DOT physical. The doctor will provide the driver a medical examiner’s certificate that must be carried at all times when driving. The certificate must be renewed every 2 years. 2. All commercial drivers must comply with the Company’s Drug and Alcohol-Free Workplace Policy and consent to testing as defined by DOT and the Company. 3. Be at least 21 years of age. 4. Speak and read English well enough to do his/her job and respond to official questions. 5. Have a valid driver’s license and pass a commercial driver’s road test. 6. Take a DOT written exam for drivers. 7. Not be disqualified to drive a commercial motor vehicle. 8. Be able to determine whether the vehicle is safely loaded and know how to block, brace, and tie down cargo. Motor Vehicles Records (MVR) 1. All prospective and current employees will undergo annual motor vehicle record checks. 2. Violations (gathered from MVRs) are categorized as follows: 15 TYPE A VIOLATION: Includes, but is not limited to, DWI/DUI/OWI/OUI, refusing a drug/alcohol test, reckless driving, manslaughter, hit & run, eluding a police officer, any felony, drag racing, license suspension, and driving while under license suspension. Any driver with these types of violations is a major concern and could be subject to removal of driving privileges and/or termination of employment. TYPE B VIOLATION: Includes all vehicle accidents, regardless of fault. TYPE C VIOLATION: Includes all moving violations not classified as Type A or B (i.e. speeding, improper lane change, failure to lead, running red lights or stop signs, etc.) TYPE D VIOLATION: Includes all non-moving violations (i.e. parking, vehicle defects, etc.) Driver Qualification File The company will maintain the appropriate qualification files for each regularly employed driver. Accident Reporting Driver Conduct at the Scene of the Accident 1. Take immediate action to prevent further damage or injury. ⚫ Pull onto the shoulder or side of the road. ⚫ Activate hazard lights (flashers) and place warning signs promptly. ⚫ Assist any injured person, but don’t move them unless they are in danger of further injury. 2. Call the Police ⚫ If someone is injured, request medical assistance. ⚫ If you are near a phone, write a note giving the location and seriousness of the accident and give it to a “reliable” motorist and ask him/her to contact the police. 3. The vehicle should not be left unattended, except in an extreme emergency. 4. Exchange identifying information with the other driver. Make no comments about assuming responsibility. 5. Secure names, addresses, and phone numbers of all witnesses, or the first person on the scene if no one witnessed the accident. 6. Call the company immediately and report the accident to the Safety Director. Complete the Vehicle Accident Report Form 1. Complete the Vehicle Accident Report Form (a copy can be obtained from the Safety Director) and provide it to the Safety Director. Write legibly. Answer all questions completely or mark “not known.” Use additional sheets of paper as needed to provide pertinent information. Inspection Records & Preventative Maintenance All drivers must regularly inspect, repair, and maintain their company vehicle. All vehicle parts and accessories must be in a safe and proper working order at all times. The following apply: 1. All truck drivers must complete the vehicle inspection report at the end of each day. Drivers of company cars should complete the vehicle inspection report semi-annually. Notify the Safety Director of any unsafe conditions or defective parts immediately. 2. Before the vehicle is driven again, any safety defects must be repaired. 16 3. A copy of the last vehicle inspection report must be kept in the vehicle for at least 3 months. 4. Quarterly preventative maintenance must be conducted on each vehicle. 5. Maintenance and inspection records must be kept at the company for 1 year or for 6 months after the vehicle leaves the company’s ownership. 6. All vehicles are subject to a search at any time. OSHA (Occupational Safety & Health Administration) OSHA (Records) Requirements Copies of required accident investigations and certification of employee safety training shall be maintained by the Safety Director. A written report will be maintained on each accident, injury or on-the- job illness requiring medical treatment. The log of work-related injuries and illnesses (Form 300) should be used to classify work-related injuries and illnesses and to note the extent and severity of each case. The summary, a separate form (Form 300A) shows the totals for the year in each category. At the end of the year, post the summary in a visible location so that your employees are aware of the injuries and illnesses occurring in the workplace. This summary must be posted by February 1 to April 30. These records are maintained for five years from the date of preparation. Special Emphasis Programs Drug-Free Workplace Policy Purpose The Company values its employees and recognizes their need for a safe and healthy work environment. Furthermore, employees abusing drugs and alcohol are less productive and are often a risk to the safety, security and productivity of our company. The establishment of a Substance-Abuse Policy is consistent with the company’s desired culture and is in the best interest of the company. Policy It is the policy of the company to maintain a workplace free from the use and abuse of drugs and alcohol. Compliance with this policy is a condition of continued employment. It supersedes any other company policy or practice on this subject. At any time, the company may unilaterally, at its discretion, amend, supplement, modify, or change any part of this policy. The policy does not represent an expressed or implied contract, and it does not affect your status as an at-will employee. If you have any questions about this policy, please direct them to Human Resources. To maintain a Drug and Alcohol-Free Workplace, the company has established the following policy effective 7/01/2003 with regard to the use, possession, and sale of drugs and alcohol. Drug and alcohol testing practices will be adopted to identify employees or applicants using drugs and/or alcohol. Personal Protective Equipment Purpose To provide guidelines concerning the proper use of Personal Protective Equipment and to comply with OSHA standards outlined in Title 29, Code of Federal Regulations (CFR), parts ... 1900-1999. Definition 17 PPE includes clothing and other accessories designed to create a barrier between the user and workplace hazards. It should be used in conjunction with engineering, work practice and/or administrative controls to provide maximum employee safety and health in the workplace. Responsibility All sub-contractors are responsible for providing and insuring the use of required personal protective equipment. All employees should use protective equipment described by local, state, federal, and Construction Management’s rules and regulations to control or eliminate any hazard or other exposure to illness or injury. Training Proper employee training on the correct usage of PPE will likely eliminate many accidents and injuries from occurring. Before performing any work that requires the use of PPE, the Safety Director, or his/her delegate, must train employees on the following: • When and what types of PPE are necessary; • How the PPE is to be used; and • What the PPE’s limitations are. In many cases, more than one type of PPE will provide adequate protection. In such cases, employees should have their choice of which type of protection they would like to use. Types of Protection 1. Head Protection -The wearing of approved non-conductive safety hats is mandatory in all construction areas 100% of the time. Refer to ANSI Z89.1 Safety Requirements for Industrial Head Protection. No exceptions! Any fines assessed by OSHA for NOT wearing head protection will be paid by the employee(s) in violation. Helmet Selection Proper helmet selection is critical in preventing head injuries from occurring. Each type and class of helmet is intended to protect against specific hazards. The Safety Director, or his/her delegate, is responsible for making sure employees wear the proper helmet. The following types and classes of protective helmets are available: Type 1 - helmets with full brim, not less than 1¼ inches wide; Type 2 - brimless helmets with a peak extending forward from the crown. For industrial purposes, three classes are recognized; Class A - general service, limited voltage protection; Class B - utility service, high-voltage protection; and Class C - special service, no voltage protection. Helmets under Class A are intended for protection against impact hazards. They are predominately 18 used in manufacturing, construction, shipbuilding, tunneling, lumbering and mining industries. Class B utility service helmets protect against impact and penetration from falling objects and from high-voltage shock and burn. They are used mostly by electrical workers. Class C helmets are designed specifically for lightweight comfort and impact protection. They are typically manufactured from aluminum and offer no dielectric protection. Class C helmets are often used in construction and manufacturing occupations, oil fields, refineries, and chemical plants. All helmets should be water-resistant and made of slow burning material when exposed to heat. The helmet type should be located inside the shell along with the manufacturer’s name, ANSI designation, and class. Helmet Fit A properly fitting helmet should be snug on the head. The helmet’s headband should be adjusted accordingly to receive the proper fit. When the headband is adjusted properly, it provides sufficient clearance between the shell and headband. Helmet Inspection and Maintenance Manufacturer’s specifications should be followed with regard to the proper cleaning methods. Helmets should be cleaned by dipping them in hot, soapy water. They should then be scrubbed and rinsed in clear, hot water. After rinsing, the shell should be carefully inspected for signs of damage. It is the employee’s responsibility to keep their helmet clean. All components, shells, suspensions, headbands, sweatbands, and accessories should be inspected daily for dents, cracks, penetration, or any other damage that might reduce the original degree of safety. Damaged helmets should be replaced immediately. 2. Eye and Face Protection - Safety glasses with side shields should be provided by the Contractor and are mandatory at all times. a. All construction areas require 100% eye protection at all times. Minimum eye protection includes approved safety glasses with side shields or mono-goggles meeting the standards specified in ANSI Z87.1-1968. b. Additional eye and face protection should be used by employees when: 1. Welding, burning, or using cutting torches 2. Using abrasive wheels, grinders, or files 3. Chipping concrete, stone, or metal 4. Working with any materials subject to scaling, flaking, or chipping 5. Drilling or working under dusty conditions 6. Sanding or water blasting 7. Waterproofing 8. Using explosive actuated fastening or nailing tools 9. Working with compressed air or other gases 10. Working with chemicals or other hazardous materials 11. Using chop, chain, or masonry saws 12. Working near any of the above named operations To protect from injurious light radiation, all affected employees should use equipment with filter lenses. 19 Selection The are different types of eye and face protection designed for particular hazards. In selecting protection, consider type and degree of hazard. Where a choice of protection is given, worker comfort should be the deciding factor in selecting eye protection. Employees who use corrective eye glasses should wear face shields, goggles, or spectacles of one of the following types: • Spectacles with protective lenses providing optical correction; • Goggles or face shields worn over corrective spectacles without disturbing the adjustment of the spectacles; or • Goggles that incorporate corrective lenses mounted behind the protective lenses. Fit Skilled persons should fit all employees with goggles or safety spectacles. Prescription safety glasses should be fitted by qualified optical personnel. Inspection and Maintenance Eye protection lenses should be kept clean at all times. Continuous vision through dirty lenses can cause eye strain. Daily inspection and cleaning of eye protection with hot, soapy water is also recommended. Pitted lenses should also be replaced immediately as they can be a source of reduced vision. Deeply scratched or excessively pitted lenses are also more likely to break Employees are responsible for taking care of their eye protection. They are also responsible for turning in eye protection that is in poor shape to their immediate supervisor. 3. Respiratory Protection - Respiratory protection devices approved by the U.S. Bureau of Mines should be provided by the Contractor and worn by employees exposed to hazardous concentrations of toxic or noxious dust, fumes or mists as required by OSHA. The Hazard Communications Program should include respiratory protection programs. Refer to the Respiratory Protection Program of this manual for more information. 4. Hearing Protection - Exposure to high noise levels can cause hearing loss or impairment and can create physical and psychological stress. There is no cure for noise-induced hearing loss, so the prevention of excessive noise exposure is the only way to avoid hearing damage. Specifically designed protection is required, depending on the type of noise encountered and the auditory condition of each employee. The Safety Director, or his/her delegate, is responsible for providing appropriate hearing protection to employees. Pre-formed or molded earplugs are the best form of hearing protection. They should be individually fitted by a professional. Waxed cotton, foam, or fiberglass wool earplugs can also be used as hearing protection. When used properly, they work as well as most molded earplugs. Disposable earplugs should be discarded after usage. For proper protection, non-disposable earplugs should be cleaned after each use. Plain cotton should not be used as it does not effectively protect against hazardous noises. 5. Foot and Leg Protection - Workshoes/boots are to be worn by all employees. Tennis shoes, sandals, 20 docksiders, hush puppies, steel toed sneakers and bare feet are prohibited. In addition to safety shoes, canvas or leather leggings and spats should be worn by welders, metal lancers, or anyone working around molten metal. 6. Glove and Hand Protection - Gloves provided by the Company should be worn when handling objects or substances that could cut, tear, burn, or otherwise injure the hand. Gloves should not be used when operating drill presses, power saws, or similar rotating machinery. 7. Clothing - Wear safe and practical working apparel. Be sure that any clothing you wear is not highly flammable. Neckties and loose, torn or ragged clothing should not be worn while operating lathes, drill presses, reamers and other machines with revolving spindles or cutting tools. Jewelry of any kind should not be worn when working around machinery or exposed electrical equipment. 8. Hair - Employees wearing long hair, beards, or mustaches will not work with rotating machinery or equipment, or use respiratory equipment, if their hair, beard, or mustache constitute a potential hazard. Judgment will be made by the immediate supervisor and reviewed by the Safety Director. 9. Other Personal Protective Equipment - Other required equipment to be used under unusual circumstances such as high temperature work, handling corrosive liquids, etc., not specifically covered in this section should be reviewed by the Safety Director and furnished by the Company when required. Fall Protection Purpose To establish guidelines to prevent employees from sustaining serious injury if they fall on the job. Policy OSHA has revised its construction industry safety standards for fall protection requirements (Codes 1926.5, 1926.501, 1926.502, and 1926.503) and has developed systems and procedures designed to prevent employees from falling off, onto, or through working levels and to protect them from being struck by falling objects. These policies cover all construction workers except those inspecting, investigating, or assessing workplace conditions prior to the actual start of work or after all work has been completed. These policies identify areas where fall protection is needed. These areas include ramps, runways, walkways, excavations, hoist areas, holes, formwork and reinforcing steel, leading edge work, unprotected sides and edges, overhand bricklaying, roofing, pre-cast concrete erection, wall openings, and residential construction. These policies set a uniform threshold height of 6 feet, thereby providing consistent protection. This means that the company must protect employees from fall hazards and falling objects whenever an employee is 6 feet or more above a lower level. Under these new standards, management will have the flexibility to select fall protection measures compatible with the type of work being performed. Fall protection generally can be provided through the use of guardrails, safety nets, personal fall arrest systems, positioning device systems, and warning line systems. Duty to Have Fall Protection 21 The Company is required to assess all new job-sites prior to any work being performed to determine if the walking/working surfaces have the strength to safely support workers. Employees are not permitted to work on any new surfaces until those surfaces are determined to be safe. Once the Safety Director determines that the surface is safe, the Safety Director must select one of the options previously listed for the work operation if a fall hazard is present (guardrails, safety nets, etc.). Controlled Access Zones A controlled access zone is a work area designated and clearly marked in which certain types of work may take place without the use of conventional fall protection systems to protect the employees working in the zone. These are used to keep out workers other than those authorized to enter work areas from which guardrails have been removed. Where there are no guardrails, masons are the only workers allowed in controlled access zones. Controlled access zones, when created to limit entrance to areas where leading edge work and other operations are taking place, must be defined by a control line or by any other means that restricts access. Control lines should consist of ropes, wires, tapes, or equivalent materials, and supporting stanchions. Each must be: • Flagged or clearly marked at not more than 6 foot intervals with high-visibility material; • Supported so that the lowest point is not less than 39 inches from the walking/working surface and the highest point is not more than 45 inches from the walking/working surface; • Strong enough to sustain stress of at least 200 pounds. Control lines should extend along the entire length of the unprotected or leading edge and should be parallel to this edge; and • Control lines also must be connected on each side to a guardrail system or wall. When control lines are used, they should be erected not less than 6 feet nor more than 25 feet from the unprotected or leading edge, except when precast concrete members are being erected. With pre-cast concrete member erection, the control line should be at least 6 feet but less than 60 feet from the leading edge. Controlled access zones, when used to determine access to areas where overhead bricklaying and related work are taking place, are to be defined by a control line erected at least 10 feet but not more than 15 feet from the working edge. Additional con trol lines must be erected at each end to enclose the controlled access zone. Only employees engaged in overhand bricklaying or related work are permitted in the controlled access zones. On floors and roofs where guardrail systems are not in place prior to the beginning of overhand bricklaying operations, controlled access zones will be enlarged as necessary to enclose all points of access, material handling areas, and storage areas. On floors and roofs where guardrail systems are in place, but need to be removed to allow overhand bricklaying work or leading edge work to take place, only that portion of the guardrail necessary to accomplish that day’s work should be removed. Excavations Each employee at the edge of excavation 6 feet or more deep should be protected from falling by a guardrail system, fence, barricade, or cover. Where walkways are provided to permit employees to cross over excavations, guardrails are required on the walkway if it is 6 feet or more above the excavation. Hoist Areas Each employee in a hoist area should be protected from falling 6 feet or more by guardrail systems or personal fall arrest systems. If guardrail systems must be removed to facilitate hoisting operations, as during the landing of materials, and a worker must lean through the access opening or out over the edge of the access opening to receive or guide equipment and materials, that employee must be protected by a 22 personal fall arrest system. Positioning Device Systems These body belt or body harness systems should be set up so that a worker can free fall no farther than 2 feet. They should be secured to an anchorage capable of supporting at least twice the potential impact load of an employee’s fall or 3,000 pounds, whichever is greater. Requirements for snaphooks, dee-rings, and other connectors used with a positioning device must meet the same criteria as those for personal fall arrest systems. New Employee Safety The Safety Director should provide safety training to all newly hired employees. Each new employee will be given a copy of the safety manual. General safety orientation containing information common to all employees should be reviewed, before beginning their regular job duties. Recommendations include (at a minimum): • Review the Safety Manual, with extra time spent on: Accident & hazard reporting procedures, emergency procedures, first aid, personal protective equipment, and special emphasis programs (Drug- Free Workplace Policy, Return-to-Work Policy, Incentive Programs, etc.) • Encourage & motivate employee involvement in safety. Make each accountable for their safety and the safety of their coworkers. • Explain the workers’ compensation system and fraud prevention • Review any known workplace hazards. • Conduct training on any topics that are not schedule to be addressed within a reasonable timeframe and are relevant to the employee’s job. Continual training should be provided to new hires. Each new hire should be assigned to work with an experienced worker for at least 6 months. The senior employee should act as a mentor and ensure that the employee is working safely and exhibits a positive safe attitude. 23 New Employee Safety Checklist Employee Name: ID: Ask Employee: Do you have any physical conditions or handicaps which might limit your ability to perform this job? If so, what reasonable accommodation can be made by us? Did the employee have a pre-employment drug test?  Yes  No physical?  Yes  No Any work restrictions indicated from the physical? The Safety Director and new employee should review the following safety concerns. Check & discuss all that apply.  Provide the employee with a copy of the Safety Manual.  Company safety policies & programs  Safety rules (general & specific to job)  Safety rule enforcement  Use of tools & equipment  Proper guarding of equipment  Proper clothing & personal protective equipment ____  Materials handling  Accident & Hazard Reporting Procedures  Housekeeping  Special hazards of the job  Emergency Procedures  Employee Responsibilities/Accountability _________________________________________  Overview of workers’ compensation  Hazardous materials  Location of First Aid Kits  Vehicle Safety  Where to go for medical treatment  Other: Drug-Free Workplace, Return-to-Work, Incentives, Lock-Out/Tag-Out, etc._________________ Employee shall receive additional training from: Probationary period is from to Performance (including safety) will be reviewed formally on Employee agrees to cooperate fully with the safety efforts of the employer, follow all safety rules, and use good judgment concerning safe work behavior.  Yes  No (Have employee sign for manual) Comments: Signed: Signed: Trainer Employee Date Employed: Date Checklist Completed: Checklist completed by: Department Assigned: Type of Work: Summary of Work Experience: Supervisor: 24 Safety Violation Should any employee commit an unsafe act, intentional or not, this action should be addressed by the immediate supervisor and reviewed by the Safety Director. The Company reserves the right to use disciplinary actions, depending upon the seriousness of the violation and the impact of the violation upon the conduct of Company business. It is not required to complete all steps of the disciplinary procedure in every case. Discipline may begin at any step appropriate to the situation. Discipline includes, but is not limited to: Verbal Reprimand Written Reprimand Suspension Termination of Employment The attached “Safety Violation Notice” should be completed for all written reprimands. A copy should be maintained in the employee’s personnel file and submitted to the Safety Director, if corrective action(s) is required. Safety Violation Notice 25 Employee Name: A safety and health survey of your operation has revealed non-compliance of certain safety rules, procedures, programs, and/or local, state, or federal regulations. As a condition of the Company’s safety policy, you are required to maintain a safe work environment and to prevent unsafe actions of yourself, co-workers, and/or your employees. This warning is for your protection and safety. The violation(s) noted and corrective action(s) are indicated below. Rule Violated Violation Description Corrective Action Required* 1) 2) 3) Corrective Action Required* 1 = Cease operation until corrective action is complete 2 = Warn personnel and instruct them on proper safety procedures 3 = Provide proper equipment necessary 4 = Change procedure/work method 5 = Initiate and complete corrective action (include date) 6 = Other (specify above) Disciplinary Action Imposed Verbal Reprimand along with this notice Written Reprimand with a last chance warning Suspension (from to ) Termination of Employment Date: Supervisor: Department: Violation Date: Comments: 26 Contractual Controls Contractual language between the Company and other contractors can help transfer exposures generated by having subcontractors perform work for us. These include: Hold Harmless Agreement- This is an agreement that is part of the overall contract. It is signed by the subcontractor to hold the Company harmless for certain acts of omission and degrees of negligence caused by subcontractor employees. It helps maintain a degree of protection for the contractor should an incident occur. Certificate of Insurance- A copy of each subcontractors current Workers’ Compensation and General Liability insurance policies are required to be shown before any work is to be performed on each job site. Liability limits of General Liability coverage should not be less than $1,000,000. Additional Named Insured- If possible, the Company should be named as an Additional Named Insured on each subcontractor’s insurance policy. This gives the Company additional protection by making available the subcontractor’s insurance policy as primary with additional limits before our company’s policy becomes involved for accidents involving subcontractor employees. Anytime you observe a sub-contractor performing work in an unsafe manner, please report that person or persons directly to the Safety Director. 27 Acknowledgment Form The rules, programs, and procedures stated above in the Company’s safety manual are not intended to cover all the possible situations you will be faced with on the job. The Company encourages you to act in a safe and responsible manner at all times, both on and off the job. I have read the Company’s Safety Manual, understand it, and agree to abide by it. I understand that violation of these rules may lead to dismissal. Print Name: Signature: Date: 28 Marion Excavating Co., Inc. Hazard Communication Program For Toxic And Hazardous Substance Users General Information In order to comply with the Occupational Safety and Health Administration (OSHA) through the U.S. Department of Labor Title 29 of the Code of Federal Regulations (CFR) Subtitle B Chapter XVII Part 1926 Hazard Communication Standard and the Massachusetts “Right to Know” law. The following written Hazard Communication Program has been established for the Marion Excavating Company. All work areas and jobsites of the company are included within this program. The written program will be available in the office at 510 New Ludlow Road, South Hadley, Ma. for review by any interested employee, and to the public. Employee Training and Information The office Manager is responsible for the Employee Training Program and will ensure that the following specific elements are carried out: - Prior to starting work each new employee of Marion Excavating Company will be given a copy of the Hazard Communication Program containing health and safety information on any toxic and hazardous substances that they may be exposed to in their work areas. - Chemicals present in their workplace operation. - Location and availability of our written Hazard Program. - Physical and health effects of the toxic or hazardous substances. - How to read labels and review Material Safety Data Sheet (M.S.D.S.’s) to obtain appropriate hazard information. - Location of M.S.D.S. file and location of toxic and hazardous substances list. Upon completion of this training class, each employee will sign a form to verify that they attended the training, received our written materials and company policies in hazard communication. Prior to a new chemical hazard being introduced into the company, each employee will be given 29 information as outlined above. The Office Personnel are responsible for ensuring that M.S.D.S. on the new chemical(s) are available. Container Labeling The Office/Shop Personnel will verify that all containers received for use are clearly labeled to indicate: - The identity of the contents. (The identity must match the corresponding M.S.D.S.) - Appropriate hazard warnings. - The name and address of the manufacturer, importer or responsible party. The Office/Shop Personnel will review the container labeling every 6 months and update as required. MATERIAL SAFETY DATA SHEETS (M.S.D.S.) The Office Personnel will be responsible for obtaining and maintaining the data sheet system for the company. When toxic or hazardous substances are received without an M.S.D.S. a request will be made to the supplier for such information. The Office Personnel will review incoming data for new and significant health/safety information. The Office Personnel will be responsible for distributing any new information to the affected employees through copies of the actual data sheets. Copies of M.S.D.S.’s for all toxic and hazardous substances to which employees of this company may be exposed will be kept in the office at 510 New Ludlow Road. If M.S.D.S.’s are not available or new chemicals/materials in use do not have M.S.D.S.’s, immediately contact the Office Personnel. Hazardous Non-Routine Tasks Periodically, employees are required to perform hazardous non-routine tasks. Prior to starting work on such projects, each affected employee will be given information by the job supervisor about hazardous chemicals to which they maybe exposed to during such activity. This information will include: - Specific hazards, - 30 - Protective/safety measures the employee can take, - Measures the company has taken to lessen the hazards including ventilation, respirators, presence of another employee, and emergency procedures. Examples of Non-Routine Tasks performed by employees of this company: Task Toxic and Hazardous Substances Excavating Gas Lines Natural Gas Informing Contractors It is the responsibility of the company Safety Director to provide contractors (with employees) the following information: - Toxic and hazardous substances to which they maybe exposed while on the jobsite. - Precautions the employees may take to lessen the possibility of exposure by usage of appropriate protective measures. The company Safety Director will be responsible for contacting each contractor before work is started in the company to gather and disseminate any information concerning chemical hazards that the contractor is bringing to our workplace. List of Hazardous Chemicals The following is a list of all known toxic and hazardous substances used by employees of Marion Excavating Company. Further information on each noted substance can be obtained in reviewing Material Safety Data Sheets located in the office at 510 New Ludlow Road: TRADE NAME TOXIC or HAZARDOUS MFG./DIST. SUBSTANCES_____ Diesel #2 Fuel Oil petroleum distillates Sunoco, Inc. xylene F. L. Roberts & Co. toluene benxene 31 ethyl benzene cumene n-hexane Lubricity Plus Fuel Power petroleum distillate FPPF Chemical Co. glycol ether FleetPride. Inc. aliphatic naphtha trimethylbenzene Total Power Diesel Fuel Treatment FPPF Chemical Co. petroleum distillate FleetPride, Inc. trimethylbenzene glycol ether heavy aromatic naphtha 2-ethylhexanol xylene vinyl acetate 2-ethyl hexyl nitrate cumene naphthalene ethylbenzene TRADE NAME TOXIC or HAZARDOUS MFG./DIST. SUBSTANCES_____ Aervoe Marking Paint hydrocarbon propellant Aervoe Industries aliphatic petroleum distillates E. J. Prescott hexane Ferguson Waterworks aliphatic petroleum distillates Non-Fluorescent Colors Also Contain: acetone Metallic Colors Also Contain: acetone n-butyl acetate aliphatic hydrocarbon Bituminous Concrete petroleum asphalt Lane Construction Stone and/or sand Ted Ondrick Co. Palmer Paving Warner Bros., LLC 32 Concrete (Ready Mixed) portland cement Chicopee Concrete Construction Service Hathaway Const. Cooke Builders Rugg Lumber Chicopee Mason Ductile Iron Pipe none Atlantic States Pipe (Atlantic States Cast Iron Some of the components may be Ferguson Waterworks Pipe Company) hazardous during modification by E. J. Prescott, Inc. welding, flame cutting, torching, grinding, or machining. Dust or fume contaminants will be iron or iron oxide. Water based pipe costing asphalt Rayco, Inc. Rayco 5900 polymer Atlantic States Pipe (Atlantic States Cast Iron Heating may release hydrogen Pipe Company) sulfide gas. TRADE NAME TOXIC or HAZARDOUS MFG./DIST. SUBSTANCES_____ Portland Cement portland cement clinker Hercules Cement Co. (Atlantic States Cast Iron magnesium oxide Pipe Company) calcium oxide quartz nuisance dust Pipe Joint Lubricant none JTM Products, Inc. (Atlantic States Cast Iron (biodegradable soap) Pipe Company) Oatey Pipe Lubricant potassium soap of vegetable oil E.J. Prescott, Inc. (pipe soap) mica Ferguson Waterworks propylene glycol Precast Cement Structures Quartz Arrow Concrete Drain Manholes Silica Products Catch Basins Sawing or grinding may result in Sewer Manholes release of dust particles which may: 33 Septic Tanks Acute – cause minor irritation of the Pump Chambers eye or nose. Electric Vaults Chronic – result in lung disease (Silicosis) is exposed to excessive amounts for prolonged periods. PVC Pipe & Fittings (SDR-35) none IPEX, Inc. (SDR-21) When cutting, the use of eye E. J. Prescott, Inc. protection and a NIOSH approved Ferguson Waterworks respirator for dust recommended. Public Works Ventilate adequately when cutting. Velano Bros., Inc. TRADE NAME TOXIC or HAZARDOUS MFG./DIST. SUBSTANCES_____ Gray Iron Carbon LeBaron Foundry (Iron Castings) Silicon Arrow Concrete Catch Basin F&C Manganese E.J. Prescott Drain F&C Nickel Ferguson Waterworks Sewer F&C Chromium Electric F&C Molybdenum Sulfur Phosphorus Aluminum Titanum Copper Caution – Fumes or dust from this casting may cause pigmentation of the lung. Nickel compounds and hexavalent insoluble chromium have been found to be carcinogens in laboratory animals. Dust or fumes generated by machining, grinding, or welding on the casting will put contaminants in the air. Flame cutting, arc gouging, or welding on the casting generates iron oxide fumes. Welding or flame cutting may convert a fraction of the chromium To the water insoluble hexavalent (carcinogenic) form. 34 Traprock; Basalt; - None – John S. Lane & Son Crushed Stone TRADE NAME TOXIC or HAZARDOUS MFG./DIST. SUBSTANCES_____ Gulfcrown EP 2 Lithium Grease carbon monoxide and carbon Gulf dioxide from burning. New G.H. Berlin Oil oxides of sulfer. Gulf Super Duty Engine Oil carbon monoxide and carbon Gulf SAE 15W-40 dioxide from burning. New G.H. Berlin Oil oxides of sulfer and phosphorouis for burning. Gulf Universal Tractor Fluid carbon monoxide and carbon Gulf dioxide from burning. New G.H. Berlin Oil oxides of phosphorous from burning. oxides of sulfer. Gulf Synthetic Transmission carbon monoxide and carbon Gulf Oil 50 SAE 50 dioxide from burning. New G.H. Berlin Oil oxides of sulfer and phosphorous for burning. Gulf Multi-Purpose Gear carbon monoxide and carbon Gulf Lubricant SAE 85W-140 dioxide from burning. New G.H. Berlin Oil oxides of sulfer and phosphorous for burning. 35 76 HT/4 Fluid (All Grades) zinc compound (Aryl) 76 Lubricants New G.H. Berlin Oil PAH-NOL Universal Antifreeze ethylene glycol Houghton Chemical diethylene glycol New G.H. Berlin Oil water corrosion inhibitors TRADE NAME TOXIC or HAZARDOUS MFG./DIST. SUBSTANCES_____ ZEP 40 ethanol ZEP Chemical Company Aerosol Glass Cleaner ethylene glycol monobutyl ether hydrocarbon propellant ZEP Formula 940 sodium metasilicate ZEP Chemical Company Liquid Steam Cleaning potassium dodecylbenzene sulfonate REACH hydrotreated light petroleum - ZEP Chemical Company Liquid Hand Cleaner distillates FORMULA 4358-E sodium carbonate ZEP Chemical Company Powder Car Wash sodium dodecylbenzene sulfonate ZEP 45 trichloroethylene ZEP Chemical Company Aerosol Lubricant paraffin oil mineral seal oil diethylene glycol monobutyl ether ZEP Brake Wash heptane ZEP Chemical Company Aerosol Industrial Degreaser ethanol Methanol ZEP Orange Gel Degreaser D-limonene ZEP Chemical Company Aerosol Industrial Degreaser hydrocarbon propellant BIG ORANGE (AEROSOL) D-limonene ZEP Chemical Company Aerosol. Cleaner. Degreaser. blend of isobutene & propane Nonylphenoxy poly(ethyleneoxy) ethanol 36 ZEP 70 alkyl(C16-C18) methyl esters ZEP Chemical Company Aerosol Lubricant blend of isobutene & propane SOY POWER (Aerosol) alky(C16-C18) methyl esters ZEP Chemical Company Aerosol Solvent Degreaser light aromatic naphtha 1,2,4, - trimethylbenzene nonylphenoxy poly(ethyleneoxy) ethanol MARION EXCAVATING CO., Inc. HAZARD COMMUNICATION PROGRAM EMPLOYEE VERIFICATION FORM Date:________________________ NAME:_____________________________________ (PRINT) Please check one : ( ) New Employee ( ) Additional information on a new chemical substance. This is to verify that Marion Excavating has given a copy of the Hazard Communication Program as a part of Employee Training. 37 ________________________________ Signature