Safety Audit Plan

8/12/2019 Safety Audit Plan

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ABB Lummus Global Inc.

FORM LGH SFOR - 6407-02.001

SAFETY PROGRAM AUDIT


CONTRACTOR NAME: AUDIT DATE:

CONSTRUCTION MANAGER: AUDITOR(S):

FINAL SCORE 0.00

AUDIT SCORE SUMMARY IMMINENT DANGER TO LIFE & HEALTH (IDLH)

MAXPOSSIBLE

ASSESSEDTOTAL

TOTALCOMPLIANCESCORE & %

COMPLIANCESTANDARDACHIEVED

A. IDLHInstances

=

ADMINISTRATIVE !"

#IELD EXECUTION $B. '"% Assesse*

S+,tta-.

HOUSE/EEPING "

IDLH POINTS (SUBTRACT)C. IDLH P0nts

(A X B)=

REPEATED DE#ICIENCIES(SUBTRACT)

TOTAL 12"

D. REPEAT DE#ICIENC3DEDUCTIONS

=

4 REPEATED DE#ICIENCIES . 5' MAX POSSIBLE

44 IDLH . '"% REDUCTION O# AUDIT SCORE

444 MINIMUM COMPLIANCE STANDARD . %

Construction HSE Revision 0 (04/04/14) Page 1 of 23


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SAFETY AUDIT

DETAILED AUDIT SCORE SUMMARYADMINISTRATION

SCORE SET STANDARD REDUCTION

SECTION SECTION NAMEMAXIMUMPOSSIBLE

ASSESSEDTOTAL

MINIMUMSTANDARD

MET / NOTMET

* REPEATDEFICIENCY

** IDLH

1 Occupational health & safety policy statement 14

2 Safety and medical ecod !eepin" pactices 1#

$ %me"ency pepaedness 1

4 'a(ad communications po"am 1)

) *onfined spaces 21

# +obile %,uipment 2

Inspection -ocedues 1

/ 0espiatoy potection 2

%nfocement and discipline #

1 %ducation and tainin" 12

11 -efomance indicatos 1

12 Accident incident in3esti"ation 1#

1$ *ontactos 1

14 +ana"ement Supe3ision 1

TOTALS 24)

4 REPEATED DE#ICIENCIES . 5' MAX POSSIBLE

44 IDLH . '"% REDUCTION O# TOTAL AUDIT SCORE



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SCORE PENALTY

MAXIMUMPOSSIBLE ACTUALSCORE * REPEATEDDEFICIENCY X! ** IDLH X! ASSESSORS COMMENTS

1 HEALTH " SAFETY POLICY STATEMENTA. -olicy Statement is in itin". 2

B. -olicy Statement dated. 2

*. 'ealth & Safety ob5ecti3es clealy stated. 2

6. 'ealth & Safety esponsibilities defined. 2

%. +ana"ement commitment is stated. 2

7. -osted fo all employees to ead. 2

G. All employees ae made aae of the policy content. 2

TOTAL 14

2 SAFETY " MEDICAL RECORD#EEPING

PRACTICES

A. In5uy statistics tabulated and utili(ed to identify positi3e ne"ati3etends.

2

B. 8he pe3ious yeas9 statistics ae a3ailable. 1

*. Occupational in5uy illness epot utili(ed. 2

6. Supe3isos9 in5uy illness in3esti"ation fom utili(ed. 2

%. 7ist Aid lo" utili(ed cuent accuate. 2

7. 0e,uied 7ist Aid supplies ae a3ailable stoed dispensed in anappo3ed manne.

2

G. -esciption medications ae a3ailable stoed dispensed ith

appo3al of medical docto.

1

'. -eson:s; administein" 7ist Aid ae tained and cetified. 2

I. %mployee e


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SCORE PENALTY


G. 0adios and othe communication items ae a3ailable. 2

'. -eiodic eme"ency e3acuation di lls ae conducted fo al l employees. 2

TOTAL 1

4 HA%ARD COMMUNICATION PROGRAMA. A itten po"am specific to the opeation is in place and complete

:i.e. tainin" labelin" +S6S e3ie desi"nated coodinato in3entoylistin" etc.;

$

B. 8ainin" is documented. 2

*. +S6S9s fo all mateials on site ae a3ailable. 2

6. *opies of on site contacto ha(com po"am based on esponses to,uestions.

2

%. %mployees ae !noled"eable of the ha(com po"am based onesponses to ,uestions.

2

7. >essels and mateial containes ae labeled as e,uied. 2

G. 'a(ad infomation postes si"ns ae displayed to infom employees. 2

TOTAL 1)

& CONFINED SPACES

A. A confined space enty pocedue hich meets e,uiements is inplace.

$

B. Li"htin" and electical tools used inside confined spaces ae 12 3olt oG7*I potected.

$

*. 0e,uied eme"ency e,uipment is a3ailable :i.e. body hanessS.*.B.A. fie e


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SCORE PENALTY


B. 6aily pe?opeational inspections ae pefomed on all e,uipment. 1

*. Annual cane e?cetification inspections ae pefomed. 2

6. +obile e,uipment accidents ae in3esti"ated and epoted. 2

%. Suspended o! bas!ets ae cetified as safe and utili(ed fopesonnel as e,uied.

$

7. Suspended o! bas!ets ae built accodin" to appo3ed desi"ns. $

G. Suspended o! bas!ets ae labeled as e,uied to sho ma


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SCORE PENALTY


*. 0espiatos used ae selected accodin" to the ha(ad pesent. 2

6. 0espiatoy potection tainin" is conducted. 2

%. 0ecods of tainin" medical e3aluation and fit testin" a3ailable andmeets e,uiements.

2

7. Beathin" ai fo supplied ai espiatos meet beathin" aie,uiements.

2

G. If a beathin" ai compesso is used it is e,uipped ith the folloin"E

1 A pope filtation system. 2

2 A cabon?mono


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SCORE PENALTY


11 PERFORMANCE INDICATORS

A. 8hee has not been a lost time in5uy in the o!place duin" the pastsi< months.

1

B. 8he yea?to?date ecodable in5uy fe,uency ate :0I70; case is at obelo the established "oal. Actual 86 HHHHHHH *uent Goal

HHHHHHHHH

4

*. *ontacto sub?contacto e


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SCORE PENALTY


14 MANAGEMENT / SUPERISION

A. Supe3ision has attended Safety Supe3isoy 8ainin" session. $

B. Supe3isos po3ide coecti3e action thou"h Safety >iolationFotification System.

$

*. Supe3ision is pesent duin" o! acti3ities. $

6. +ana"ement and supe3ision attend ee!ly Safety al!? thou"hs. 4

%. Supe3isoy e3ie C-SA9s. $

7. Safety discepancies ae coected pomptly. $

TOTAL

Construction HSE Revision 0 (04/04/14) Page of 23


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SAFETY AUDIT

DETAILED ASSESSMENT SCORE SUMMARYFIELD EXECUTION

SCORE SET STANDARD REDUCTION

SECTION SECTION NAMEMAXIMUMPOSSIBLE

ASSESSEDTOTAL

MINIMUMSTANDARD

MET / NOTMET

* REPEATDEFICIENCY

** IDLH

1 'ealth & 'y"iene 1$

2 o! Aea Li"htin" 11

$ -esonal -otecti3e %,uipment :-.-.%; #/

4 'and 8ools

) -ode Actuated 8ools 1/# -oe 8ools and -oe %,uipment 1

'ot o! :eldin" 'eatin" Bunin"; )4

/ %lectical 41

%,uipment Opeations114

1 %


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SCORE PENALTY

MAXIMUMPOSSIBLE

ACTUALSCORE

* REPREATEDDEFICIENCY X!

** IDLH X! ASSESSORS COMMENTS

the sti!in" end to pe3ent @mushoomin"@.

%. Cob made home made tools ae pohibited and none ee obse3ed. 2

TOTAL

& PO+DER ACTUATED TOOLS

A. %mployees usin" pode?actuated tools ha3e been tained andcetified.

2

B. *oect load sten"ths ae !non and used. $

*. Loads ae emo3ed hile the tool is stoed o left unattended. $

6. -ope -.-.%. is on by the tool opeato hile usin" the tool. -ope-.-.%. includes had hat face shield safety "lasses and heain"

potection.

$

%. 8he tool and all loads ae stoed in a loc!ed cabinet. $

7. 8he tool and all loads ae issued only to tained and cetifiedemployees.

2

G. 8he tool is inspected on a e"ula basis and ta""ed to sho that it hasbeen inspected.

2

TOTAL 1/

6 PO+ER TOOLS AND PO+ER E'UIPMENT

A. All poe tools ae inspected on a e"ula basis and ta""ed to shothat they ha3e been inspected.

$

B. 0e,uied safety "uads ae in place and functional. $

*. o! ests on bench " indes ae ad5usted ithin J@ of the heel. 2

6. heels on bench and stand "indes ae dessed as e,uied. 2

%. 6iscs on potable "indes ae compatible ith the e,uipment9sma


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SCORE PENALTY

MAXIMUMPOSSIBLE

ACTUALSCORE



*. eldin" sceens ae used aound all "ound o floo le3el ac eldin"opeations.

$

6. Ac eldin" is pefomed ith a e,uied electical "oundin". $

%. eldin" cables and "ound cables ae fee of dama"e and non?insulated connections.

$

7. eldin" cables and "ound cables ae inspected on a e"ula basisand ae ta""ed o colo coded to sho that they ha3e been inspected.

$

G. hee cables ae suspended o secued they ae done so by usin"non?conducti3e mateials.

2

'. *ables cods and hoses ae ele3ated o potected to pe3ent tippin"ha(ads.

2

I. *ompessed "as cylindes ae labeled as e,uied. 2

C. *ompessed "as cylindes ae stoed and capped as e,uied. $

D. 0e3ese flo o flash bac! aestos ae used on all o


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SCORE PENALTY

MAXIMUMPOSSIBLE

ACTUALSCORE



%. 8ests ae pefomed to detemine if cuent cayin" pats ae @'ot@ ode?ene"i(ed.

4

7. All line pats ae "uaded o potected a"ainst contact. 4

G. G7*I contolled outlets and panels ae labeled and tested. $

'. %lectical cods ae inspected and appo3ed fo the type of usa"e andae fee of bea!s in the insulation.

$

I. Outlets eceptacles 5unction bo


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SCORE PENALTY

MAXIMUMPOSSIBLE

ACTUALSCORE



All e,uipment opeatos ha3e a 3alid %,uipment Opeatos license. 2

/ Seat belts ae on by di3e and all passen"es in e,uipment po3idedith seat belts.

2

*. 'aula"e Opeations

1 %le3ated oads ae potected by bems ando "uad ails. 2

2 anin" si"ns ae posed at intesections steep "ades and blindcones as e,uied.

2

$ 8affic flo is e"ulated and enfoced. 2

4 Speed limits ae posted and obse3ed. .

) Only authoi(ed 3ehicles and e,uipment ae alloed on the haula"eoads.

2

# 0efuelin" maintenance acti3ities ae pefomed aay fom haula"e

oad taffic aeas. 'aula"e oads ae maintained in "ood condition. 2

/ Stom ate is channeled contolled to minimi(e haula"e oadha(ads.

2

6ust contol is implemented effecti3ely hen and hee e,uied. 2

6. 0i""in" %,uipment

1 Appo3ed i""in" pactices ae used. $

2 0i""in" e,uipment is maintained and fee of dama"e e


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SCORE PENALTY

MAXIMUMPOSSIBLE

ACTUALSCORE



$ *ontactos ae ma!in" outine e,uipment inspections and ecodin"esults on a monthly basis.

2

4 6efecti3e e,uipment has been emo3ed fom site fo epais. 2

G. +achine and %,uipment Guadin"

1 Guads aound pinch points otatin" e,uipment shafts pulleys beltdi3es and chain di3es ae "uaded to pe3ent accidental contact.

$

2 %,uipment "uads ae fimly attached and ae of a mateial o desi"nthat ill pe3ent contact by hands clothin" tools o mateial o anyothe accidental o!e contact.

$

$ hee otatin" e,uipment maintenance o! is pefomed themaintenance is pefomed ith all "uads in place. If the "uad:s;must be emo3ed the e,uipment is loc!ed out and ta""ed.

$

4 %me"ency stop cods ae installed on all con3eyo belt lines. 8he

eme"ency stop cods ae functional and tested on a peiodic basis.

2

) %mployees se3icin" o o!in" nea pinch points o otatin"e,uipment ae not eain" loose clothin" o any othe loose aticles.

$

TOTAL 114

10 EXCAATION AND TRENCHING

A. A Supe3iso is in cha"e of e


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SCORE PENALTY

MAXIMUMPOSSIBLE

ACTUALSCORE



A. 0e,uied access and e"ess po3ided. $

B. 0e,uied peimete cables ae used and appo3ed installationpocedues ae folloed.

4

*. all and floo openin"s ae "uaded o co3eed as e,uied. 4

6. %le3ated aeas ae fee of loose e


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SCORE PENALTY

MAXIMUMPOSSIBLE

ACTUALSCORE



an employees hee potential ha(ads e


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SCORE PENALTY

MAXIMUMPOSSIBLE

ACTUALSCORE



1 Ae in "ood condition. 2

2 Built and used in an appo3ed manne. $

$ Secued in an appo3ed manne and placed at the coect an"le. $

4 %


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SCORE PENALTY

MAXIMUMPOSSIBLE

ACTUALSCORE



4 %le3ated o! platfoms ae used in accodance ith manufactueecommendations.

$

a. Outi""es po3ided and used as e,uied. $

b. Gound contols opeational. $

c. Opeatos tained and cetified. $

d. 7all potection po3ided and used. 4

e. %mployees maintain both feet on the platfom and do not usee,uipment as a means of access e"ess and do not o!fom "uad ails.

$

TOTAL 1

16 CONCRETE CONCRETE FORMS SHORING

MASONRY

A. 0e,uied access and e"ess po3ided. $

B. All e


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SCORE PENALTY

MAXIMUM

POSSIBLE

ACTUAL

SCORE

* REPREATED

DEFICIENCY X!


1( HIGH-PRESSURE +ATER CLEANINGA. Opeatos ae eain" ain suits "lo3es face shields had hats

safety "lasses ith side shields ubbe steel toe boots o metatasal"uads.

$

B. Standby Opeato:s; is eain" had hat and safety "lasses ith sideshields.

$

*. Opeatos ae not alloin" any pat of thei body to be placed in font ofthe ate 5et.

4

6. Opeatos ae not handlin" hose ithin one foot of hone?to?hoseconnections.

4

%. Opeatos ae tained annually at a minimum. $

7. 'ose data such as manufactue9s symbol seial numbe o!in" andtest pessue and cetified atin" hich ill po3ide a safety facto of $to 1 a"ainst bust is ecoded and etained at the po5ect.

$

G. o! aea is baicaded at a minimum of 4.) metes and si"ns statin"@6AFG%0 ? 'IG' -0%SS0% A8%0 *L%AFIFG.@

$

'. %,uipment to be cleaned is dismantled isolated loc!ed and ta""ed ase,uied.

4

I. All 7ittin"s and components meet manufactue9s "uidelines. $

C. 0ecods of hi"h pessue ate cleanin" e,uipment inspection ae onfile.

1

D. Lance o mole ma!e # cm fom no((le end. $

L. Shot"uns ha3e a 2 mete shoud and ae a minimum of 1#) cm inlen"th.

$

+. Safety e,uipment has not been alteed o by?passed. $

TOTAL 4

1) COMMUNITY EXPOSURE

A. Si"ns ae posted to an of e,uipment and 3ehicle taffic. $

B. -edestian 3ehicle cossin" aeas ae ma!ed and po3ided heee,uied.

$

*. -emits ha3e been obtained fom the pope authoities to be"in o!outside constuction aeas.

$

TOTAL



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FORM - LGH SFOR - 6407-02.001


MAXIMUMPOSSIBLE

ACTUALSCORE

* REPREATEDDEFICIENCY

X!


1 HOUSE#EEPING

A. +ateial tools and e,uipment and tied stac!ed o cho!ed to pe3entollin" o fallin". $

B. -o3isions ha3e been made fo outin" tash collection and disposal.2

*. 8ash eceptacles ae po3ided in all o! aeas.2

6. Scap lumbe is fee of potudin" nails o othe punctue ha(ads.2

%. Glass containes ae pohibited none ee obse3ed.2

7. %lectical cods hoses eldin" leads etc. ae ele3ated to pe3ent

tippin" ha(ads. 4G. Butt cans hee used ae maintained fee of combustible mateial

and emptied outinely. $

'. 7loos ae clea of tools od ends and metal sha3in"s.4

I. Spilled li,uids ae cleaned immediately.$

C. +ateial on aehouse shel3in" is stoed safely and neatly.$

D. Bid"es and al!ays ae !ept clean fee of debis.$

L. 0oads ae clea of mateial debis.$

+. 0od stub buc!ets ae po3ided to eldes to stoe od ends.$

F. 8oilet facilities ae cleaned on a e"ula basis.$

O. Si"ns ae po3ided to encoua"e house!eepin".$

-. Officeclinics ae clean and tash emo3ed daily.$

K. %le3ated aeas ae maintained clea of debis mateial tools etc.hee such items could fall to aeas belo. 4

TOTAL)


Safety Audit Plan

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