Hosler Corp.
906 North Vine Street, Berwick, PA 18603
Ph. 570-861-0139 ∙ Fax 570-520-4630
D E S C R I P T I O N
Hosler Corp. is a locally-owned mechanical contractor that has established our reputation
as one of the most reliable firms. Since our founding in 2010, Hosler Corp. has earned
recognition throughout the industry. We started as a subcontractor on single, large scale,
sheet metal projects and have progressed into a prime contractor for multiple, concurrent,
full scope projects.
M I S S I O N S T A T E M E N T
Our mission is to be the preeminent mechanical contractor in the area by providing the
highest quality product at the best value while constantly improving the efficiency of
manufacturing and installation. We strive to add value for our clients through innovation,
integrity, and performance.
C A P A B I L I T I E S
Our installers and fabricators have decades of experience in a wide range of facility
types. From industrial building mechanical systems and custom machinery components to the
extra care needed for hospital ERs, Hosler Corp. has the expertise you require. We
specialize in sheet metal and piping installation, metal fabrication, refrigeration and in-
house 3D drawing with design capabilities. A Hosler Corp. developed mobile reporting,
parts ordering, and job tracking system increases our productivity and lowers costs. This
allows Hosler Corp. to be one of the most competitive companies in the industry.
E X E C U T I O N
Hosler Corp.’s approach is one of long-term efficiency. Our workforce is hand-selected
and trained in our methods and ideals. By focusing our efforts before we are on site, we
all but eliminate coordination issues, schedule delays and the need for trade stacking.
Concentrating on efficiency, we complete projects on time and at a better value.
F U T U R E
Hosler Corp. is continuously improving our production and installation process. We pride
ourselves on our forward thinking, technologically advanced attitude. Continual growth is
driving us to expand to better serve our customers.
Hosler Corp.
Page 2
W O R K I N G R E L A T I O N S H I P
Hosler Enterprise – Piping Subcontractor
The President of Hosler Enterprise, Philip Hosler, is the brother of Hosler Corp.’s President,
Douglas Hosler. Hosler Enterprise has successfully completed 10+ projects with Hosler Corp. as
a piping subcontractor and refrigeration specialist. Hosler Enterprise is also subcontracted to
Hosler Corp. for several projects currently under construction.
Accutech Testing – Testing, Adjusting, Balancing (TAB) Subcontractor
Accutech Testing has completed several projects with Hosler Corp. We also have several
projects in work that have not been completed with which Accutech Testing is subcontracted.
Carl E. Rinehimer Excavating
CER Excavating has been successfully used on several construction projects. CER also completed
the excavation and drainage piping for Hosler Corp.’s fabrication shop.
S E R V I C E A N D M A T E R I A L S
Hosler Corp. has been in the HVAC industry for over 7 years. We are experienced with
installing HVAC systems in commercial, industrial, and educational facilities. Hosler Corp. has
successfully installed Energy Recovery Units (ERU), Rooftop Units (RTU), Fan Coils (FCU), and
other similar equipment in several buildings. We have been the prime contractor on many
occasions and utilized many subcontractors to complete buildings on time and on budget.
O C C U P I E D F A C I L I T I E S
Hosler Corp. has successfully operated in facilities that were occupied. We completed HVAC
systems as lead prime contractor on two interstate rest areas that were open for a portion of
the construction. The rest areas required dust barriers for construction while occupied. At
Bloomsburg University, Hosler Corp. added HVAC in portions of the building while it was
occupied with faculty and students. We recently completed a renovation project for the
Federal Trade Commission in Washington D.C. while the building was in use. The FTC project
required care in installation and after hours work to mitigate noise.
L A Y D O W N A R E A A N D D E L I V E R I E S
Hosler Corp. has done several projects at sites with no space for lay down areas. Most
recently, we completed a 6-story residence building with 200,000 lbs. of ductwork at
Bloomsburg University with no on site storage. Deliveries were coordinated with the other
trades to utilize the construction elevator.
Hosler Corp.
Page 3
C O O R D I N A T I O N
Hosler Corp. has worked with other contractors as a lead prime, prime, and subcontractor. A
positive relationship between contractors has kept our projects on track so there are no delays.
We keep continual contact with other contractors to coordinate our work with theirs.
D G S E X P E R I E N C E
Hosler Corp. has worked with the Pennsylvania Department of General Services on two
occasions. The first was to replace air handlers in a DGS building in Harrisburg prior to E-
Builder. This project introduced us to the Administrative Procedures utilized by DGS. We
also became familiar with DGS’ scheduling requirements and successfully completed the
project per the schedule. The second project is in progress where we were introduced to E-
Builder and easily meeting schedule while following the AP’s.
4 - P I P E E X P E R I E N C E
Most recently, Hosler Corp. completed a project for DGS that replaced air handlers,
added VAVs and duct, and new piping for a 4-pipe HVAC system.
A I R Q U A L I T Y A N D T E M P E R A T U R E
Hosler Corp. has complied with air quality requirements on previous projects. We are
providing temporary heaters at another project currently under way to maintain temperature
as required to complete the construction.
B A C I N T E G R A T I O N
At a DGS facility, Hosler Corp. integrated new air handlers and VAVs into an existing BAC
System. At several projects at Bloomsburg University and Lock Haven University, we have
added equipment and/or entire buildings to existing campus-wide automation systems.
C O M M I S S I O N I N G
Hosler Corp. on several occasions has worked with commissioning agents to provide a
complete, documented HVAC system to the owner.
Hosler Corp.
Page 4
Key Personnel
Douglas V. Hosler, President
Douglas V. Hosler (Doug) has been in the mechanical business since 1997 and holds an active refrigerant
certification along with extensive shop and field expertise. Prior to starting Hosler Corp, Doug’s career
started as a laborer in HVAC. Moving quickly through to ranks to the position of Vice President. Doug
currently oversees all day-to-day operations of Hosler Corp. including being actively involved with
Project Management, Design, Bid Day Proposals, and Estimating. Doug is a hands-on manager who won’t
hesitate to foreman a crew, fabricate custom sheet metal projects, weld, or draw coordination drawings
all while running Hosler Corp. as its sole officer.
Justin Caspersen, Project Manager
After attending Pennsylvania State University for Mechanical Engineering, Justin started his career in
1998 as an entry level engineering designer. Recognized as a valuable asset by his previous employers,
Justin’s positions have included Management, Research and Development, IT, and Purchasing. Justin joined
Hosler Corp. as a draftsman. His immediate talents were evident, complementing and embracing Hosler
Corp.’s existing values and ideals. Justin’s background in management and IT has helped facilitate an
increase in productivity. As Project Manager, his duties include CADD, the submittal process, material
procurement, change orders, project close-out, and coordination with other trades and professionals.
Drawing from his IT experience, he has developed a web-based system to give on-site personnel
immediate access to information.
John Falatovich, Foreman (Superintendent)
Starting in 2000 in the mechanical field, John moved up to the position of foreman. He is universally
certified by the EPA for refrigerant and is a Wardflex and Gastite qualified installer. John has
experience as a foreman in hotels, nursing homes, apartment complexes, and restaurants. He has also
worked with geothermal systems and pool dehumidification.
Douglas V. Hosler
President
Olga Hosler
Controller
Justin Caspersen
Project Manager
Duane McHenry
Shop Foreman
John Falatovich
Foreman
Hosler Corp.
Page 5
Duane McHenry, Shop Foreman
Duane started in the mechanical business in 1998. During his career he has been involved with many
projects such as waste treatments plants, distribution centers, chiller plants, and schools. Prior to joining
Hosler Corp., Duane has served as Project Estimator, Coordinator, and installer. Owning and operating a
successful residential mechanical service business for several years added to Duane’s comprehensive
knowledge of the HVAC industry. He is EPA certified as well as Fujitsu and Nordyne factory trained.
Hosler Corp.
Page 6
C U R R E N T P R O J E C T S
Project Value Architect
Bloomsburg University
Columbia Hall
Bloomsburg, PA
$45,400 Greenman - Pedersen
County of Clinton
Clinton County Prison Refurbishment
McElwee, PA
$82,000 EADS Architects
Department of Conservation and
Natural Resources
Joint Park / Forestry Building
North Abington, PA
$140,200 LGA Partners
Department of General Services
Carbondale Readiness Center
Carbondale, PA
$357,400 Northeast Infrastructure, LLC
Juniata School District
Monroe Elementary School
Richfield, PA
$518,000 JPD Architects
Juniata School District
Fermanagh Elementary School
Mifflintown, PA
$594,000 JPD Architects
Misericordia College
Physicians Assistant Building
Dallas, PA
$464,000 Hemmler & Camayd
Municipality of Kingston
Rec. Center Chiller/Boiler Replacement
Kingston, PA
$190,192 Borton Lawson
Northumberland County
Northumberland County Jail
Coal Township, PA
$1,509,000 Buchart Horn
Hosler Corp.
Page 7
C O M P L E T E D P R O J E C T S
Project Value Architect
Benton Foundry
Cafeteria and Office Additions
Benton, PA
$129,000 Burkavage Design & Associates
Clarks Summit, PA
Berwick Area School District
Pool Upgrade
Berwick, PA
$453,763 Barry Isett & Associates, Inc.
Hazleton, PA
Bloomsburg Airport
Bloomsburg, PA
$29,525 Architect Central
Bloomsburg, PA
Bloomsburg University
Elwell Hall
Bloomsburg, PA
$390,000 RAL Architecture & Design
Lewisburg, PA
Bloomsburg University
Kehr Union Ballroom
Bloomsburg, PA
$24,500 The Palumbo Group
Scranton, PA
Bloomsburg University
Residence Hall and Bookstore
Bloomsburg, PA
$1,490,000 HKS, Inc.
Atlanta, GA
Bloomsburg University
Sutliff Hall
Bloomsburg, PA
$360,000 RAL Architecture & Design
Lewisburg, PA
Bloomsburg University
Vivarium Lab Upgrade
Bloomsburg, PA
$121,200 Martin & Rogers
Wilkes-Barre, PA
Central Columbia School District
High School
Bloomsburg, PA
$743,100 The Architectural Studio
Allentown, PA
Commonwealth Connections
Academy
Lehighton Teachers Center
Andreas, PA
$360,800 Crabtree Rohrbaugh & Associates
Mechanicsburg, PA
Danville Area School District
Middle School
Danville, PA
$171,000 LR Kimball
State College, PA
Hosler Corp.
Page 8
C O M P L E T E D P R O J E C T S C O N T ’ D
Project Value Architect
Dept. of General Services
State Office Building
Harrisburg, PA
$216,300 Gillan & Hartmann, Inc.
Mont Clare, PA
Federal Trade Commission
Forensic Lab Renovations
Washington, DC
$179,518 Design-build
Geisinger Health Systems
HFAM Operating Room
Danville, PA
$172,000 Ewing Cole
Philadelphia, PA
Geisinger Health Systems
Hughs Center
Danville, PA
$55,000 Martin & Rogers
Wilkes-Barre, PA
Geisinger Health Systems
Justin Drive Offices-Phase II
Danville, PA
$636,000 Hiller Albert Design Group
Milton, PA
Geisinger Health Systems
Radiology Reading Room
Danville, PA
$38,000 Martin & Rogers
Wilkes-Barre, PA
Geisinger Health Systems
Woodbine Lane
Danville, PA
$80,000 Martin & Rogers
Wilkes-Barre, PA
Golden Living Center
Mansion Renovations
Sunbury, PA
$109,125 J.F. Gayton III and Associates
Norvelt, PA
Jersey Shore School District
Elementary School
Jersey Shore, PA
$718,000 Crabtree Rohrbaugh & Associates
Mechanicsburg, PA
Lewisburg High School
Lewisburg, PA
$819,400 Crabtree Rohrbaugh & Associates
Mechanicsburg, PA
Lock Haven University
Parsons Union Building
Lock Haven, PA
$560,200 EwingCole
Philadelphia, PA
Hosler Corp.
Page 9
C O M P L E T E D P R O J E C T S C O N T ’ D
Project Value Architect
Midd-West School District
West Snyder Elementary
Beaver Springs, PA
$476,500 J.P.D. Architects, LLC
Lititz, PA
Montgomery Fire Dept.
Renovations to Carnival Grounds
Montgomery, PA
$26,700 Anthony H. Visco, Jr., Architects
Williamsport, PA
PennDOT
Rest Area 29
Snow Shoe, PA
$135,025 H.F. Lenz
PennDOT
Rest Area 30
Snow Shoe, PA
$128,282 H.F. Lenz
Philips
Reedsville Cafe
Reedsville, PA
$148,750 Structura
River Valley Transit
Trade and Transit II
Williamsport, PA
$728,200 LR Kimball
State College, PA
Sunbury Housing Authority
Scott Tower
Sunbury, PA
$133,400 B3 Architects
Union County
Day Reporting Center
Lewisburg, PA
$219,000 Hiller Architectural Group
Milton, PA
Wyalusing Area School District
L..I.F.E. Center
Wyalusing, PA
$99,400 LeFevre Wilk Architects, LLC
Selinsgrove, PA
Saturday, September 16, 2017
Attachment 1
Re: Jurisdictions
Hosler Corp. is licensed to do business in Pennsylvania.
Justin Caspersen
Hosler Corp.
Page 1 of 4
Saturday, September 16, 2017
Attachment 2
Re: Project Experience and References
Lock Haven University, Parsons Union Building, Lock Haven, PA
The Parsons Union Building project was a refurbishment of the University book store and common area.
Hosler Corp., as the HVAC prime contractor, was responsible for the demolition of two existing air
handlers, corresponding duct and piping, and original HVAC control system. We poured new concrete
pads with steel structural supports for two new 4-pipe air handlers. Hosler Corp. added eight new
variable air volume control boxes (VAVs) and new duct through the existing building and into the new
building addition. We added duct mounted hydronic reheat coils to existing duct systems and fin-tube
radiator throughout the building. The building’s existing pneumatic HVAC control system was
decommissioned and a new digital direct control system (DDC) was added and tied into the University’s
existing BAC system.
Contact:
J. Leonard Meckley, Jr., P.E.
Project Manager
Lock Haven University
95 West Fourth Street, Lock Haven, PA 17745
Phone: 570-484-2018
Fax: 570-484-2788
Cell: 570-850-1654
Original bid price:
$560,200
Final price:
$597,149
Hosler Corp. Responsible Amount:
$346,834
Original Completion Date:
August 19, 2016
Actual Completion Date:
September 26, 2016 (Change due to increased lead time for structural members, GC)
Performance Rating:
N/A
Page 2 of 4
Department of General Services, 22nd and Forster Street Office, Harrisburg, PA
This project was to replace two air handlers. Hosler Corp., as the lead prime contractor, was responsible
for the demolition of two existing air handlers, corresponding duct and piping, and original HVAC
control system. We extended the existing concrete equipment pads for the two new air handlers. Hosler
Corp. developed and maintained the DGS approved schedule. We added fourteen new VAVs and
ductwork tied into the existing duct system. New HVAC equipment controls were added and tied into
the building’s existing BAC system.
Contact:
Ronald Lyter
Construction Project Manager
Department of General Services
Room 321 Arsenal Building/18th and Herr Streets, Harrisburg, PA 17125
Phone: 717-787-7356
Fax: 717-772-4730
Original bid price:
$216,300
Final price:
$223,993
Hosler Corp. Responsible Amount:
$117,050
Original Completion Date:
April 20, 2016
Actual Completion Date:
May 23, 2016 (Change due to Owner’s request to delay removing building heat and mechanical
equipment lead time)
Performance Rating:
N/A
Page 3 of 4
Sunbury Housing Authority, Scott Tower, Sunbury, PA
The Scott Tower project was an air handler replacement. Hosler Corp., as the only prime contractor, was
responsible for the demolition of two existing air handlers, corresponding duct and piping, and original
HVAC control system. We constructed new steel structural supports for two new air handlers. Hosler
Corp. subcontracted a replacement of the electrical supplying the new air handlers. We added a duct
mounted electric reheat coil to existing duct system. The existing air handler controls were removed and
a new stand-alone control system was added.
Contact:
Sandra Ressler
Executive Director
Sunbury Housing Authority
705 Market Street, Sunbury, PA 17801
Phone: 570-286-8563
Fax: 570-286-2745
Original bid price:
$133,400
Final price:
$133,400
Hosler Corp. Responsible Amount:
$70,950
Original Completion Date:
April 17, 2017
Actual Completion Date:
July 16, 2017 (Change due to Owners request to delay removing existing heat)
Performance Rating:
N/A
Page 4 of 4
Bloomsburg University, New Residence Hall and Bookstore, Bloomsburg, PA
This project was to construct and 6 story dormitory building with a ground floor book store. Hosler
Corp., as a sheet metal subcontractor, was responsible for fabrication and installation of the sheet metal
duct, creating coordination drawings, and installing HVAC equipment. Hosler Corp. was able to
complete the project in accordance with the tight schedule.
Contact:
Craig Hosler
President
Benell, Inc.
3171 Columbia Boulevard, Unit B
Bloomsburg, PA 17815
Phone: (570) 784-0805
Fax: (570) 784-0303
Cell: (570) 380-9710
Original bid price:
$1,510,550
Final price:
$1,566,345
Hosler Corp. Responsible Amount:
$1,566,345
Original Completion Date:
June 15, 2017
Actual Completion Date:
June 15, 2017
Performance Rating:
N/A
Saturday, September 16, 2017
Attachment 3
Re: EMR
Our elevated EMR was caused by an injury due to a fall by an employee missing the last step
while climbing down a ladder in 2012. The employee thought he was stepping onto the floor, but was
one rung up the ladder. When he stepped back, he lost balance and ended up falling on his side. His tape
measure was attached to his belt and he landed on it, breaking his hip. This matter was taken very
seriously by the company. That the employee was the father of the owner of Hosler Corp. only added to
the effort to prevent any future accidents. This has been the only major incident since Hosler Corp.’s
founding in 2010.
Since this accident, Hosler Corp. has taken steps to inform and train our employees of possible
jobsite dangers. We have created and implemented a comprehensive Safety & Health Plan. Our weekly
jobsite meetings include safety as a key discussion point. Our employees have access and are required to
use all applicable personal protection equipment.
The only other minor incident was an employee cutting his finger on a sheet metal shear in 2015.
This incident did not result in any serious injury or lost days.
Justin Caspersen
Hosler Corp.
PA EXPERIENCE RATING MODIFICATION
File Number: 3285114 County: COLUMBIA
Experience Mod: 1.000 Address: 218 FOUNDRYVILLE RD
XREF: BERWICK PA 18603
Issue Date: 02/10/2017 Effective Term: 05/21/2017 - 05/21/2018
Card Number: 1
Governing Class Code: 0664
Employer Name: HOSLER CORP
Modification History Effective Date1.625 05/21/2016
1.563 05/21/2015
1.250 05/21/2014
Governing Class Code Rating Value Description664 3.12 HEATING OR VENTILATING
951 .24 SALESPERSON - OUTSIDE
953 .11 OFFICE
Year
City State
(A) (B) (C) (D) (E) (F)
(M)
(G) (H) (I) (J) (K) (L) (1) (2) (3) (4) (5) (6)
Page totals 0 0 0 0 0 0 0 0 0 0 0 0
Page 1 of 1 (1) (2) (3) (4) (5) (6)
All
oth
er
illn
esse
s
Away
From
Work
(days)
All
oth
er
illn
esse
s
Skin
Dis
ord
er
Skin
Dis
ord
er
Be sure to transfer these totals to the Summary page (Form 300A) before you post it.
Hosler Corp.
Pennsylvania
Date of
injury or
onset of
illness
He
ari
ng
Lo
ss
Classify the case
Days away
from workRemained at work
Case
No.
Where the event occurred (e.g.
Loading dock north end)
(mo./day)
Attention: This form contains information relating
to employee health and must be used in a manner
that protects the confidentiality of employees to the
extent possible while the information is being used
for occupational safety and health purposes. U.S. Department of Labor
You must record information about every work-related injury or illness that involves loss of consciousness, restricted work activity or job transfer, days away from work, or medical treatment
beyond first aid. You must also record significant work-related injuries and illnesses that are diagnosed by a physician or licensed health care professional. You must also record work-related
injuries and illnesses that meet any of the specific recording criteria listed in 29 CFR 1904.8 through 1904.12. Feel free to use two lines for a single case if you need to. You must complete an
injury and illness incident report (OSHA Form 301) or equivalent form for each injury or illness recorded on this form. If you're not sure whether a case is recordable, call your local OSHA office
for help.
Job Title (e.g.,
Welder)
Describe injury or illness, parts of body affected,
and object/substance that directly injured or
made person ill (e.g. Second degree burns on
right forearm from acetylene torch)
Form approved OMB no. 1218-0176
Berwick
Establishment name
CHECK ONLY ONE box for each case based on
the most serious outcome for that case:
Enter the number of
days the injured or ill
worker was:
Check the "injury" column or choose one type
of illness:
2014
Po
iso
nin
gP
ois
on
ing
He
ari
ng
Lo
ss
Inju
ry
Other record-
able cases
Re
sp
ira
tory
Co
nd
itio
n
Re
sp
ira
tory
Co
nd
itio
n
On job
transfer or
restriction
(days)Job transfer
or restriction
OSHA's Form 300 (Rev. 01/2004)
Public reporting burden for this collection of information is estimated to average 14 minutes per response, including time
to review the instruction, search and gather the data needed, and complete and review the collection of information.
Persons are not required to respond to the collection of information unless it displays a currently valid OMB control
number. If you have any comments about these estimates or any aspects of this data collection, contact: US
Department of Labor, OSHA Office of Statistics, Room N-3644, 200 Constitution Ave, NW, Washington, DC 20210. Do
not send the completed forms to this office.
Log of Work-Related Injuries and Illnesses
Employee's Name
Identify the person Describe the case
Occupational Safety and Health Administration
Inju
ry
Death
Year 2014
Street
City Zip 18603
0 0 0 0
(G) (H) (I) (J) OR
2 3 8 2 2 0
0 0(K) (L)
Total number of… Knowingly falsifying this document may result in a fine.
(M)
(1) Injury 0 (4) Poisoning 0
(2) Skin Disorder 0 (5) Hearing Loss 0
(3) Respiratory
Condition 0 (6) All Other Illnesses 0
Sign here
State
Employment information
Total number of
days away from
work
Total number of days of
job transfer or restriction
Public reporting burden for this collection of information is estimated to average 58 minutes per response, including time to review the instruction, search and gather
the data needed, and complete and review the collection of information. Persons are not required to respond to the collection of information unless it displays a
currently valid OMB control number. If you have any comments about these estimates or any aspects of this data collection, contact: US Department of Labor,
OSHA Office of Statistics, Room N-3644, 200 Constitution Ave, NW, Washington, DC 20210. Do not send the completed forms to this office.
Injury and Illness Types
Phone
Company executive
I certify that I have examined this document and that to the best of my knowledge the entries are true, accurate, and
complete.
570-861-0139
Douglas V. Hosler
U.S. Department of Labor
OSHA's Form 300A (Rev. 01/2004)
Summary of Work-Related Injuries and IllnessesOccupational Safety and Health Administration
Industry description (e.g., Manufacture of motor truck trailers)
Post this Summary page from February 1 to April 30 of the year following the year covered by the form
All establishments covered by Part 1904 must complete this Summary page, even if no injuries or illnesses
occurred during the year. Remember to review the Log to verify that the entries are complete and accurate
Using the Log, count the individual entries you made for each category. Then write the totals below,
making sure you've added the entries from every page of the log. If you had no cases write "0."
Employees former employees, and their representatives have the right to review the OSHA Form 300 in its
entirety. They also have limited access to the OSHA Form 301 or its equivalent. See 29 CFR 1904.35, in
OSHA's Recordkeeping rule, for further details on the access provisions for these forms.
Total number of
cases with days
away from work
Total number of cases
with job transfer or
restriction
10,590
Hosler Corp.
Form approved OMB no. 1218-0176
Title
Date
President
2/22/2015
HVAC Contractor
Establishment information
Total number of
deaths
Number of CasesBerwick
Your establishment name
125 East 6th Street
Pennsylvania
Total number of
other recordable
cases
Number of Days
Total hours worked by all employees last
year
Standard Industrial Classification (SIC), if known (e.g., SIC 3715)
Annual average number of employees
North American Industrial Classification (NAICS), if known (e.g., 336212)
10
Year
City State
(A) (B) (C) (D) (E) (F)
(M)
(G) (H) (I) (J) (K) (L) (1) (2) (3) (4) (5) (6)
1 Paul Celona Laborer Jump shear Finger cut due to operating without guard x
Page totals 0 0 0 0 0 0 1 0 0 0 0 0
Page 1 of 1 (1) (2) (3) (4) (5) (6)
All
oth
er
illn
esse
s
Away
From
Work
(days)
All
oth
er
illn
esse
s
Skin
Dis
ord
er
Skin
Dis
ord
er
Be sure to transfer these totals to the Summary page (Form 300A) before you post it.
Hosler Corp.
Pennsylvania
Date of
injury or
onset of
illness
He
ari
ng
Lo
ss
Classify the case
Days away
from workRemained at work
Case
No.
Where the event occurred (e.g.
Loading dock north end)
(mo./day)
Attention: This form contains information relating
to employee health and must be used in a manner
that protects the confidentiality of employees to the
extent possible while the information is being used
for occupational safety and health purposes. U.S. Department of Labor
You must record information about every work-related injury or illness that involves loss of consciousness, restricted work activity or job transfer, days away from work, or medical treatment
beyond first aid. You must also record significant work-related injuries and illnesses that are diagnosed by a physician or licensed health care professional. You must also record work-related
injuries and illnesses that meet any of the specific recording criteria listed in 29 CFR 1904.8 through 1904.12. Feel free to use two lines for a single case if you need to. You must complete an
injury and illness incident report (OSHA Form 301) or equivalent form for each injury or illness recorded on this form. If you're not sure whether a case is recordable, call your local OSHA office
for help.
Job Title (e.g.,
Welder)
Describe injury or illness, parts of body affected,
and object/substance that directly injured or
made person ill (e.g. Second degree burns on
right forearm from acetylene torch)
Form approved OMB no. 1218-0176
Berwick
Establishment name
CHECK ONLY ONE box for each case based on
the most serious outcome for that case:
Enter the number of
days the injured or ill
worker was:
Check the "injury" column or choose one type
of illness:
2015
Po
iso
nin
gP
ois
on
ing
He
ari
ng
Lo
ss
Inju
ry
Other record-
able cases
Re
sp
ira
tory
Co
nd
itio
n
Re
sp
ira
tory
Co
nd
itio
n
On job
transfer or
restriction
(days)Job transfer
or restriction
OSHA's Form 300 (Rev. 01/2004)
Public reporting burden for this collection of information is estimated to average 14 minutes per response, including time
to review the instruction, search and gather the data needed, and complete and review the collection of information.
Persons are not required to respond to the collection of information unless it displays a currently valid OMB control
number. If you have any comments about these estimates or any aspects of this data collection, contact: US
Department of Labor, OSHA Office of Statistics, Room N-3644, 200 Constitution Ave, NW, Washington, DC 20210. Do
not send the completed forms to this office.
Log of Work-Related Injuries and Illnesses
Employee's Name
Identify the person Describe the case
Occupational Safety and Health Administration
Inju
ry
Death
Year 2015
Street
City Zip 18603
0 0 0 0
(G) (H) (I) (J) OR
2 3 8 2 2 0
0 0(K) (L)
Total number of… Knowingly falsifying this document may result in a fine.
(M)
(1) Injury 1 (4) Poisoning 0
(2) Skin Disorder 0 (5) Hearing Loss 0
(3) Respiratory
Condition 0 (6) All Other Illnesses 0
Sign here
State
Employment information
Total number of
days away from
work
Total number of days of
job transfer or restriction
Public reporting burden for this collection of information is estimated to average 58 minutes per response, including time to review the instruction, search and gather
the data needed, and complete and review the collection of information. Persons are not required to respond to the collection of information unless it displays a
currently valid OMB control number. If you have any comments about these estimates or any aspects of this data collection, contact: US Department of Labor,
OSHA Office of Statistics, Room N-3644, 200 Constitution Ave, NW, Washington, DC 20210. Do not send the completed forms to this office.
Injury and Illness Types
Phone
Company executive
I certify that I have examined this document and that to the best of my knowledge the entries are true, accurate, and
complete.
570-861-0139
Douglas V. Hosler
U.S. Department of Labor
OSHA's Form 300A (Rev. 01/2004)
Summary of Work-Related Injuries and IllnessesOccupational Safety and Health Administration
Industry description (e.g., Manufacture of motor truck trailers)
Post this Summary page from February 1 to April 30 of the year following the year covered by the form
All establishments covered by Part 1904 must complete this Summary page, even if no injuries or illnesses
occurred during the year. Remember to review the Log to verify that the entries are complete and accurate
Using the Log, count the individual entries you made for each category. Then write the totals below,
making sure you've added the entries from every page of the log. If you had no cases write "0."
Employees former employees, and their representatives have the right to review the OSHA Form 300 in its
entirety. They also have limited access to the OSHA Form 301 or its equivalent. See 29 CFR 1904.35, in
OSHA's Recordkeeping rule, for further details on the access provisions for these forms.
Total number of
cases with days
away from work
Total number of cases
with job transfer or
restriction
14,615
Hosler Corp.
Form approved OMB no. 1218-0176
Title
Date
President
3/8/2016
HVAC Contractor
Establishment information
Total number of
deaths
Number of CasesBerwick
Your establishment name
125 East 6th Street
Pennsylvania
Total number of
other recordable
cases
Number of Days
Total hours worked by all employees last
year
Standard Industrial Classification (SIC), if known (e.g., SIC 3715)
Annual average number of employees
North American Industrial Classification (NAICS), if known (e.g., 336212)
13
Year
City State
(A) (B) (C) (D) (E) (F)
(M)
(G) (H) (I) (J) (K) (L) (1) (2) (3) (4) (5) (6)
Page totals 0 0 0 0 0 0 0 0 0 0 0 0
Page 1 of 1 (1) (2) (3) (4) (5) (6)
OSHA's Form 300 (Rev. 01/2004)
Public reporting burden for this collection of information is estimated to average 14 minutes per response, including time
to review the instruction, search and gather the data needed, and complete and review the collection of information.
Persons are not required to respond to the collection of information unless it displays a currently valid OMB control
number. If you have any comments about these estimates or any aspects of this data collection, contact: US
Department of Labor, OSHA Office of Statistics, Room N-3644, 200 Constitution Ave, NW, Washington, DC 20210. Do
not send the completed forms to this office.
Log of Work-Related Injuries and Illnesses
Employee's Name
Identify the person Describe the case
2016
Po
iso
nin
gP
ois
on
ing
He
ari
ng
Lo
ss
Inju
ry
Other record-
able cases
Re
sp
ira
tory
Co
nd
itio
n
Re
sp
ira
tory
Co
nd
itio
n
On job
transfer or
restriction
(days)Job transfer
or restriction
Occupational Safety and Health Administration
Inju
ry
Death(mo./day)
Attention: This form contains information relating
to employee health and must be used in a manner
that protects the confidentiality of employees to the
extent possible while the information is being used
for occupational safety and health purposes. U.S. Department of Labor
You must record information about every work-related injury or illness that involves loss of consciousness, restricted work activity or job transfer, days away from work, or medical treatment
beyond first aid. You must also record significant work-related injuries and illnesses that are diagnosed by a physician or licensed health care professional. You must also record work-related
injuries and illnesses that meet any of the specific recording criteria listed in 29 CFR 1904.8 through 1904.12. Feel free to use two lines for a single case if you need to. You must complete an
injury and illness incident report (OSHA Form 301) or equivalent form for each injury or illness recorded on this form. If you're not sure whether a case is recordable, call your local OSHA office
for help.
Job Title (e.g.,
Welder)
Describe injury or illness, parts of body affected,
and object/substance that directly injured or
made person ill (e.g. Second degree burns on
right forearm from acetylene torch)
Form approved OMB no. 1218-0176
Berwick
Establishment name
CHECK ONLY ONE box for each case based on
the most serious outcome for that case:
Enter the number of
days the injured or ill
worker was:
Check the "injury" column or choose one type
of illness:Date of
injury or
onset of
illness
He
ari
ng
Lo
ss
Classify the case
Days away
from workRemained at work
Case
No.
Where the event occurred (e.g.
Loading dock north end)
All
oth
er
illn
esse
s
Away
From
Work
(days)
All
oth
er
illn
esse
s
Skin
Dis
ord
er
Skin
Dis
ord
er
Be sure to transfer these totals to the Summary page (Form 300A) before you post it.
Hosler Corp.
Pennsylvania
Year 2016
Street
City Zip 18603
0 0 0 0
(G) (H) (I) (J) OR
2 3 8 2 2 0
0 0(K) (L)
Total number of… Knowingly falsifying this document may result in a fine.
(M)
(1) Injury 0 (4) Poisoning 0
(2) Skin Disorder 0 (5) Hearing Loss 0
(3) Respiratory
Condition 0 (6) All Other Illnesses 0
Berwick
Your establishment name
125 East 6th Street
Pennsylvania
Total number of
other recordable
cases
Number of Days
Total hours worked by all employees last
year
Standard Industrial Classification (SIC), if known (e.g., SIC 3715)
Annual average number of employees
North American Industrial Classification (NAICS), if known (e.g., 336212)
13
14,615
Hosler Corp.
Form approved OMB no. 1218-0176
Title
Date
President
3/6/2017
HVAC Contractor
Establishment information
Total number of
deaths
Number of Cases
570-861-0139
Douglas V. Hosler
U.S. Department of Labor
OSHA's Form 300A (Rev. 01/2004)
Summary of Work-Related Injuries and IllnessesOccupational Safety and Health Administration
Total number of
days away from
work
Total number of days of
job transfer or restriction
Public reporting burden for this collection of information is estimated to average 58 minutes per response, including time to review the instruction, search and gather
the data needed, and complete and review the collection of information. Persons are not required to respond to the collection of information unless it displays a
currently valid OMB control number. If you have any comments about these estimates or any aspects of this data collection, contact: US Department of Labor,
OSHA Office of Statistics, Room N-3644, 200 Constitution Ave, NW, Washington, DC 20210. Do not send the completed forms to this office.
Injury and Illness Types
Phone
Company executive
I certify that I have examined this document and that to the best of my knowledge the entries are true, accurate, and
complete.
Industry description (e.g., Manufacture of motor truck trailers)
Post this Summary page from February 1 to April 30 of the year following the year covered by the form
All establishments covered by Part 1904 must complete this Summary page, even if no injuries or illnesses
occurred during the year. Remember to review the Log to verify that the entries are complete and accurate
Using the Log, count the individual entries you made for each category. Then write the totals below,
making sure you've added the entries from every page of the log. If you had no cases write "0."
Employees former employees, and their representatives have the right to review the OSHA Form 300 in its
entirety. They also have limited access to the OSHA Form 301 or its equivalent. See 29 CFR 1904.35, in
OSHA's Recordkeeping rule, for further details on the access provisions for these forms.
Total number of
cases with days
away from work
Total number of cases
with job transfer or
restriction
Sign here
State
Employment information
Saturday, September 16, 2017
Attachment 4
Re: Health and Safety Citations
Hosler Corp. has not received any health or safety citations in the past 3 years.
Justin Caspersen
Hosler Corp.
Saturday, September 16, 2017
Attachment 5
Re: Qualification
Hosler Corp. was denied prequalification from Pennsylvania State University due to an EMR
higher than they allowed.
Justin Caspersen
Hosler Corp.
APPENDIX C
PRIME CONTRACTOR
QUALIFICATION STATEMENT
COVER SHEET
DGS Project Name ________________________________________________________
DGS Project Number ______________________________________________________
Check One:
__Corporation,
__Partnership,
__Individual,
__Joint Venture,
__Other ________________
Name of Firm ____________________________________________________________
Address_________________________________________________________________
Principal Office ___________________________________________________________
Owner or Authorized Representative __________________________________________
Renovate and Expand PennDOT District 4-0 Office
251-64 Phase 1
X
Hosler Corp.
906 North Vine Street, Berwick, PA 18603
906 North Vine Street, Berwick, PA 18603Douglas V. Hosler
SECTION 1 – INFORMATION ON FIRM
1.1 Background Information
a) How many years has the firm been in business? ________________________________
b) How many years has the firm been doing business in proposed contract field? ________
Under what former names has the firm conducted business? _____________________________________________________________________________________________________________________________________________________________________________________________________________________
c) Provide an Attachment 1 to this Qualifications Statement identifying all jurisdictions in which the firm is licensed or otherwise qualified to do business. List and provide copies of any business or trade licenses, certificates or registrations (to the extent that they apply to the Contract Work) held by the firm.
d) If the firm is a corporation, provide the following information:
Date of incorporation______________________________________________________
State of incorporation______________________________________________________
President’s name_________________________________________________________
Vice President’s name(s)___________________________________________________
Secretary’s name_________________________________________________________
Treasurer’s name_________________________________________________________
e) If the firm is a partnership, provide the following information:
Date of formation_________________________________________________________
Type of partnership_______________________________________________________
Names of partners________________________________________________________
f) If the firm is individually owned, provide the following information:
Date of formation_________________________________________________________
Name of owner___________________________________________________________
g) If the form of the firm is other than those listed above, describe it and name the principals: _______________________________________________________________________
_______________________________________________________________________
7 years
7 years
N/A
April 15, 2010
Pennsylvania
Douglas V. Hosler
Douglas V. HoslerDouglas V. Hosler
Douglas V. Hosler
N/A
N/A
N/A
SECTION 2 - EXPERIENCE AND PERFORMANCE
2.1 General
a) Provide the annual construction volume in dollars completed by the firm in the past three years:
Year _____ $_______________
Year _____ $_______________
Year _____ $_______________
b) Identify the percentage of work on similar projects the firm typically performs with its own work force _____
c) List the categories of work that the firm normally performs with its own forces on similar projects.
2.2 Project Experience and References
Submit as Attachment 2 to this Qualifications Statement:
a) Suggested number of Sheets/Pages:
▪ 3 sheets/(6 pages)
Three (3) detailed project descriptions for relevant projects that are similar in size and scope to the Contract Work. The project descriptions shall include, at a minimum, the following information presented in the order listed below:
i. Name of project, type of project and location
ii. Description of the project and relevance of work to the Contract Work
iii. Contact information for an owner representative familiar with the firm’s work performed on this project. Include name, address, telephone number(s) and e-mail address.
iv. The original bid/proposal price and the final contract price. If the project is ongoing, project the final price and relation to proposal price. Contract value for which the firm was/is responsible.
v. The original date for project completion and the actual completion date. If the project is ongoing, project the completion date and relation to original schedule.
vi. As available, performance ratings of the work evaluated by owner or owner’s representative.
2.3 Contractor Safety Record
Submit as Attachment 3 to this Qualifications Statement the information specified herein and verify this information by providing copies of OSHA 300/200 Forms or appropriate documentation from insurance carriers, as applicable. The firm may submit written explanations to comment on or clarify its safety record.
a) Provide the firm’s Workers Compensation Experience Modification Rating for the past three years, beginning with the most recent year available:
Year 1: __________ __________
2016 3,068,169
2015 1,937,810
2014 1,879,718
50%
Ductwork fabrication and install, demolition, equipment installation
2017 1.000
b)
c)
d)
SECTION 3 - REQUIRED DISCLOSURES
The firm shall answer the following questions with regard to the past three (3) years. If any question is answered in the affirmative, the firm shall submit in an Attachment 5 to this Qualifications Statement, for each affirmative answer, a written explanation which shall provide details concerning the matter in question, including applicable dates, locations, names of projects/project owners and current status of any such matter.
3.1 Is the firm currently debarred or suspended from doing business with any federal, state or local government agency or private entity?
Yes ___ No ___
3.2 Has the firm ever been debarred or suspended from doing business with any federal, state or local government agency or private entity?
Yes ___ No ___
3.3 Is the firm currently or has the firm been otherwise prohibited from doing business with any federal, state or local government agency or private entity?
Yes ___ No ___
3.4 Has the firm been denied prequalification (not including short listing), declared non-responsible, or otherwise declared ineligible to submit bids or proposals for work by any federal, state or local government agency or private entity?
Yes ___ No ___
3.5 Has the firm defaulted, been terminated for cause or otherwise failed to complete any project that it was awarded?
Year 2: 2016 1.625__________ __________
Year 3: 2015 1.563__________ __________
Provide the firm’s Total Lost Workday Incidence Rate (LWDIR) for the past three years, beginning with the most recent year available:
2016 0Year 1: __________ __________
Year 2: 2015 0__________ __________
Year 3: 2014 0__________ __________
*LWDIR Rate = Number of Lost Time Injuries & Illnesses x 200,000 ÷ Total Hours Worked
Provide the firm’s Recordable Incidence Rate (RIR) for the past three years:
Year 1: 2016 0__________ __________
Year 2: 2015 13.68__________ __________
Year 3: 2014 0__________ __________
*RIR Rate = Number of Injuries x 200,000 ÷ Total Hours Worked
Provide in an Attachment 4 to this Qualifications Statement a list of any health or safety citations issued by federal or state agencies for serious or willful violations issued in the past 3 years. Include a separate statement for any such violations and include the citation number, a brief description of the violation and the amount of penalty, if any, for each violation and current status of violation.
N/A
X
X
X
X
Yes ___ No ___
3.6 Has the firm been assessed or required to pay liquidated damages in connection with work performed on any project?
Yes ___ No ___
3.7 Has the firm had any business or professional license, registration, certificate or certification suspended or revoked?
Yes ___ No ___
3.8 Have any liens been filed against the firm as a result of its failure to pay subcontractors, suppliers, or workers?
Yes ___ No ___
3.9 Has the firm been denied bonding or insurance coverage or been discontinued by a surety or insurance company?
Yes ___ No ___
3.10 Has the firm been found in violation of any laws, including but not limited to contracting or antitrust laws, tax or licensing laws, labor or employment laws or environmental laws by a final decision of a court or government agency?
Yes ___ No ___
*Note: information regarding health and safety violations is addressed in a previous section.
3.11 Has the firm or its owners, officers, directors or managers been the subject of any criminal indictment or criminal investigation concerning any aspect of the firm’s business?
Yes ___ No ___
3.12 Has the firm been the subject to any bankruptcy proceeding?
Yes ___ No ___
SECTION 4 - REQUIRED REPRESENTATIONS In submitting this Qualifications Statement, along with the representations and authorizations listed on the Proposal Signature page and in Section 1.24, the firm also makes the following representations, which it understands are required as a condition of performing the Contract Work and receiving payment for same. 4.1 The firm will possess all applicable professional, business and trade licenses required for
performing the Contract Work. 4.2 The firm satisfies all bonding and insurance requirements as stipulated in the solicitation for
the Contract Work. 4.3 The firm and all subcontractors it employs in execution of the Contract Work shall be in full
compliance with the Commonwealth’s requirements for workers’ compensation insurance according to all applicable laws, and unemployment insurance according to all applicable laws.
X
X
X
X
X
X
X
X
4.4 The firm and all subcontractors it employs in execution of the Contract Work shall be in full compliance with all requirements of the Commonwealth’s prevailing wage law and Public Works Employment Verification Act.
4.5 If awarded the Contract Work, the firm represents that it will not exceed its current bonding
limitations when the Contract Work is combined with the total aggregate amount of all unfinished work for which the Contractor is responsible.
4.6 The firm represents that it has no conflicts of interests with the Commonwealth of
Pennsylvania and, if awarded the Contract Work, any potential conflicts of interest that may arise in the future will be disclosed immediately to the Department of General Services.
4.7 The firm represents the price offered in connection with its proposal for the Contract Work
was arrived at independently without consultation, communication or agreement with any other Proposer or competitor.
4.8 The firm will ensure that employees and applicants for employment are not discriminated
against because of their race, color, religion, sex or national origin.
APPENDIX C
PRIME CONTRACTOR
QUALIFICATION STATEMENT
COVER SHEET
DGS Project Name ________________________________________________________
DGS Project Number ______________________________________________________
Check One:
__Corporation,
__Partnership,
__Individual,
__Joint Venture,
__Other ________________
Name of Firm ____________________________________________________________
Address_________________________________________________________________
Principal Office ___________________________________________________________
Owner or Authorized Representative ____________________ _____________________
Renovate and Expand PennDOT District 4-0 Office
251-64 Phase 1
X
Nexgen Automation, Inc.4501 Chambers Hill Road Harrisburg, PA 171114501 Chambers Hill Road Harrisburg, PA 17111
Stephen Keefer
SECTION 1 – INFORMATION ON FIRM
1.1 Background Information
a) How many years has the firm been in business? ________________________________
b) How many years has the firm been doing business in proposed contract field? ________
Under what former names has the firm conducted business? _____________________________________________________________________________________________________________________________________________________________________________________________________________________
c) Provide an Attachment 1 to this Qualifications Statement identifying all jurisdictions in which the firm is licensed or otherwise qualified to do business. List and provide copies of any business or trade licenses, certificates or registrations (to the extent that they apply to the Contract Work) held by the firm.
d) If the firm is a corporation, provide the following information:
Date of incorporation___________________________________________________
State of incorporation______________________________________________________
President’s name_________________________________________________________
Vice President’s name(s)___________________________________________________
Secretary’s name_________________________________________________________
Treasurer’s name_________________________________________________________
e) If the firm is a partnership, provide the following information:
Date of formation_________________________________________________________
Type of partnership_______________________________________________________
Names of partners________________________________________________________
f) If the firm is individually owned, provide the following information:
Date of formation_________________________________________________________
Name of owner___________________________________________________________
g) If the form of the firm is other than those listed above, describe it and name the principals: _______________________________________________________________________
_______________________________________________________________________
1 Year
1 Year
N/A
November 1, 2016Pennsylvania
Douglas MarksTimothy WintersStephen KeeferDonald Eisenhauer
N/A
N/A
N/A
SECTION 2 - EXPERIENCE AND PERFORMANCE
2.1 General
a) Provide the annual construction volume in dollars completed by the firm in the past three years:
Year _____ $_______
Year _____ $_______________
Year _____ $_______________
b) Identify the percentage of work on similar projects the firm typically performs with its own work force _____
c) List the categories of work that the firm normally performs with its own forces on similar projects.
2.2 Project Experience and References
Submit as Attachment 2 to this Qualifications Statement:
a) Suggested number of Sheets/Pages:
▪ 3 sheets/(6 pages)
Three (3) detailed project descriptions for relevant projects that are similar in size and scope to the Contract Work. The project descriptions shall include, at a minimum, the following information presented in the order listed below:
i. Name of project, type of project and location
ii. Description of the project and relevance of work to the Contract Work
iii. Contact information for an owner representative familiar with the firm’s work performed on this project. Include name, address, telephone number(s) and e-mail address.
iv. The original bid/proposal price and the final contract price. If the project is ongoing, project the final price and relation to proposal price. Contract value for which the firm was/is responsible.
v. The original date for project completion and the actual completion date. If the project is ongoing, project the completion date and relation to original schedule.
vi. As available, performance ratings of the work evaluated by owner or owner’s representative.
2.3 Contractor Safety Record
Submit as Attachment 3 to this Qualifications Statement the information specified herein and verify this information by providing copies of OSHA 300/200 Forms or appropriate documentation from insurance carriers, as applicable. The firm may submit written explanations to comment on or clarify its safety record.
a) Provide the firm’s Workers Compensation Experience Modification Rating for the past three years, beginning with the most recent year available:
Year 1: __________ __________
2017 970,000.00
N/A
N/A
70%
Energy Management System Installation & Service
2017 1.000
b)
c)
d)
SECTION 3 - REQUIRED DISCLOSURES
The firm shall answer the following questions with regard to the past three (3) years. If any question is answered in the affirmative, the firm shall submit in an Attachment 5 to this Qualifications Statement, for each affirmative answer, a written explanation which shall provide details concerning the matter in question, including applicable dates, locations, names of projects/project owners and current status of any such matter.
3.1 Is the firm currently debarred or suspended from doing business with any federal, state or local government agency or private entity?
Yes ___ No ___
3.2 Has the firm ever been debarred or suspended from doing business with any federal, state or local government agency or private entity?
Yes ___ No ___
3.3 Is the firm currently or has the firm been otherwise prohibited from doing business with any federal, state or local government agency or private entity?
Yes ___ No ___
3.4 Has the firm been denied prequalification (not including short listing), declared non-responsible, or otherwise declared ineligible to submit bids or proposals for work by any federal, state or local government agency or private entity?
Yes ___ No x__
3.5 Has the firm defaulted, been terminated for cause or otherwise failed to complete any project that it was awarded?
Year 2: _N/A_________ __________
Year 3: _N/A_________ __________
Provide the firm’s Total Lost Workday Incidence Rate (LWDIR) for the past three years, beginning with the most recent year available:
2017 0Year 1: __________ __________
Year 2: N/A 0__________ __________
Year 3: N/A 0__________ __________
*LWDIR Rate = Number of Lost Time Injuries & Illnesses x 200,000 ÷ Total Hours Worked
Provide the firm’s Recordable Incidence Rate (RIR) for the past three years:
Year 1: 2017 0__________ __________
Year 2: N/A 0 __________ __________
Year 3: N/A __________ ____0_____
*RIR Rate = Number of Injuries x 200,000 ÷ Total Hours Worked
Provide in an Attachment 4 to this Qualifications Statement a list of any health or safety citations issued by federal or state agencies for serious or willful violations issued in the past 3 years. Include a separate statement for any such violations and include the citation number, a brief description of the violation and the amount of penalty, if any, for each violation and current status of violation.
N/A
X
X
X
Yes ___ No ___
3.6 Has the firm been assessed or required to pay liquidated damages in connection with work performed on any project?
Yes ___ No ___
3.7 Has the firm had any business or professional license, registration, certificate or certification suspended or revoked?
Yes ___ No ___
3.8 Have any liens been filed against the firm as a result of its failure to pay subcontractors, suppliers, or workers?
Yes ___ No ___
3.9 Has the firm been denied bonding or insurance coverage or been discontinued by a surety or insurance company?
Yes ___ No ___
3.10 Has the firm been found in violation of any laws, including but not limited to contracting or antitrust laws, tax or licensing laws, labor or employment laws or environmental laws by a final decision of a court or government agency?
Yes ___ No ___
*Note: information regarding health and safety violations is addressed in a previous section.
3.11 Has the firm or its owners, officers, directors or managers been the subject of any criminal indictment or criminal investigation concerning any aspect of the firm’s business?
Yes ___ No ___
3.12 Has the firm been the subject to any bankruptcy proceeding?
Yes ___ No ___
SECTION 4 - REQUIRED REPRESENTATIONS In submitting this Qualifications Statement, along with the representations and authorizations listed on the Proposal Signature page and in Section 1.24, the firm also makes the following representations, which it understands are required as a condition of performing the Contract Work and receiving payment for same. 4.1 The firm will possess all applicable professional, business and trade licenses required for
performing the Contract Work. 4.2 The firm satisfies all bonding and insurance requirements as stipulated in the solicitation for
the Contract Work. 4.3 The firm and all subcontractors it employs in execution of the Contract Work shall be in full
compliance with the Commonwealth’s requirements for workers’ compensation insurance according to all applicable laws, and unemployment insurance according to all applicable laws.
X
X
X
X
X
X
X
X
4.4 The firm and all subcontractors it employs in execution of the Contract Work shall be in full compliance with all requirements of the Commonwealth’s prevailing wage law and Public Works Employment Verification Act.
4.5 If awarded the Contract Work, the firm represents that it will not exceed its current bonding
limitations when the Contract Work is combined with the total aggregate amount of all unfinished work for which the Contractor is responsible.
4.6 The firm represents that it has no conflicts of interests with the Commonwealth of
Pennsylvania and, if awarded the Contract Work, any potential conflicts of interest that may arise in the future will be disclosed immediately to the Department of General Services.
4.7 The firm represents the price offered in connection with its proposal for the Contract Work
was arrived at independently without consultation, communication or agreement with any other Proposer or competitor.
4.8 The firm will ensure that employees and applicants for employment are not discriminated
against because of their race, color, religion, sex or national origin.
Attn: HVAC Mechanical Bidders September 19, 2017
Project: PennDot District 4-0 Office Renovations / Attachment No.2
Nexgen Automation, Inc. respectfully submits the following relevant project descriptions in accordance w/ Appendix C.
PROJECT NO.1
• Upper Adams School District / Biglerville, PA • Middle School Energy Management System Upgrade • Facilities Department (717) 677-7191
PROJECT NO.2
• Chambersburg Area School District / Chambersburg, PA • South Hamilton Elementary School Hot Water System Upgrade • Facilities Department (717) 263-9281
PROJECT NO.3
• Upper Adams School District / Biglerville, PA • High School Energy Management System Upgrade • Facilities Department (717) 677-7191
Please give me a call should you have any questions and thank you for the opportunity to serve.
Respectfully,
Steve Keefer Nexgen Automation, Inc. Cell # (610) 425-2928
Hosler Corp.
906 North Vine Street, Berwick, PA 18603
Ph. 570-861-0139 ∙ Fax 570-520-4630
ROLES Douglas V . H os l e r , P res iden t
• Roles
o Billing
o Drafting
• Skills
o Project Management
o Coordination between trades
o Coordination Drawings
o Foreman / Superintendent
o Sheet Metal Fabrication
o Welding
• Relevant Experience
o Many projects in both the project manager and foreman roles.
Douglas V. Hosler
President
Olga Hosler
Controller
Justin Caspersen
Project Manager
Kimm Naugle
Asst. Project Manager
Frederick King
Foreman
Duane McHenry
Shop Foreman
John Falatovich
Foreman
Robert Switzer
Foreman
Hosler Corp.
Page 2
Jus t in Caspe rsen , P ro j e c t Manage r
• Roles
o Project Manager
o Coordination
o O&M Manuals
• Skills
o Project Management
o Coordination between trades
o Coordination Drawings
• Relevant Experience
o Project Manager
▪ Present
• Dept. of General Services – Carbondale Readiness
• Dept. of Conservation and Natural Resources – Pinchot State Forest Office
• Northumberland County – Northumberland County Jail
▪ Previous
• Sunbury Housing Authority – Scott Tower – 2017
• PennDOT – Rest Area 29 – 2017
• PennDOT – Rest Area 30 – 2017
• Lock Haven University – Parsons Union Building – 2016
• River Valley Transit – Trade and Transit II – 2016
• Dept. of General Services – 22nd and Forster – 2016
• Bloomsburg University – Vivarium Lab – 2015
Hosler Corp.
Page 3
Kimm Naug le , Ass i s tan t P ro je c t Manage r
• Roles
o Assistant Project Manager
o Submittals
• Skills
o Project Management
o Submittal Coordination
• Relevant Experience
o Project Manager
▪ Present
• Municipality of Kingston – Kingston Recreational Center
o Assistant Project Manager
▪ Present
• Dept. of General Services – Carbondale Readiness
• Northumberland County – Northumberland County Jail
Hosler Corp.
Page 4
RESUMES
D O U G L A S V . H O S L E R , P R E S I D E N T
Experience
2017-Present
• President
• Project Manager
• Sheet Metal Installer / Fabricator
• Estimator
• Draftsman
1997-2010
• Sheet Metal Installer / Fabricator
o Fabricate sheet metal ductwork
o Install sheet metal ductwork
• Project Manager
o Successfully ran various projects
• Estimator
• Vice President
Certifications
• Refrigerant License
Hosler Corp.
Page 5
J U S T I N C A S P E R S E N , P R O J E C T M A N A G E R
Experience
2014-Present
• Project Manager
2002-2014
• Engineer
o Designed articulating boom cranes
o Designed truck bodies
o Bill of Material generation
o Technical Manual writing
• Purchasing
o Purchased inventory and material
• Information Technology
o Network Administrator and Tech Support (Local and Remote)
o Web Developer (Intranet and Internet)
• Shipping Manager
o Oversaw shipping and receiving operations
o Training
1999-2002
• R&D Engineer
o Designed conveyor systems and machinery
• Drafting
o 2D and 3D drafting
• CNC
o CNC laser programmer
• Information Technology
o Network Administrator and Tech Support
Education
• Pennsylvania State University
o Mechanical Engineering Technology
Certification
• OSHA 10
Hosler Corp.
Page 6
K I M M N A U G L E , A S S I S T A N T P R O J E C T M A N A G E R
Experience
2017-Present
• Assistant Project Manager
2016-2017
• Superintendent
o Project Planning
o Budgeting
o Change Orders
o Daily Reports
1997-2016
• Drywall Finisher
o Team supervision
o Installed and finished drywall
Education
• Colorado Technical University
o Project Management, B.S.
Certification
• OSHA 30
• Excavation and Trenching
• OSHA 10
DGS 951-64 PHASE 1
DEPARTMENT OF GENERAL SERVICES /
PENNDOT DISTRICT 4-0 OFFICE
PROJECT MANAGEMENT PLAN
Version 1.0
9/19/2017
Department of General Services / PennDOT District 4-0 Office
2
VERSION HISTORY
Version
#
Implemented
By
Revision
Date
Approved
By
Approval
Date
Reason
1.0 Justin Caspersen 9/19/2017 Initial plan submittal
Department of General Services / PennDOT District 4-0 Office
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TABLE OF CONTENTS
1 INTRODUCTION .................................................................................................................... 4
1.1 Purpose of Project Management Plan ....................................................................... 4
2 SUMMARY OF PROJECT CHARTER ............................................................................... 4
The Project Charter outlines the scope, schedule, budget, milestones, delivery strategy construction, and
significant risks and mitigation strategies associated with the Project. ................................... 4
3 SCOPE MANAGEMENT ....................................................................................................... 4
3.1 Work Breakdown Structure ....................................................................................... 4
3.2 Change Control Management .................................................................................... 4
4 SCHEDULE/TIME MANAGEMENT ................................................................................... 4
4.1 Milestones ................................................................................................................. 5
5 COST/BUDGET MANAGEMENT ........................................................................................ 5
6 QUALITY MANAGEMENT .................................................................................................. 5
7 RISK MANAGEMENT ........................................................................................................... 6
7.1 Risk Log .................................................................................................................... 6
8 ISSUE MANAGEMENT ......................................................................................................... 6
8.1 Issue Log ................................................................................................................... 6
9 PROCUREMENT MANAGEMENT ..................................................................................... 6
10 COMPLIANCE RELATED PLANNING ............................................................................. 6
APPENDIX A: PROJECT MANAGEMENT PLAN APPROVAL ......................................... 7
APPENDIX B: REFERENCES ................................................................................................... 8
APPENDIX C: KEY TERMS ..................................................................................................... 9
APPENDIX D: RISK LOG ....................................................................................................... 10
APPENDIX E: ISSUE LOG ...................................................................................................... 11
Department of General Services / PennDOT District 4-0 Office
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1 INTRODUCTION
1.1 PURPOSE OF PROJECT MANAGEMENT PLAN
This Project Management Plan (PMP) will describe the general responsibilities of the Project Team. In
addition to the PMP several plans will be developed and implemented to ensure compliance with this
PMP as well as State and Federal policy. The specific plans will include processes, flow diagrams,
responsibility matrices, organizational charts, and other pertinent information to guide the project staff.
The intended audience of the Bloomsburg University Student Recreational Center PMP is all project
stakeholders including the project sponsor, senior leadership and the project team.
2 SUMMARY OF PROJECT CHARTER
The Project Charter outlines the scope, schedule, budget, milestones, delivery strategy construction, and
significant risks and mitigation strategies associated with the Project.
3 SCOPE MANAGEMENT
3.1 WORK BREAKDOWN STRUCTURE
Project schedules will be created starting with the deliverables identified in the project’s Work Breakdown
Structure (WBS). Activity definition will identify the specific work packages which must be performed to
complete each deliverable. Activity sequencing will be used to determine the order of work packages and
assign relationships between project activities. Activity duration estimating will be used to calculate the
number of work periods required to complete work packages. Resource estimating will be used to assign
resources to work packages in order to complete schedule development.
3.2 CHANGE CONTROL MANAGEMENT
If any member of the project team determines that a change to the schedule is necessary, the project manager
and team will meet to review and evaluate the change. The project manager and project team must
determine which tasks will be impacted, variance as a result of the potential change, and any alternatives or
variance resolution activities they may employ to see how they would affect the scope, schedule, and
resources. If, after this evaluation is complete, the project manager determines that any change will exceed
the established boundary conditions, then a schedule change request must be submitted.
4 SCHEDULE/TIME MANAGEMENT
The project schedule will be reviewed and updated as necessary on a bi-weekly basis with actual start,
actual finish, and completion percentages which will be provided by task owners.
The project manager is responsible for holding bi-weekly schedule updates/reviews; determining impacts
of schedule variances; submitting schedule change requests; and reporting schedule status in accordance
with the project’s communications plan.
The project team is responsible for participating in bi-weekly schedule updates/reviews; communicating
any changes to actual start/finish dates to the project manager; and participating in schedule variance
resolution activities as needed.
Department of General Services / PennDOT District 4-0 Office
5
The project sponsor will maintain awareness of the project schedule status and review/approve any schedule
change requests submitted by the project manager.
4.1 MILESTONES
The table below lists the milestones for this project, along with their estimated completion timeframe.
Stage Milestones Estimated Completion from Stage Start
1 Notice to Proceed
1 Mobilization 14 days
2 New Chiller 200 days
2 Demo existing chiller 240 days
2 New Pumps and Piping 200 days
2 Underground Duct 180 days
2 TAB 240 days
3A 21 days
3B Roof Equipment 80 days
3B Install Fan Coils, duct, piping 90 days
3B TAB 105 days
4A 21 days
4B Roof Equipment 60 days
4B TAB 75 days
5A 21 days
5B Roof Equipment 80 days
5B Install Fan Coils, duct, piping 90 days
5B TAB 105 days
6A 21 days
6B Roof Equipment 80
6B Install Fan Coils, duct, piping 90
6B TAB 105 days
Final Contract Completion 728 days total
5 COST/BUDGET MANAGEMENT
Costs will be compared to budget on a monthly basis. Analysis and reports will discuss current and projected
costs and monthly payment requirements to assist in bond sales planning.
6 QUALITY MANAGEMENT
The Project Team Quality goal is for the Work to conform to project requirements without adverse effect
on schedule milestone. Hosler Corp. will assume the primary responsibility for the overall quality of the
Work under the oversight of Department of General Services. Hosler Corp. will perform the Quality
Assurance (QA)/Quality Control (QC) functions on the project. Hosler Corp. will develop and submit a
Quality Management Plan (QMP) that will describe how the Design-Builder will provide QA and QC for
design and construction of the Project. See Appendix 4 for the design-build Quality Management Plan.
The QMP provides the overall policies, organizational responsibilities, procedures, and the means of
ensuring that all items of work are in conformance with the contract. It also describes the review and checks
that will be performed on the design for the project components, and the inspection and tests that will be
performed on construction materials and workmanship to ensure the overall quality of the constructed
project. The QMP describes and defines participant roles; quality review responsibilities and activities;
Department of General Services / PennDOT District 4-0 Office
6
quality requirements for design/construction integration; the specific quality measures and application
instructions; and necessary quality control (QC) documentation and verifications to which technical reports,
project documents, design drawings, and construction documentation must comply.
7 RISK MANAGEMENT
The Project Management, in conjunction with other team members, will continuously evaluate project risk.
A process for evaluation, tracking, and reporting potential risk will be developed and will include tools to
assist in analysis of short term and long term impacts.
Providing current information to program staff is critical to ensure risk issues take into account the follow-
on phases of construction and not just those events that affect this project.
7.1 RISK LOG
See Appendix D for the Risk Log.
8 ISSUE MANAGEMENT
The Issue Management Plan defines the approach for the identification, analysis, and management of
project issues. It describes the process for addressing project issues. Issues arise from such things as
unmediated disputes, unaddressed concerns, or decisions that remain unresolved. They occur in all phases
of the project lifecycle and can have severe impacts to the project if not taken care properly.
8.1 ISSUE LOG
See Appendix E for the Issue Log.
9 PROCUREMENT MANAGEMENT
Items will be release for production upon receipt of approved submittal.
10 COMPLIANCE RELATED PLANNING
[Insert a list of compliance related processes the project must adhere to.]
Department of General Services / PennDOT District 4-0 Office
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Appendix A: Project Management Plan Approval
The undersigned acknowledge they have reviewed the Department of General Services / PennDOT District
4-0 Office Project Management Plan and agree with the approach it presents. Changes to this Project
Management Plan will be coordinated with and approved by the undersigned or their designated
representatives.
Signature: Date:
Print Name:
Title:
Role:
Signature: Date:
Print Name:
Title:
Role:
Signature: Date:
Print Name:
Title:
Role:
Department of General Services / PennDOT District 4-0 Office
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APPENDIX B: REFERENCES
The following table summarizes the documents referenced in this document.
Document Name
and Version
Description Location
M-Drawings Contract Drawings H:/PennDOT Dunmore/Drawings/M-
Dwgs.pdf
Specifications Contract Specifications H:/PennDOT
Dunmore/Specifications/Specifications.pdf
Department of General Services / PennDOT District 4-0 Office
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APPENDIX C: KEY TERMS
The following table provides definitions for terms relevant to this document.
Term Definition
[Insert Term] [Provide definition of the term used in this document.]
[Insert Term] [Provide definition of the term used in this document.]
[Insert Term] [Provide definition of the term used in this document.]
Department of General Services / PennDOT District 4-0 Office
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APPENDIX D: RISK LOG
PennDOT District 4-0 Office Risk Log (last updated xx.xx.xx)
# Risk Severity Prob-ability
Impact Rating Escalated? Risk Type Status
Date Logged Owner Mitigation Plan/Status
1 Sample Critical Impact Risk 4 4 16 No
Project Management
2 Sample high Impact Risk 3 4 12 No Testing
3 Sample Medium Impact Risk 2 2 4 Yes Training
4 Sample Low Impact Risk 1 2 2 Yes Project Management
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
Department of General Services / PennDOT District 4-0 Office
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APPENDIX E: ISSUE LOG
PennDOT District 4-0 Office Issue Log
# Issue Severity Issue Type Status Date Logged Owner Status
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
Project: PennDOT District 4-0 Office, Dunmore, PA
Stage Task Start Date Days %Compl End DateDays DoneDays Left
Notice To Proceed 10/16/17 1 10/16/17 # #
1 Mobilization 10/16/17 14 10/29/17 # #
2 New Chiller 10/16/17 200 5/3/18 # #
2 Demo Existing Chiller 10/16/17 240 6/12/18 # #
2 New Pumps and Piping 10/16/17 200 5/3/18 # #
2 Underground Duct 10/16/17 180 4/13/18 # #
2 TAB 10/16/17 240 6/12/18 # #
3A 6/12/18 21 7/2/18 # #
3B Roof Equipment 7/2/18 80 9/19/18 # #
3B Install Fan Coils, Duct, Piping 7/2/18 90 9/29/18 # #
3B TAB 7/2/18 105 10/14/18 # #
4A 10/14/18 21 11/3/18 # #
4B Roof Equipment 11/3/18 60 1/1/19 # #
4B TAB 11/3/18 75 1/16/19 # #
5A 1/16/19 21 2/5/19 # #
5B Roof Equipment 2/5/19 80 4/25/19 # #
5B Install Fan Coils, Duct, Piping 2/5/19 90 5/5/19 # #
5B TAB 2/5/19 105 5/20/19 # #
6A 5/20/19 21 6/9/19 # #
6B Roof Equipment 6/9/19 80 8/27/19 # #
6B Install Fan Coils, Duct, Piping 6/9/19 90 9/6/19 # #
6B TAB 6/9/19 105 9/21/19 # #
Final Completion 9/21/19 1 9/21/19 # #
10/2/17 1/10/18 4/20/18 7/29/18 11/6/18 2/14/19 5/25/19 9/2/19
Notice To Proce ed
Mobilization
Ne w Chiller
Demo Existing Ch iller
Ne w Pumps and Piping
Underground D uct
TAB
Roof Equipment
Ins tall Fan Coils, Du ct, Pip in g
TAB
Roof Equipment
TAB
Roof Equipment
Install Fan Coils, Duct, Pip ing
TAB
Roof Equipment
Ins tall Fan Coils, Du ct, Pip in g
TAB
Final Completion
Original Document dated 7/2014 Version 1.03
Hosler Corp. © 2015 EMPLOYEE SAFETY AND HEALTH PLAN
Hosler Corp.
906 N. Vine Street
Berwick, PA 18603
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Hosler Corp. © 2015 EMPLOYEE SAFETY AND HEALTH PLAN
HOSLER CORP.
INDEX EMPLOYEE SAFETY AND HEALTH PLAN PAGE #
1. EMPLOYEE SAFETY AND HEALTH PLAN 3 - 4
2. REPORTING INJURIES AND ILLNESSES 4 - 5 3. ACCIDENT AND INJURY REPORTING AND INVESTIGATION 6
4. HANDLING EMERGENCIES 6 - 7 5. EMPLOYEE PERSONAL CONDUCT 7 - 8
6. EMPLOYEE RIGHTS 8-11 7. EMPLOYEE RESPONSIBILITIES 11-13
8. EMPLOYEE DISCIPLINE 13-14 9. COMPLIANCE POLICIES 14-15
10. THREATS OF VIOLENCE 15-16 11. GENERAL SAFETY RULES 16-18
12. CODE OF SAFE PRACTICES 18-20 13. EMPLOYEE COMPLIANCE WITH SAFETY RULES 20-22
14. FIRST AIDE AND EMPLOYEE HEALTH 22-24 15. UNIVERSAL PRECAUTIONS: METHODS OF PREVENTION 24-25
16. OFFICE SAFETY RULES 25-26 17. CUTS AND PUNCTURE PREVENTION 26-28
18. FALL PREVENTION 28-29 19. OFFICE EQUIPMENT AND MACHINES 29-30
20. FILE AND STORAGE CABINETS 30 21. PARKING AREAS 3 1 22. LIFTING AND CARRYING 31-35 23. MANAGING REPETITIVE MOTION DISORDERS 35-38
24. EQUIPMENT SAFETY RULES 38-39 25. EQUIPMENT SAFETY 39-40
26. EQUIPMENT CONTROLS 40-42 27. FIRE PROTECTION 42-44
28. FLAMMABLE AND COMBUSTIBLE LIQUID AND MATERIALS 44-46 29. PERSONAL PROTECTIVE EQUIPMENT 46-49
30. HAND TOOLS AND EQUIPMENT 49-50 31. SMALL TOOLS 50-52
32. LADDERS 52-54 32. EMPLOYEE SAFETY & HEALTH SUGGESTIONS 54-55
SAFETY AND HEALTH SUGGESTIONS 56
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HOSLER CORP.
EMPLOYEE SAFETY AND HEALTH PLAN
1. EMPLOYEE SAFETY AND HEALTH PLAN
1. Hosler Corp. has developed an EMPLOYEE SAFETY AND
HEALTH PLAN that meets the OSHA safety and healthy requirements for all employees.
2. Hosler Corp. wants to emphasize that our employee’s safety and health is uppermost in the minds of management, supervisors.
3. We want to emphasize that injury prevention is the responsibility of everyone, and all employees will become thoroughly knowledgeable with and observe all safety practices. Your cooperation in accident prevention will mean that your employment with Hosler Corp. will be safe.
4. Hosler Corp. Management requests your cooperation in preventing accidents.
5. Safety is not the sole responsibility of management, the supervisor, the experienced employee, or the new employee alone; it is the responsibility of every employee, every minute of the day or night whether at work, at home, or on the highway. Safety is an employee’s continuous responsibility.
6. Employees will know and understand the general safety rules that are
written in the EMPLOYEE SAFETY AND HEALTH PLAN and the specific safety rules pertaining to Hosler Corp.’s facility and particular job.
7. Employees are expected to use proper care in their work for their own sake and the sake of employees working with or near them. If you’re fellow worker is careless and performs his or her work improperly, call their attention to it. If he or she persists, report it to your supervisor.
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8. Safety can only be accomplished with the complete cooperation of all employees.
9. Because we are engaged in many diverse activities, some work assignments require special protective equipment.
10. Ask Hosler Corp.’s supervisor what safety equipment and measures are necessary for your assignment.
11. Be watchful for the safety of visitors, contractors, and new employees.
12. Contractors and visitors will comply with all Hosler Corp. rules and regulations. Report any conflicts to your supervisor.
13. Good housekeeping reflects your interest in your surroundings. A clean operation is usually a safe operation.
14. Hosler Corp. employees are responsible for their immediate environment and each employee is responsible for sharing in the cleanliness of their work areas. Do your part to keep your area clean.
2. REPORTING INJURIES AND ILLNESSES
1. If you see any condition, practices or methods of working in your area that looks dangerous to you, report it to your supervisor immediately.
2. If you observe conditions of great or unusual hazards with which you are not familiar, obtain proper instructions from your supervisor before you proceed.
3. If you feel ill or if you believe that someone working with you is ill, report it to your supervisor immediately.
4. The supervisor will know the appropriate action to take.
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5. You have the responsibility for reporting a work injury on the day it happens or on the first day you are aware that you have been injured.
6. Immediately report all injuries to your supervisor no matter how slight. (Immediately is interpreted as no more than one hour after the injury.) Infections will develop quickly even from a minor cut. Prompt medical treatment will be provided.
7. Hosler Corp. employee has the same responsibility to report any property damage immediately to their supervisor.
3. ACCIDENT AND INJURY REPORTING AND INVESTIGATION
All employees will keep in mind the purpose of accident investigation is to find the cause of the accident and to make recommendations to prevent future occurrences, not to assign blame. The investigation will focus on causes and hazards. The analysis of what happened, and why, is aimed at prevention of future occurrences.
A. Injury and Illness: Hosler Corp.’s Safety and Health Manager will be notified immediately of any occurrence of occupational serious injuries to staff, contracted personnel or private persons injured on the premises. Minor injuries or accidents can be reported through electronic mail or voice mail during regular work hours.
Upon notification Hosler Corp.’s Safety and Health Manager will:
1. Investigate the incident by site visit, interviews and any other means
necessary to establish the facts of the situation.
2. All work connected accidents, even though not resulting in injury or illness to the employee will be reported to the Safety and Health Manager.
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3. All work-connected accidents resulting in injury or illness, however minor, will be reported by the employee to the Safety and Health Manager.
4. The Safety and Health Manager will investigate all work connected injuries or illnesses that require treatment by a physician. The causative factors will be determined, and practicable measures will be put into place to abate the identified hazard.
B. Accidents: The majority of accidents do not cause injury or illness but result in property damage and/or lost time. These mishaps usually indicate an unsafe act, faulty procedure or a hidden hazard. Hosler Corp.’s Safety and Health Manager as necessary usually conducts investigation of these occurrences.
4. HANDLING EMERGENCIES
How an employee reacts to an emergency depends on who is involved, the extent of personal and property damage (or threat of damage), and the employee training. The employee won't know how you will react until there is a real emergency. Report any hazardous conditions immediately. - CALL 911 Every employee will know Hosler Corp.’s EMERGENCY PROCEDURES. Every employee will know the location of all fire alarms; fire exists, and fire extinguishers. All employees will know the proper use and locations of fire fighting and first aid equipment.
In the event of Hosler Corp.’s emergency:
1. Employees will assess the situation. An appointed employee will sound
the alarm in order to warn affected or potentially affected co-workers of the emergency situation.
2. Employees will follow the emergency action plan and participate in the appropriate responses as dictated by the emergency situation.
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3. Employees will NOT enter an area where they do not know the defined escape procedures and refuge areas.
4. Employees will know and follow the on-the-job emergency shutdown
procedures.
5. Employees will be trained to participate in emergency rescue operations.
In most cases, planning for an emergency makes the difference. Here are a few things you can do to help plan for Hosler Corp.’s emergency:
1. Practice controlling your emotions. This is not easy but you can do much to increase this control when you convince yourself you might save a life.
2. Spend some time and thought on how you would handle different kinds of emergencies. It will surprise you when an emergency arises how much of your self-training will apply to any situation.
3. Tell yourself over and over to stop long enough to understand what needs to be done. Just doing "something" is not enough. You will do the right thing by being prepared. Many people have suffered severely because someone ran for help when a little knowledge of first aide would have made all the difference.
5. EMPLOYEE PERSONAL CONDUCT
1. Obey all safety rules of Hosler Corp..
2. Use safety and personal protective equipment prescribed for the job.
3. Report observed hazards to the supervisor.
4. Any injury or accident will be promptly reported to your supervisor.
5. Yield right of way to employees handling materials and/or equipment.
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6. Restrict smoking to only authorized areas.
7. The personal possession of dangerous objects, such as firearms, explosives, and illegal knives, is forbidden.
8. The personal possession and/or being under the influence of alcohol will result in dismissal.
9. The personal possession and/or use of narcotics or dangerous drugs, including mood-altering drugs normally obtained by prescription but without a physician's authorization will result in dismissal.
6. EMPLOYEE RIGHTS
The Occupational Safety and Health (OSH) Act Section 11 (c) makes it illegal for employees to be discriminated against for exercising their rights and for participating in other job safety and health related employee activities. Hosler Corporation’s employees have the right to complain to their employers, their unions, OSHA or another government agency about workplace safety and health hazards. These protected activities include:
1. Complaining individually or with others directly to the Safety and Health Manager concerning job safety conditions
2. Filing formal complaints with government agencies such as OSHA or state safety and health agencies, fire departments, etc. (An employee's name can be withheld from the complaint, if so requested.)
3. Participating in workplace committees concerning safety and/or health matters.
4. Testifying before any panel, agency or court of law concerning job hazards.
5. Participating in walk-around inspections.
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6. Filing complaints under Section 11 (c) and giving evidence in connection with these complaints.
7. Employees cannot be punished for refusing a work assignment if they have a reasonable belief that it would put them in real danger of death or serious physical injury, provided that, if possible, they have requested the employer to remove the danger and the employer has refused; and provided that the danger cannot be eliminated quickly enough through normal OSHA enforcement procedures.
8. If an employee is punished or discriminated against in any way for exercising his or her rights under the OSH Act, the employee will report it to OSHA within 30 days. OSHA will investigate and, if the employee has been illegally punished, OSHA will seek appropriate relief for the employee.
9. If necessary, OSHA will go to court to protect the rights of Hosler Corporation’s employee. The law protects the rights of Hosler Corp. employees to safe and healthful working conditions.
10. Work in safe and healthy conditions and participate in a “Right to Know” training program, or if the employee is being, or has been exposed to concentrations of harmful substances higher than the exposure limits allowed by OSHA standards.
11. Receive training in general safe work practices and specific training with regard to hazards unique to any job assignment.
12. Receive (upon request) copies of Material Safety Data Sheets (MSDS), and training about the potential health hazards of materials and chemicals an employee uses or to which an employee will be exposed.
13. Refuse to perform work that would violate the Labor Code or occupational safety and health standard or order where such violation would pose a real and apparent hazard to his/her safety and health.
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14. The employees are encouraged to monitor and measure harmful substances in the workplace that are subject to OSHA standards.
15. See, and copy, if desired, records of the employee’s exposure to toxic substances, harmful physical agents and medical records and the records of exposure to toxic substances, harmful physical agents and medical records of employees with similar past or present jobs or working conditions.
16. Request an inspection of the worksite by making a complaint about unsafe and/or unhealthful working conditions to the Safety and Health Manager and/or OSHA. (The Safety and Health Manager will keep confidential the name of the person who makes a complaint.)
17. Have an employee representative accompany Hosler Corp.’s Safety and Health Manager and the OSHA inspector. Any employee will talk privately with the OSHA representative during an inspection.
18. See that any citation Hosler Corp. receives is posted, at or near, where the violation occurred.
19. Review Hosler Corp. log of Occupational Injuries and Illness OSHA Forms 300, 300A & 301 reports for the past 5 years.
20. Petition for necessary changes in occupational safety and health standards.
21. Be notified of, and participate in, any OSHA appeal proceedings.
22. Be informed of any variance application and take part in any permanent variance hearings.
23. Be informed of any Safety and Health Committee meetings and have the opportunity to attend these open meetings as an observer or become a representative to the Safety and Health Committee.
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24. Hosler Corp. ‘s employees who have questions about, or need help concerning these rights can receive information by contacting the nearest OSHA district office. They will also file complaints with the district office. Law requires OSHA, to keep their name confidential unless other wise directed by the employee.
25. Hosler Corp.’s employees cannot be laid off or discharged for refusing to work where any safety and health standard is violated and the violation creates a hazard to the employee or fellow employees. No employee is required to work at a job that is unsafe or unhealthful.
26. Hosler Corp.’s Safety and Health Manager will not discharge, suspend, demote or discriminate against employees who exercise their right to complain about safety and health matters. The state labor commissioner administers anti-discrimination provisions of the law.
7. EMPLOYEE RESPONSIBILITIES
Hosler Corp. organization contains provisions designed to protect the rights of Hosler Corp. employees to safe and healthful working conditions. The law also gives responsibilities to employees and these include the following:
1. Obey all occupational safety and health standards, rules, regulations and orders issued according to the law.
2. Do not undertake a job that you are not trained to do properly and safely.
3. Do not undertake a job that appears to be unsafe and do not use hazardous material without knowing and understanding the hazards, the proper way to handle the material, and the emergency procedures.
4. Do not remove, displace, damage, destroy, tamper with or carry off safety devices, safeguards, notices or warnings.
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5. Do not interfere with the use of safeguards by others and report all unsafe conditions observed or encountered so that they can be promptly investigated.
6. Use all equipment (i.e. hard hat, safety belt, lifeline), safety devices (i.e. machine guard, safety interlock), and methods or processes adopted for employee protection.
7. Always report any injuries and/or illnesses; even slight ones, so that Hosler Corp.’s Safety and Health Manager can investigate them
8. Hosler Corp.’s Safety and Health Manager reserves the right to terminate employment at any time for failure to follow safe practices or for engaging in activities that endanger the safety of any employee or member of the public.
9. Hosler Corp.’s Safety and Health Manager reserves the right to terminate employment at any time for failure to immediately report any injury, illness, hazard or unsafe condition.
10. Hosler Corp.’s Safety and Health Manager can substantiate employee misconduct and demonstrate compliance through training records and documented warning and discipline policy.
11. These records can usually help avoid, or successfully appeal, citations.
12. These defenses will not avoid payment of worker's compensation recovery to an employee injured due to his/her own misconduct.
13. Hosler Corp. will have a continuing economic interest in making sure that the working environment is safe and healthy for the employee.
14. Hosler Corp.’s Safety and Health Manager will guarantee the right of the employee to report any hazardous working condition and this report will be anonymous if the employee desires.
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15. No employee will be disciplined, discriminated against or discharged for reporting any such condition.
8. EMPLOYEE DISCIPLINE
1. Hosler Corp.’s Safety, health and work place security policies and procedures are clearly communicated and understood by all employees.
2. Managers and supervisors are expected to enforce the rules fairly and uniformly.
3. All employees are responsible for utilizing safe work practices, for following all directives, policies and procedures and for assisting in maintaining a safe work environment.
4. Hosler Corp.’s employees are also expected to cooperate fully with supervisors, and the Safety and Health Manager by completing training documentation forms and records.
5. Failure to comply with this necessary procedure will result in disciplinary action.
6. As part of each employee's performance report safety practices will be evaluated and rated.
7. Employees who contribute to the maintenance of a safe workplace will be recognized by the Safety and Health Manager, and will be eligible for participation in Hosler Corp.’s Safety Incentive Award Program. Criteria for eligibility will be any employee that is accident free for the full calendar year.
8. Employees who fail to follow safe work practices and/or procedures or who violate thee standards will be informed and trained.
9. Hosler Corp.’s employees will be subject to disciplinary action up to and including termination if they break safety rules or directives.
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10. Disciplinary measures are progressive and involve these four steps:
a. The first violation a safety and/or health violation will be noted, the supervisor will informally discuss the behavior with the employee, stating the potentially dangerous result and outlining the correct procedure, to ensure the employee understands.
b. A second violation will generate a formal written reprimand for the employee - The supervisor will continue to counsel the employee with regard to proper procedures.
c. A third violation will result in the suspension of the employee. The supervisor will have the option to continue counseling the employee with regard to proper procedures.
d. A fourth violation will result in the termination of the employee.
9. COMPLIANCE POLICIES
1. Hosler Corp.’s Safety and Health Manager has established the following policy to ensure compliance with their rules on workplace security.
2. Hosler Corp.’s Safety and Health Manager has committed to ensuring that all safety and health policies and procedures involving workplace security are clearly communicated and understood by all employees.
3. All Hosler Corp.’s employees are responsible for using safe work practices, for following all directives, policies and procedures, and for maintaining a safe and secure work environment.
4. Hosler Corp. system of ensuring that all employees, including supervisors and managers, comply with work practices that are designed to make the workplace more secure, not to engage in threats or any physical actions which create a security hazard for others in the workplace.
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5. Hosler Corp. will encourage employees to plan and to use good judgment in balancing the requirements of job performance and the safety issues.
6. Informing employees, supervisors and managers of the provisions of Hosler Corp. Injury and Illness Prevention Program for Workplace Security.
7. Evaluating the performance of all employees in complying with Hosler Corporation’s workplace security measures.
8. Recognizing employees who perform work practices which promote security in the workplace.
9. Providing training and/or counseling to employees whose performance are deficient in complying with work practices designed to ensure workplace security.
10. Disciplining employees for failure to comply with workplace security practices.
10. THREATS OF VIOLENCE
1. Hosler Corp. will take all threats of violence seriously and they will be investigated.
2. Any employee who makes a threat of violence towards any other individual will be disciplined and warned that any continuing threats are a basis for discipline up to and including discharge.
3. Certain situations, such as an employee brandishing a handgun at work will warrant termination.
4. A failure to take such threats seriously could expose Hosler Corp. to liability in the unfortunate event that the employee follows through on his or her threat.
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5. Hosler Corp. will investigate the threat thoroughly by interviewing witnesses and by taking written statements from any individuals who will have witnessed the employee make the threat.
6. Employees will not be intimidated into inaction. Employees will contact their supervisor and/or management immediately.
CONFRONTING VIOLENCE IN THE WORKPLACE
1. Never make counter-threats to an employee threatening violence.
2. Never humiliate an employee making threats of violence or engaging in
acts of violence.
3. Never allow an employee to continue to make threats of violence or fail to
take action because of intimidation.
4. Never allow an employee to escalate threats or acts of violence.
5. Check references on all job applicants before hiring anyone.
6. Do not engage in self-help. If an employee is engaging in threats or acts of violence, do whatever is necessary in self-defense.
7. However, never hesitate to summon the assistance of law enforcement to subdue a violent employee.
8. Never assume that a violent confrontation could never happen in Hosler Corporation’s workplace.
9. A false sense of security is the first step towards becoming a victim.
11. GENERAL SAFETY RULES
1. Employees will know and follow all safety rules and workplace procedures, and use all required and appropriate safety equipment.
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2. Employees will, on a daily basis, check to be sure that the work area and equipment are free of any potential hazards.
3. They will keep work areas neat and orderly and report any defective tools, equipment, machinery or hazardous conditions to the appropriate supervisory personnel.
4. Eating and smoking are permitted only in designated areas.
5. Employees will only perform work and/or operate equipment after they have been trained to perform the task safely.
6. Employees will use mechanical safeguards, obey warning signs and follow all equipment lockout procedures.
7. The employees will never cut corners on safety or take risks to rush a job to completion. Time lost in the event of an accident will be greater than any time saved.
8. The employee will report any complaints about dizziness, headaches, nausea, irritation, and skin dryness or other factors or discomfort.
9. They will also report all accidents, injuries, "near-misses", unsafe conditions and practices immediately to supervisory personnel.
10. Any employee whose capability and alertness is impaired by fatigue, illness, stress, medication or anyone known to be under the influence of liquor or drugs will not be allowed in the workplace until the employees' condition is returned to a safe and productive working level.
11. No employee is permitted on the worksite that has in their possession firearms, ammunition, or articles of a similar nature, without written and signed permission of Hosler Corp..
12. Failure to report an injury that happened on the job, prior to the end of the employee’s work shift, will mean grounds for disciplinary action up to and including discharge.
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13. Before obtaining medical attention, authorization for medical treatment will be given by the supervisor for on the job injuries.
14. Each employee is responsible for their own safety and will exercise care in avoiding injury to their co-workers and/or the public.
15. The Safety and Health Manager and/or supervisory personnel will encourage employee suggestions for improving safety and health issues.
12. CODE OF SAFE PRACTICES
1. Hosler Corp.’s Safety and Health Manager accepts responsibility for leadership of the Injury and Illness Prevention Program, for its effectiveness and improvement, and for providing the safeguards required to ensure safe working conditions.
2. Hosler Corp.’s Safety and Health Manager is responsible for developing proper attitudes toward safety and health and for ensuring that all operations are performed with procedures protecting the safety and health of all personnel involved.
3. Hosler Corp.’s Safety and Health Manager will insist that all employees observe and obey rules, regulations and order as necessary to sustain safe behavior at the worksite and will take such action as needed to obtain regulatory compliance.
4. Hosler Corp.’s Safety and Health Manager and employees are responsible for the operation of all aspects of the Injury and Illness Prevention Program including compliance with all rules and regulations and for using safe work practices while performing all work/job duties
5. Management and supervisors are available at all times to prevent injuries in the handling of material in working with equipment
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6. Hosler Corp.’s Safety and Health Manager will train all employees when:
a. The training program is first established.
b. New employees are hired.
c. Employees are given a new job assignment.
d. Whenever new substances, processes, procedures, or equipment are introduced to the workplace and they represent a new hazard.
e. Whenever Hosler Corp. receives notification of a new or previously unrecognized hazard.
f. All training will be done in the language understood by the employee and will be documented as part of the Injury and Illness Prevention Program.
7. Hosler Corp.’s Safety and Health Manager will provide mechanical physical and personnel safeguards for equipment to the maximum extent possible.
8. Hosler Corp.’s Safety and Health Manager will conduct safety and health inspections to find and eliminate unsafe working conditions or practices, to control health hazards, and to comply fully with the safety and health standards for every job.
9. Hosler Corp.’s Safety and Health Manager will keep appropriate records of steps taken to implement and maintain the Injury and Illness Prevention Program.
10. Hosler Corp.’s Safety and Health Manager will provide for employees training materials in areas of general safety and healthy work practices and provide safety instruction with respect to hazards specific to each employee's job assignment.
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11. Hosler Corp.’s Safety and Health Manager will provide a system for communicating with employees on occupational safety and health matters, and it will include provisions designed to encourage employees to inform the employer of equipment and materials hazards without fear of reprisal.
12. Hosler Corp.’s Safety and Health Manager will correct unsafe and unhealthy conditions and work practices in a timely manner based the severity of the hazard.
13. Hosler Corp.’s Safety and Health Manager will make sure all worksite lighting is adequate for the task and avoid congestion and over- crowding in all work areas.
14. Hosler Corp.’s Safety and Health Manager will make sure all worksites will be kept clean and orderly and all work surfaces will be kept dry and slip-resistant.
15. Hosler Corp.’s Safety and Health Manager will make sure all materials and equipment are stacked, labeled, repaired, maintained and stored in a safe manner.
16. Hosler Corp.’s Safety and Health Manager will make sure there are an adequate number of exits and all exits are marked with large visible signs and check on a monthly basis that the exits can be opened easily and are never locked and/or blocked.
17. Hosler Corp.’s Safety and Health Manager will set up a system of recognition and awards for outstanding safety practices and/or performance.
13. EMPLOYEE COMPLIANCE WITH SAFETY RULES
1. Horseplay or fighting and other acts that tend to have an adverse influence on the safety of employees will not be tolerated on Hosler Corporation’s property.
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2. Employees will refrain from running, except in extreme emergencies, or when authorized by Hosler Corp.
3. Employees will not have in their possession firearms, fireworks or explosives while on duty or on the property, unless authorized by Hosler Corporation.
4. Employees known to be under the influence of drugs or intoxicating substances that impair the employee’s ability to safety perform their assigned duties will not be allowed on the job while in that condition and employees will not use intoxicating beverages while at work.
5. Employees will not be permitted or required to work while their ability or alertness is so impaired by fatigue, illness, or other causes that it might unnecessarily expose the employee or others to injury.
6. Employees will not smoke on Hosler Corp. property except in designated areas.
7. Employees will use or wear the appropriate safety equipment provided by Hosler Corp. when and where required.
8. Employees will use eye protection in any area where there is any danger
to the eyes (such as punctures, abrasions, contusions or burns).
9. Only authorized employees will operate power equipment.
10. Employees will observe safety rules for all power tools and equipment.
11. Employees will obey posted safety rules, policies, and procedures.
12. Employees working around moving machinery will not wear jewelry and loose clothing. Long hair will be secured as not to interfere with equipment operation.
13. Employees spitting onto the floor, walls, sinks, drinking fountains, wastebaskets, trashcans, etc., is strictly forbidden.
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14. Employees will leave washroom facilities in a clean and orderly condition after using the facilities. Employees will practice good housekeeping at all times.
15. Employees will not use compressed air for blowing dust and/or other foreign particles from clothing.
16. Employees will promptly report unsafe conditions and injuries to their immediate supervisor.
17. Employees will keep all tools in safe working condition. They will not use defective tools or equipment. Employees will report any defective tools or equipment immediately to their supervisor.
18. Employees will properly maintain and be responsible for all personal
protective equipment.
19. Employees will not leave materials and/or equipment in aisles, walkways, roads or other points of exit.
20. Employees will not stand or sit on sides of moving equipment.
21. Posted safety rules will not be removed except by management’s authorization.
22. Employees will comply with all known federal, state and local safety laws and as well as Hosler Corp. regulations and policies.
VIOLATION OF CODE OF SAFE PRACTICES
WILL RESULT IN EMPLOYEE DISCIPLINARY ACTION
14. FIRST AIDE AND EMPLOYEE HEALTH
1. Medical emergencies can occur without warning and can require immediate action. To respond to such emergencies, adequate first aide facilities and training are required.
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2. Every employee will know where the first aid stations are located at the worksite. Every Hosler Corp. employee that has been CPR trained will be identified and known to all the other employees.
3. The first aid kit is fully equipped and is highly visible, and is inspected and replenished on a regular basis.
4. Emergency phone numbers are posted in prominent places.
5. All injuries, no matter how slight, will be reported to the supervisor.
6. No matter how slight the injury always obtain first aid for the injury and remember that an employee will NOT touch a wound with bare hands.
7. Do not move a victim unless necessary until you are sure what the injury is and have rendered first aide. If the employee is not sure how to render first aid find another employee that has the knowledge.
8. If the Safety and Health Manager is not available, the employee will call 911.
ONLY EMPLOYEES WITH FIRST AIDE AND CPR TRAINING CAN PERFORM FIRST AID MEASURES AND PROVIDE THE FOLLOWING:
1. Employee’s will wash a wound with an antiseptic preparation and only
sterile dressings on open wounds.
2. Employee’s will be prepared to treat shock since it always accompanies injuries.
3. Cover burns, as soon as possible, to avoid exposure to air. Get medical help immediately.
4. Check arterial bleeding by placing pressure between the wound and the heart. Never use a tourniquet unless there is no other way to stop the bleeding and save a life.
5. Give CPR immediately in cases of suffocation, drowning, or shock.
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6. Look for fractures and do not attempt to reset dislocations.
7. Do not attempt to remove foreign bodies from the eye. Get employee to eye wash station.
8. Remove false teeth and foreign objects from the mouth of an unconscious person.
15. UNIVERSAL PRECAUTIONS: METHODS OF PREVENTION
Hosler Corp. will follow the practices listed below and this can greatly reduce the chances of contracting a communicable disease while on the job:
1. Alter behavior to prevent exposure to fluids or substances capable of transmitting communicable diseases.
2. Use universal precautions:
A. Use care to avoid cuts with contaminated sharps such as needles, especially if blood-soiled. If sharp instruments are found during a search, immediately store them in puncture-proof containers, furnished by the department.
B. Preventing mucous membrane exposures.
C. Wear gloves when in contact with blood or fluids capable of transmitting communicable diseases.
D. Cleaning of blood from environmental surfaces (tables, walls, floors) will be done (while wearing latex gloves) using a freshly mixed solution of one part household bleach to ten parts water. Gloves and cleaning materials will be properly disposed of in a tightly tied plastic bag.
E. Wash hands frequently with soapy water, especially after possible exposure.
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F. Conduct interviews of clients in well-ventilated areas (to minimize exposure to TB).
If Hosler Corp.’s employee is exposed to blood:
A. Thoroughly wash exposed area with soap and water. If the wound is a puncture wound, make it bleed.
B. Report possible exposure to a supervisor if a supervisor is instantly available, and go immediately to the hospital emergency room. If hospital personnel determine you are at risk for infection, they will:
1. Discuss the incident and possible risks
2. Draw blood for baseline HIV and Hepatitis B antibody tests
2. If indicated, give you Gamma Globulin to prevent Hepatitis B
4. Discuss AZT prophylactics/treatment
5. If you elect to take AZT, you will be given a prescription for it
6. You will be told where and when to return for follow-up HIV antibody testing
C. If you were unable to contact a supervisor before seeking emergency treatment, report the situation to Hosler Corp.’s supervisor after medical attention has been obtained.
16. OFFICE SAFETY RULES
1. When lifting heavy objects, keep your back straight and do the actual lifting with your leg muscles.
2. Do not try to lift heavy objects while leaning over a desk, chair, or other object that force you to use poor lifting methods. You will compromise your back.
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3. Always get help for objects that are too heavy or too bulky.
4. Good housekeeping prevents fires and accidents. Keep offices clean and orderly. Employees are responsible for their own desk and work area.
5. Work at a safe speed. Always take time to be safe.
6. Hosler Corp. will keep aisles clear at all times.
7. Always walk in designated aisles and keep alert to your environment and where you are going.
8. Use caution where floor mats are used. Floor mats can easily shift and create a potential tripping hazard.
9. Always use handles on drawers, doors, and safes when opening or closing them. Using the handles is easy and it saves a crushed hand or fingers.
10. Use caution when approaching a door that can be opened toward you or against someone else.
17. CUTS AND PUNCTURE PREVENTION
1. Keep scissors, knives, and letter openers in a separate compartment of
your drawer where they can be seen and easily handled.
2. Keep fingers away from the point of operation on such items as staplers, whole punches, and paper cutters. Use these items the right way.
3. Secure the paper cutter with the safety latch when not in use.
4. Use rubber finger guards when working with stacks of paper.
5. Use a sponge or sealing device to moisten stamps and envelopes.
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6. If you have to clean up broken glass or other sharp objects, sweep up the pieces instead of picking them up by hand. Wrap the glass in paper and mark the contents before throwing in the trash.
7. Hosler Corp. employees use sharps will be monitored. This means any object used or encountered covered that can be reasonably anticipated to penetrate the skin or any other part of the body, and to result in an exposure incident, including, but not limited to, needle devices, scalpels, lancets, broken glass, broken capillary tubes, exposed ends of razors, dental wires and dental knives, and drills.
8. There are sharps disposal containers, needle less systems and sharps with engineered sharps injury protection) that isolate or remove the bloodborne pathogens hazard. All used sharps are to be put into these designated containers.
9. There is personal protective equipment (gloves that can’t be torn, punctured, or cut with the ability to function as a barrier and goggles) that is to be used when the sharps are filled with hazardous fluid and are being used during the working situations.
10. Hosler Corp. has established and maintains a Sharps Injury Log, which is a record of each exposure incident involving a sharp. The exposure incident is recorded on the log within 14 working days of the date the incident.
11. Sharps that not be being used are to be stored by sticking the needles and blades into a large blocks of styro-foam. This will prevent accidental stick accidents. When the employee is finished using to the sharp, the sharp is be disposed in the sharp container.
12. Shearing or breaking of contaminated needles and other contaminated sharps is prohibited.
13. All disposable sharps are prohibited from being reused.
14. Sharps containers are not opened, emptied, or cleaned or in any other manner that would expose any employee to the risk of sharps injury.
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15. Sharps containers are accessible to personnel and located as close as is feasible to the immediate area where sharps are used or can be reasonably anticipated to be found.
18. FALL PREVENTION
1. Keep file and desk drawers closed when not in use.
2. Keep floors clean. Even something as small as a pencil or paper clip could cause someone to slip and fall.
3. Keep wastebaskets, phone and extension cords out of walkways, as they are serious tripping hazards.
4. Watch your step. Do not read while walking and do not carry bulky objects that obstruct your view.
5. Wipe up wet spots promptly. Carry beverages in covered containers or on
trays to help prevent spills.
6. Wear shoes with moderate heels. They lessen fatigue, as well as give you firmer footing.
7. Be cautious of slack cuffs that are too long, leather heels, and untied shoestrings that can cause a fall.
8. Use chairs property and safely. Do not tilt back in a chair since this often results in overbalancing and a fall. Be sure your chair is behind you before you sit down.
9. Report defective chairs immediately to Hosler Corp.’s supervisor. These can be extremely dangerous, especially for the unsuspecting victim.
10. Do not stand on chairs, desks, or other office furniture. Whenever it is necessary to climb to reach something, a stepladder will be used. Do not accept any substitutes.
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11. When using a stepladder, be sure the stepladder spreaders are open and the ladder is placed on level ground.
12. Stay off the top two steps of the ladder.
13. Always face the front of the ladder going up or coming down.
14. Move the ladder to the area you need to access. Do not reach and extend out to the side. It's too easy too fall.
15. Always keep one hand free to balance you while ascending, standing, or descending the ladder.
16. There will only be one person on the stepladder at a time. Too much weight can break or weaken the ladder.
17. Always use handrails on stairways, and at entrances.
19. OFFICE EQUIPMENT AND MACHINES
1. Do not use or try to make repairs on any machine that you have not been
trained, instructed, or authorized to use. Keep hands, hair, and clothing away from moving parts of office machines.
2. Report malfunctions or potentially hazardous conditions to Hosler Corporation’s supervisor immediately. Do not try to fix a machine yourself. Meanwhile, to prevent others from using it, put a sign on the machine to indicate that it is out of order and unsafe to use.
3. Be sure all the equipment used by Hosler Corp. is grounded. Normally it is double insulated and has a UL approval.
4. Be alert for frayed wiring, especially near the flex point at the plug or where the cord enters the back of the machine. Beware: exposed wires can shock you or possibly start a fire.
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5. Watch your clothes when around machinery. Loose sleeves, scarves, long hair, belts, dangling jewelry, ties, and key chains are dangerous around machines with moving parts.
6. Before using office machinery, check the position. Make sure typewriters, duplicators, adding machines, and the like are firmly positioned on the working surface/table.
20. FILE AND STORAGE CABINETS
1. Avoid overloading top file drawers, it can bring the cabinet down on you. Too much weight near the front of a drawer can also cause overbalancing or tip over.
2. Pull out only one file drawer at a time to prevent the cabinet from toppling over. It also prevents bangs on the head or unexpected trips.
3. If unfamiliar with the file cabinet, test the drawers and do not pull them out too far if there is no locking/limit device on them.
4. Close a file drawer immediately if not using it. Close drawers gently and use handles. Fingers can get pinched if you use top or sides of drawers.
5. If any drawers or doors are stuck, do not struggle to open them. That is an easy way to cause a back injury or bring everything down on you. If stuck, call maintenance.
6. Storage shelves and cabinets will be securely bolted to the floor, a sturdy wall and/or each other. Shelves will be in easy reach and not overloaded.
7. All materials will be stored inside cabinets, files, and footlockers.
8. Keep heavy objects at floor level and out of walkways. This includes plants and furniture.
9. Keep combustible materials at least eighteen inches away from appliances like coffee makers, hot plates, space heaters, etc.
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21. PARKING AREAS
1. Observe all safety signs and markings in the parking areas.
2. Do not run in the parking area.
3. Be especially careful walking on wet sidewalks, or muddy ground.
22. LIFTING AND CARRYING
Mental Lifting: To handle materials safely, lift everything twice! FIRST, lift the load mentally. Plan every step before you do it physically. Even repetitive jobs can be thought through before hand. SECOND, lift with your legs, not your back.
Size up the load: How much does it weigh? How much do you weigh? Give it the heft test to see whether you can lift it - you don't want any surprises. If it feels OK, go ahead and lift it.
Get Help: If the load is too bulky or heavy for you to lift alone get help. Don't hesitate to ask someone else for a hand. A moment's help could save you from days of disability and pain.
Find a Better Way: Sometimes no one else is around to help, or the job is bigger than the two of you. Arrange for mechanical help from a pushcart, hand truck, wheelbarrow, or forklift.
Check the Pathway: Look for obstacles underfoot and overhead, spills, lighting, traffic (people or vehicles), and changes in elevation. Choose a clear route over the flattest surface, even if it takes a little longer.
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Solve High Load Problems: Lifting from a height above the head can be hazardous. Test the weight by pushing up on the load. Get as close to the load as possible, so it can slide down your body, close to you. Plan to lift down the same way you lift up - the right way.
Solve Repetitive Problems: Don't accept problems as 'the way things are". Recognize them as problems, and decide how you can avoid them in the future. Think through your job tasks. Do you really need to bend and reach so much, or can you think of a smarter way?
Hosler Corp. ‘s PHYSICAL LIFTING PLAN: Be sure to apply proper lifting techniques, whether working alone, as a team, or with the aide of a mechanical helper. Over the years, the effects of poor posture, being overweight, not lifting safely, or simple wear and tear accumulate and can lead to a "problem back".
You can't turn back the clock, but you can stop the cycle of back abuse and prevent injury by learning how your back works and how to lift, stand and sit with your back safely balanced. Protecting your back around the clock is your best insurance against back injury. You are the only one who's around to do it, both on and off the job.
The Results of Lifting: Most back injuries result from improper lifting. According to the principles of biomechanics, the worst lifting situation occurs when the body is extended over the load: the lower back becomes a fulcrum supporting the weight of the body plus the load. Twisting in this position invites injury.
How to Lift Properly: Look around your workplace. How could you reorganize to minimize how much you have to lift and how far you have to carry it? Discuss with your Hosler Corporation’s supervisor and coworkers ways to make lifting easier, and then incorporate these safer methods into your daily routine. Every move you make, on and off the job, depends on your back. So keep you back, and your safety, in mind throughout your day while you sit, stand, lift, or carry.
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Use your HEAD to SAVE your Back: Hosler Corp. employees will handle materials mentally before you handle them physically.
1. Look at the load. Observe the size and position of the load. Carefully look around for any surrounding hazards. If you have doubts, get help!
2. Keep the load close. Get close to the load and grasp firmly. Don’t hold the load away from your body. Hug it! The closer it is to your spine, the less force it exerts on your back. Keep your back in its natural alignment as you use your strong leg muscles to lift the load.
3. Grip the load securely. Injuries often occur when loads slip or fall due to an inadequate grip.
4. Face in the direction of the lift. Have your knees bent, tighten abdominal
muscles, take a deep breath and lift correctly. Center the load over your pelvis.
5. Get a firm footing. Keep your feet apart for a stable base; point toes out.
6. Bend your knees. Don't bend at the waist. Keep the principles of
leverage in mind. Don't do more work than you have to. Maintain your three natural back curves. Use leg and hip muscles to lift, not your back muscles.
7. Push, don't pull. Use good lifting techniques to load mechanical devices. Bend hip and knees while lifting and keep your back straight.
8. Tighten stomach muscles. Your abdominal muscles support your spine when you lift. Train muscle groups to work together.
9. Lift with your legs. Let your powerful leg muscles do the work of lifting, not your weaker back muscles. Maintain your three natural curves. Keep the weight of the load as close to the body as possible. Hold elbows in close to the body. Put the load down by bending at the hips and knees with your back straight.
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10. Team lifting. When team lifting, pick one person to call the signals. The leader will direct the team so you all lift together, walk in step, and lower the load together, using the lifting principles shown above.
11. Push rather than Pull. Whenever possible, push rather than pull. Then lift: apply the same lifting techniques in reverse to unload.
12. Clear the Way. Remove any hazards you see - and/or see that they are removed. Wipe up spills. Make sure the area is well lighted. Wait until traffic clears. Then transport the load, setting it down in the proper place.
13. Unload carefully. Set a load down as safely as you lifted it. Plan where you can put down the load. Pick your spot carefully so no one has to move the load again.
14. Keep your back upright. Whether you are lifting or putting down the load, don't add the weight of your body to the load. Avoid twisting; it is a common cause of injury.
15. Conditions. Bring your back and body to work in Hosler Corp. possible condition. Learning to reduce stress, combined with a sensible diet and exercise program, can relieve back pain and start you on the road to a happier, healthier, and more enjoyable lifestyle. Apply the principles of good body mechanics to lifting and material handling situations.
16. Watches for Dangerous Characteristics. Watch for protruding nails, sharp edges and other dangerous characteristics of the object being lifted and carried.
17. Keep Fingers Away. Keep fingers away from pinch points and wear protective gloves.
18. Too Heavy do not Lift . If the load is too heavy do not lift it and get help. If more than one person is carrying the load, allow one person to be the leader. The leader will coordinate carrying and timing of movements. Use available hand trucks and other appropriate equipment to aide in lifting.
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19. Object is Overhead . If the object is overhead, grip with palms up. Lower the object slowly and keep the object as close to the body as possible. Watch out for any protruding parts on the object.
23. MANAGING REPETITIVE MOTION DISORDERS
Repetitive Motion Disorders result from repeated motion of the same muscle and joint. Injuries are often related to incorrect posture, uneven load carrying, improper tools and excessive reaching. A serious form of Repetitive Motion Disorder is Carpal Tunnel Syndrome. The Carpal Tunnel is a space formed by the wrist bones and ligaments. Carpal Tunnel Syndrome is a compression of the median nerve that passes through this space in the wrist. This can lead to inflammation and swelling. Pain can show up in the hands, wrists, arms, and neck.
1. Ideal posture includes sitting straight in the chair, muscles relaxed with your body tilted slightly back. Each time you touch a key nerves (“electrical messengers”) tell muscles and tendons in your wrists and hands they’re needed to help you move your fingers. When you work with straight wrists and fingers, these nerves, muscles, and tendons stay realized and comfortable. So, they’re less likely to develop the strains and pains that all will be associated with keyboarding.
a. Obtaining good posture will mean being continually aware of your posture at the keyboard.
b. The goal is to keyboard with straight wrists, relaxed fingers, and straight posture until it becomes second nature.
c. Sit up straight, facing the computer straight on.
d. Hold you head at a slight downward tilt to avoid straining muscles in you neck and head.
e. Keep hands and wrists straight while keyboarding.
f. Touch you keys lightly by keeping your wrists and fingers relaxed.
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g. Keep your feet flat and pointed toward the workstation.
h. Adjust keyboard tray or desk height so that your wrists and hands are straight while keyboarding.
i. Adjust screen height so that the top of it is at about your eye level.
2. A straight wrist is a level, flat wrist. This position keeps extra pressure of
muscles, tendons, and nerves in your wrist and hand. When you work with straight wrists and fingers, these nerves, muscles, and tendons stay relaxed and comfortable. So, they’re less likely to develop the strains and pains that all will be associated with keyboarding.
3. Adjust your workstation
a. Adjust chair height and seat back so that you can keyboards with straight wrists and hands.
b. Position the keyboard so that your wrists and forearms are straight.
c. A telephone headset helps to keep you head upright and your body straight.
d. A copy stand will be the same height as the screen, to keep you from straining your neck or head.
e. A lower back pad, such as a pillow or rolled-up towel, can help support the lower back.
f. A mouse pad will allow the mouse to float friction free over it, requiring little effort.
4. Releasing tension for your wrists, hand and body.
a. Stretching: Place your hand out in front of you. Then spread your fingers as far apart as possible. Hold for five seconds. Relax. Repeat five times.
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b. Rotating: Rotate your wrists, keeping your fingers relaxed and your elbows still. First turn your palms up, and then rotate them down. Repeat fine times.
c. Shaking: Let your hands dangle from your wrists. Then shake your hands, first up and down, then sideways. Repeat until tension in your hands is gone.
d. Reaching: Place your arms over your head. With your fingers stretched, reach toward the ceiling. Hold for five seconds and then relax. Repeat five times.
e. Rolling: Using a wide circular motion, roll your head backward. Repeat five times.
f. Shifting: While sitting, move around in your chair. Slouch and slump, look away from the screen, dangle your arms. Repeat as often as necessary.
5. Immediately, report to your supervisor any symptoms such as pain or
soreness in joints, inflammation, lack of flexibility, etc. This will permit work modification or other changes to reduce the potential for repetitive motion disorders.
6. Use regular exercises focused around flexibility and strength to help avoid repetitive motion disorders. If the employee feels susceptible, ask the Safety and Health Manager for help in finding and learning appropriate exercises.
7. Take frequent breaks, a few minutes every hour, when doing a repetitive
motion task. Shake out tight muscles and take a few deep breaths. As appropriate, alternate repetitive motion tasks with other jobs.
8. Change position frequently. This will be accomplished by adjusting posture, seating equipment location, relationships between components such as computer screens, keyboards, etc.
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9. Avoid working repeatedly on overhead tasks or extremes of reach or strength. Use the correct hand tools for the job. Always be aware of body positioning appropriate for the task.
24. EQUIPMENT SAFETY RULES
1. Removal of any "Danger, Do Not Operate" equipment tags or locks by unauthorized personnel is prohibited and will result in termination, fines, and/or imprisonment.
2. Employees will NOT operate equipment without specific training.
3. Employees will NOT repair or adjust equipment while it is in operation. Be sure all tools are maintained in good repair.
4. Employees will NOT wear loose clothing, long sleeves, ties or jewelry
when working on machinery.
5. All employees will wear protective clothing and devices when required by safety rules or common sense.
6. Employees will NOT use defective equipment or equipment that has defective safety devices. Tampering with, or unauthorized use of, any machinery is prohibited.
7. Employees will NOT handle, tamper with or attempt to repair any electrical equipment, machinery, or air or water lines in any manner not within the scope of their duties.
8. Qualified repair personnel will be hired to modify and/or repair all equipment.
9. Equipment that appears to have been tampered with will not be used until it has been examined by a manager or technician authorized to approve its return to service.
10. Safety guards will be appropriate for grinders, saws, and other tools.
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11. Safety guards will never be removed, except when necessary to make adjustment or repairs, and will be replaced immediately upon completion of the work.
12. Shields and attachments will be appropriate and in good condition for use with power tools. Fixtures and attachments will be appropriate.
13. All cord-connected tools will be effectively grounded. \Electric cords will not be exposed to damage from other equipment. Damaged cords will be replaced immediately.
14. Guards are necessary over belts, blades, pulleys, chains and sprockets.
15. Portable fans will have screens with openings under 1/2 in. in size.
16. Hoisting equipment will be used for lifting heavy objects and will be rated appropriate to the task.
17. All pneumatic and hydraulic hoses will be checked regularly and before use for deterioration or damage.
18. Never use makeshift, damaged or defective scaffolding, rigging or staging.
19. Never use gasoline for cleaning.
20. Shut down machinery before cleaning, adjusting or repairing. Lock and tag the machine.
21. Never oil machines while they are in motion or operation and always use
brushes or hooks to dislodge chips from machines.
25. EQUIPMENT SAFETY
1. All worksites will be kept clean and orderly. All work surfaces will be kept
dry and slip-resistant. Air quality will be monitored on a scheduled basis.
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2. All scraps, debris and waste materials will be labeled and stored safely in appropriate containers. All protruding objects that cannot be removed will be flagged and/or covered so that everyone will be made aware of the objects. All scraps, debris and waste materials will be removed promptly from the worksite.
3. Combustible dust will be collected and removed to prevent accumulation. Metallic and/or conductive dust will be kept from entering or accumulating near electrical enclosures or equipment.
4. Only covered, labeled metal cans should be used for hydrocarbon waste (oil, gas, paint, etc.).
5. All oil or gas devices will be equipped with flame failure controls.
6. Any pits or floor openings will be covered or identified and guarded.
7. Any heavy objects stored overhead on shelves above 6 ft. will be secured
to prevent falling in the event of natural catastrophe.
8. Work clothing and environments will be adjusted to compensate for extremes of heat and cold. Employee will report environmental hazards immediately to the Safety and Health Manager and/or supervisory personnel.
9. No employee will work in a confined space without entry authorization,
specific training, appropriate monitoring and rescue equipment.
26. ENVIRONMENTAL CONTROLS
Most accidents are a combination of things. Many times you can violate the safe working rules without causing an accident. But you could break a rule when the other parts of the accident are present and waiting to turn your act into a disaster. Not every dangerous act produces an accident, but no accident is ever produced unless one or more dangerous acts are committed.
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Everyone is responsible for maintaining a clean, safe working area at all times. Housekeeping cannot be just fair; it will be excellent at all times for the sake of safety. Excellent housekeeping is a sign of good safety. A messy work area can always be counted on to produce accidents.
1. All work areas will be maintained with proper illumination.
2. All hazardous substances that will cause harm by inhalation, ingestion, skin absorption, or contact will be properly maintained.
3. Always explore the possibility of a. less harmful method or product being used.
4. Make sure that the work area's ventilation system is appropriate for the type of work being performed. Report any problems with the work area's ventilation system.
5. Personal protective equipment will be used when provided, and maintained wherever required.
6. Rest rooms and washrooms will be kept in a clean and sanitary condition.
7. All outlets for water not suitable for drinking are clearly identified.
8. Noise levels in the shop will be periodically monitored to determine if they are within acceptable levels.
9. Steps will be taken when possible to use engineering controls to reduce excessive noise levels.
10. Vacuuming, with appropriate equipment, will be done whenever possible
rather than blowing or sweeping dust.
11. Personal protective equipment will be used when provided, and maintained wherever required.
12. Where heat is a problem, all fixed work areas will be provided with spot cooling or air conditioning.
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13. Trash cans and dumpsters will be emptied on a regular basis.
14. Overhanging objects or long pieces of wood could cause injury.
15. Keep exits, entrances, and aisle ways clear; observe established aisles when passing through work areas.
16. Keep work areas neat and orderly and free of trip hazards such as extension cords, air hoses, loose banding, etc.
17. Good housekeeping will be recognized as an integral part of each job.
18. Oil, water, or other liquids that have spilled or leaked on the floor will cause slipping hazards. If you spill the liquid, clean it up and if help is required, notify Hosler Corp.’s superior.
19. Pick up your tools, scrap, and other items from the work area so that no one will slip or trip on them.
20. Oily rags will be placed in a covered metal container.
21. Keep debris from blocking access to ladders, electrical equipment, and other important areas in case of emergency.
22. Never leave nails or spikes sticking up in boards or planks. Promptly remove them or bend them over when found.
23. Never pick up sharp objects with your bare hands.
27. FIRE PROTECTION
General Requirements:
1. Portable fire extinguishers will be maintained in a fully charged and operable condition and kept in their designated places at all times when they are not being used.
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2. Extinguishers will be conspicuously located where they will be readily accessible and immediately available for use.
3. The selection of fire extinguishers for a given situation will depend upon the characteristics of a potential fire, the construction and occupancy of the individual property, the vehicle or hazard to be protected, ambient- temperature conditions, and other factors.
4. The number of extinguishers required would be determined by reference to the layout criteria included in this PLAN.
5. Only UL or FM approved fire extinguishers are permitted.
6. Only employees who have been trained in their proper use are permitted to use fire extinguishers.
7. Any damaged or apparently used fire protection equipment will be promptly reported to the area supervisor.
8. All fire extinguishers are to be kept at their designated locations. In case of fire, follow information on emergency reaction poster.
9. Access to extinguishers, sprinkler risers, switch boxes, fire alarms, and exits are to be kept clear and unobstructed at all times.
10. Fire doors are not to be blocked and will be in operating condition at all times.
Maintenance:
1. At regular intervals, not less than annually, or when specifically indicated
by an inspection, extinguishers will be thoroughly examined and/or recharged or repaired to ensure operability and safety, or replaced as needed.
2. Extinguishers removed from their locations to be recharged will be replaced by spare extinguishers during the period they are gone.
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3. Each extinguisher will have a durable tag securely attached to show the
maintenance or recharge date and the initial or signature of the person who performs this service.
28. FLAMMABLE AND COMBUSTIBLE LIQUID AND MATERIALS
1. Flammable liquid containers will be clearly labeled and stored in a protected separate area.
2. Flammable liquids will be used only in small quantities and in approved (UL or FM), self-closing containers.
3. Do not refuel a hot or running engine. Clean up spills before restarting.
4. Never use gasoline as a cleaner or solvent. Anyone who will do so is subject to immediate discharge.
5. Use only the proper transfer equipment when transferring a flammable liquid such as gasoline for refueling.
6. Never use an air hose for pressure to empty drums.
7. Lines or other containers holding gasoline, oil, grease and other flammable material will be thoroughly purged and tested for explosives by approved testing equipment before any burning or welding is done.
Scrap Receptacle - Type, Use and Directions:
Type:
1. All receptacles will be constructed of metal or other suitable type containers of non-flammable materials.
2. Paper or pasteboard cartons, wooden boxes or crates, and similar type
containers will not be used for collection of combustible materials.
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3. Receptacles, located outside of buildings, for combustible trash will be located at least 15 feet from the building or other combustible materials.
Use:
1. Employees will be instructed to use trash barrels for the disposal for paper lunch remnants, and all small scraps of a combustible nature.
2. Cigarette and cigar butts, matches, etc., will never be thrown in trash
receptacles.
3. Glass (broken empty jars, etc.), scrap metal, and similar material will be placed in special trash containers.
Directions:
1. Employees will NOT use or handle any hazardous materials that they have not received training specific to that individual hazardous material.
2. Employees will take all precautionary and safety measures when handling
potential hazards.
3. Employees will wash thoroughly after handling hazardous materials and
follow all special instructions. Employees will know what to do in any emergency.
4. Employees will know the location of eye wash fountains and safety showers in areas where corrosive materials and chemicals are handled.
5. Employees will keep all flammable or toxic chemicals in closed containers when not in use. Never mix chemicals without specific instructions.
6. Employees will understand standard operating procedures that have been
established for handling and cleaning up chemical spills. Keep all flammable materials away from any heat source.
7. Employees will NOT eat, drink or smoke in areas where hazardous materials and chemicals are present.
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8. Compressed gas cylinders will be stored upright and chained.
9. Employees will wear gloves and masks to prevent being exposed to solvents and breathing toxic vapors.
10. All materials that give off toxic, asphyxiating, suffocating or anesthetic fumes will be stored in remote or isolated locations when not in use.
11. Employees will know where to find Material Safety Data Sheets (MSDS) on all hazardous materials.
12 . Each container with a hazardous substance (i.e. vats, bottles, storage tanks) will be closed and labeled with product identity and hazardous warnings (defining the specific health and physical hazards).
29. PERSONAL PROTECTIVE EQUIPMENT
1. ALWAYS use appropriate Personal Protective Equipment (PPE) where required by safety rules or common sense. Hazards posing an immediate danger or having caused injuries in the past will be corrected.
2. Make sure PPE is clean; fits well and are free from damage.
3. If the equipment doesn't work, doesn't fit or is uncomfortable the employee will be less likely to use it.
4. If an employee does not wear the necessary PPE for the task, the employee is subject to discipline, suspension and even termination of employment.
Selecting Personal Protective Equipment (PPE:
It is important to select the right PPE for the job and to enforce its use. Purchase all "ANSI (American National Safety Institute) approved" protective equipment from a reputable supplier. The supplier can choose the right equipment for the specific application and train employees in its use.
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Information on PPE required for each task will be fund on MSDS, equipment operation information, the State's General Safety Orders and other Information on safety. When selecting protective equipment consider the following:
1. The specific hazard the employee is to be protected against.
2. Factors specific to the employee such as size of face or hand, vision, etc.
3. Factors that will encourage or discourage use of the equipment.
Personal Protective Equipment (PPE) includes:
1. Hard Hats
2. Gloves or Palm Guards
3. Eye (goggles or safety glasses) and Face Shield Protection
4. Foot Protection
5. Professional or Industrial Back Belt
6. Aprons or Protective Clothing
7. Respiratory Protection (dust masks or respirators)
8. Hearing Protection (ear plugs and ear muffs)
Eye/Face Protection:
Type: Glasses, Goggles, Face shields
Options: Lens material, Venting, Size, and Shape
Issues: Is impact protection required? Is radiation protection required (from lasers, welding, and the sun)? Are chemical hazards present? What chemicals? What form (fumes, vapors, liquid)? Are prescription glasses required?
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Eye Wash:
Options: Permanent, Portable, Hand Held (not acceptable)
Issues: Is plumbing present? Is other eye wash equipment available? The equipment will be within 100 feet (10 for strong corrosives) of
the work area.
Hearing Protection: Type: Ear plugs, Earmuffs
Options: Material, Shape, Disposability, Corded, and Banded
Issues: How noisy is the environment? How long will protection be required? Will the same person use the protection regularly?
Gloves: Options: Material, Cuff style/length, Lining, Grip, Size
Issues: What hazards are present (temperature, abrasion, vibration, chemicals)?
What part of the hand or arm needs protection? Is touch sensitivity necessary? Are gloves for wet or dry use?
Footwear:
Type: Work shoes, Over-the-sock boots, over boots
Options: Material, Height, Soles, Steel Toes, Size
Issues: How long will they be worn? What chemicals will they be exposed to? Are there heavy falling objects? What parts of the foot/leg require protection? Will they be used on slippery surfaces?
Clothing:
Type: Aprons, Boots or Shoe Covers, Coveralls, Hoods, Hairnets,
Options: Material, Color, Size
Issues: Do chemicals present a hazard? What chemicals? What concentrations? What form (fumes, vapors, liquid)?
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Is thermal and/or moisture protection required? Will the equipment be anti-static? Are impact resistance and/or visibility important? What other protective equipment will be used?
Hard-Hats:
Options: Material, Visor, Sweatband, and Rain Trough
Issues: How much impact resistance is required? Does the working environment have high temperature, rain, and sun? Provide sunscreen protection.
Respirator: Type: Particulate Mask, Cartridge/filter Mask, and Air Supplied Apparatus
Options: Shape, Cartridge Type, Full/half Face, Disposability, and Air Source
Issues: What contaminant is in the air? What concentration? What form (vapors, particles)? What is the oxygen content of the air? How long will the equipment be used? Will prescription glasses be needed? Is skin and eye protection required?
30. HAND TOOLS AND EQUIPMENT
1. All hand tools will be kept clean and in good repair and used only for the purpose for which designed.
2. Tools having defects that will impair their intended operation or render them in any way unsafe for use will be removed from service immediately.
3. When work is being performed overhead, tools not in use will be secured or placed in holders.
4. Throwing tools or materials from one location to another, from one
employee to another, or dropping them to lower levels, is not permitted.
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5. Only "non-sparking" tools will be used in locations where sources of ignition will contribute to a fire or explosion.
6. Power tools will be inspected, tested and determined to be in safe operating condition prior to use. Continued periodic inspections will be made to assure safe operating condition and proper maintenance.
7. Loose, fringed or frayed clothing, loose, untied, long hair, dangling jewelry, rings, chains, or wrist watches will not be worn while working with any power tool or machine.
8. Don't carry sharp tools in clothing. Always use the proper carrying case or tool kit.
9. All portable power tools will be rounded or double insulated.
10. Use only those power tools that you are authorized to use.
11. All power tools will be equipped with guards as required.
12. Do not use a file without a handle. Do not use a file as a pry tool.
13. Use tools only for the purpose for which they were intended.
14. Keep any personal tools and equipment in good condition at all times.
They will be inspected just as Hosler Corp. tools.
15. Inspect all impact tools for mushroomed heads.
16. Do not hammer on wrenches or use a pipe for extension.
31. SMALL TOOLS
Screw Drivers and Knives:
1. Screwdrivers and knives will be outfitted with a secure handle.
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2. Screwdrivers will be equipped with a non-conducting handle when used on
electrical work.
3. Screwdrivers will be inspected and repairs made if they have:
a. A loose or broken handle;
b. A cracked or broken blade;
c. Ends are worn or correct angles are missing; or
d. A bent shank.
4. Screwdrivers will not be used as a punch, lever, pry, etc.
5. Keep screwdriver blades in good condition and grind or file the tip square.
6. Select the correct size so it fits the screw snugly.
7. Never attempt to hold the work in one hand and use the screwdriver with the other. Instead use a vise to hold the piece being worked.
Pliers:
1. Pliers with sprung jaws or worn faces will not be used.
2. Worn joint pins will be replaced.
3. Pliers will never be used on nuts - use a wrench.
4. Grasp pliers handles near the end as you will be pinched if you grip close to the hinge.
5. Never use pliers on a hardened surface, as this only tends to dull the teeth and loosen the 'pliers' grip.
Electrical Tools:
1. All electrical tools will be grounded in one of two methods; either designed and clearly marked "Double Insulated", or by the use of a three prong plug.
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2. All wiring will be kept in good repair and dry.
3. Electrical tools will not be used in controlled atmospheres such as but not limited to: flammable/combustible areas, areas where there is a possibility of explosive gases, corrosive areas, etc.
4. Electrical tools that are used in conjunction with an extension cord will have a cord that is of a heavy-duty type construction. It will be, secured to the tool using a three-prong coupler. The extension cord will not be kinked, broken, showing exposed wires or having loose plug ends.
5. Extension cords will not be fixed to objects such as ladder rails, cabinets, walls, etc. The length of the cord will not extend more than 50 feet.
6. When drilling, sawing, fastening, soldering, welding, chipping, filing, and etc. employees will wear Industrial Grade Safety Glasses and/or proper face protection.
Hammers:
1. Make sure that hammerheads fit tightly.
2. Replace deformed heads and loose or split handles.
3. Grip the handle close to the end; don't choke up on it. It will be doing its work rather than letting it do the work. Never use hammer handles to pry or to tap objects.
32. LADDERS
General Requirements:
1. Only OSHA approved ladders are allowed on the job. This would be Class I Industrial wooden or fiberglass.
2. Straight and extension ladders require non-skid feet.
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3. Straight and extension ladders and stepladders are to be tied or secured when in use. At least 1/2" rope, 6 feet in length, will be applied to the top rung for this purpose.
4. Metal ladders will not be used if a fiberglass one is available. They are not as safe as fiberglass ones.
5. Portable ladders will be placed on a substantial base, and the area around the top and bottom of the ladder will be kept clean.
6. Ladders will not be used in the horizontal position or used as platforms, walkways or scaffolds.
7. Ladders are not to be placed in passageways, doorways, or any location where they will be displaced by work activities around them, unless protected by barricades or guards.
8. Side rails of ladders will extend at least 36 inches above the landing or
grab rails will be provided.
9. The use of ladders with broken or missing rungs, broken or split side rails, or other faulty or defective construction is prohibited.
10. Ladder that have open and hollow rungs and show signs of excessive corrosion and wear will be replaced.
11. All ladders will be inspected on a regular basis and tagged "unsafe to use" or "do not use”, when beyond repair.
12. When climbing a ladder, face the ladder and keep hands free for climbing.
I3. Don't stand on the top 3 rungs of a straight ladder without handholds unless you are protected by a safety belt.
14. Immediately remove damaged ladders from use when any unsafe condition is noted.
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15. Place ladders at approximately a 75-degree angle. Or place the bottom of the ladder 1 foot back for every 4 feet in height.
16. Don't place planks on the top of stepladders.
17. Don't stand on the top 2 steps of a stepladder.
18. Don't paint or coat wooden ladders with dark coatings or colors as this will impair the inspection of the ladder.
19. Painted or coated ladders which cannot be properly inspected will be removed from service.
20. Don't tie ladders together in order to get more height or other support for which ladders were not intended.
21. Do not use metal ladders within 4 feet of exposed live electrical parts.
22. Portable metal ladders will be marked.
33. EMPLOYEE SAFETY & HEALTH SUGGESTIONS
Introduction: On occasion, employees will not notify anyone of impending danger or hazards on the job. This will be due to a fear of reprisal, fear of rejection, lack of encouragement by their supervisor, or many other reasons. An informal, and when desired, anonymous method will provide another means for a bashful employee to inform us of important safety information.
Purpose: 1. The "EMPLOYEE SAFETY & HEALTH SUGGESTION FORM" is to be
used by employees to formally report hazards not handled directly by their superior or for the presentation of suggestions, to improve the safety & health of their job.
2. The form is designed to be used to ensure that:
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a. The employee is provided with a means of reporting a safety or health problem WITHOUT FEAR OF REPRISAL.
b. Feedback is provided to the employee on their suggestions, whether positive or negative.
Procedures:
1. Management will encourage employees to utilize the Safety & Health Suggestion Form at any time they would like to make a safety or health suggestion or observation.
2. Hosler Corp. will make the forms available where employees will easily find them.
3. The location will be readily identifiable and the deposit "boxes" will be made secure so that the completed forms can be collected by the person(s) so designated by the Safety and Health Manager. The forms will be collected daily.
4. If a hazard of imminent danger was to go unnoticed, the potential for a serious accident increases.
5. Any suggestion identifies a condition of imminent danger requires that immediate corrective action be taken.
6. The Safety and Health Manager will review the suggestions. It is important for the Safety and Health Manager to provide a response on the action to be taken. The employee will be thanked for their participation.
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Hosler Corp. © 2015 EMPLOYEE SAFETY AND HEALTH PLAN
HOSLER CORP. SAFETY AND HEALTH SUGGESTIONS FORM
Hosler Corp. employees are not required to work at a job he/she knows is not safe or healthful. Your cooperation in detecting hazards and in controlling them is a condition of your employment. Hosler Corp. employees are advised that the use of this form or other reports of unsafe conditions or practices are protected by law. It would be illegal for Hosler Corp. to take any action against an employee for exercising their rights to participate in communications involving safety. Hosler Corp.’s Safety and Health Manager will investigate any report or question as required by the Injury and Illness Prevention Program Standard and, if known, advice the employee who provided the information.
Description of unsafe condition or practice:
________________________________________________________________
________________________________________________________________ ________________________________________________________________
Causes or other factors: ________________________________________________________________
________________________________________________________________ ________________________________________________________________
Employee suggestions for improving safety: ________________________________________________________________ __
__________________________________________________________________
_______________________________________________________________
Has this been reported to the Safety and Health Manager? Yes___ No___
Employee Name: ________________________________ Date: _____________
Actions Taken:
________________________________________________________________ ________________________________________________________________
________________________________________________________________
Safety and Health Manager: _______________________ Date: ___________
56
Quality Control Plan
Project Information:
DGS / PennDOT District 4-0 Office
906 North Vine Street
Berwick, PA 18603
Phone: 570-861-0139
Fax: 570-520-4630
www.hoslercorp.com
2
Hosler Corp.
Quality Control Plan Project Title: DGS / PennDOT District 4-0 Office
Introduction The purpose of Hosler Corp.’s Quality Control Plan (QCP) is to ensure that our Construction Team conducts
and completes this project in accordance with contract specifications and drawings. Hosler Corp.’s Quality
Control Representative (QCR) has the responsibility for ensuring that this project is completed in accordance
with the contract.
Subcontractors
All subcontractors hired by Hosler Corp. will comply with this QCP. They are as follows:
• Hosler Enterprise
• Accutech Testing
• …
3
PART A 4-Step Inspection Process
Hosler Corp.’s QCR shall prepare for, conduct and provide evidence of inspections of each Definable Scope of work
Features in four separate, distinct and consecutive steps. Attached are examples of our inspection forms that provide fill-in spaces for
preparation and observation results. A Final Inspection is conducted regarding all items. The QCR shall conduct the inspections using
a 4 step process, summarized as follows (forms 1-4 listed below are to be filled out by the subcontractor during the corresponding
phase of construction, forms are found on later pages of this sample QCP.
1. Preparatory Inspection Checklist: The QCR shall perform this inspection in preparation for and prior to the Initial inspection.
This phase shall ensure that all the required resources such as equipment, material, labor, approved documents, approved permits and
other Subcontract requirements are available and/or adhered to.
2. Initial Inspection Report: The QCR shall conduct an initial inspection at the beginning of each Definable scope of work feature
(see Part B-7 below) as soon as a representative portion of the work has been performed. The attached form can also be used for the
Follow up Inspections.
3. Follow up Inspection Report: The QCR shall conduct in-process periodic inspections as required Hosler Corp.’s submitted and
approved Inspection and Test Plan (ITP, see Part B-3 below). This is to ensure the project is in compliance with the requirements of
the plans and specifications.
4. Final Inspection/Acceptance Report: The QCR shall perform a final inspection of all work activities in accordance with the ITP.
Items not complete will be entered on a dated punchlist and follow-up inspections will be required. All punchlist work will be
completed prior to project acceptance.
PART B Quality Control Plan Requirements
Hosler Corp.’s QCP covers as a minimum the seven distinct topics listed below in accordance with the specification and drawings of
this subcontract. The following pages provide information for accomplishing this requirement.
Table of Contents 1. Resume including name, authority and responsibility of the QCR.
2. Submittal schedule.
3. Inspection and testing plan (ITP) listing the definable scope of work features.
4. List of Independent Testing and/or Engineering Organizations with description of services.
5. A plan for documenting the Quality Control Procedures.
6. Plan for scheduling, managing and reviewing shop drawings.
7. Exhibits (daily construction report, RFI and Inspection report).
4
Hosler Corp. Organizational Chart
Douglas V. Hosler – President – Started Hosler Corp. in 2009. Previously a Vice-President at a local mechanical contractor from 1997
to 2009. 15+ years of drafting and design, including CAD, experience. 18 years of sheet metal fabrication, installation, and controls
experience. Refrigerant certification. Plumbing training and experience. Extensive foreman experience.
Justin Caspersen – Project Manager – Previous position as Manager/Engineering Design/IT/Purchasing/Web Design from 2002 to
2014. Studied Mechanical Engineering at Pennsylvania State University. Over 15 years of CAD experience in 2D and 3D, including
solid modeling in Autodesk Inventor. 10+ years of management experience. Forklift trainer and certified operator. 15 years of sheet
metal design, machine setup and fabrication. Finite Element Analysis experience in stress computations of mobile articulating knuckle
boom cranes. OSHA 10 certification.
Kimm Naugle – Assistant Project Manager – B.S. in Project Management. 20 years of construction experience.
Frederick King – Foreman (Superintendent) – Over 25 years of field sheet metal fabrication and installation experience. Extensive
foreman experience. Air testing, pipe fitting and general carpentry experience. OSHA 30 certification
Robert Switzer – Foreman (Superintendent) – Over 20 years of field sheet metal fabrication and installation experience plus 2 years of
technical education. EPA certified. Military trained in air conditioning and mechanical repair. Foreman experience.
John Falatovich – Foreman (Superintendent) – Over 15 years of field sheet metal fabrication and installation experience. Foreman
experience.
Duane McHenry – Shop Foreman – Over 16 years of HVAC service, fabrication and installation experience including sheet metal,
hydronics, refrigeration, controls and pipe fitting. EPA certified. Fujitsu and Nordyne factory trained.
Douglas V. Hosler
President
Olga Hosler
Controller
Justin Caspersen
Project Manager
Robert Switzer
Foreman
Frederick King
Foreman
Duane McHenry
Shop Foreman
John Falatovich
Foreman
Kimm Naugle
Asst. Project Manager
5
1. Authority and Responsibility of QCR:
The QCR is ultimately responsible for the proper information being reported for the inspection check list, initial inspection reports,
any follow up inspection reports, as per QCR requirements. He will be involved with the coordination of any scheduling and/or
necessary inspections that take place over the course of this project.
2. Submittal Schedule
The attached SUBMITTAL SCHEDULE includes the submittal number, planned date of submittals, specification section, submittal
description, manufacturer or supplier and whether a test/inspection is required for each submitted item.
3. List of Independent Testing and/or Engineering Firms with Description of Services
Any proposed Independent Testing and/or Engineering firm that will be employed by Hosler Corp. are listed on the attached
INDEPENDENT TESTING LABS and ENGINEERS form. A description of the services provided is included.
4. Inspection and Test Plan (ITP) listing the definable scope of work features.
The attached TESTING AND INSPECTION PLAN includes the Inspection/test number, planned date/number of the Inspection/Test,
Technical Specification Section, Definable Scope of the Work Feature & Inspection/Testing Entity and Phone number.
5. Plan for Documenting Quality Control Procedures
Review and Management of all quality control documentation is the direct responsibility Hosler Corp.’s QCR who has the complete
support and dedication of Hosler Corp.’s owners, employees, management and staff. The QCR or their Designee shall be responsible
for completing the following:
• Complete Daily Reports of all visitors and work completed on the site every day.
• Maintain Testing Logs of everything done on site and from off site, independent testing laboratories as applicable.
• Maintain an Advisory Log to include all advisory notices, Non-conformance Reports, and Corrective Action Requests issued
to Hosler Corp. The log will include recipients, distribution date, date of correction and action done.
• Constantly Inspect the quality and completeness of the work being performed by all Employees and lower tier contractors
maintaining the utmost adherence to drawings, specifications, codes, OSHA, and other subcontract requirements.
• Submit Request for Information (RFI) for any discrepancy in the drawings and/or specifications.
• Conduct inspections following the Four Step Process and using the attached inspection forms.
• Ensure that all Record Drawings, including as-built drawings, are kept up to date and reviewed weekly. 6. Planning for Scheduling, Managing and Reviewing Shop Drawings
• Shop drawings and proposed materials, including samples, certificates and other submittals, will be submitted for approval in
accordance with the project specifications.
• It is Hosler Corp.’s intent to have all submittals and shop drawings approved prior to any planned site mobilization or the
start of construction.
• A Master Submittal Schedule is included in Part 8 below which includes details of the planned Submittal date, specification
section, submittal description and whether special inspection or Testing is required.
• Copies of Approve Shop Drawings and material submittals shall be forwarded to the jobsite Superintendent for his
information and reference file.
7. Exhibits (Daily Construction Report, RFI, & Inspection Reports)
6
• The attached exhibits are documentation Hosler Corp. uses from the beginning of a project through to the end of a project to
ensure that the client receives a quality product. INSPECTION AND TESTING PLAN
Project: DGS / PennDOT District 4-0 Office
Definable Feature of Work Insp/test Acceptance
Criteria
Company
Testing
Frequency Report
Form
Standard Witness
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
7
SUBMITTAL REGISTER Project: DGS / PennDOT District 4-0 Office
No. Planned Date Spec. Sect. Submittal Description Manufacturer
1 Submittal Schedule
2 Insurance Certificate
3 QCP
4 SSSP
5 Progress Schedule
6 Schedule of Values
7 Performance Bond
8
9
10
11
12
13
14
8
Inspection Test Plan
Contract #: Project No 251-64 Phase 1 Project: DGS / PennDOT District 4-0 Office
Contractors Name:
Hosler Corp. Location: Dunmore, PA
Definable Feature of Work
Inspection Test
Acceptance Criteria
Spec. Company Performing Test
Frequency Report Form
Code STD Witness
9
INSERT SUBCONTRACTOR CREDENTIALS HERE
10
Hosler Corp. CONTRACT DAILY REPORT 906 North Vine Street Berwick, PA 18603 570-861-0139 www.hoslercorp.com
Contract No. and Title Date Report No. Project No 251-64 Phase 1 - DGS / PennDOT District 4-0 Office
Contractor Hosler Corp.
Shift Hours Worked Weather From: To:
Contractor Manpower (By Labor Class)
No. Total Hours Subcontractor Manpower No. Total Hours
Contractor Equipment No. Total Hours Subcontractor Equipment No. Total Hours
Description of work performed today
Remarks by contractor (Delays, Interruptions, Deviations, Extra Work Activities, Unusual Occurrences, etc.)
Contractor Title Date Hosler Corp.
Comments and/or Exceptions
Hosler Corp. Representative Title Date
11
REQUEST FOR INFORMATION
Hosler Corp.
906 North Vine Street
Berwick, PA 18603
570-861-0139
www.hoslercorp.com
RFI #
Send To:
From: Douglas Hosler
Attention:
Title: President
Job # and Name: Project No 251-64 Phase 1 - DGS / PennDOT District 4-0 Office
Date:
Subject:
Phone Number: 570-861-0139
Please comment
Please review
Total pages, including cover:
Comments:
Douglas Hosler
12
4-STEP QUALITY INSPECTION CHECKLISTS
Subcontract No.: Project No 251-64 Phase 1 NTP Date:
Project: DGS / PennDOT District 4-0 Office Location: Dunmore, PA
Definable Scope of the work features (DFOW)
PROJECT TEAM
Superintendent :
Site Safety Officer :
Foreman :
Quality Control Representative :
PREPARATORY INSPECTION CHECKLIST DATE:
No. Item Description Yes No N/A Comments
1 Safety Has the Hazard Analysis been submitted for this review?
2 Safety Are there additions to the Job Hazard Analysis (JHA) and are they incorporated?
3 Safety Has the Site Specific Safety Plan been reviewed?
4 Safety Has the Emergency Action Plan including contact list been reviewed and posted on site?
5 Safety Are Materials Safety Data Sheets (MSDS) on hand and reviewed?
6 Safety Do all members have the required Personal Protective Equipment (PPE)?
7 Materials Does the project team have copies of all the approved submittals for this DFOW on site?
8 Equipment Are all operators certified to run the necessary equipment and is proof of certification on site?
9 Equipment Has a checklist been completed for all equipment prior to use and have copies been submitted to the General Contractor?
10 Permits Are the required work permits posted on site?
11 Plans/Specs Are the latest plans and specifications on site and have they been reviewed by the Superintendent?
12 Tolerances Is the Superintendent aware of all construction tolerances for this DFOW?
13 Testing Is there testing required for this DFOW?
14 Testing If required, is the third party testing agency available to perform the testing?
15 Inspect/Testing Has the QCR and RE reviewed the Inspection and Test Plan?
13
4-STEP QUALITY INSPECTION CHECKLISTS Continued
INITIAL INSPECTION CHECKLIST DATE:
No. Item Description Yes No N/A Comments
1 Safety Do all members have the required Personal Protective Equipment (PPE)?
2 Safety Is there any additional Job Hazard Analysis (JHA), and have they been reviewed by all staff?
3 Safety Is the site well organized and maintained?
4 Material Are the materials being used in strict compliance with the contract requirements?
5 Equipment Is the equipment being used in strict compliance with the contract requirements?
6 Equipment Have all the tools and equipment been verified that is meets manufacturer’s recommendations for operation?
7 Tolerances Is all work being installed per the tolerances detailed in the drawings and specifications?
8 Testing Are any test required for this DFOW and have they been completed and properly documented?
9 Inspections Does this DFOW require a Witness and Hold Point? If so, has it been properly documented?
10 Plans Are all variations to the original plans being updated on the as-built drawings?
FOLLOW-UP INSPECTION CHECKLIST DATE:
No. Item Description Yes No N/A Comments
1 Safety Do all members have the required Personal Protective Equipment (PPE)?
2 Safety Is the site well organized and maintained?
3 Materials and Equipment
Are the materials and equipment being used in strict compliance with the contract requirements?
4 Equipment Have all tools and equipment been verified that it meets manufacturer’s recommendation for operation?
5 Tolerances Is all work being installed per the tolerances detailed in the drawings and specifications?
6 Testing Are any test required for this DFOW, and have they been completed and properly documented?
7 Inspections Does this DFOW require a Witness and Hold Point? If so, has it been properly documented?
8 Plans Are all variations to the original plans being updated on the as-built drawings?
14
4-STEP QUALITY INSPECTION CHECKLISTS Continued
FINAL INSPECTION CHECKLIST DATE:
No. Item Description Yes No N/A Comments
1 Plans Are the as-built drawings completed for this DFOW?
2 Safety Have all affected areas been cleaned and/or returned to a condition that will protect others from injury or incident?
3 Testing Does the RE have copies of all the test results?
4 Material Are all unused materials returned or stored?
5 Equipment Have all equipment instructions been submitted to the RE?
6 Equipment Is all equipment tested and operable?
List of Punchlist items:
Anticipated Completion: Actual Completion:
Anticipated Completion: Actual Completion:
Anticipated Completion: Actual Completion:
Anticipated Completion: Actual Completion:
Anticipated Completion: Actual Completion:
Anticipated Completion: Actual Completion:
Anticipated Completion: Actual Completion:
Anticipated Completion: Actual Completion:
Anticipated Completion: Actual Completion:
Quality Control Representative: _____________________________ Date: _______________________
Staffing Plan v1.0.1 9/18/17
Staffing Plan
Project Information:
DGS / PennDOT District 4-0 Office
906 North Vine Street
Berwick, PA 18603
Phone: 570-861-0139
Fax: 570-520-4630
www.hoslercorp.com
Staffing Plan v1.0.1 9/18/17
T-3A Staffing Resource Role Requirements The following is a detailed breakdown of the roles required to execute the project. It includes: the project role, the project responsibility of the role, skills required, number of staff required to fulfill the role, the estimated start date and the expected duration the staff resource will be needed on the project.
Role Project
Responsibility
Skills Required Number of Staff
Required
Estimated Start Date
Duration Required FY05-06
Hosler Corp.
Project
Manager
Lead team, report
status
Project
Management
1 748 days
Assistant Project Manager
Generate submittals, RFIs
Clerical 1 3 months
Sheet Metal Workers
Install units, duct Sheet Metal Worker
2 748 days
Piping
Subcontractor
Install HVAC piping,
equipment startup
Pipe fitting,
refrigerant
2 748 days
Insulator Subcontractor
Install HVAC insulation
Insulation install 2 2 months
TAB
Subcontractor
Testing, adjusting,
balancing
NEBB Certification 2 1 month
Excavator Subcontractor
Excavation Machine operation 2 2 weeks
Staff Assigned to Roles The following is a detailed breakdown of the actual staff assigned to the project role, the amount of Full Time Equivalent (FTE) requested for the role, the actual FTE acquired, the labor rate and unit of the labor rate for the resource and the source from which the resource is recruited.
Role Name Requested
FTE Acquired
FTE Source
Hosler Corp.
Project Manager Justin Caspersen 2.00 3.00 Hosler Corp.
Assistant Project
Manager
Kimm Naugle .10 .30 Hosler Corp.
Foreman John Falatovich 3.00 17.00 Hosler Corp.
Sheet Metal Worker Fred King 1.00 25.00 Hosler Corp.
Staffing Plan v1.0.1 9/18/17
Role Name Requested FTE
Acquired FTE
Source
Piping Foreman Phil Hosler 3.00 10.00 Hosler Enterprise
Pipefitter Mike Reeder 1.00 3.00 Hosler Enterprise
Insulator TBD 1.00 TBD
Insulator TBD 1.00 TBD
TAB Professional Joseph DiAugustine 1.00 20.00 Accutech Testing
TAB TBD 1.00 Accutech Testing
Excavator Machine Operator
TBD 2.00 Carl E. Rinehimer Excavating
Excavator Labor TBD .50 Carl E. Rinehimer
Excavating
Total 16.60 20.00
T-3B Skill Training Training Needs The following are the detailed training needs to bring staff to a level of skill required for project execution.
Role/Staff Resource Training Program Hours
Required Description Program
Sheet Metal Worker Sheet Metal Worker Apprentice
Layout, fabrication, installation of sheet metal ductwork.
Associated Builders and Contractors (ABC)
T-3C Workforce Safety Safety Training The following are the safety training needs to bring staff to a level of skill required for project execution.
Role/Staff Resource Safety Program Hours Required
Sheet Metal Worker OSHA 10-Hour
Company Policy Hosler Corp. has a written safety manual and employees have a safety briefing weekly.
Saturday, September 16, 2017
Attachment 1
Re: Jurisdictions
Hosler Corp. is licensed to do business in Pennsylvania.
Justin Caspersen
Hosler Corp.
Page 1 of 4
Saturday, September 16, 2017
Attachment 2
Re: Project Experience and References
Lock Haven University, Parsons Union Building, Lock Haven, PA
The Parsons Union Building project was a refurbishment of the University book store and common area.
Hosler Corp., as the HVAC prime contractor, was responsible for the demolition of two existing air
handlers, corresponding duct and piping, and original HVAC control system. We poured new concrete
pads with steel structural supports for two new 4-pipe air handlers. Hosler Corp. added eight new
variable air volume control boxes (VAVs) and new duct through the existing building and into the new
building addition. We added duct mounted hydronic reheat coils to existing duct systems and fin-tube
radiator throughout the building. The building’s existing pneumatic HVAC control system was
decommissioned and a new digital direct control system (DDC) was added and tied into the University’s
existing BAC system.
Contact:
J. Leonard Meckley, Jr., P.E.
Project Manager
Lock Haven University
95 West Fourth Street, Lock Haven, PA 17745
Phone: 570-484-2018
Fax: 570-484-2788
Cell: 570-850-1654
Original bid price:
$560,200
Final price:
$597,149
Hosler Corp. Responsible Amount:
$346,834
Original Completion Date:
August 19, 2016
Actual Completion Date:
September 26, 2016 (Change due to increased lead time for structural members, GC)
Performance Rating:
N/A
Page 2 of 4
Department of General Services, 22nd and Forster Street Office, Harrisburg, PA
This project was to replace two air handlers. Hosler Corp., as the lead prime contractor, was responsible
for the demolition of two existing air handlers, corresponding duct and piping, and original HVAC
control system. We extended the existing concrete equipment pads for the two new air handlers. Hosler
Corp. developed and maintained the DGS approved schedule. We added fourteen new VAVs and
ductwork tied into the existing duct system. New HVAC equipment controls were added and tied into
the building’s existing BAC system.
Contact:
Ronald Lyter
Construction Project Manager
Department of General Services
Room 321 Arsenal Building/18th and Herr Streets, Harrisburg, PA 17125
Phone: 717-787-7356
Fax: 717-772-4730
Original bid price:
$216,300
Final price:
$223,993
Hosler Corp. Responsible Amount:
$117,050
Original Completion Date:
April 20, 2016
Actual Completion Date:
May 23, 2016 (Change due to Owner’s request to delay removing building heat and mechanical
equipment lead time)
Performance Rating:
N/A
Page 3 of 4
Sunbury Housing Authority, Scott Tower, Sunbury, PA
The Scott Tower project was an air handler replacement. Hosler Corp., as the only prime contractor, was
responsible for the demolition of two existing air handlers, corresponding duct and piping, and original
HVAC control system. We constructed new steel structural supports for two new air handlers. Hosler
Corp. subcontracted a replacement of the electrical supplying the new air handlers. We added a duct
mounted electric reheat coil to existing duct system. The existing air handler controls were removed and
a new stand-alone control system was added.
Contact:
Sandra Ressler
Executive Director
Sunbury Housing Authority
705 Market Street, Sunbury, PA 17801
Phone: 570-286-8563
Fax: 570-286-2745
Original bid price:
$133,400
Final price:
$133,400
Hosler Corp. Responsible Amount:
$70,950
Original Completion Date:
April 17, 2017
Actual Completion Date:
July 16, 2017 (Change due to Owners request to delay removing existing heat)
Performance Rating:
N/A
Page 4 of 4
Bloomsburg University, New Residence Hall and Bookstore, Bloomsburg, PA
This project was to construct and 6 story dormitory building with a ground floor book store. Hosler
Corp., as a sheet metal subcontractor, was responsible for fabrication and installation of the sheet metal
duct, creating coordination drawings, and installing HVAC equipment. Hosler Corp. was able to
complete the project in accordance with the tight schedule.
Contact:
Craig Hosler
President
Benell, Inc.
3171 Columbia Boulevard, Unit B
Bloomsburg, PA 17815
Phone: (570) 784-0805
Fax: (570) 784-0303
Cell: (570) 380-9710
Original bid price:
$1,510,550
Final price:
$1,566,345
Hosler Corp. Responsible Amount:
$1,566,345
Original Completion Date:
June 15, 2017
Actual Completion Date:
June 15, 2017
Performance Rating:
N/A
Saturday, September 16, 2017
Attachment 3
Re: EMR
Our elevated EMR was caused by an injury due to a fall by an employee missing the last step
while climbing down a ladder in 2012. The employee thought he was stepping onto the floor, but was
one rung up the ladder. When he stepped back, he lost balance and ended up falling on his side. His tape
measure was attached to his belt and he landed on it, breaking his hip. This matter was taken very
seriously by the company. That the employee was the father of the owner of Hosler Corp. only added to
the effort to prevent any future accidents. This has been the only major incident since Hosler Corp.’s
founding in 2010.
Since this accident, Hosler Corp. has taken steps to inform and train our employees of possible
jobsite dangers. We have created and implemented a comprehensive Safety & Health Plan. Our weekly
jobsite meetings include safety as a key discussion point. Our employees have access and are required to
use all applicable personal protection equipment.
The only other minor incident was an employee cutting his finger on a sheet metal shear in 2015.
This incident did not result in any serious injury or lost days.
Justin Caspersen
Hosler Corp.
PA EXPERIENCE RATING MODIFICATION
File Number: 3285114 County: COLUMBIA
Experience Mod: 1.000 Address: 218 FOUNDRYVILLE RD
XREF: BERWICK PA 18603
Issue Date: 02/10/2017 Effective Term: 05/21/2017 - 05/21/2018
Card Number: 1
Governing Class Code: 0664
Employer Name: HOSLER CORP
Modification History Effective Date1.625 05/21/2016
1.563 05/21/2015
1.250 05/21/2014
Governing Class Code Rating Value Description664 3.12 HEATING OR VENTILATING
951 .24 SALESPERSON - OUTSIDE
953 .11 OFFICE
Year
City State
(A) (B) (C) (D) (E) (F)
(M)
(G) (H) (I) (J) (K) (L) (1) (2) (3) (4) (5) (6)
Page totals 0 0 0 0 0 0 0 0 0 0 0 0
Page 1 of 1 (1) (2) (3) (4) (5) (6)
All
oth
er
illn
esse
s
Away
From
Work
(days)
All
oth
er
illn
esse
s
Skin
Dis
ord
er
Skin
Dis
ord
er
Be sure to transfer these totals to the Summary page (Form 300A) before you post it.
Hosler Corp.
Pennsylvania
Date of
injury or
onset of
illness
He
ari
ng
Lo
ss
Classify the case
Days away
from workRemained at work
Case
No.
Where the event occurred (e.g.
Loading dock north end)
(mo./day)
Attention: This form contains information relating
to employee health and must be used in a manner
that protects the confidentiality of employees to the
extent possible while the information is being used
for occupational safety and health purposes. U.S. Department of Labor
You must record information about every work-related injury or illness that involves loss of consciousness, restricted work activity or job transfer, days away from work, or medical treatment
beyond first aid. You must also record significant work-related injuries and illnesses that are diagnosed by a physician or licensed health care professional. You must also record work-related
injuries and illnesses that meet any of the specific recording criteria listed in 29 CFR 1904.8 through 1904.12. Feel free to use two lines for a single case if you need to. You must complete an
injury and illness incident report (OSHA Form 301) or equivalent form for each injury or illness recorded on this form. If you're not sure whether a case is recordable, call your local OSHA office
for help.
Job Title (e.g.,
Welder)
Describe injury or illness, parts of body affected,
and object/substance that directly injured or
made person ill (e.g. Second degree burns on
right forearm from acetylene torch)
Form approved OMB no. 1218-0176
Berwick
Establishment name
CHECK ONLY ONE box for each case based on
the most serious outcome for that case:
Enter the number of
days the injured or ill
worker was:
Check the "injury" column or choose one type
of illness:
2014
Po
iso
nin
gP
ois
on
ing
He
ari
ng
Lo
ss
Inju
ry
Other record-
able cases
Re
sp
ira
tory
Co
nd
itio
n
Re
sp
ira
tory
Co
nd
itio
n
On job
transfer or
restriction
(days)Job transfer
or restriction
OSHA's Form 300 (Rev. 01/2004)
Public reporting burden for this collection of information is estimated to average 14 minutes per response, including time
to review the instruction, search and gather the data needed, and complete and review the collection of information.
Persons are not required to respond to the collection of information unless it displays a currently valid OMB control
number. If you have any comments about these estimates or any aspects of this data collection, contact: US
Department of Labor, OSHA Office of Statistics, Room N-3644, 200 Constitution Ave, NW, Washington, DC 20210. Do
not send the completed forms to this office.
Log of Work-Related Injuries and Illnesses
Employee's Name
Identify the person Describe the case
Occupational Safety and Health Administration
Inju
ry
Death
Year 2014
Street
City Zip 18603
0 0 0 0
(G) (H) (I) (J) OR
2 3 8 2 2 0
0 0(K) (L)
Total number of… Knowingly falsifying this document may result in a fine.
(M)
(1) Injury 0 (4) Poisoning 0
(2) Skin Disorder 0 (5) Hearing Loss 0
(3) Respiratory
Condition 0 (6) All Other Illnesses 0
Sign here
State
Employment information
Total number of
days away from
work
Total number of days of
job transfer or restriction
Public reporting burden for this collection of information is estimated to average 58 minutes per response, including time to review the instruction, search and gather
the data needed, and complete and review the collection of information. Persons are not required to respond to the collection of information unless it displays a
currently valid OMB control number. If you have any comments about these estimates or any aspects of this data collection, contact: US Department of Labor,
OSHA Office of Statistics, Room N-3644, 200 Constitution Ave, NW, Washington, DC 20210. Do not send the completed forms to this office.
Injury and Illness Types
Phone
Company executive
I certify that I have examined this document and that to the best of my knowledge the entries are true, accurate, and
complete.
570-861-0139
Douglas V. Hosler
U.S. Department of Labor
OSHA's Form 300A (Rev. 01/2004)
Summary of Work-Related Injuries and IllnessesOccupational Safety and Health Administration
Industry description (e.g., Manufacture of motor truck trailers)
Post this Summary page from February 1 to April 30 of the year following the year covered by the form
All establishments covered by Part 1904 must complete this Summary page, even if no injuries or illnesses
occurred during the year. Remember to review the Log to verify that the entries are complete and accurate
Using the Log, count the individual entries you made for each category. Then write the totals below,
making sure you've added the entries from every page of the log. If you had no cases write "0."
Employees former employees, and their representatives have the right to review the OSHA Form 300 in its
entirety. They also have limited access to the OSHA Form 301 or its equivalent. See 29 CFR 1904.35, in
OSHA's Recordkeeping rule, for further details on the access provisions for these forms.
Total number of
cases with days
away from work
Total number of cases
with job transfer or
restriction
10,590
Hosler Corp.
Form approved OMB no. 1218-0176
Title
Date
President
2/22/2015
HVAC Contractor
Establishment information
Total number of
deaths
Number of CasesBerwick
Your establishment name
125 East 6th Street
Pennsylvania
Total number of
other recordable
cases
Number of Days
Total hours worked by all employees last
year
Standard Industrial Classification (SIC), if known (e.g., SIC 3715)
Annual average number of employees
North American Industrial Classification (NAICS), if known (e.g., 336212)
10
Year
City State
(A) (B) (C) (D) (E) (F)
(M)
(G) (H) (I) (J) (K) (L) (1) (2) (3) (4) (5) (6)
1 Paul Celona Laborer Jump shear Finger cut due to operating without guard x
Page totals 0 0 0 0 0 0 1 0 0 0 0 0
Page 1 of 1 (1) (2) (3) (4) (5) (6)
All
oth
er
illn
esse
s
Away
From
Work
(days)
All
oth
er
illn
esse
s
Skin
Dis
ord
er
Skin
Dis
ord
er
Be sure to transfer these totals to the Summary page (Form 300A) before you post it.
Hosler Corp.
Pennsylvania
Date of
injury or
onset of
illness
He
ari
ng
Lo
ss
Classify the case
Days away
from workRemained at work
Case
No.
Where the event occurred (e.g.
Loading dock north end)
(mo./day)
Attention: This form contains information relating
to employee health and must be used in a manner
that protects the confidentiality of employees to the
extent possible while the information is being used
for occupational safety and health purposes. U.S. Department of Labor
You must record information about every work-related injury or illness that involves loss of consciousness, restricted work activity or job transfer, days away from work, or medical treatment
beyond first aid. You must also record significant work-related injuries and illnesses that are diagnosed by a physician or licensed health care professional. You must also record work-related
injuries and illnesses that meet any of the specific recording criteria listed in 29 CFR 1904.8 through 1904.12. Feel free to use two lines for a single case if you need to. You must complete an
injury and illness incident report (OSHA Form 301) or equivalent form for each injury or illness recorded on this form. If you're not sure whether a case is recordable, call your local OSHA office
for help.
Job Title (e.g.,
Welder)
Describe injury or illness, parts of body affected,
and object/substance that directly injured or
made person ill (e.g. Second degree burns on
right forearm from acetylene torch)
Form approved OMB no. 1218-0176
Berwick
Establishment name
CHECK ONLY ONE box for each case based on
the most serious outcome for that case:
Enter the number of
days the injured or ill
worker was:
Check the "injury" column or choose one type
of illness:
2015
Po
iso
nin
gP
ois
on
ing
He
ari
ng
Lo
ss
Inju
ry
Other record-
able cases
Re
sp
ira
tory
Co
nd
itio
n
Re
sp
ira
tory
Co
nd
itio
n
On job
transfer or
restriction
(days)Job transfer
or restriction
OSHA's Form 300 (Rev. 01/2004)
Public reporting burden for this collection of information is estimated to average 14 minutes per response, including time
to review the instruction, search and gather the data needed, and complete and review the collection of information.
Persons are not required to respond to the collection of information unless it displays a currently valid OMB control
number. If you have any comments about these estimates or any aspects of this data collection, contact: US
Department of Labor, OSHA Office of Statistics, Room N-3644, 200 Constitution Ave, NW, Washington, DC 20210. Do
not send the completed forms to this office.
Log of Work-Related Injuries and Illnesses
Employee's Name
Identify the person Describe the case
Occupational Safety and Health Administration
Inju
ry
Death
Year 2015
Street
City Zip 18603
0 0 0 0
(G) (H) (I) (J) OR
2 3 8 2 2 0
0 0(K) (L)
Total number of… Knowingly falsifying this document may result in a fine.
(M)
(1) Injury 1 (4) Poisoning 0
(2) Skin Disorder 0 (5) Hearing Loss 0
(3) Respiratory
Condition 0 (6) All Other Illnesses 0
Sign here
State
Employment information
Total number of
days away from
work
Total number of days of
job transfer or restriction
Public reporting burden for this collection of information is estimated to average 58 minutes per response, including time to review the instruction, search and gather
the data needed, and complete and review the collection of information. Persons are not required to respond to the collection of information unless it displays a
currently valid OMB control number. If you have any comments about these estimates or any aspects of this data collection, contact: US Department of Labor,
OSHA Office of Statistics, Room N-3644, 200 Constitution Ave, NW, Washington, DC 20210. Do not send the completed forms to this office.
Injury and Illness Types
Phone
Company executive
I certify that I have examined this document and that to the best of my knowledge the entries are true, accurate, and
complete.
570-861-0139
Douglas V. Hosler
U.S. Department of Labor
OSHA's Form 300A (Rev. 01/2004)
Summary of Work-Related Injuries and IllnessesOccupational Safety and Health Administration
Industry description (e.g., Manufacture of motor truck trailers)
Post this Summary page from February 1 to April 30 of the year following the year covered by the form
All establishments covered by Part 1904 must complete this Summary page, even if no injuries or illnesses
occurred during the year. Remember to review the Log to verify that the entries are complete and accurate
Using the Log, count the individual entries you made for each category. Then write the totals below,
making sure you've added the entries from every page of the log. If you had no cases write "0."
Employees former employees, and their representatives have the right to review the OSHA Form 300 in its
entirety. They also have limited access to the OSHA Form 301 or its equivalent. See 29 CFR 1904.35, in
OSHA's Recordkeeping rule, for further details on the access provisions for these forms.
Total number of
cases with days
away from work
Total number of cases
with job transfer or
restriction
14,615
Hosler Corp.
Form approved OMB no. 1218-0176
Title
Date
President
3/8/2016
HVAC Contractor
Establishment information
Total number of
deaths
Number of CasesBerwick
Your establishment name
125 East 6th Street
Pennsylvania
Total number of
other recordable
cases
Number of Days
Total hours worked by all employees last
year
Standard Industrial Classification (SIC), if known (e.g., SIC 3715)
Annual average number of employees
North American Industrial Classification (NAICS), if known (e.g., 336212)
13
Year
City State
(A) (B) (C) (D) (E) (F)
(M)
(G) (H) (I) (J) (K) (L) (1) (2) (3) (4) (5) (6)
Page totals 0 0 0 0 0 0 0 0 0 0 0 0
Page 1 of 1 (1) (2) (3) (4) (5) (6)
OSHA's Form 300 (Rev. 01/2004)
Public reporting burden for this collection of information is estimated to average 14 minutes per response, including time
to review the instruction, search and gather the data needed, and complete and review the collection of information.
Persons are not required to respond to the collection of information unless it displays a currently valid OMB control
number. If you have any comments about these estimates or any aspects of this data collection, contact: US
Department of Labor, OSHA Office of Statistics, Room N-3644, 200 Constitution Ave, NW, Washington, DC 20210. Do
not send the completed forms to this office.
Log of Work-Related Injuries and Illnesses
Employee's Name
Identify the person Describe the case
2016
Po
iso
nin
gP
ois
on
ing
He
ari
ng
Lo
ss
Inju
ry
Other record-
able cases
Re
sp
ira
tory
Co
nd
itio
n
Re
sp
ira
tory
Co
nd
itio
n
On job
transfer or
restriction
(days)Job transfer
or restriction
Occupational Safety and Health Administration
Inju
ry
Death(mo./day)
Attention: This form contains information relating
to employee health and must be used in a manner
that protects the confidentiality of employees to the
extent possible while the information is being used
for occupational safety and health purposes. U.S. Department of Labor
You must record information about every work-related injury or illness that involves loss of consciousness, restricted work activity or job transfer, days away from work, or medical treatment
beyond first aid. You must also record significant work-related injuries and illnesses that are diagnosed by a physician or licensed health care professional. You must also record work-related
injuries and illnesses that meet any of the specific recording criteria listed in 29 CFR 1904.8 through 1904.12. Feel free to use two lines for a single case if you need to. You must complete an
injury and illness incident report (OSHA Form 301) or equivalent form for each injury or illness recorded on this form. If you're not sure whether a case is recordable, call your local OSHA office
for help.
Job Title (e.g.,
Welder)
Describe injury or illness, parts of body affected,
and object/substance that directly injured or
made person ill (e.g. Second degree burns on
right forearm from acetylene torch)
Form approved OMB no. 1218-0176
Berwick
Establishment name
CHECK ONLY ONE box for each case based on
the most serious outcome for that case:
Enter the number of
days the injured or ill
worker was:
Check the "injury" column or choose one type
of illness:Date of
injury or
onset of
illness
He
ari
ng
Lo
ss
Classify the case
Days away
from workRemained at work
Case
No.
Where the event occurred (e.g.
Loading dock north end)
All
oth
er
illn
esse
s
Away
From
Work
(days)
All
oth
er
illn
esse
s
Skin
Dis
ord
er
Skin
Dis
ord
er
Be sure to transfer these totals to the Summary page (Form 300A) before you post it.
Hosler Corp.
Pennsylvania
Year 2016
Street
City Zip 18603
0 0 0 0
(G) (H) (I) (J) OR
2 3 8 2 2 0
0 0(K) (L)
Total number of… Knowingly falsifying this document may result in a fine.
(M)
(1) Injury 0 (4) Poisoning 0
(2) Skin Disorder 0 (5) Hearing Loss 0
(3) Respiratory
Condition 0 (6) All Other Illnesses 0
Berwick
Your establishment name
125 East 6th Street
Pennsylvania
Total number of
other recordable
cases
Number of Days
Total hours worked by all employees last
year
Standard Industrial Classification (SIC), if known (e.g., SIC 3715)
Annual average number of employees
North American Industrial Classification (NAICS), if known (e.g., 336212)
13
14,615
Hosler Corp.
Form approved OMB no. 1218-0176
Title
Date
President
3/6/2017
HVAC Contractor
Establishment information
Total number of
deaths
Number of Cases
570-861-0139
Douglas V. Hosler
U.S. Department of Labor
OSHA's Form 300A (Rev. 01/2004)
Summary of Work-Related Injuries and IllnessesOccupational Safety and Health Administration
Total number of
days away from
work
Total number of days of
job transfer or restriction
Public reporting burden for this collection of information is estimated to average 58 minutes per response, including time to review the instruction, search and gather
the data needed, and complete and review the collection of information. Persons are not required to respond to the collection of information unless it displays a
currently valid OMB control number. If you have any comments about these estimates or any aspects of this data collection, contact: US Department of Labor,
OSHA Office of Statistics, Room N-3644, 200 Constitution Ave, NW, Washington, DC 20210. Do not send the completed forms to this office.
Injury and Illness Types
Phone
Company executive
I certify that I have examined this document and that to the best of my knowledge the entries are true, accurate, and
complete.
Industry description (e.g., Manufacture of motor truck trailers)
Post this Summary page from February 1 to April 30 of the year following the year covered by the form
All establishments covered by Part 1904 must complete this Summary page, even if no injuries or illnesses
occurred during the year. Remember to review the Log to verify that the entries are complete and accurate
Using the Log, count the individual entries you made for each category. Then write the totals below,
making sure you've added the entries from every page of the log. If you had no cases write "0."
Employees former employees, and their representatives have the right to review the OSHA Form 300 in its
entirety. They also have limited access to the OSHA Form 301 or its equivalent. See 29 CFR 1904.35, in
OSHA's Recordkeeping rule, for further details on the access provisions for these forms.
Total number of
cases with days
away from work
Total number of cases
with job transfer or
restriction
Sign here
State
Employment information
Saturday, September 16, 2017
Attachment 4
Re: Health and Safety Citations
Hosler Corp. has not received any health or safety citations in the past 3 years.
Justin Caspersen
Hosler Corp.
Saturday, September 16, 2017
Attachment 5
Re: Qualification
Hosler Corp. was denied prequalification from Pennsylvania State University due to an EMR
higher than they allowed.
Justin Caspersen
Hosler Corp.
APPENDIX C
PRIME CONTRACTOR
QUALIFICATION STATEMENT
COVER SHEET
DGS Project Name ________________________________________________________
DGS Project Number ______________________________________________________
Check One:
__Corporation,
__Partnership,
__Individual,
__Joint Venture,
__Other ________________
Name of Firm ____________________________________________________________
Address_________________________________________________________________
Principal Office ___________________________________________________________
Owner or Authorized Representative __________________________________________
Renovate and Expand PennDOT District 4-0 Office
251-64 Phase 1
X
Hosler Corp.
906 North Vine Street, Berwick, PA 18603
906 North Vine Street, Berwick, PA 18603Douglas V. Hosler
SECTION 1 – INFORMATION ON FIRM
1.1 Background Information
a) How many years has the firm been in business? ________________________________
b) How many years has the firm been doing business in proposed contract field? ________
Under what former names has the firm conducted business? _____________________________________________________________________________________________________________________________________________________________________________________________________________________
c) Provide an Attachment 1 to this Qualifications Statement identifying all jurisdictions in which the firm is licensed or otherwise qualified to do business. List and provide copies of any business or trade licenses, certificates or registrations (to the extent that they apply to the Contract Work) held by the firm.
d) If the firm is a corporation, provide the following information:
Date of incorporation______________________________________________________
State of incorporation______________________________________________________
President’s name_________________________________________________________
Vice President’s name(s)___________________________________________________
Secretary’s name_________________________________________________________
Treasurer’s name_________________________________________________________
e) If the firm is a partnership, provide the following information:
Date of formation_________________________________________________________
Type of partnership_______________________________________________________
Names of partners________________________________________________________
f) If the firm is individually owned, provide the following information:
Date of formation_________________________________________________________
Name of owner___________________________________________________________
g) If the form of the firm is other than those listed above, describe it and name the principals: _______________________________________________________________________
_______________________________________________________________________
7 years
7 years
N/A
April 15, 2010
Pennsylvania
Douglas V. Hosler
Douglas V. HoslerDouglas V. Hosler
Douglas V. Hosler
N/A
N/A
N/A
SECTION 2 - EXPERIENCE AND PERFORMANCE
2.1 General
a) Provide the annual construction volume in dollars completed by the firm in the past three years:
Year _____ $_______________
Year _____ $_______________
Year _____ $_______________
b) Identify the percentage of work on similar projects the firm typically performs with its own work force _____
c) List the categories of work that the firm normally performs with its own forces on similar projects.
2.2 Project Experience and References
Submit as Attachment 2 to this Qualifications Statement:
a) Suggested number of Sheets/Pages:
▪ 3 sheets/(6 pages)
Three (3) detailed project descriptions for relevant projects that are similar in size and scope to the Contract Work. The project descriptions shall include, at a minimum, the following information presented in the order listed below:
i. Name of project, type of project and location
ii. Description of the project and relevance of work to the Contract Work
iii. Contact information for an owner representative familiar with the firm’s work performed on this project. Include name, address, telephone number(s) and e-mail address.
iv. The original bid/proposal price and the final contract price. If the project is ongoing, project the final price and relation to proposal price. Contract value for which the firm was/is responsible.
v. The original date for project completion and the actual completion date. If the project is ongoing, project the completion date and relation to original schedule.
vi. As available, performance ratings of the work evaluated by owner or owner’s representative.
2.3 Contractor Safety Record
Submit as Attachment 3 to this Qualifications Statement the information specified herein and verify this information by providing copies of OSHA 300/200 Forms or appropriate documentation from insurance carriers, as applicable. The firm may submit written explanations to comment on or clarify its safety record.
a) Provide the firm’s Workers Compensation Experience Modification Rating for the past three years, beginning with the most recent year available:
Year 1: __________ __________
2016 3,068,169
2015 1,937,810
2014 1,879,718
50%
Ductwork fabrication and install, demolition, equipment installation
2017 1.000
b)
c)
d)
SECTION 3 - REQUIRED DISCLOSURES
The firm shall answer the following questions with regard to the past three (3) years. If any question is answered in the affirmative, the firm shall submit in an Attachment 5 to this Qualifications Statement, for each affirmative answer, a written explanation which shall provide details concerning the matter in question, including applicable dates, locations, names of projects/project owners and current status of any such matter.
3.1 Is the firm currently debarred or suspended from doing business with any federal, state or local government agency or private entity?
Yes ___ No ___
3.2 Has the firm ever been debarred or suspended from doing business with any federal, state or local government agency or private entity?
Yes ___ No ___
3.3 Is the firm currently or has the firm been otherwise prohibited from doing business with any federal, state or local government agency or private entity?
Yes ___ No ___
3.4 Has the firm been denied prequalification (not including short listing), declared non-responsible, or otherwise declared ineligible to submit bids or proposals for work by any federal, state or local government agency or private entity?
Yes ___ No ___
3.5 Has the firm defaulted, been terminated for cause or otherwise failed to complete any project that it was awarded?
Year 2: 2016 1.625__________ __________
Year 3: 2015 1.563__________ __________
Provide the firm’s Total Lost Workday Incidence Rate (LWDIR) for the past three years, beginning with the most recent year available:
2016 0Year 1: __________ __________
Year 2: 2015 0__________ __________
Year 3: 2014 0__________ __________
*LWDIR Rate = Number of Lost Time Injuries & Illnesses x 200,000 ÷ Total Hours Worked
Provide the firm’s Recordable Incidence Rate (RIR) for the past three years:
Year 1: 2016 0__________ __________
Year 2: 2015 13.68__________ __________
Year 3: 2014 0__________ __________
*RIR Rate = Number of Injuries x 200,000 ÷ Total Hours Worked
Provide in an Attachment 4 to this Qualifications Statement a list of any health or safety citations issued by federal or state agencies for serious or willful violations issued in the past 3 years. Include a separate statement for any such violations and include the citation number, a brief description of the violation and the amount of penalty, if any, for each violation and current status of violation.
N/A
X
X
X
X
Yes ___ No ___
3.6 Has the firm been assessed or required to pay liquidated damages in connection with work performed on any project?
Yes ___ No ___
3.7 Has the firm had any business or professional license, registration, certificate or certification suspended or revoked?
Yes ___ No ___
3.8 Have any liens been filed against the firm as a result of its failure to pay subcontractors, suppliers, or workers?
Yes ___ No ___
3.9 Has the firm been denied bonding or insurance coverage or been discontinued by a surety or insurance company?
Yes ___ No ___
3.10 Has the firm been found in violation of any laws, including but not limited to contracting or antitrust laws, tax or licensing laws, labor or employment laws or environmental laws by a final decision of a court or government agency?
Yes ___ No ___
*Note: information regarding health and safety violations is addressed in a previous section.
3.11 Has the firm or its owners, officers, directors or managers been the subject of any criminal indictment or criminal investigation concerning any aspect of the firm’s business?
Yes ___ No ___
3.12 Has the firm been the subject to any bankruptcy proceeding?
Yes ___ No ___
SECTION 4 - REQUIRED REPRESENTATIONS In submitting this Qualifications Statement, along with the representations and authorizations listed on the Proposal Signature page and in Section 1.24, the firm also makes the following representations, which it understands are required as a condition of performing the Contract Work and receiving payment for same. 4.1 The firm will possess all applicable professional, business and trade licenses required for
performing the Contract Work. 4.2 The firm satisfies all bonding and insurance requirements as stipulated in the solicitation for
the Contract Work. 4.3 The firm and all subcontractors it employs in execution of the Contract Work shall be in full
compliance with the Commonwealth’s requirements for workers’ compensation insurance according to all applicable laws, and unemployment insurance according to all applicable laws.
X
X
X
X
X
X
X
X
4.4 The firm and all subcontractors it employs in execution of the Contract Work shall be in full compliance with all requirements of the Commonwealth’s prevailing wage law and Public Works Employment Verification Act.
4.5 If awarded the Contract Work, the firm represents that it will not exceed its current bonding
limitations when the Contract Work is combined with the total aggregate amount of all unfinished work for which the Contractor is responsible.
4.6 The firm represents that it has no conflicts of interests with the Commonwealth of
Pennsylvania and, if awarded the Contract Work, any potential conflicts of interest that may arise in the future will be disclosed immediately to the Department of General Services.
4.7 The firm represents the price offered in connection with its proposal for the Contract Work
was arrived at independently without consultation, communication or agreement with any other Proposer or competitor.
4.8 The firm will ensure that employees and applicants for employment are not discriminated
against because of their race, color, religion, sex or national origin.
APPENDIX C
PRIME CONTRACTOR
QUALIFICATION STATEMENT
COVER SHEET
DGS Project Name ________________________________________________________
DGS Project Number ______________________________________________________
Check One:
__Corporation,
__Partnership,
__Individual,
__Joint Venture,
__Other ________________
Name of Firm ____________________________________________________________
Address_________________________________________________________________
Principal Office ___________________________________________________________
Owner or Authorized Representative ____________________ _____________________
Renovate and Expand PennDOT District 4-0 Office
251-64 Phase 1
X
Nexgen Automation, Inc.4501 Chambers Hill Road Harrisburg, PA 171114501 Chambers Hill Road Harrisburg, PA 17111
Stephen Keefer
SECTION 1 – INFORMATION ON FIRM
1.1 Background Information
a) How many years has the firm been in business? ________________________________
b) How many years has the firm been doing business in proposed contract field? ________
Under what former names has the firm conducted business? _____________________________________________________________________________________________________________________________________________________________________________________________________________________
c) Provide an Attachment 1 to this Qualifications Statement identifying all jurisdictions in which the firm is licensed or otherwise qualified to do business. List and provide copies of any business or trade licenses, certificates or registrations (to the extent that they apply to the Contract Work) held by the firm.
d) If the firm is a corporation, provide the following information:
Date of incorporation___________________________________________________
State of incorporation______________________________________________________
President’s name_________________________________________________________
Vice President’s name(s)___________________________________________________
Secretary’s name_________________________________________________________
Treasurer’s name_________________________________________________________
e) If the firm is a partnership, provide the following information:
Date of formation_________________________________________________________
Type of partnership_______________________________________________________
Names of partners________________________________________________________
f) If the firm is individually owned, provide the following information:
Date of formation_________________________________________________________
Name of owner___________________________________________________________
g) If the form of the firm is other than those listed above, describe it and name the principals: _______________________________________________________________________
_______________________________________________________________________
1 Year
1 Year
N/A
November 1, 2016Pennsylvania
Douglas MarksTimothy WintersStephen KeeferDonald Eisenhauer
N/A
N/A
N/A
SECTION 2 - EXPERIENCE AND PERFORMANCE
2.1 General
a) Provide the annual construction volume in dollars completed by the firm in the past three years:
Year _____ $_______
Year _____ $_______________
Year _____ $_______________
b) Identify the percentage of work on similar projects the firm typically performs with its own work force _____
c) List the categories of work that the firm normally performs with its own forces on similar projects.
2.2 Project Experience and References
Submit as Attachment 2 to this Qualifications Statement:
a) Suggested number of Sheets/Pages:
▪ 3 sheets/(6 pages)
Three (3) detailed project descriptions for relevant projects that are similar in size and scope to the Contract Work. The project descriptions shall include, at a minimum, the following information presented in the order listed below:
i. Name of project, type of project and location
ii. Description of the project and relevance of work to the Contract Work
iii. Contact information for an owner representative familiar with the firm’s work performed on this project. Include name, address, telephone number(s) and e-mail address.
iv. The original bid/proposal price and the final contract price. If the project is ongoing, project the final price and relation to proposal price. Contract value for which the firm was/is responsible.
v. The original date for project completion and the actual completion date. If the project is ongoing, project the completion date and relation to original schedule.
vi. As available, performance ratings of the work evaluated by owner or owner’s representative.
2.3 Contractor Safety Record
Submit as Attachment 3 to this Qualifications Statement the information specified herein and verify this information by providing copies of OSHA 300/200 Forms or appropriate documentation from insurance carriers, as applicable. The firm may submit written explanations to comment on or clarify its safety record.
a) Provide the firm’s Workers Compensation Experience Modification Rating for the past three years, beginning with the most recent year available:
Year 1: __________ __________
2017 970,000.00
N/A
N/A
70%
Energy Management System Installation & Service
2017 1.000
b)
c)
d)
SECTION 3 - REQUIRED DISCLOSURES
The firm shall answer the following questions with regard to the past three (3) years. If any question is answered in the affirmative, the firm shall submit in an Attachment 5 to this Qualifications Statement, for each affirmative answer, a written explanation which shall provide details concerning the matter in question, including applicable dates, locations, names of projects/project owners and current status of any such matter.
3.1 Is the firm currently debarred or suspended from doing business with any federal, state or local government agency or private entity?
Yes ___ No ___
3.2 Has the firm ever been debarred or suspended from doing business with any federal, state or local government agency or private entity?
Yes ___ No ___
3.3 Is the firm currently or has the firm been otherwise prohibited from doing business with any federal, state or local government agency or private entity?
Yes ___ No ___
3.4 Has the firm been denied prequalification (not including short listing), declared non-responsible, or otherwise declared ineligible to submit bids or proposals for work by any federal, state or local government agency or private entity?
Yes ___ No x__
3.5 Has the firm defaulted, been terminated for cause or otherwise failed to complete any project that it was awarded?
Year 2: _N/A_________ __________
Year 3: _N/A_________ __________
Provide the firm’s Total Lost Workday Incidence Rate (LWDIR) for the past three years, beginning with the most recent year available:
2017 0Year 1: __________ __________
Year 2: N/A 0__________ __________
Year 3: N/A 0__________ __________
*LWDIR Rate = Number of Lost Time Injuries & Illnesses x 200,000 ÷ Total Hours Worked
Provide the firm’s Recordable Incidence Rate (RIR) for the past three years:
Year 1: 2017 0__________ __________
Year 2: N/A 0 __________ __________
Year 3: N/A __________ ____0_____
*RIR Rate = Number of Injuries x 200,000 ÷ Total Hours Worked
Provide in an Attachment 4 to this Qualifications Statement a list of any health or safety citations issued by federal or state agencies for serious or willful violations issued in the past 3 years. Include a separate statement for any such violations and include the citation number, a brief description of the violation and the amount of penalty, if any, for each violation and current status of violation.
N/A
X
X
X
Yes ___ No ___
3.6 Has the firm been assessed or required to pay liquidated damages in connection with work performed on any project?
Yes ___ No ___
3.7 Has the firm had any business or professional license, registration, certificate or certification suspended or revoked?
Yes ___ No ___
3.8 Have any liens been filed against the firm as a result of its failure to pay subcontractors, suppliers, or workers?
Yes ___ No ___
3.9 Has the firm been denied bonding or insurance coverage or been discontinued by a surety or insurance company?
Yes ___ No ___
3.10 Has the firm been found in violation of any laws, including but not limited to contracting or antitrust laws, tax or licensing laws, labor or employment laws or environmental laws by a final decision of a court or government agency?
Yes ___ No ___
*Note: information regarding health and safety violations is addressed in a previous section.
3.11 Has the firm or its owners, officers, directors or managers been the subject of any criminal indictment or criminal investigation concerning any aspect of the firm’s business?
Yes ___ No ___
3.12 Has the firm been the subject to any bankruptcy proceeding?
Yes ___ No ___
SECTION 4 - REQUIRED REPRESENTATIONS In submitting this Qualifications Statement, along with the representations and authorizations listed on the Proposal Signature page and in Section 1.24, the firm also makes the following representations, which it understands are required as a condition of performing the Contract Work and receiving payment for same. 4.1 The firm will possess all applicable professional, business and trade licenses required for
performing the Contract Work. 4.2 The firm satisfies all bonding and insurance requirements as stipulated in the solicitation for
the Contract Work. 4.3 The firm and all subcontractors it employs in execution of the Contract Work shall be in full
compliance with the Commonwealth’s requirements for workers’ compensation insurance according to all applicable laws, and unemployment insurance according to all applicable laws.
X
X
X
X
X
X
X
X
4.4 The firm and all subcontractors it employs in execution of the Contract Work shall be in full compliance with all requirements of the Commonwealth’s prevailing wage law and Public Works Employment Verification Act.
4.5 If awarded the Contract Work, the firm represents that it will not exceed its current bonding
limitations when the Contract Work is combined with the total aggregate amount of all unfinished work for which the Contractor is responsible.
4.6 The firm represents that it has no conflicts of interests with the Commonwealth of
Pennsylvania and, if awarded the Contract Work, any potential conflicts of interest that may arise in the future will be disclosed immediately to the Department of General Services.
4.7 The firm represents the price offered in connection with its proposal for the Contract Work
was arrived at independently without consultation, communication or agreement with any other Proposer or competitor.
4.8 The firm will ensure that employees and applicants for employment are not discriminated
against because of their race, color, religion, sex or national origin.
Attn: HVAC Mechanical Bidders September 19, 2017
Project: PennDot District 4-0 Office Renovations / Attachment No.2
Nexgen Automation, Inc. respectfully submits the following relevant project descriptions in accordance w/ Appendix C.
PROJECT NO.1
• Upper Adams School District / Biglerville, PA • Middle School Energy Management System Upgrade • Facilities Department (717) 677-7191
PROJECT NO.2
• Chambersburg Area School District / Chambersburg, PA • South Hamilton Elementary School Hot Water System Upgrade • Facilities Department (717) 263-9281
PROJECT NO.3
• Upper Adams School District / Biglerville, PA • High School Energy Management System Upgrade • Facilities Department (717) 677-7191
Please give me a call should you have any questions and thank you for the opportunity to serve.
Respectfully,
Steve Keefer Nexgen Automation, Inc. Cell # (610) 425-2928
Hosler Corp.
906 North Vine Street, Berwick, PA 18603
Ph. 570-861-0139 ∙ Fax 570-520-4630
ROLES Douglas V . H os l e r , P res iden t
• Roles
o Billing
o Drafting
• Skills
o Project Management
o Coordination between trades
o Coordination Drawings
o Foreman / Superintendent
o Sheet Metal Fabrication
o Welding
• Relevant Experience
o Many projects in both the project manager and foreman roles.
Douglas V. Hosler
President
Olga Hosler
Controller
Justin Caspersen
Project Manager
Kimm Naugle
Asst. Project Manager
Frederick King
Foreman
Duane McHenry
Shop Foreman
John Falatovich
Foreman
Robert Switzer
Foreman
Hosler Corp.
Page 2
Jus t in Caspe rsen , P ro j e c t Manage r
• Roles
o Project Manager
o Coordination
o O&M Manuals
• Skills
o Project Management
o Coordination between trades
o Coordination Drawings
• Relevant Experience
o Project Manager
▪ Present
• Dept. of General Services – Carbondale Readiness
• Dept. of Conservation and Natural Resources – Pinchot State Forest Office
• Northumberland County – Northumberland County Jail
▪ Previous
• Sunbury Housing Authority – Scott Tower – 2017
• PennDOT – Rest Area 29 – 2017
• PennDOT – Rest Area 30 – 2017
• Lock Haven University – Parsons Union Building – 2016
• River Valley Transit – Trade and Transit II – 2016
• Dept. of General Services – 22nd and Forster – 2016
• Bloomsburg University – Vivarium Lab – 2015
Hosler Corp.
Page 3
Kimm Naug le , Ass i s tan t P ro je c t Manage r
• Roles
o Assistant Project Manager
o Submittals
• Skills
o Project Management
o Submittal Coordination
• Relevant Experience
o Project Manager
▪ Present
• Municipality of Kingston – Kingston Recreational Center
o Assistant Project Manager
▪ Present
• Dept. of General Services – Carbondale Readiness
• Northumberland County – Northumberland County Jail
Hosler Corp.
Page 4
RESUMES
D O U G L A S V . H O S L E R , P R E S I D E N T
Experience
2017-Present
• President
• Project Manager
• Sheet Metal Installer / Fabricator
• Estimator
• Draftsman
1997-2010
• Sheet Metal Installer / Fabricator
o Fabricate sheet metal ductwork
o Install sheet metal ductwork
• Project Manager
o Successfully ran various projects
• Estimator
• Vice President
Certifications
• Refrigerant License
Hosler Corp.
Page 5
J U S T I N C A S P E R S E N , P R O J E C T M A N A G E R
Experience
2014-Present
• Project Manager
2002-2014
• Engineer
o Designed articulating boom cranes
o Designed truck bodies
o Bill of Material generation
o Technical Manual writing
• Purchasing
o Purchased inventory and material
• Information Technology
o Network Administrator and Tech Support (Local and Remote)
o Web Developer (Intranet and Internet)
• Shipping Manager
o Oversaw shipping and receiving operations
o Training
1999-2002
• R&D Engineer
o Designed conveyor systems and machinery
• Drafting
o 2D and 3D drafting
• CNC
o CNC laser programmer
• Information Technology
o Network Administrator and Tech Support
Education
• Pennsylvania State University
o Mechanical Engineering Technology
Certification
• OSHA 10
Hosler Corp.
Page 6
K I M M N A U G L E , A S S I S T A N T P R O J E C T M A N A G E R
Experience
2017-Present
• Assistant Project Manager
2016-2017
• Superintendent
o Project Planning
o Budgeting
o Change Orders
o Daily Reports
1997-2016
• Drywall Finisher
o Team supervision
o Installed and finished drywall
Education
• Colorado Technical University
o Project Management, B.S.
Certification
• OSHA 30
• Excavation and Trenching
• OSHA 10
DGS 951-64 PHASE 1
DEPARTMENT OF GENERAL SERVICES /
PENNDOT DISTRICT 4-0 OFFICE
PROJECT MANAGEMENT PLAN
Version 1.0
9/19/2017
Department of General Services / PennDOT District 4-0 Office
2
VERSION HISTORY
Version
#
Implemented
By
Revision
Date
Approved
By
Approval
Date
Reason
1.0 Justin Caspersen 9/19/2017 Initial plan submittal
Department of General Services / PennDOT District 4-0 Office
3
TABLE OF CONTENTS
1 INTRODUCTION .................................................................................................................... 4
1.1 Purpose of Project Management Plan ....................................................................... 4
2 SUMMARY OF PROJECT CHARTER ............................................................................... 4
The Project Charter outlines the scope, schedule, budget, milestones, delivery strategy construction, and
significant risks and mitigation strategies associated with the Project. ................................... 4
3 SCOPE MANAGEMENT ....................................................................................................... 4
3.1 Work Breakdown Structure ....................................................................................... 4
3.2 Change Control Management .................................................................................... 4
4 SCHEDULE/TIME MANAGEMENT ................................................................................... 4
4.1 Milestones ................................................................................................................. 5
5 COST/BUDGET MANAGEMENT ........................................................................................ 5
6 QUALITY MANAGEMENT .................................................................................................. 5
7 RISK MANAGEMENT ........................................................................................................... 6
7.1 Risk Log .................................................................................................................... 6
8 ISSUE MANAGEMENT ......................................................................................................... 6
8.1 Issue Log ................................................................................................................... 6
9 PROCUREMENT MANAGEMENT ..................................................................................... 6
10 COMPLIANCE RELATED PLANNING ............................................................................. 6
APPENDIX A: PROJECT MANAGEMENT PLAN APPROVAL ......................................... 7
APPENDIX B: REFERENCES ................................................................................................... 8
APPENDIX C: KEY TERMS ..................................................................................................... 9
APPENDIX D: RISK LOG ....................................................................................................... 10
APPENDIX E: ISSUE LOG ...................................................................................................... 11
Department of General Services / PennDOT District 4-0 Office
4
1 INTRODUCTION
1.1 PURPOSE OF PROJECT MANAGEMENT PLAN
This Project Management Plan (PMP) will describe the general responsibilities of the Project Team. In
addition to the PMP several plans will be developed and implemented to ensure compliance with this
PMP as well as State and Federal policy. The specific plans will include processes, flow diagrams,
responsibility matrices, organizational charts, and other pertinent information to guide the project staff.
The intended audience of the Bloomsburg University Student Recreational Center PMP is all project
stakeholders including the project sponsor, senior leadership and the project team.
2 SUMMARY OF PROJECT CHARTER
The Project Charter outlines the scope, schedule, budget, milestones, delivery strategy construction, and
significant risks and mitigation strategies associated with the Project.
3 SCOPE MANAGEMENT
3.1 WORK BREAKDOWN STRUCTURE
Project schedules will be created starting with the deliverables identified in the project’s Work Breakdown
Structure (WBS). Activity definition will identify the specific work packages which must be performed to
complete each deliverable. Activity sequencing will be used to determine the order of work packages and
assign relationships between project activities. Activity duration estimating will be used to calculate the
number of work periods required to complete work packages. Resource estimating will be used to assign
resources to work packages in order to complete schedule development.
3.2 CHANGE CONTROL MANAGEMENT
If any member of the project team determines that a change to the schedule is necessary, the project manager
and team will meet to review and evaluate the change. The project manager and project team must
determine which tasks will be impacted, variance as a result of the potential change, and any alternatives or
variance resolution activities they may employ to see how they would affect the scope, schedule, and
resources. If, after this evaluation is complete, the project manager determines that any change will exceed
the established boundary conditions, then a schedule change request must be submitted.
4 SCHEDULE/TIME MANAGEMENT
The project schedule will be reviewed and updated as necessary on a bi-weekly basis with actual start,
actual finish, and completion percentages which will be provided by task owners.
The project manager is responsible for holding bi-weekly schedule updates/reviews; determining impacts
of schedule variances; submitting schedule change requests; and reporting schedule status in accordance
with the project’s communications plan.
The project team is responsible for participating in bi-weekly schedule updates/reviews; communicating
any changes to actual start/finish dates to the project manager; and participating in schedule variance
resolution activities as needed.
Department of General Services / PennDOT District 4-0 Office
5
The project sponsor will maintain awareness of the project schedule status and review/approve any schedule
change requests submitted by the project manager.
4.1 MILESTONES
The table below lists the milestones for this project, along with their estimated completion timeframe.
Stage Milestones Estimated Completion from Stage Start
1 Notice to Proceed
1 Mobilization 14 days
2 New Chiller 200 days
2 Demo existing chiller 240 days
2 New Pumps and Piping 200 days
2 Underground Duct 180 days
2 TAB 240 days
3A 21 days
3B Roof Equipment 80 days
3B Install Fan Coils, duct, piping 90 days
3B TAB 105 days
4A 21 days
4B Roof Equipment 60 days
4B TAB 75 days
5A 21 days
5B Roof Equipment 80 days
5B Install Fan Coils, duct, piping 90 days
5B TAB 105 days
6A 21 days
6B Roof Equipment 80
6B Install Fan Coils, duct, piping 90
6B TAB 105 days
Final Contract Completion 728 days total
5 COST/BUDGET MANAGEMENT
Costs will be compared to budget on a monthly basis. Analysis and reports will discuss current and projected
costs and monthly payment requirements to assist in bond sales planning.
6 QUALITY MANAGEMENT
The Project Team Quality goal is for the Work to conform to project requirements without adverse effect
on schedule milestone. Hosler Corp. will assume the primary responsibility for the overall quality of the
Work under the oversight of Department of General Services. Hosler Corp. will perform the Quality
Assurance (QA)/Quality Control (QC) functions on the project. Hosler Corp. will develop and submit a
Quality Management Plan (QMP) that will describe how the Design-Builder will provide QA and QC for
design and construction of the Project. See Appendix 4 for the design-build Quality Management Plan.
The QMP provides the overall policies, organizational responsibilities, procedures, and the means of
ensuring that all items of work are in conformance with the contract. It also describes the review and checks
that will be performed on the design for the project components, and the inspection and tests that will be
performed on construction materials and workmanship to ensure the overall quality of the constructed
project. The QMP describes and defines participant roles; quality review responsibilities and activities;
Department of General Services / PennDOT District 4-0 Office
6
quality requirements for design/construction integration; the specific quality measures and application
instructions; and necessary quality control (QC) documentation and verifications to which technical reports,
project documents, design drawings, and construction documentation must comply.
7 RISK MANAGEMENT
The Project Management, in conjunction with other team members, will continuously evaluate project risk.
A process for evaluation, tracking, and reporting potential risk will be developed and will include tools to
assist in analysis of short term and long term impacts.
Providing current information to program staff is critical to ensure risk issues take into account the follow-
on phases of construction and not just those events that affect this project.
7.1 RISK LOG
See Appendix D for the Risk Log.
8 ISSUE MANAGEMENT
The Issue Management Plan defines the approach for the identification, analysis, and management of
project issues. It describes the process for addressing project issues. Issues arise from such things as
unmediated disputes, unaddressed concerns, or decisions that remain unresolved. They occur in all phases
of the project lifecycle and can have severe impacts to the project if not taken care properly.
8.1 ISSUE LOG
See Appendix E for the Issue Log.
9 PROCUREMENT MANAGEMENT
Items will be release for production upon receipt of approved submittal.
10 COMPLIANCE RELATED PLANNING
[Insert a list of compliance related processes the project must adhere to.]
Department of General Services / PennDOT District 4-0 Office
7
Appendix A: Project Management Plan Approval
The undersigned acknowledge they have reviewed the Department of General Services / PennDOT District
4-0 Office Project Management Plan and agree with the approach it presents. Changes to this Project
Management Plan will be coordinated with and approved by the undersigned or their designated
representatives.
Signature: Date:
Print Name:
Title:
Role:
Signature: Date:
Print Name:
Title:
Role:
Signature: Date:
Print Name:
Title:
Role:
Department of General Services / PennDOT District 4-0 Office
8
APPENDIX B: REFERENCES
The following table summarizes the documents referenced in this document.
Document Name
and Version
Description Location
M-Drawings Contract Drawings H:/PennDOT Dunmore/Drawings/M-
Dwgs.pdf
Specifications Contract Specifications H:/PennDOT
Dunmore/Specifications/Specifications.pdf
Department of General Services / PennDOT District 4-0 Office
9
APPENDIX C: KEY TERMS
The following table provides definitions for terms relevant to this document.
Term Definition
[Insert Term] [Provide definition of the term used in this document.]
[Insert Term] [Provide definition of the term used in this document.]
[Insert Term] [Provide definition of the term used in this document.]
Department of General Services / PennDOT District 4-0 Office
10
APPENDIX D: RISK LOG
PennDOT District 4-0 Office Risk Log (last updated xx.xx.xx)
# Risk Severity Prob-ability
Impact Rating Escalated? Risk Type Status
Date Logged Owner Mitigation Plan/Status
1 Sample Critical Impact Risk 4 4 16 No
Project Management
2 Sample high Impact Risk 3 4 12 No Testing
3 Sample Medium Impact Risk 2 2 4 Yes Training
4 Sample Low Impact Risk 1 2 2 Yes Project Management
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
Department of General Services / PennDOT District 4-0 Office
11
APPENDIX E: ISSUE LOG
PennDOT District 4-0 Office Issue Log
# Issue Severity Issue Type Status Date Logged Owner Status
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
Project: PennDOT District 4-0 Office, Dunmore, PA
Stage Task Start Date Days %Compl End DateDays DoneDays Left
Notice To Proceed 10/16/17 1 10/16/17 # #
1 Mobilization 10/16/17 14 10/29/17 # #
2 New Chiller 10/16/17 200 5/3/18 # #
2 Demo Existing Chiller 10/16/17 240 6/12/18 # #
2 New Pumps and Piping 10/16/17 200 5/3/18 # #
2 Underground Duct 10/16/17 180 4/13/18 # #
2 TAB 10/16/17 240 6/12/18 # #
3A 6/12/18 21 7/2/18 # #
3B Roof Equipment 7/2/18 80 9/19/18 # #
3B Install Fan Coils, Duct, Piping 7/2/18 90 9/29/18 # #
3B TAB 7/2/18 105 10/14/18 # #
4A 10/14/18 21 11/3/18 # #
4B Roof Equipment 11/3/18 60 1/1/19 # #
4B TAB 11/3/18 75 1/16/19 # #
5A 1/16/19 21 2/5/19 # #
5B Roof Equipment 2/5/19 80 4/25/19 # #
5B Install Fan Coils, Duct, Piping 2/5/19 90 5/5/19 # #
5B TAB 2/5/19 105 5/20/19 # #
6A 5/20/19 21 6/9/19 # #
6B Roof Equipment 6/9/19 80 8/27/19 # #
6B Install Fan Coils, Duct, Piping 6/9/19 90 9/6/19 # #
6B TAB 6/9/19 105 9/21/19 # #
Final Completion 9/21/19 1 9/21/19 # #
10/2/17 1/10/18 4/20/18 7/29/18 11/6/18 2/14/19 5/25/19 9/2/19
Notice To Proce ed
Mobilization
Ne w Chiller
Demo Existing Ch iller
Ne w Pumps and Piping
Underground D uct
TAB
Roof Equipment
Ins tall Fan Coils, Du ct, Pip in g
TAB
Roof Equipment
TAB
Roof Equipment
Install Fan Coils, Duct, Pip ing
TAB
Roof Equipment
Ins tall Fan Coils, Du ct, Pip in g
TAB
Final Completion
Original Document dated 7/2014 Version 1.03
Hosler Corp. © 2015 EMPLOYEE SAFETY AND HEALTH PLAN
Hosler Corp.
906 N. Vine Street
Berwick, PA 18603
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Hosler Corp. © 2015 EMPLOYEE SAFETY AND HEALTH PLAN
HOSLER CORP.
INDEX EMPLOYEE SAFETY AND HEALTH PLAN PAGE #
1. EMPLOYEE SAFETY AND HEALTH PLAN 3 - 4
2. REPORTING INJURIES AND ILLNESSES 4 - 5 3. ACCIDENT AND INJURY REPORTING AND INVESTIGATION 6
4. HANDLING EMERGENCIES 6 - 7 5. EMPLOYEE PERSONAL CONDUCT 7 - 8
6. EMPLOYEE RIGHTS 8-11 7. EMPLOYEE RESPONSIBILITIES 11-13
8. EMPLOYEE DISCIPLINE 13-14 9. COMPLIANCE POLICIES 14-15
10. THREATS OF VIOLENCE 15-16 11. GENERAL SAFETY RULES 16-18
12. CODE OF SAFE PRACTICES 18-20 13. EMPLOYEE COMPLIANCE WITH SAFETY RULES 20-22
14. FIRST AIDE AND EMPLOYEE HEALTH 22-24 15. UNIVERSAL PRECAUTIONS: METHODS OF PREVENTION 24-25
16. OFFICE SAFETY RULES 25-26 17. CUTS AND PUNCTURE PREVENTION 26-28
18. FALL PREVENTION 28-29 19. OFFICE EQUIPMENT AND MACHINES 29-30
20. FILE AND STORAGE CABINETS 30 21. PARKING AREAS 3 1 22. LIFTING AND CARRYING 31-35 23. MANAGING REPETITIVE MOTION DISORDERS 35-38
24. EQUIPMENT SAFETY RULES 38-39 25. EQUIPMENT SAFETY 39-40
26. EQUIPMENT CONTROLS 40-42 27. FIRE PROTECTION 42-44
28. FLAMMABLE AND COMBUSTIBLE LIQUID AND MATERIALS 44-46 29. PERSONAL PROTECTIVE EQUIPMENT 46-49
30. HAND TOOLS AND EQUIPMENT 49-50 31. SMALL TOOLS 50-52
32. LADDERS 52-54 32. EMPLOYEE SAFETY & HEALTH SUGGESTIONS 54-55
SAFETY AND HEALTH SUGGESTIONS 56
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HOSLER CORP.
EMPLOYEE SAFETY AND HEALTH PLAN
1. EMPLOYEE SAFETY AND HEALTH PLAN
1. Hosler Corp. has developed an EMPLOYEE SAFETY AND
HEALTH PLAN that meets the OSHA safety and healthy requirements for all employees.
2. Hosler Corp. wants to emphasize that our employee’s safety and health is uppermost in the minds of management, supervisors.
3. We want to emphasize that injury prevention is the responsibility of everyone, and all employees will become thoroughly knowledgeable with and observe all safety practices. Your cooperation in accident prevention will mean that your employment with Hosler Corp. will be safe.
4. Hosler Corp. Management requests your cooperation in preventing accidents.
5. Safety is not the sole responsibility of management, the supervisor, the experienced employee, or the new employee alone; it is the responsibility of every employee, every minute of the day or night whether at work, at home, or on the highway. Safety is an employee’s continuous responsibility.
6. Employees will know and understand the general safety rules that are
written in the EMPLOYEE SAFETY AND HEALTH PLAN and the specific safety rules pertaining to Hosler Corp.’s facility and particular job.
7. Employees are expected to use proper care in their work for their own sake and the sake of employees working with or near them. If you’re fellow worker is careless and performs his or her work improperly, call their attention to it. If he or she persists, report it to your supervisor.
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8. Safety can only be accomplished with the complete cooperation of all employees.
9. Because we are engaged in many diverse activities, some work assignments require special protective equipment.
10. Ask Hosler Corp.’s supervisor what safety equipment and measures are necessary for your assignment.
11. Be watchful for the safety of visitors, contractors, and new employees.
12. Contractors and visitors will comply with all Hosler Corp. rules and regulations. Report any conflicts to your supervisor.
13. Good housekeeping reflects your interest in your surroundings. A clean operation is usually a safe operation.
14. Hosler Corp. employees are responsible for their immediate environment and each employee is responsible for sharing in the cleanliness of their work areas. Do your part to keep your area clean.
2. REPORTING INJURIES AND ILLNESSES
1. If you see any condition, practices or methods of working in your area that looks dangerous to you, report it to your supervisor immediately.
2. If you observe conditions of great or unusual hazards with which you are not familiar, obtain proper instructions from your supervisor before you proceed.
3. If you feel ill or if you believe that someone working with you is ill, report it to your supervisor immediately.
4. The supervisor will know the appropriate action to take.
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5. You have the responsibility for reporting a work injury on the day it happens or on the first day you are aware that you have been injured.
6. Immediately report all injuries to your supervisor no matter how slight. (Immediately is interpreted as no more than one hour after the injury.) Infections will develop quickly even from a minor cut. Prompt medical treatment will be provided.
7. Hosler Corp. employee has the same responsibility to report any property damage immediately to their supervisor.
3. ACCIDENT AND INJURY REPORTING AND INVESTIGATION
All employees will keep in mind the purpose of accident investigation is to find the cause of the accident and to make recommendations to prevent future occurrences, not to assign blame. The investigation will focus on causes and hazards. The analysis of what happened, and why, is aimed at prevention of future occurrences.
A. Injury and Illness: Hosler Corp.’s Safety and Health Manager will be notified immediately of any occurrence of occupational serious injuries to staff, contracted personnel or private persons injured on the premises. Minor injuries or accidents can be reported through electronic mail or voice mail during regular work hours.
Upon notification Hosler Corp.’s Safety and Health Manager will:
1. Investigate the incident by site visit, interviews and any other means
necessary to establish the facts of the situation.
2. All work connected accidents, even though not resulting in injury or illness to the employee will be reported to the Safety and Health Manager.
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3. All work-connected accidents resulting in injury or illness, however minor, will be reported by the employee to the Safety and Health Manager.
4. The Safety and Health Manager will investigate all work connected injuries or illnesses that require treatment by a physician. The causative factors will be determined, and practicable measures will be put into place to abate the identified hazard.
B. Accidents: The majority of accidents do not cause injury or illness but result in property damage and/or lost time. These mishaps usually indicate an unsafe act, faulty procedure or a hidden hazard. Hosler Corp.’s Safety and Health Manager as necessary usually conducts investigation of these occurrences.
4. HANDLING EMERGENCIES
How an employee reacts to an emergency depends on who is involved, the extent of personal and property damage (or threat of damage), and the employee training. The employee won't know how you will react until there is a real emergency. Report any hazardous conditions immediately. - CALL 911 Every employee will know Hosler Corp.’s EMERGENCY PROCEDURES. Every employee will know the location of all fire alarms; fire exists, and fire extinguishers. All employees will know the proper use and locations of fire fighting and first aid equipment.
In the event of Hosler Corp.’s emergency:
1. Employees will assess the situation. An appointed employee will sound
the alarm in order to warn affected or potentially affected co-workers of the emergency situation.
2. Employees will follow the emergency action plan and participate in the appropriate responses as dictated by the emergency situation.
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3. Employees will NOT enter an area where they do not know the defined escape procedures and refuge areas.
4. Employees will know and follow the on-the-job emergency shutdown
procedures.
5. Employees will be trained to participate in emergency rescue operations.
In most cases, planning for an emergency makes the difference. Here are a few things you can do to help plan for Hosler Corp.’s emergency:
1. Practice controlling your emotions. This is not easy but you can do much to increase this control when you convince yourself you might save a life.
2. Spend some time and thought on how you would handle different kinds of emergencies. It will surprise you when an emergency arises how much of your self-training will apply to any situation.
3. Tell yourself over and over to stop long enough to understand what needs to be done. Just doing "something" is not enough. You will do the right thing by being prepared. Many people have suffered severely because someone ran for help when a little knowledge of first aide would have made all the difference.
5. EMPLOYEE PERSONAL CONDUCT
1. Obey all safety rules of Hosler Corp..
2. Use safety and personal protective equipment prescribed for the job.
3. Report observed hazards to the supervisor.
4. Any injury or accident will be promptly reported to your supervisor.
5. Yield right of way to employees handling materials and/or equipment.
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6. Restrict smoking to only authorized areas.
7. The personal possession of dangerous objects, such as firearms, explosives, and illegal knives, is forbidden.
8. The personal possession and/or being under the influence of alcohol will result in dismissal.
9. The personal possession and/or use of narcotics or dangerous drugs, including mood-altering drugs normally obtained by prescription but without a physician's authorization will result in dismissal.
6. EMPLOYEE RIGHTS
The Occupational Safety and Health (OSH) Act Section 11 (c) makes it illegal for employees to be discriminated against for exercising their rights and for participating in other job safety and health related employee activities. Hosler Corporation’s employees have the right to complain to their employers, their unions, OSHA or another government agency about workplace safety and health hazards. These protected activities include:
1. Complaining individually or with others directly to the Safety and Health Manager concerning job safety conditions
2. Filing formal complaints with government agencies such as OSHA or state safety and health agencies, fire departments, etc. (An employee's name can be withheld from the complaint, if so requested.)
3. Participating in workplace committees concerning safety and/or health matters.
4. Testifying before any panel, agency or court of law concerning job hazards.
5. Participating in walk-around inspections.
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6. Filing complaints under Section 11 (c) and giving evidence in connection with these complaints.
7. Employees cannot be punished for refusing a work assignment if they have a reasonable belief that it would put them in real danger of death or serious physical injury, provided that, if possible, they have requested the employer to remove the danger and the employer has refused; and provided that the danger cannot be eliminated quickly enough through normal OSHA enforcement procedures.
8. If an employee is punished or discriminated against in any way for exercising his or her rights under the OSH Act, the employee will report it to OSHA within 30 days. OSHA will investigate and, if the employee has been illegally punished, OSHA will seek appropriate relief for the employee.
9. If necessary, OSHA will go to court to protect the rights of Hosler Corporation’s employee. The law protects the rights of Hosler Corp. employees to safe and healthful working conditions.
10. Work in safe and healthy conditions and participate in a “Right to Know” training program, or if the employee is being, or has been exposed to concentrations of harmful substances higher than the exposure limits allowed by OSHA standards.
11. Receive training in general safe work practices and specific training with regard to hazards unique to any job assignment.
12. Receive (upon request) copies of Material Safety Data Sheets (MSDS), and training about the potential health hazards of materials and chemicals an employee uses or to which an employee will be exposed.
13. Refuse to perform work that would violate the Labor Code or occupational safety and health standard or order where such violation would pose a real and apparent hazard to his/her safety and health.
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14. The employees are encouraged to monitor and measure harmful substances in the workplace that are subject to OSHA standards.
15. See, and copy, if desired, records of the employee’s exposure to toxic substances, harmful physical agents and medical records and the records of exposure to toxic substances, harmful physical agents and medical records of employees with similar past or present jobs or working conditions.
16. Request an inspection of the worksite by making a complaint about unsafe and/or unhealthful working conditions to the Safety and Health Manager and/or OSHA. (The Safety and Health Manager will keep confidential the name of the person who makes a complaint.)
17. Have an employee representative accompany Hosler Corp.’s Safety and Health Manager and the OSHA inspector. Any employee will talk privately with the OSHA representative during an inspection.
18. See that any citation Hosler Corp. receives is posted, at or near, where the violation occurred.
19. Review Hosler Corp. log of Occupational Injuries and Illness OSHA Forms 300, 300A & 301 reports for the past 5 years.
20. Petition for necessary changes in occupational safety and health standards.
21. Be notified of, and participate in, any OSHA appeal proceedings.
22. Be informed of any variance application and take part in any permanent variance hearings.
23. Be informed of any Safety and Health Committee meetings and have the opportunity to attend these open meetings as an observer or become a representative to the Safety and Health Committee.
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24. Hosler Corp. ‘s employees who have questions about, or need help concerning these rights can receive information by contacting the nearest OSHA district office. They will also file complaints with the district office. Law requires OSHA, to keep their name confidential unless other wise directed by the employee.
25. Hosler Corp.’s employees cannot be laid off or discharged for refusing to work where any safety and health standard is violated and the violation creates a hazard to the employee or fellow employees. No employee is required to work at a job that is unsafe or unhealthful.
26. Hosler Corp.’s Safety and Health Manager will not discharge, suspend, demote or discriminate against employees who exercise their right to complain about safety and health matters. The state labor commissioner administers anti-discrimination provisions of the law.
7. EMPLOYEE RESPONSIBILITIES
Hosler Corp. organization contains provisions designed to protect the rights of Hosler Corp. employees to safe and healthful working conditions. The law also gives responsibilities to employees and these include the following:
1. Obey all occupational safety and health standards, rules, regulations and orders issued according to the law.
2. Do not undertake a job that you are not trained to do properly and safely.
3. Do not undertake a job that appears to be unsafe and do not use hazardous material without knowing and understanding the hazards, the proper way to handle the material, and the emergency procedures.
4. Do not remove, displace, damage, destroy, tamper with or carry off safety devices, safeguards, notices or warnings.
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5. Do not interfere with the use of safeguards by others and report all unsafe conditions observed or encountered so that they can be promptly investigated.
6. Use all equipment (i.e. hard hat, safety belt, lifeline), safety devices (i.e. machine guard, safety interlock), and methods or processes adopted for employee protection.
7. Always report any injuries and/or illnesses; even slight ones, so that Hosler Corp.’s Safety and Health Manager can investigate them
8. Hosler Corp.’s Safety and Health Manager reserves the right to terminate employment at any time for failure to follow safe practices or for engaging in activities that endanger the safety of any employee or member of the public.
9. Hosler Corp.’s Safety and Health Manager reserves the right to terminate employment at any time for failure to immediately report any injury, illness, hazard or unsafe condition.
10. Hosler Corp.’s Safety and Health Manager can substantiate employee misconduct and demonstrate compliance through training records and documented warning and discipline policy.
11. These records can usually help avoid, or successfully appeal, citations.
12. These defenses will not avoid payment of worker's compensation recovery to an employee injured due to his/her own misconduct.
13. Hosler Corp. will have a continuing economic interest in making sure that the working environment is safe and healthy for the employee.
14. Hosler Corp.’s Safety and Health Manager will guarantee the right of the employee to report any hazardous working condition and this report will be anonymous if the employee desires.
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15. No employee will be disciplined, discriminated against or discharged for reporting any such condition.
8. EMPLOYEE DISCIPLINE
1. Hosler Corp.’s Safety, health and work place security policies and procedures are clearly communicated and understood by all employees.
2. Managers and supervisors are expected to enforce the rules fairly and uniformly.
3. All employees are responsible for utilizing safe work practices, for following all directives, policies and procedures and for assisting in maintaining a safe work environment.
4. Hosler Corp.’s employees are also expected to cooperate fully with supervisors, and the Safety and Health Manager by completing training documentation forms and records.
5. Failure to comply with this necessary procedure will result in disciplinary action.
6. As part of each employee's performance report safety practices will be evaluated and rated.
7. Employees who contribute to the maintenance of a safe workplace will be recognized by the Safety and Health Manager, and will be eligible for participation in Hosler Corp.’s Safety Incentive Award Program. Criteria for eligibility will be any employee that is accident free for the full calendar year.
8. Employees who fail to follow safe work practices and/or procedures or who violate thee standards will be informed and trained.
9. Hosler Corp.’s employees will be subject to disciplinary action up to and including termination if they break safety rules or directives.
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10. Disciplinary measures are progressive and involve these four steps:
a. The first violation a safety and/or health violation will be noted, the supervisor will informally discuss the behavior with the employee, stating the potentially dangerous result and outlining the correct procedure, to ensure the employee understands.
b. A second violation will generate a formal written reprimand for the employee - The supervisor will continue to counsel the employee with regard to proper procedures.
c. A third violation will result in the suspension of the employee. The supervisor will have the option to continue counseling the employee with regard to proper procedures.
d. A fourth violation will result in the termination of the employee.
9. COMPLIANCE POLICIES
1. Hosler Corp.’s Safety and Health Manager has established the following policy to ensure compliance with their rules on workplace security.
2. Hosler Corp.’s Safety and Health Manager has committed to ensuring that all safety and health policies and procedures involving workplace security are clearly communicated and understood by all employees.
3. All Hosler Corp.’s employees are responsible for using safe work practices, for following all directives, policies and procedures, and for maintaining a safe and secure work environment.
4. Hosler Corp. system of ensuring that all employees, including supervisors and managers, comply with work practices that are designed to make the workplace more secure, not to engage in threats or any physical actions which create a security hazard for others in the workplace.
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5. Hosler Corp. will encourage employees to plan and to use good judgment in balancing the requirements of job performance and the safety issues.
6. Informing employees, supervisors and managers of the provisions of Hosler Corp. Injury and Illness Prevention Program for Workplace Security.
7. Evaluating the performance of all employees in complying with Hosler Corporation’s workplace security measures.
8. Recognizing employees who perform work practices which promote security in the workplace.
9. Providing training and/or counseling to employees whose performance are deficient in complying with work practices designed to ensure workplace security.
10. Disciplining employees for failure to comply with workplace security practices.
10. THREATS OF VIOLENCE
1. Hosler Corp. will take all threats of violence seriously and they will be investigated.
2. Any employee who makes a threat of violence towards any other individual will be disciplined and warned that any continuing threats are a basis for discipline up to and including discharge.
3. Certain situations, such as an employee brandishing a handgun at work will warrant termination.
4. A failure to take such threats seriously could expose Hosler Corp. to liability in the unfortunate event that the employee follows through on his or her threat.
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5. Hosler Corp. will investigate the threat thoroughly by interviewing witnesses and by taking written statements from any individuals who will have witnessed the employee make the threat.
6. Employees will not be intimidated into inaction. Employees will contact their supervisor and/or management immediately.
CONFRONTING VIOLENCE IN THE WORKPLACE
1. Never make counter-threats to an employee threatening violence.
2. Never humiliate an employee making threats of violence or engaging in
acts of violence.
3. Never allow an employee to continue to make threats of violence or fail to
take action because of intimidation.
4. Never allow an employee to escalate threats or acts of violence.
5. Check references on all job applicants before hiring anyone.
6. Do not engage in self-help. If an employee is engaging in threats or acts of violence, do whatever is necessary in self-defense.
7. However, never hesitate to summon the assistance of law enforcement to subdue a violent employee.
8. Never assume that a violent confrontation could never happen in Hosler Corporation’s workplace.
9. A false sense of security is the first step towards becoming a victim.
11. GENERAL SAFETY RULES
1. Employees will know and follow all safety rules and workplace procedures, and use all required and appropriate safety equipment.
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2. Employees will, on a daily basis, check to be sure that the work area and equipment are free of any potential hazards.
3. They will keep work areas neat and orderly and report any defective tools, equipment, machinery or hazardous conditions to the appropriate supervisory personnel.
4. Eating and smoking are permitted only in designated areas.
5. Employees will only perform work and/or operate equipment after they have been trained to perform the task safely.
6. Employees will use mechanical safeguards, obey warning signs and follow all equipment lockout procedures.
7. The employees will never cut corners on safety or take risks to rush a job to completion. Time lost in the event of an accident will be greater than any time saved.
8. The employee will report any complaints about dizziness, headaches, nausea, irritation, and skin dryness or other factors or discomfort.
9. They will also report all accidents, injuries, "near-misses", unsafe conditions and practices immediately to supervisory personnel.
10. Any employee whose capability and alertness is impaired by fatigue, illness, stress, medication or anyone known to be under the influence of liquor or drugs will not be allowed in the workplace until the employees' condition is returned to a safe and productive working level.
11. No employee is permitted on the worksite that has in their possession firearms, ammunition, or articles of a similar nature, without written and signed permission of Hosler Corp..
12. Failure to report an injury that happened on the job, prior to the end of the employee’s work shift, will mean grounds for disciplinary action up to and including discharge.
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13. Before obtaining medical attention, authorization for medical treatment will be given by the supervisor for on the job injuries.
14. Each employee is responsible for their own safety and will exercise care in avoiding injury to their co-workers and/or the public.
15. The Safety and Health Manager and/or supervisory personnel will encourage employee suggestions for improving safety and health issues.
12. CODE OF SAFE PRACTICES
1. Hosler Corp.’s Safety and Health Manager accepts responsibility for leadership of the Injury and Illness Prevention Program, for its effectiveness and improvement, and for providing the safeguards required to ensure safe working conditions.
2. Hosler Corp.’s Safety and Health Manager is responsible for developing proper attitudes toward safety and health and for ensuring that all operations are performed with procedures protecting the safety and health of all personnel involved.
3. Hosler Corp.’s Safety and Health Manager will insist that all employees observe and obey rules, regulations and order as necessary to sustain safe behavior at the worksite and will take such action as needed to obtain regulatory compliance.
4. Hosler Corp.’s Safety and Health Manager and employees are responsible for the operation of all aspects of the Injury and Illness Prevention Program including compliance with all rules and regulations and for using safe work practices while performing all work/job duties
5. Management and supervisors are available at all times to prevent injuries in the handling of material in working with equipment
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6. Hosler Corp.’s Safety and Health Manager will train all employees when:
a. The training program is first established.
b. New employees are hired.
c. Employees are given a new job assignment.
d. Whenever new substances, processes, procedures, or equipment are introduced to the workplace and they represent a new hazard.
e. Whenever Hosler Corp. receives notification of a new or previously unrecognized hazard.
f. All training will be done in the language understood by the employee and will be documented as part of the Injury and Illness Prevention Program.
7. Hosler Corp.’s Safety and Health Manager will provide mechanical physical and personnel safeguards for equipment to the maximum extent possible.
8. Hosler Corp.’s Safety and Health Manager will conduct safety and health inspections to find and eliminate unsafe working conditions or practices, to control health hazards, and to comply fully with the safety and health standards for every job.
9. Hosler Corp.’s Safety and Health Manager will keep appropriate records of steps taken to implement and maintain the Injury and Illness Prevention Program.
10. Hosler Corp.’s Safety and Health Manager will provide for employees training materials in areas of general safety and healthy work practices and provide safety instruction with respect to hazards specific to each employee's job assignment.
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11. Hosler Corp.’s Safety and Health Manager will provide a system for communicating with employees on occupational safety and health matters, and it will include provisions designed to encourage employees to inform the employer of equipment and materials hazards without fear of reprisal.
12. Hosler Corp.’s Safety and Health Manager will correct unsafe and unhealthy conditions and work practices in a timely manner based the severity of the hazard.
13. Hosler Corp.’s Safety and Health Manager will make sure all worksite lighting is adequate for the task and avoid congestion and over- crowding in all work areas.
14. Hosler Corp.’s Safety and Health Manager will make sure all worksites will be kept clean and orderly and all work surfaces will be kept dry and slip-resistant.
15. Hosler Corp.’s Safety and Health Manager will make sure all materials and equipment are stacked, labeled, repaired, maintained and stored in a safe manner.
16. Hosler Corp.’s Safety and Health Manager will make sure there are an adequate number of exits and all exits are marked with large visible signs and check on a monthly basis that the exits can be opened easily and are never locked and/or blocked.
17. Hosler Corp.’s Safety and Health Manager will set up a system of recognition and awards for outstanding safety practices and/or performance.
13. EMPLOYEE COMPLIANCE WITH SAFETY RULES
1. Horseplay or fighting and other acts that tend to have an adverse influence on the safety of employees will not be tolerated on Hosler Corporation’s property.
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2. Employees will refrain from running, except in extreme emergencies, or when authorized by Hosler Corp.
3. Employees will not have in their possession firearms, fireworks or explosives while on duty or on the property, unless authorized by Hosler Corporation.
4. Employees known to be under the influence of drugs or intoxicating substances that impair the employee’s ability to safety perform their assigned duties will not be allowed on the job while in that condition and employees will not use intoxicating beverages while at work.
5. Employees will not be permitted or required to work while their ability or alertness is so impaired by fatigue, illness, or other causes that it might unnecessarily expose the employee or others to injury.
6. Employees will not smoke on Hosler Corp. property except in designated areas.
7. Employees will use or wear the appropriate safety equipment provided by Hosler Corp. when and where required.
8. Employees will use eye protection in any area where there is any danger
to the eyes (such as punctures, abrasions, contusions or burns).
9. Only authorized employees will operate power equipment.
10. Employees will observe safety rules for all power tools and equipment.
11. Employees will obey posted safety rules, policies, and procedures.
12. Employees working around moving machinery will not wear jewelry and loose clothing. Long hair will be secured as not to interfere with equipment operation.
13. Employees spitting onto the floor, walls, sinks, drinking fountains, wastebaskets, trashcans, etc., is strictly forbidden.
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14. Employees will leave washroom facilities in a clean and orderly condition after using the facilities. Employees will practice good housekeeping at all times.
15. Employees will not use compressed air for blowing dust and/or other foreign particles from clothing.
16. Employees will promptly report unsafe conditions and injuries to their immediate supervisor.
17. Employees will keep all tools in safe working condition. They will not use defective tools or equipment. Employees will report any defective tools or equipment immediately to their supervisor.
18. Employees will properly maintain and be responsible for all personal
protective equipment.
19. Employees will not leave materials and/or equipment in aisles, walkways, roads or other points of exit.
20. Employees will not stand or sit on sides of moving equipment.
21. Posted safety rules will not be removed except by management’s authorization.
22. Employees will comply with all known federal, state and local safety laws and as well as Hosler Corp. regulations and policies.
VIOLATION OF CODE OF SAFE PRACTICES
WILL RESULT IN EMPLOYEE DISCIPLINARY ACTION
14. FIRST AIDE AND EMPLOYEE HEALTH
1. Medical emergencies can occur without warning and can require immediate action. To respond to such emergencies, adequate first aide facilities and training are required.
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2. Every employee will know where the first aid stations are located at the worksite. Every Hosler Corp. employee that has been CPR trained will be identified and known to all the other employees.
3. The first aid kit is fully equipped and is highly visible, and is inspected and replenished on a regular basis.
4. Emergency phone numbers are posted in prominent places.
5. All injuries, no matter how slight, will be reported to the supervisor.
6. No matter how slight the injury always obtain first aid for the injury and remember that an employee will NOT touch a wound with bare hands.
7. Do not move a victim unless necessary until you are sure what the injury is and have rendered first aide. If the employee is not sure how to render first aid find another employee that has the knowledge.
8. If the Safety and Health Manager is not available, the employee will call 911.
ONLY EMPLOYEES WITH FIRST AIDE AND CPR TRAINING CAN PERFORM FIRST AID MEASURES AND PROVIDE THE FOLLOWING:
1. Employee’s will wash a wound with an antiseptic preparation and only
sterile dressings on open wounds.
2. Employee’s will be prepared to treat shock since it always accompanies injuries.
3. Cover burns, as soon as possible, to avoid exposure to air. Get medical help immediately.
4. Check arterial bleeding by placing pressure between the wound and the heart. Never use a tourniquet unless there is no other way to stop the bleeding and save a life.
5. Give CPR immediately in cases of suffocation, drowning, or shock.
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6. Look for fractures and do not attempt to reset dislocations.
7. Do not attempt to remove foreign bodies from the eye. Get employee to eye wash station.
8. Remove false teeth and foreign objects from the mouth of an unconscious person.
15. UNIVERSAL PRECAUTIONS: METHODS OF PREVENTION
Hosler Corp. will follow the practices listed below and this can greatly reduce the chances of contracting a communicable disease while on the job:
1. Alter behavior to prevent exposure to fluids or substances capable of transmitting communicable diseases.
2. Use universal precautions:
A. Use care to avoid cuts with contaminated sharps such as needles, especially if blood-soiled. If sharp instruments are found during a search, immediately store them in puncture-proof containers, furnished by the department.
B. Preventing mucous membrane exposures.
C. Wear gloves when in contact with blood or fluids capable of transmitting communicable diseases.
D. Cleaning of blood from environmental surfaces (tables, walls, floors) will be done (while wearing latex gloves) using a freshly mixed solution of one part household bleach to ten parts water. Gloves and cleaning materials will be properly disposed of in a tightly tied plastic bag.
E. Wash hands frequently with soapy water, especially after possible exposure.
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F. Conduct interviews of clients in well-ventilated areas (to minimize exposure to TB).
If Hosler Corp.’s employee is exposed to blood:
A. Thoroughly wash exposed area with soap and water. If the wound is a puncture wound, make it bleed.
B. Report possible exposure to a supervisor if a supervisor is instantly available, and go immediately to the hospital emergency room. If hospital personnel determine you are at risk for infection, they will:
1. Discuss the incident and possible risks
2. Draw blood for baseline HIV and Hepatitis B antibody tests
2. If indicated, give you Gamma Globulin to prevent Hepatitis B
4. Discuss AZT prophylactics/treatment
5. If you elect to take AZT, you will be given a prescription for it
6. You will be told where and when to return for follow-up HIV antibody testing
C. If you were unable to contact a supervisor before seeking emergency treatment, report the situation to Hosler Corp.’s supervisor after medical attention has been obtained.
16. OFFICE SAFETY RULES
1. When lifting heavy objects, keep your back straight and do the actual lifting with your leg muscles.
2. Do not try to lift heavy objects while leaning over a desk, chair, or other object that force you to use poor lifting methods. You will compromise your back.
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3. Always get help for objects that are too heavy or too bulky.
4. Good housekeeping prevents fires and accidents. Keep offices clean and orderly. Employees are responsible for their own desk and work area.
5. Work at a safe speed. Always take time to be safe.
6. Hosler Corp. will keep aisles clear at all times.
7. Always walk in designated aisles and keep alert to your environment and where you are going.
8. Use caution where floor mats are used. Floor mats can easily shift and create a potential tripping hazard.
9. Always use handles on drawers, doors, and safes when opening or closing them. Using the handles is easy and it saves a crushed hand or fingers.
10. Use caution when approaching a door that can be opened toward you or against someone else.
17. CUTS AND PUNCTURE PREVENTION
1. Keep scissors, knives, and letter openers in a separate compartment of
your drawer where they can be seen and easily handled.
2. Keep fingers away from the point of operation on such items as staplers, whole punches, and paper cutters. Use these items the right way.
3. Secure the paper cutter with the safety latch when not in use.
4. Use rubber finger guards when working with stacks of paper.
5. Use a sponge or sealing device to moisten stamps and envelopes.
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6. If you have to clean up broken glass or other sharp objects, sweep up the pieces instead of picking them up by hand. Wrap the glass in paper and mark the contents before throwing in the trash.
7. Hosler Corp. employees use sharps will be monitored. This means any object used or encountered covered that can be reasonably anticipated to penetrate the skin or any other part of the body, and to result in an exposure incident, including, but not limited to, needle devices, scalpels, lancets, broken glass, broken capillary tubes, exposed ends of razors, dental wires and dental knives, and drills.
8. There are sharps disposal containers, needle less systems and sharps with engineered sharps injury protection) that isolate or remove the bloodborne pathogens hazard. All used sharps are to be put into these designated containers.
9. There is personal protective equipment (gloves that can’t be torn, punctured, or cut with the ability to function as a barrier and goggles) that is to be used when the sharps are filled with hazardous fluid and are being used during the working situations.
10. Hosler Corp. has established and maintains a Sharps Injury Log, which is a record of each exposure incident involving a sharp. The exposure incident is recorded on the log within 14 working days of the date the incident.
11. Sharps that not be being used are to be stored by sticking the needles and blades into a large blocks of styro-foam. This will prevent accidental stick accidents. When the employee is finished using to the sharp, the sharp is be disposed in the sharp container.
12. Shearing or breaking of contaminated needles and other contaminated sharps is prohibited.
13. All disposable sharps are prohibited from being reused.
14. Sharps containers are not opened, emptied, or cleaned or in any other manner that would expose any employee to the risk of sharps injury.
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15. Sharps containers are accessible to personnel and located as close as is feasible to the immediate area where sharps are used or can be reasonably anticipated to be found.
18. FALL PREVENTION
1. Keep file and desk drawers closed when not in use.
2. Keep floors clean. Even something as small as a pencil or paper clip could cause someone to slip and fall.
3. Keep wastebaskets, phone and extension cords out of walkways, as they are serious tripping hazards.
4. Watch your step. Do not read while walking and do not carry bulky objects that obstruct your view.
5. Wipe up wet spots promptly. Carry beverages in covered containers or on
trays to help prevent spills.
6. Wear shoes with moderate heels. They lessen fatigue, as well as give you firmer footing.
7. Be cautious of slack cuffs that are too long, leather heels, and untied shoestrings that can cause a fall.
8. Use chairs property and safely. Do not tilt back in a chair since this often results in overbalancing and a fall. Be sure your chair is behind you before you sit down.
9. Report defective chairs immediately to Hosler Corp.’s supervisor. These can be extremely dangerous, especially for the unsuspecting victim.
10. Do not stand on chairs, desks, or other office furniture. Whenever it is necessary to climb to reach something, a stepladder will be used. Do not accept any substitutes.
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11. When using a stepladder, be sure the stepladder spreaders are open and the ladder is placed on level ground.
12. Stay off the top two steps of the ladder.
13. Always face the front of the ladder going up or coming down.
14. Move the ladder to the area you need to access. Do not reach and extend out to the side. It's too easy too fall.
15. Always keep one hand free to balance you while ascending, standing, or descending the ladder.
16. There will only be one person on the stepladder at a time. Too much weight can break or weaken the ladder.
17. Always use handrails on stairways, and at entrances.
19. OFFICE EQUIPMENT AND MACHINES
1. Do not use or try to make repairs on any machine that you have not been
trained, instructed, or authorized to use. Keep hands, hair, and clothing away from moving parts of office machines.
2. Report malfunctions or potentially hazardous conditions to Hosler Corporation’s supervisor immediately. Do not try to fix a machine yourself. Meanwhile, to prevent others from using it, put a sign on the machine to indicate that it is out of order and unsafe to use.
3. Be sure all the equipment used by Hosler Corp. is grounded. Normally it is double insulated and has a UL approval.
4. Be alert for frayed wiring, especially near the flex point at the plug or where the cord enters the back of the machine. Beware: exposed wires can shock you or possibly start a fire.
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5. Watch your clothes when around machinery. Loose sleeves, scarves, long hair, belts, dangling jewelry, ties, and key chains are dangerous around machines with moving parts.
6. Before using office machinery, check the position. Make sure typewriters, duplicators, adding machines, and the like are firmly positioned on the working surface/table.
20. FILE AND STORAGE CABINETS
1. Avoid overloading top file drawers, it can bring the cabinet down on you. Too much weight near the front of a drawer can also cause overbalancing or tip over.
2. Pull out only one file drawer at a time to prevent the cabinet from toppling over. It also prevents bangs on the head or unexpected trips.
3. If unfamiliar with the file cabinet, test the drawers and do not pull them out too far if there is no locking/limit device on them.
4. Close a file drawer immediately if not using it. Close drawers gently and use handles. Fingers can get pinched if you use top or sides of drawers.
5. If any drawers or doors are stuck, do not struggle to open them. That is an easy way to cause a back injury or bring everything down on you. If stuck, call maintenance.
6. Storage shelves and cabinets will be securely bolted to the floor, a sturdy wall and/or each other. Shelves will be in easy reach and not overloaded.
7. All materials will be stored inside cabinets, files, and footlockers.
8. Keep heavy objects at floor level and out of walkways. This includes plants and furniture.
9. Keep combustible materials at least eighteen inches away from appliances like coffee makers, hot plates, space heaters, etc.
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21. PARKING AREAS
1. Observe all safety signs and markings in the parking areas.
2. Do not run in the parking area.
3. Be especially careful walking on wet sidewalks, or muddy ground.
22. LIFTING AND CARRYING
Mental Lifting: To handle materials safely, lift everything twice! FIRST, lift the load mentally. Plan every step before you do it physically. Even repetitive jobs can be thought through before hand. SECOND, lift with your legs, not your back.
Size up the load: How much does it weigh? How much do you weigh? Give it the heft test to see whether you can lift it - you don't want any surprises. If it feels OK, go ahead and lift it.
Get Help: If the load is too bulky or heavy for you to lift alone get help. Don't hesitate to ask someone else for a hand. A moment's help could save you from days of disability and pain.
Find a Better Way: Sometimes no one else is around to help, or the job is bigger than the two of you. Arrange for mechanical help from a pushcart, hand truck, wheelbarrow, or forklift.
Check the Pathway: Look for obstacles underfoot and overhead, spills, lighting, traffic (people or vehicles), and changes in elevation. Choose a clear route over the flattest surface, even if it takes a little longer.
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Solve High Load Problems: Lifting from a height above the head can be hazardous. Test the weight by pushing up on the load. Get as close to the load as possible, so it can slide down your body, close to you. Plan to lift down the same way you lift up - the right way.
Solve Repetitive Problems: Don't accept problems as 'the way things are". Recognize them as problems, and decide how you can avoid them in the future. Think through your job tasks. Do you really need to bend and reach so much, or can you think of a smarter way?
Hosler Corp. ‘s PHYSICAL LIFTING PLAN: Be sure to apply proper lifting techniques, whether working alone, as a team, or with the aide of a mechanical helper. Over the years, the effects of poor posture, being overweight, not lifting safely, or simple wear and tear accumulate and can lead to a "problem back".
You can't turn back the clock, but you can stop the cycle of back abuse and prevent injury by learning how your back works and how to lift, stand and sit with your back safely balanced. Protecting your back around the clock is your best insurance against back injury. You are the only one who's around to do it, both on and off the job.
The Results of Lifting: Most back injuries result from improper lifting. According to the principles of biomechanics, the worst lifting situation occurs when the body is extended over the load: the lower back becomes a fulcrum supporting the weight of the body plus the load. Twisting in this position invites injury.
How to Lift Properly: Look around your workplace. How could you reorganize to minimize how much you have to lift and how far you have to carry it? Discuss with your Hosler Corporation’s supervisor and coworkers ways to make lifting easier, and then incorporate these safer methods into your daily routine. Every move you make, on and off the job, depends on your back. So keep you back, and your safety, in mind throughout your day while you sit, stand, lift, or carry.
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Use your HEAD to SAVE your Back: Hosler Corp. employees will handle materials mentally before you handle them physically.
1. Look at the load. Observe the size and position of the load. Carefully look around for any surrounding hazards. If you have doubts, get help!
2. Keep the load close. Get close to the load and grasp firmly. Don’t hold the load away from your body. Hug it! The closer it is to your spine, the less force it exerts on your back. Keep your back in its natural alignment as you use your strong leg muscles to lift the load.
3. Grip the load securely. Injuries often occur when loads slip or fall due to an inadequate grip.
4. Face in the direction of the lift. Have your knees bent, tighten abdominal
muscles, take a deep breath and lift correctly. Center the load over your pelvis.
5. Get a firm footing. Keep your feet apart for a stable base; point toes out.
6. Bend your knees. Don't bend at the waist. Keep the principles of
leverage in mind. Don't do more work than you have to. Maintain your three natural back curves. Use leg and hip muscles to lift, not your back muscles.
7. Push, don't pull. Use good lifting techniques to load mechanical devices. Bend hip and knees while lifting and keep your back straight.
8. Tighten stomach muscles. Your abdominal muscles support your spine when you lift. Train muscle groups to work together.
9. Lift with your legs. Let your powerful leg muscles do the work of lifting, not your weaker back muscles. Maintain your three natural curves. Keep the weight of the load as close to the body as possible. Hold elbows in close to the body. Put the load down by bending at the hips and knees with your back straight.
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10. Team lifting. When team lifting, pick one person to call the signals. The leader will direct the team so you all lift together, walk in step, and lower the load together, using the lifting principles shown above.
11. Push rather than Pull. Whenever possible, push rather than pull. Then lift: apply the same lifting techniques in reverse to unload.
12. Clear the Way. Remove any hazards you see - and/or see that they are removed. Wipe up spills. Make sure the area is well lighted. Wait until traffic clears. Then transport the load, setting it down in the proper place.
13. Unload carefully. Set a load down as safely as you lifted it. Plan where you can put down the load. Pick your spot carefully so no one has to move the load again.
14. Keep your back upright. Whether you are lifting or putting down the load, don't add the weight of your body to the load. Avoid twisting; it is a common cause of injury.
15. Conditions. Bring your back and body to work in Hosler Corp. possible condition. Learning to reduce stress, combined with a sensible diet and exercise program, can relieve back pain and start you on the road to a happier, healthier, and more enjoyable lifestyle. Apply the principles of good body mechanics to lifting and material handling situations.
16. Watches for Dangerous Characteristics. Watch for protruding nails, sharp edges and other dangerous characteristics of the object being lifted and carried.
17. Keep Fingers Away. Keep fingers away from pinch points and wear protective gloves.
18. Too Heavy do not Lift . If the load is too heavy do not lift it and get help. If more than one person is carrying the load, allow one person to be the leader. The leader will coordinate carrying and timing of movements. Use available hand trucks and other appropriate equipment to aide in lifting.
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19. Object is Overhead . If the object is overhead, grip with palms up. Lower the object slowly and keep the object as close to the body as possible. Watch out for any protruding parts on the object.
23. MANAGING REPETITIVE MOTION DISORDERS
Repetitive Motion Disorders result from repeated motion of the same muscle and joint. Injuries are often related to incorrect posture, uneven load carrying, improper tools and excessive reaching. A serious form of Repetitive Motion Disorder is Carpal Tunnel Syndrome. The Carpal Tunnel is a space formed by the wrist bones and ligaments. Carpal Tunnel Syndrome is a compression of the median nerve that passes through this space in the wrist. This can lead to inflammation and swelling. Pain can show up in the hands, wrists, arms, and neck.
1. Ideal posture includes sitting straight in the chair, muscles relaxed with your body tilted slightly back. Each time you touch a key nerves (“electrical messengers”) tell muscles and tendons in your wrists and hands they’re needed to help you move your fingers. When you work with straight wrists and fingers, these nerves, muscles, and tendons stay realized and comfortable. So, they’re less likely to develop the strains and pains that all will be associated with keyboarding.
a. Obtaining good posture will mean being continually aware of your posture at the keyboard.
b. The goal is to keyboard with straight wrists, relaxed fingers, and straight posture until it becomes second nature.
c. Sit up straight, facing the computer straight on.
d. Hold you head at a slight downward tilt to avoid straining muscles in you neck and head.
e. Keep hands and wrists straight while keyboarding.
f. Touch you keys lightly by keeping your wrists and fingers relaxed.
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g. Keep your feet flat and pointed toward the workstation.
h. Adjust keyboard tray or desk height so that your wrists and hands are straight while keyboarding.
i. Adjust screen height so that the top of it is at about your eye level.
2. A straight wrist is a level, flat wrist. This position keeps extra pressure of
muscles, tendons, and nerves in your wrist and hand. When you work with straight wrists and fingers, these nerves, muscles, and tendons stay relaxed and comfortable. So, they’re less likely to develop the strains and pains that all will be associated with keyboarding.
3. Adjust your workstation
a. Adjust chair height and seat back so that you can keyboards with straight wrists and hands.
b. Position the keyboard so that your wrists and forearms are straight.
c. A telephone headset helps to keep you head upright and your body straight.
d. A copy stand will be the same height as the screen, to keep you from straining your neck or head.
e. A lower back pad, such as a pillow or rolled-up towel, can help support the lower back.
f. A mouse pad will allow the mouse to float friction free over it, requiring little effort.
4. Releasing tension for your wrists, hand and body.
a. Stretching: Place your hand out in front of you. Then spread your fingers as far apart as possible. Hold for five seconds. Relax. Repeat five times.
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b. Rotating: Rotate your wrists, keeping your fingers relaxed and your elbows still. First turn your palms up, and then rotate them down. Repeat fine times.
c. Shaking: Let your hands dangle from your wrists. Then shake your hands, first up and down, then sideways. Repeat until tension in your hands is gone.
d. Reaching: Place your arms over your head. With your fingers stretched, reach toward the ceiling. Hold for five seconds and then relax. Repeat five times.
e. Rolling: Using a wide circular motion, roll your head backward. Repeat five times.
f. Shifting: While sitting, move around in your chair. Slouch and slump, look away from the screen, dangle your arms. Repeat as often as necessary.
5. Immediately, report to your supervisor any symptoms such as pain or
soreness in joints, inflammation, lack of flexibility, etc. This will permit work modification or other changes to reduce the potential for repetitive motion disorders.
6. Use regular exercises focused around flexibility and strength to help avoid repetitive motion disorders. If the employee feels susceptible, ask the Safety and Health Manager for help in finding and learning appropriate exercises.
7. Take frequent breaks, a few minutes every hour, when doing a repetitive
motion task. Shake out tight muscles and take a few deep breaths. As appropriate, alternate repetitive motion tasks with other jobs.
8. Change position frequently. This will be accomplished by adjusting posture, seating equipment location, relationships between components such as computer screens, keyboards, etc.
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9. Avoid working repeatedly on overhead tasks or extremes of reach or strength. Use the correct hand tools for the job. Always be aware of body positioning appropriate for the task.
24. EQUIPMENT SAFETY RULES
1. Removal of any "Danger, Do Not Operate" equipment tags or locks by unauthorized personnel is prohibited and will result in termination, fines, and/or imprisonment.
2. Employees will NOT operate equipment without specific training.
3. Employees will NOT repair or adjust equipment while it is in operation. Be sure all tools are maintained in good repair.
4. Employees will NOT wear loose clothing, long sleeves, ties or jewelry
when working on machinery.
5. All employees will wear protective clothing and devices when required by safety rules or common sense.
6. Employees will NOT use defective equipment or equipment that has defective safety devices. Tampering with, or unauthorized use of, any machinery is prohibited.
7. Employees will NOT handle, tamper with or attempt to repair any electrical equipment, machinery, or air or water lines in any manner not within the scope of their duties.
8. Qualified repair personnel will be hired to modify and/or repair all equipment.
9. Equipment that appears to have been tampered with will not be used until it has been examined by a manager or technician authorized to approve its return to service.
10. Safety guards will be appropriate for grinders, saws, and other tools.
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11. Safety guards will never be removed, except when necessary to make adjustment or repairs, and will be replaced immediately upon completion of the work.
12. Shields and attachments will be appropriate and in good condition for use with power tools. Fixtures and attachments will be appropriate.
13. All cord-connected tools will be effectively grounded. \Electric cords will not be exposed to damage from other equipment. Damaged cords will be replaced immediately.
14. Guards are necessary over belts, blades, pulleys, chains and sprockets.
15. Portable fans will have screens with openings under 1/2 in. in size.
16. Hoisting equipment will be used for lifting heavy objects and will be rated appropriate to the task.
17. All pneumatic and hydraulic hoses will be checked regularly and before use for deterioration or damage.
18. Never use makeshift, damaged or defective scaffolding, rigging or staging.
19. Never use gasoline for cleaning.
20. Shut down machinery before cleaning, adjusting or repairing. Lock and tag the machine.
21. Never oil machines while they are in motion or operation and always use
brushes or hooks to dislodge chips from machines.
25. EQUIPMENT SAFETY
1. All worksites will be kept clean and orderly. All work surfaces will be kept
dry and slip-resistant. Air quality will be monitored on a scheduled basis.
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2. All scraps, debris and waste materials will be labeled and stored safely in appropriate containers. All protruding objects that cannot be removed will be flagged and/or covered so that everyone will be made aware of the objects. All scraps, debris and waste materials will be removed promptly from the worksite.
3. Combustible dust will be collected and removed to prevent accumulation. Metallic and/or conductive dust will be kept from entering or accumulating near electrical enclosures or equipment.
4. Only covered, labeled metal cans should be used for hydrocarbon waste (oil, gas, paint, etc.).
5. All oil or gas devices will be equipped with flame failure controls.
6. Any pits or floor openings will be covered or identified and guarded.
7. Any heavy objects stored overhead on shelves above 6 ft. will be secured
to prevent falling in the event of natural catastrophe.
8. Work clothing and environments will be adjusted to compensate for extremes of heat and cold. Employee will report environmental hazards immediately to the Safety and Health Manager and/or supervisory personnel.
9. No employee will work in a confined space without entry authorization,
specific training, appropriate monitoring and rescue equipment.
26. ENVIRONMENTAL CONTROLS
Most accidents are a combination of things. Many times you can violate the safe working rules without causing an accident. But you could break a rule when the other parts of the accident are present and waiting to turn your act into a disaster. Not every dangerous act produces an accident, but no accident is ever produced unless one or more dangerous acts are committed.
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Everyone is responsible for maintaining a clean, safe working area at all times. Housekeeping cannot be just fair; it will be excellent at all times for the sake of safety. Excellent housekeeping is a sign of good safety. A messy work area can always be counted on to produce accidents.
1. All work areas will be maintained with proper illumination.
2. All hazardous substances that will cause harm by inhalation, ingestion, skin absorption, or contact will be properly maintained.
3. Always explore the possibility of a. less harmful method or product being used.
4. Make sure that the work area's ventilation system is appropriate for the type of work being performed. Report any problems with the work area's ventilation system.
5. Personal protective equipment will be used when provided, and maintained wherever required.
6. Rest rooms and washrooms will be kept in a clean and sanitary condition.
7. All outlets for water not suitable for drinking are clearly identified.
8. Noise levels in the shop will be periodically monitored to determine if they are within acceptable levels.
9. Steps will be taken when possible to use engineering controls to reduce excessive noise levels.
10. Vacuuming, with appropriate equipment, will be done whenever possible
rather than blowing or sweeping dust.
11. Personal protective equipment will be used when provided, and maintained wherever required.
12. Where heat is a problem, all fixed work areas will be provided with spot cooling or air conditioning.
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13. Trash cans and dumpsters will be emptied on a regular basis.
14. Overhanging objects or long pieces of wood could cause injury.
15. Keep exits, entrances, and aisle ways clear; observe established aisles when passing through work areas.
16. Keep work areas neat and orderly and free of trip hazards such as extension cords, air hoses, loose banding, etc.
17. Good housekeeping will be recognized as an integral part of each job.
18. Oil, water, or other liquids that have spilled or leaked on the floor will cause slipping hazards. If you spill the liquid, clean it up and if help is required, notify Hosler Corp.’s superior.
19. Pick up your tools, scrap, and other items from the work area so that no one will slip or trip on them.
20. Oily rags will be placed in a covered metal container.
21. Keep debris from blocking access to ladders, electrical equipment, and other important areas in case of emergency.
22. Never leave nails or spikes sticking up in boards or planks. Promptly remove them or bend them over when found.
23. Never pick up sharp objects with your bare hands.
27. FIRE PROTECTION
General Requirements:
1. Portable fire extinguishers will be maintained in a fully charged and operable condition and kept in their designated places at all times when they are not being used.
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2. Extinguishers will be conspicuously located where they will be readily accessible and immediately available for use.
3. The selection of fire extinguishers for a given situation will depend upon the characteristics of a potential fire, the construction and occupancy of the individual property, the vehicle or hazard to be protected, ambient- temperature conditions, and other factors.
4. The number of extinguishers required would be determined by reference to the layout criteria included in this PLAN.
5. Only UL or FM approved fire extinguishers are permitted.
6. Only employees who have been trained in their proper use are permitted to use fire extinguishers.
7. Any damaged or apparently used fire protection equipment will be promptly reported to the area supervisor.
8. All fire extinguishers are to be kept at their designated locations. In case of fire, follow information on emergency reaction poster.
9. Access to extinguishers, sprinkler risers, switch boxes, fire alarms, and exits are to be kept clear and unobstructed at all times.
10. Fire doors are not to be blocked and will be in operating condition at all times.
Maintenance:
1. At regular intervals, not less than annually, or when specifically indicated
by an inspection, extinguishers will be thoroughly examined and/or recharged or repaired to ensure operability and safety, or replaced as needed.
2. Extinguishers removed from their locations to be recharged will be replaced by spare extinguishers during the period they are gone.
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3. Each extinguisher will have a durable tag securely attached to show the
maintenance or recharge date and the initial or signature of the person who performs this service.
28. FLAMMABLE AND COMBUSTIBLE LIQUID AND MATERIALS
1. Flammable liquid containers will be clearly labeled and stored in a protected separate area.
2. Flammable liquids will be used only in small quantities and in approved (UL or FM), self-closing containers.
3. Do not refuel a hot or running engine. Clean up spills before restarting.
4. Never use gasoline as a cleaner or solvent. Anyone who will do so is subject to immediate discharge.
5. Use only the proper transfer equipment when transferring a flammable liquid such as gasoline for refueling.
6. Never use an air hose for pressure to empty drums.
7. Lines or other containers holding gasoline, oil, grease and other flammable material will be thoroughly purged and tested for explosives by approved testing equipment before any burning or welding is done.
Scrap Receptacle - Type, Use and Directions:
Type:
1. All receptacles will be constructed of metal or other suitable type containers of non-flammable materials.
2. Paper or pasteboard cartons, wooden boxes or crates, and similar type
containers will not be used for collection of combustible materials.
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3. Receptacles, located outside of buildings, for combustible trash will be located at least 15 feet from the building or other combustible materials.
Use:
1. Employees will be instructed to use trash barrels for the disposal for paper lunch remnants, and all small scraps of a combustible nature.
2. Cigarette and cigar butts, matches, etc., will never be thrown in trash
receptacles.
3. Glass (broken empty jars, etc.), scrap metal, and similar material will be placed in special trash containers.
Directions:
1. Employees will NOT use or handle any hazardous materials that they have not received training specific to that individual hazardous material.
2. Employees will take all precautionary and safety measures when handling
potential hazards.
3. Employees will wash thoroughly after handling hazardous materials and
follow all special instructions. Employees will know what to do in any emergency.
4. Employees will know the location of eye wash fountains and safety showers in areas where corrosive materials and chemicals are handled.
5. Employees will keep all flammable or toxic chemicals in closed containers when not in use. Never mix chemicals without specific instructions.
6. Employees will understand standard operating procedures that have been
established for handling and cleaning up chemical spills. Keep all flammable materials away from any heat source.
7. Employees will NOT eat, drink or smoke in areas where hazardous materials and chemicals are present.
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8. Compressed gas cylinders will be stored upright and chained.
9. Employees will wear gloves and masks to prevent being exposed to solvents and breathing toxic vapors.
10. All materials that give off toxic, asphyxiating, suffocating or anesthetic fumes will be stored in remote or isolated locations when not in use.
11. Employees will know where to find Material Safety Data Sheets (MSDS) on all hazardous materials.
12 . Each container with a hazardous substance (i.e. vats, bottles, storage tanks) will be closed and labeled with product identity and hazardous warnings (defining the specific health and physical hazards).
29. PERSONAL PROTECTIVE EQUIPMENT
1. ALWAYS use appropriate Personal Protective Equipment (PPE) where required by safety rules or common sense. Hazards posing an immediate danger or having caused injuries in the past will be corrected.
2. Make sure PPE is clean; fits well and are free from damage.
3. If the equipment doesn't work, doesn't fit or is uncomfortable the employee will be less likely to use it.
4. If an employee does not wear the necessary PPE for the task, the employee is subject to discipline, suspension and even termination of employment.
Selecting Personal Protective Equipment (PPE:
It is important to select the right PPE for the job and to enforce its use. Purchase all "ANSI (American National Safety Institute) approved" protective equipment from a reputable supplier. The supplier can choose the right equipment for the specific application and train employees in its use.
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Information on PPE required for each task will be fund on MSDS, equipment operation information, the State's General Safety Orders and other Information on safety. When selecting protective equipment consider the following:
1. The specific hazard the employee is to be protected against.
2. Factors specific to the employee such as size of face or hand, vision, etc.
3. Factors that will encourage or discourage use of the equipment.
Personal Protective Equipment (PPE) includes:
1. Hard Hats
2. Gloves or Palm Guards
3. Eye (goggles or safety glasses) and Face Shield Protection
4. Foot Protection
5. Professional or Industrial Back Belt
6. Aprons or Protective Clothing
7. Respiratory Protection (dust masks or respirators)
8. Hearing Protection (ear plugs and ear muffs)
Eye/Face Protection:
Type: Glasses, Goggles, Face shields
Options: Lens material, Venting, Size, and Shape
Issues: Is impact protection required? Is radiation protection required (from lasers, welding, and the sun)? Are chemical hazards present? What chemicals? What form (fumes, vapors, liquid)? Are prescription glasses required?
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Eye Wash:
Options: Permanent, Portable, Hand Held (not acceptable)
Issues: Is plumbing present? Is other eye wash equipment available? The equipment will be within 100 feet (10 for strong corrosives) of
the work area.
Hearing Protection: Type: Ear plugs, Earmuffs
Options: Material, Shape, Disposability, Corded, and Banded
Issues: How noisy is the environment? How long will protection be required? Will the same person use the protection regularly?
Gloves: Options: Material, Cuff style/length, Lining, Grip, Size
Issues: What hazards are present (temperature, abrasion, vibration, chemicals)?
What part of the hand or arm needs protection? Is touch sensitivity necessary? Are gloves for wet or dry use?
Footwear:
Type: Work shoes, Over-the-sock boots, over boots
Options: Material, Height, Soles, Steel Toes, Size
Issues: How long will they be worn? What chemicals will they be exposed to? Are there heavy falling objects? What parts of the foot/leg require protection? Will they be used on slippery surfaces?
Clothing:
Type: Aprons, Boots or Shoe Covers, Coveralls, Hoods, Hairnets,
Options: Material, Color, Size
Issues: Do chemicals present a hazard? What chemicals? What concentrations? What form (fumes, vapors, liquid)?
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Is thermal and/or moisture protection required? Will the equipment be anti-static? Are impact resistance and/or visibility important? What other protective equipment will be used?
Hard-Hats:
Options: Material, Visor, Sweatband, and Rain Trough
Issues: How much impact resistance is required? Does the working environment have high temperature, rain, and sun? Provide sunscreen protection.
Respirator: Type: Particulate Mask, Cartridge/filter Mask, and Air Supplied Apparatus
Options: Shape, Cartridge Type, Full/half Face, Disposability, and Air Source
Issues: What contaminant is in the air? What concentration? What form (vapors, particles)? What is the oxygen content of the air? How long will the equipment be used? Will prescription glasses be needed? Is skin and eye protection required?
30. HAND TOOLS AND EQUIPMENT
1. All hand tools will be kept clean and in good repair and used only for the purpose for which designed.
2. Tools having defects that will impair their intended operation or render them in any way unsafe for use will be removed from service immediately.
3. When work is being performed overhead, tools not in use will be secured or placed in holders.
4. Throwing tools or materials from one location to another, from one
employee to another, or dropping them to lower levels, is not permitted.
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5. Only "non-sparking" tools will be used in locations where sources of ignition will contribute to a fire or explosion.
6. Power tools will be inspected, tested and determined to be in safe operating condition prior to use. Continued periodic inspections will be made to assure safe operating condition and proper maintenance.
7. Loose, fringed or frayed clothing, loose, untied, long hair, dangling jewelry, rings, chains, or wrist watches will not be worn while working with any power tool or machine.
8. Don't carry sharp tools in clothing. Always use the proper carrying case or tool kit.
9. All portable power tools will be rounded or double insulated.
10. Use only those power tools that you are authorized to use.
11. All power tools will be equipped with guards as required.
12. Do not use a file without a handle. Do not use a file as a pry tool.
13. Use tools only for the purpose for which they were intended.
14. Keep any personal tools and equipment in good condition at all times.
They will be inspected just as Hosler Corp. tools.
15. Inspect all impact tools for mushroomed heads.
16. Do not hammer on wrenches or use a pipe for extension.
31. SMALL TOOLS
Screw Drivers and Knives:
1. Screwdrivers and knives will be outfitted with a secure handle.
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2. Screwdrivers will be equipped with a non-conducting handle when used on
electrical work.
3. Screwdrivers will be inspected and repairs made if they have:
a. A loose or broken handle;
b. A cracked or broken blade;
c. Ends are worn or correct angles are missing; or
d. A bent shank.
4. Screwdrivers will not be used as a punch, lever, pry, etc.
5. Keep screwdriver blades in good condition and grind or file the tip square.
6. Select the correct size so it fits the screw snugly.
7. Never attempt to hold the work in one hand and use the screwdriver with the other. Instead use a vise to hold the piece being worked.
Pliers:
1. Pliers with sprung jaws or worn faces will not be used.
2. Worn joint pins will be replaced.
3. Pliers will never be used on nuts - use a wrench.
4. Grasp pliers handles near the end as you will be pinched if you grip close to the hinge.
5. Never use pliers on a hardened surface, as this only tends to dull the teeth and loosen the 'pliers' grip.
Electrical Tools:
1. All electrical tools will be grounded in one of two methods; either designed and clearly marked "Double Insulated", or by the use of a three prong plug.
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2. All wiring will be kept in good repair and dry.
3. Electrical tools will not be used in controlled atmospheres such as but not limited to: flammable/combustible areas, areas where there is a possibility of explosive gases, corrosive areas, etc.
4. Electrical tools that are used in conjunction with an extension cord will have a cord that is of a heavy-duty type construction. It will be, secured to the tool using a three-prong coupler. The extension cord will not be kinked, broken, showing exposed wires or having loose plug ends.
5. Extension cords will not be fixed to objects such as ladder rails, cabinets, walls, etc. The length of the cord will not extend more than 50 feet.
6. When drilling, sawing, fastening, soldering, welding, chipping, filing, and etc. employees will wear Industrial Grade Safety Glasses and/or proper face protection.
Hammers:
1. Make sure that hammerheads fit tightly.
2. Replace deformed heads and loose or split handles.
3. Grip the handle close to the end; don't choke up on it. It will be doing its work rather than letting it do the work. Never use hammer handles to pry or to tap objects.
32. LADDERS
General Requirements:
1. Only OSHA approved ladders are allowed on the job. This would be Class I Industrial wooden or fiberglass.
2. Straight and extension ladders require non-skid feet.
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3. Straight and extension ladders and stepladders are to be tied or secured when in use. At least 1/2" rope, 6 feet in length, will be applied to the top rung for this purpose.
4. Metal ladders will not be used if a fiberglass one is available. They are not as safe as fiberglass ones.
5. Portable ladders will be placed on a substantial base, and the area around the top and bottom of the ladder will be kept clean.
6. Ladders will not be used in the horizontal position or used as platforms, walkways or scaffolds.
7. Ladders are not to be placed in passageways, doorways, or any location where they will be displaced by work activities around them, unless protected by barricades or guards.
8. Side rails of ladders will extend at least 36 inches above the landing or
grab rails will be provided.
9. The use of ladders with broken or missing rungs, broken or split side rails, or other faulty or defective construction is prohibited.
10. Ladder that have open and hollow rungs and show signs of excessive corrosion and wear will be replaced.
11. All ladders will be inspected on a regular basis and tagged "unsafe to use" or "do not use”, when beyond repair.
12. When climbing a ladder, face the ladder and keep hands free for climbing.
I3. Don't stand on the top 3 rungs of a straight ladder without handholds unless you are protected by a safety belt.
14. Immediately remove damaged ladders from use when any unsafe condition is noted.
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15. Place ladders at approximately a 75-degree angle. Or place the bottom of the ladder 1 foot back for every 4 feet in height.
16. Don't place planks on the top of stepladders.
17. Don't stand on the top 2 steps of a stepladder.
18. Don't paint or coat wooden ladders with dark coatings or colors as this will impair the inspection of the ladder.
19. Painted or coated ladders which cannot be properly inspected will be removed from service.
20. Don't tie ladders together in order to get more height or other support for which ladders were not intended.
21. Do not use metal ladders within 4 feet of exposed live electrical parts.
22. Portable metal ladders will be marked.
33. EMPLOYEE SAFETY & HEALTH SUGGESTIONS
Introduction: On occasion, employees will not notify anyone of impending danger or hazards on the job. This will be due to a fear of reprisal, fear of rejection, lack of encouragement by their supervisor, or many other reasons. An informal, and when desired, anonymous method will provide another means for a bashful employee to inform us of important safety information.
Purpose: 1. The "EMPLOYEE SAFETY & HEALTH SUGGESTION FORM" is to be
used by employees to formally report hazards not handled directly by their superior or for the presentation of suggestions, to improve the safety & health of their job.
2. The form is designed to be used to ensure that:
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a. The employee is provided with a means of reporting a safety or health problem WITHOUT FEAR OF REPRISAL.
b. Feedback is provided to the employee on their suggestions, whether positive or negative.
Procedures:
1. Management will encourage employees to utilize the Safety & Health Suggestion Form at any time they would like to make a safety or health suggestion or observation.
2. Hosler Corp. will make the forms available where employees will easily find them.
3. The location will be readily identifiable and the deposit "boxes" will be made secure so that the completed forms can be collected by the person(s) so designated by the Safety and Health Manager. The forms will be collected daily.
4. If a hazard of imminent danger was to go unnoticed, the potential for a serious accident increases.
5. Any suggestion identifies a condition of imminent danger requires that immediate corrective action be taken.
6. The Safety and Health Manager will review the suggestions. It is important for the Safety and Health Manager to provide a response on the action to be taken. The employee will be thanked for their participation.
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HOSLER CORP. SAFETY AND HEALTH SUGGESTIONS FORM
Hosler Corp. employees are not required to work at a job he/she knows is not safe or healthful. Your cooperation in detecting hazards and in controlling them is a condition of your employment. Hosler Corp. employees are advised that the use of this form or other reports of unsafe conditions or practices are protected by law. It would be illegal for Hosler Corp. to take any action against an employee for exercising their rights to participate in communications involving safety. Hosler Corp.’s Safety and Health Manager will investigate any report or question as required by the Injury and Illness Prevention Program Standard and, if known, advice the employee who provided the information.
Description of unsafe condition or practice:
________________________________________________________________
________________________________________________________________ ________________________________________________________________
Causes or other factors: ________________________________________________________________
________________________________________________________________ ________________________________________________________________
Employee suggestions for improving safety: ________________________________________________________________ __
__________________________________________________________________
_______________________________________________________________
Has this been reported to the Safety and Health Manager? Yes___ No___
Employee Name: ________________________________ Date: _____________
Actions Taken:
________________________________________________________________ ________________________________________________________________
________________________________________________________________
Safety and Health Manager: _______________________ Date: ___________
56
Quality Control Plan
Project Information:
DGS / PennDOT District 4-0 Office
906 North Vine Street
Berwick, PA 18603
Phone: 570-861-0139
Fax: 570-520-4630
www.hoslercorp.com
2
Hosler Corp.
Quality Control Plan Project Title: DGS / PennDOT District 4-0 Office
Introduction The purpose of Hosler Corp.’s Quality Control Plan (QCP) is to ensure that our Construction Team conducts
and completes this project in accordance with contract specifications and drawings. Hosler Corp.’s Quality
Control Representative (QCR) has the responsibility for ensuring that this project is completed in accordance
with the contract.
Subcontractors
All subcontractors hired by Hosler Corp. will comply with this QCP. They are as follows:
• Hosler Enterprise
• Accutech Testing
• …
3
PART A 4-Step Inspection Process
Hosler Corp.’s QCR shall prepare for, conduct and provide evidence of inspections of each Definable Scope of work
Features in four separate, distinct and consecutive steps. Attached are examples of our inspection forms that provide fill-in spaces for
preparation and observation results. A Final Inspection is conducted regarding all items. The QCR shall conduct the inspections using
a 4 step process, summarized as follows (forms 1-4 listed below are to be filled out by the subcontractor during the corresponding
phase of construction, forms are found on later pages of this sample QCP.
1. Preparatory Inspection Checklist: The QCR shall perform this inspection in preparation for and prior to the Initial inspection.
This phase shall ensure that all the required resources such as equipment, material, labor, approved documents, approved permits and
other Subcontract requirements are available and/or adhered to.
2. Initial Inspection Report: The QCR shall conduct an initial inspection at the beginning of each Definable scope of work feature
(see Part B-7 below) as soon as a representative portion of the work has been performed. The attached form can also be used for the
Follow up Inspections.
3. Follow up Inspection Report: The QCR shall conduct in-process periodic inspections as required Hosler Corp.’s submitted and
approved Inspection and Test Plan (ITP, see Part B-3 below). This is to ensure the project is in compliance with the requirements of
the plans and specifications.
4. Final Inspection/Acceptance Report: The QCR shall perform a final inspection of all work activities in accordance with the ITP.
Items not complete will be entered on a dated punchlist and follow-up inspections will be required. All punchlist work will be
completed prior to project acceptance.
PART B Quality Control Plan Requirements
Hosler Corp.’s QCP covers as a minimum the seven distinct topics listed below in accordance with the specification and drawings of
this subcontract. The following pages provide information for accomplishing this requirement.
Table of Contents 1. Resume including name, authority and responsibility of the QCR.
2. Submittal schedule.
3. Inspection and testing plan (ITP) listing the definable scope of work features.
4. List of Independent Testing and/or Engineering Organizations with description of services.
5. A plan for documenting the Quality Control Procedures.
6. Plan for scheduling, managing and reviewing shop drawings.
7. Exhibits (daily construction report, RFI and Inspection report).
4
Hosler Corp. Organizational Chart
Douglas V. Hosler – President – Started Hosler Corp. in 2009. Previously a Vice-President at a local mechanical contractor from 1997
to 2009. 15+ years of drafting and design, including CAD, experience. 18 years of sheet metal fabrication, installation, and controls
experience. Refrigerant certification. Plumbing training and experience. Extensive foreman experience.
Justin Caspersen – Project Manager – Previous position as Manager/Engineering Design/IT/Purchasing/Web Design from 2002 to
2014. Studied Mechanical Engineering at Pennsylvania State University. Over 15 years of CAD experience in 2D and 3D, including
solid modeling in Autodesk Inventor. 10+ years of management experience. Forklift trainer and certified operator. 15 years of sheet
metal design, machine setup and fabrication. Finite Element Analysis experience in stress computations of mobile articulating knuckle
boom cranes. OSHA 10 certification.
Kimm Naugle – Assistant Project Manager – B.S. in Project Management. 20 years of construction experience.
Frederick King – Foreman (Superintendent) – Over 25 years of field sheet metal fabrication and installation experience. Extensive
foreman experience. Air testing, pipe fitting and general carpentry experience. OSHA 30 certification
Robert Switzer – Foreman (Superintendent) – Over 20 years of field sheet metal fabrication and installation experience plus 2 years of
technical education. EPA certified. Military trained in air conditioning and mechanical repair. Foreman experience.
John Falatovich – Foreman (Superintendent) – Over 15 years of field sheet metal fabrication and installation experience. Foreman
experience.
Duane McHenry – Shop Foreman – Over 16 years of HVAC service, fabrication and installation experience including sheet metal,
hydronics, refrigeration, controls and pipe fitting. EPA certified. Fujitsu and Nordyne factory trained.
Douglas V. Hosler
President
Olga Hosler
Controller
Justin Caspersen
Project Manager
Robert Switzer
Foreman
Frederick King
Foreman
Duane McHenry
Shop Foreman
John Falatovich
Foreman
Kimm Naugle
Asst. Project Manager
5
1. Authority and Responsibility of QCR:
The QCR is ultimately responsible for the proper information being reported for the inspection check list, initial inspection reports,
any follow up inspection reports, as per QCR requirements. He will be involved with the coordination of any scheduling and/or
necessary inspections that take place over the course of this project.
2. Submittal Schedule
The attached SUBMITTAL SCHEDULE includes the submittal number, planned date of submittals, specification section, submittal
description, manufacturer or supplier and whether a test/inspection is required for each submitted item.
3. List of Independent Testing and/or Engineering Firms with Description of Services
Any proposed Independent Testing and/or Engineering firm that will be employed by Hosler Corp. are listed on the attached
INDEPENDENT TESTING LABS and ENGINEERS form. A description of the services provided is included.
4. Inspection and Test Plan (ITP) listing the definable scope of work features.
The attached TESTING AND INSPECTION PLAN includes the Inspection/test number, planned date/number of the Inspection/Test,
Technical Specification Section, Definable Scope of the Work Feature & Inspection/Testing Entity and Phone number.
5. Plan for Documenting Quality Control Procedures
Review and Management of all quality control documentation is the direct responsibility Hosler Corp.’s QCR who has the complete
support and dedication of Hosler Corp.’s owners, employees, management and staff. The QCR or their Designee shall be responsible
for completing the following:
• Complete Daily Reports of all visitors and work completed on the site every day.
• Maintain Testing Logs of everything done on site and from off site, independent testing laboratories as applicable.
• Maintain an Advisory Log to include all advisory notices, Non-conformance Reports, and Corrective Action Requests issued
to Hosler Corp. The log will include recipients, distribution date, date of correction and action done.
• Constantly Inspect the quality and completeness of the work being performed by all Employees and lower tier contractors
maintaining the utmost adherence to drawings, specifications, codes, OSHA, and other subcontract requirements.
• Submit Request for Information (RFI) for any discrepancy in the drawings and/or specifications.
• Conduct inspections following the Four Step Process and using the attached inspection forms.
• Ensure that all Record Drawings, including as-built drawings, are kept up to date and reviewed weekly. 6. Planning for Scheduling, Managing and Reviewing Shop Drawings
• Shop drawings and proposed materials, including samples, certificates and other submittals, will be submitted for approval in
accordance with the project specifications.
• It is Hosler Corp.’s intent to have all submittals and shop drawings approved prior to any planned site mobilization or the
start of construction.
• A Master Submittal Schedule is included in Part 8 below which includes details of the planned Submittal date, specification
section, submittal description and whether special inspection or Testing is required.
• Copies of Approve Shop Drawings and material submittals shall be forwarded to the jobsite Superintendent for his
information and reference file.
7. Exhibits (Daily Construction Report, RFI, & Inspection Reports)
6
• The attached exhibits are documentation Hosler Corp. uses from the beginning of a project through to the end of a project to
ensure that the client receives a quality product. INSPECTION AND TESTING PLAN
Project: DGS / PennDOT District 4-0 Office
Definable Feature of Work Insp/test Acceptance
Criteria
Company
Testing
Frequency Report
Form
Standard Witness
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
7
SUBMITTAL REGISTER Project: DGS / PennDOT District 4-0 Office
No. Planned Date Spec. Sect. Submittal Description Manufacturer
1 Submittal Schedule
2 Insurance Certificate
3 QCP
4 SSSP
5 Progress Schedule
6 Schedule of Values
7 Performance Bond
8
9
10
11
12
13
14
8
Inspection Test Plan
Contract #: Project No 251-64 Phase 1 Project: DGS / PennDOT District 4-0 Office
Contractors Name:
Hosler Corp. Location: Dunmore, PA
Definable Feature of Work
Inspection Test
Acceptance Criteria
Spec. Company Performing Test
Frequency Report Form
Code STD Witness
9
INSERT SUBCONTRACTOR CREDENTIALS HERE
10
Hosler Corp. CONTRACT DAILY REPORT 906 North Vine Street Berwick, PA 18603 570-861-0139 www.hoslercorp.com
Contract No. and Title Date Report No. Project No 251-64 Phase 1 - DGS / PennDOT District 4-0 Office
Contractor Hosler Corp.
Shift Hours Worked Weather From: To:
Contractor Manpower (By Labor Class)
No. Total Hours Subcontractor Manpower No. Total Hours
Contractor Equipment No. Total Hours Subcontractor Equipment No. Total Hours
Description of work performed today
Remarks by contractor (Delays, Interruptions, Deviations, Extra Work Activities, Unusual Occurrences, etc.)
Contractor Title Date Hosler Corp.
Comments and/or Exceptions
Hosler Corp. Representative Title Date
11
REQUEST FOR INFORMATION
Hosler Corp.
906 North Vine Street
Berwick, PA 18603
570-861-0139
www.hoslercorp.com
RFI #
Send To:
From: Douglas Hosler
Attention:
Title: President
Job # and Name: Project No 251-64 Phase 1 - DGS / PennDOT District 4-0 Office
Date:
Subject:
Phone Number: 570-861-0139
Please comment
Please review
Total pages, including cover:
Comments:
Douglas Hosler
12
4-STEP QUALITY INSPECTION CHECKLISTS
Subcontract No.: Project No 251-64 Phase 1 NTP Date:
Project: DGS / PennDOT District 4-0 Office Location: Dunmore, PA
Definable Scope of the work features (DFOW)
PROJECT TEAM
Superintendent :
Site Safety Officer :
Foreman :
Quality Control Representative :
PREPARATORY INSPECTION CHECKLIST DATE:
No. Item Description Yes No N/A Comments
1 Safety Has the Hazard Analysis been submitted for this review?
2 Safety Are there additions to the Job Hazard Analysis (JHA) and are they incorporated?
3 Safety Has the Site Specific Safety Plan been reviewed?
4 Safety Has the Emergency Action Plan including contact list been reviewed and posted on site?
5 Safety Are Materials Safety Data Sheets (MSDS) on hand and reviewed?
6 Safety Do all members have the required Personal Protective Equipment (PPE)?
7 Materials Does the project team have copies of all the approved submittals for this DFOW on site?
8 Equipment Are all operators certified to run the necessary equipment and is proof of certification on site?
9 Equipment Has a checklist been completed for all equipment prior to use and have copies been submitted to the General Contractor?
10 Permits Are the required work permits posted on site?
11 Plans/Specs Are the latest plans and specifications on site and have they been reviewed by the Superintendent?
12 Tolerances Is the Superintendent aware of all construction tolerances for this DFOW?
13 Testing Is there testing required for this DFOW?
14 Testing If required, is the third party testing agency available to perform the testing?
15 Inspect/Testing Has the QCR and RE reviewed the Inspection and Test Plan?
13
4-STEP QUALITY INSPECTION CHECKLISTS Continued
INITIAL INSPECTION CHECKLIST DATE:
No. Item Description Yes No N/A Comments
1 Safety Do all members have the required Personal Protective Equipment (PPE)?
2 Safety Is there any additional Job Hazard Analysis (JHA), and have they been reviewed by all staff?
3 Safety Is the site well organized and maintained?
4 Material Are the materials being used in strict compliance with the contract requirements?
5 Equipment Is the equipment being used in strict compliance with the contract requirements?
6 Equipment Have all the tools and equipment been verified that is meets manufacturer’s recommendations for operation?
7 Tolerances Is all work being installed per the tolerances detailed in the drawings and specifications?
8 Testing Are any test required for this DFOW and have they been completed and properly documented?
9 Inspections Does this DFOW require a Witness and Hold Point? If so, has it been properly documented?
10 Plans Are all variations to the original plans being updated on the as-built drawings?
FOLLOW-UP INSPECTION CHECKLIST DATE:
No. Item Description Yes No N/A Comments
1 Safety Do all members have the required Personal Protective Equipment (PPE)?
2 Safety Is the site well organized and maintained?
3 Materials and Equipment
Are the materials and equipment being used in strict compliance with the contract requirements?
4 Equipment Have all tools and equipment been verified that it meets manufacturer’s recommendation for operation?
5 Tolerances Is all work being installed per the tolerances detailed in the drawings and specifications?
6 Testing Are any test required for this DFOW, and have they been completed and properly documented?
7 Inspections Does this DFOW require a Witness and Hold Point? If so, has it been properly documented?
8 Plans Are all variations to the original plans being updated on the as-built drawings?
14
4-STEP QUALITY INSPECTION CHECKLISTS Continued
FINAL INSPECTION CHECKLIST DATE:
No. Item Description Yes No N/A Comments
1 Plans Are the as-built drawings completed for this DFOW?
2 Safety Have all affected areas been cleaned and/or returned to a condition that will protect others from injury or incident?
3 Testing Does the RE have copies of all the test results?
4 Material Are all unused materials returned or stored?
5 Equipment Have all equipment instructions been submitted to the RE?
6 Equipment Is all equipment tested and operable?
List of Punchlist items:
Anticipated Completion: Actual Completion:
Anticipated Completion: Actual Completion:
Anticipated Completion: Actual Completion:
Anticipated Completion: Actual Completion:
Anticipated Completion: Actual Completion:
Anticipated Completion: Actual Completion:
Anticipated Completion: Actual Completion:
Anticipated Completion: Actual Completion:
Anticipated Completion: Actual Completion:
Quality Control Representative: _____________________________ Date: _______________________
Staffing Plan v1.0.1 9/18/17
Staffing Plan
Project Information:
DGS / PennDOT District 4-0 Office
906 North Vine Street
Berwick, PA 18603
Phone: 570-861-0139
Fax: 570-520-4630
www.hoslercorp.com
Staffing Plan v1.0.1 9/18/17
T-3A Staffing Resource Role Requirements The following is a detailed breakdown of the roles required to execute the project. It includes: the project role, the project responsibility of the role, skills required, number of staff required to fulfill the role, the estimated start date and the expected duration the staff resource will be needed on the project.
Role Project
Responsibility
Skills Required Number of Staff
Required
Estimated Start Date
Duration Required FY05-06
Hosler Corp.
Project
Manager
Lead team, report
status
Project
Management
1 748 days
Assistant Project Manager
Generate submittals, RFIs
Clerical 1 3 months
Sheet Metal Workers
Install units, duct Sheet Metal Worker
2 748 days
Piping
Subcontractor
Install HVAC piping,
equipment startup
Pipe fitting,
refrigerant
2 748 days
Insulator Subcontractor
Install HVAC insulation
Insulation install 2 2 months
TAB
Subcontractor
Testing, adjusting,
balancing
NEBB Certification 2 1 month
Excavator Subcontractor
Excavation Machine operation 2 2 weeks
Staff Assigned to Roles The following is a detailed breakdown of the actual staff assigned to the project role, the amount of Full Time Equivalent (FTE) requested for the role, the actual FTE acquired, the labor rate and unit of the labor rate for the resource and the source from which the resource is recruited.
Role Name Requested
FTE Acquired
FTE Source
Hosler Corp.
Project Manager Justin Caspersen 2.00 3.00 Hosler Corp.
Assistant Project
Manager
Kimm Naugle .10 .30 Hosler Corp.
Foreman John Falatovich 3.00 17.00 Hosler Corp.
Sheet Metal Worker Fred King 1.00 25.00 Hosler Corp.
Staffing Plan v1.0.1 9/18/17
Role Name Requested FTE
Acquired FTE
Source
Piping Foreman Phil Hosler 3.00 10.00 Hosler Enterprise
Pipefitter Mike Reeder 1.00 3.00 Hosler Enterprise
Insulator TBD 1.00 TBD
Insulator TBD 1.00 TBD
TAB Professional Joseph DiAugustine 1.00 20.00 Accutech Testing
TAB TBD 1.00 Accutech Testing
Excavator Machine Operator
TBD 2.00 Carl E. Rinehimer Excavating
Excavator Labor TBD .50 Carl E. Rinehimer
Excavating
Total 16.60 20.00
T-3B Skill Training Training Needs The following are the detailed training needs to bring staff to a level of skill required for project execution.
Role/Staff Resource Training Program Hours
Required Description Program
Sheet Metal Worker Sheet Metal Worker Apprentice
Layout, fabrication, installation of sheet metal ductwork.
Associated Builders and Contractors (ABC)
T-3C Workforce Safety Safety Training The following are the safety training needs to bring staff to a level of skill required for project execution.
Role/Staff Resource Safety Program Hours Required
Sheet Metal Worker OSHA 10-Hour
Company Policy Hosler Corp. has a written safety manual and employees have a safety briefing weekly.
Hosler Corp.
906 North Vine Street, Berwick, PA 18603
Ph. 570-861-0139 ∙ Fax 570-520-4630
D E S C R I P T I O N
Hosler Corp. is a locally-owned mechanical contractor that has established our reputation
as one of the most reliable firms. Since our founding in 2010, Hosler Corp. has earned
recognition throughout the industry. We started as a subcontractor on single, large scale,
sheet metal projects and have progressed into a prime contractor for multiple, concurrent,
full scope projects.
M I S S I O N S T A T E M E N T
Our mission is to be the preeminent mechanical contractor in the area by providing the
highest quality product at the best value while constantly improving the efficiency of
manufacturing and installation. We strive to add value for our clients through innovation,
integrity, and performance.
C A P A B I L I T I E S
Our installers and fabricators have decades of experience in a wide range of facility
types. From industrial building mechanical systems and custom machinery components to the
extra care needed for hospital ERs, Hosler Corp. has the expertise you require. We
specialize in sheet metal and piping installation, metal fabrication, refrigeration and in-
house 3D drawing with design capabilities. A Hosler Corp. developed mobile reporting,
parts ordering, and job tracking system increases our productivity and lowers costs. This
allows Hosler Corp. to be one of the most competitive companies in the industry.
E X E C U T I O N
Hosler Corp.’s approach is one of long-term efficiency. Our workforce is hand-selected
and trained in our methods and ideals. By focusing our efforts before we are on site, we
all but eliminate coordination issues, schedule delays and the need for trade stacking.
Concentrating on efficiency, we complete projects on time and at a better value.
F U T U R E
Hosler Corp. is continuously improving our production and installation process. We pride
ourselves on our forward thinking, technologically advanced attitude. Continual growth is
driving us to expand to better serve our customers.
Hosler Corp.
Page 2
W O R K I N G R E L A T I O N S H I P
Hosler Enterprise – Piping Subcontractor
The President of Hosler Enterprise, Philip Hosler, is the brother of Hosler Corp.’s President,
Douglas Hosler. Hosler Enterprise has successfully completed 10+ projects with Hosler Corp. as
a piping subcontractor and refrigeration specialist. Hosler Enterprise is also subcontracted to
Hosler Corp. for several projects currently under construction.
Accutech Testing – Testing, Adjusting, Balancing (TAB) Subcontractor
Accutech Testing has completed several projects with Hosler Corp. We also have several
projects in work that have not been completed with which Accutech Testing is subcontracted.
Carl E. Rinehimer Excavating
CER Excavating has been successfully used on several construction projects. CER also completed
the excavation and drainage piping for Hosler Corp.’s fabrication shop.
S E R V I C E A N D M A T E R I A L S
Hosler Corp. has been in the HVAC industry for over 7 years. We are experienced with
installing HVAC systems in commercial, industrial, and educational facilities. Hosler Corp. has
successfully installed Energy Recovery Units (ERU), Rooftop Units (RTU), Fan Coils (FCU), and
other similar equipment in several buildings. We have been the prime contractor on many
occasions and utilized many subcontractors to complete buildings on time and on budget.
O C C U P I E D F A C I L I T I E S
Hosler Corp. has successfully operated in facilities that were occupied. We completed HVAC
systems as lead prime contractor on two interstate rest areas that were open for a portion of
the construction. The rest areas required dust barriers for construction while occupied. At
Bloomsburg University, Hosler Corp. added HVAC in portions of the building while it was
occupied with faculty and students. We recently completed a renovation project for the
Federal Trade Commission in Washington D.C. while the building was in use. The FTC project
required care in installation and after hours work to mitigate noise.
L A Y D O W N A R E A A N D D E L I V E R I E S
Hosler Corp. has done several projects at sites with no space for lay down areas. Most
recently, we completed a 6-story residence building with 200,000 lbs. of ductwork at
Bloomsburg University with no on site storage. Deliveries were coordinated with the other
trades to utilize the construction elevator.
Hosler Corp.
Page 3
C O O R D I N A T I O N
Hosler Corp. has worked with other contractors as a lead prime, prime, and subcontractor. A
positive relationship between contractors has kept our projects on track so there are no delays.
We keep continual contact with other contractors to coordinate our work with theirs.
D G S E X P E R I E N C E
Hosler Corp. has worked with the Pennsylvania Department of General Services on two
occasions. The first was to replace air handlers in a DGS building in Harrisburg prior to E-
Builder. This project introduced us to the Administrative Procedures utilized by DGS. We
also became familiar with DGS’ scheduling requirements and successfully completed the
project per the schedule. The second project is in progress where we were introduced to E-
Builder and easily meeting schedule while following the AP’s.
4 - P I P E E X P E R I E N C E
Most recently, Hosler Corp. completed a project for DGS that replaced air handlers,
added VAVs and duct, and new piping for a 4-pipe HVAC system.
A I R Q U A L I T Y A N D T E M P E R A T U R E
Hosler Corp. has complied with air quality requirements on previous projects. We are
providing temporary heaters at another project currently under way to maintain temperature
as required to complete the construction.
B A C I N T E G R A T I O N
At a DGS facility, Hosler Corp. integrated new air handlers and VAVs into an existing BAC
System. At several projects at Bloomsburg University and Lock Haven University, we have
added equipment and/or entire buildings to existing campus-wide automation systems.
C O M M I S S I O N I N G
Hosler Corp. on several occasions has worked with commissioning agents to provide a
complete, documented HVAC system to the owner.
Hosler Corp.
Page 4
Key Personnel
Douglas V. Hosler, President
Douglas V. Hosler (Doug) has been in the mechanical business since 1997 and holds an active refrigerant
certification along with extensive shop and field expertise. Prior to starting Hosler Corp, Doug’s career
started as a laborer in HVAC. Moving quickly through to ranks to the position of Vice President. Doug
currently oversees all day-to-day operations of Hosler Corp. including being actively involved with
Project Management, Design, Bid Day Proposals, and Estimating. Doug is a hands-on manager who won’t
hesitate to foreman a crew, fabricate custom sheet metal projects, weld, or draw coordination drawings
all while running Hosler Corp. as its sole officer.
Justin Caspersen, Project Manager
After attending Pennsylvania State University for Mechanical Engineering, Justin started his career in
1998 as an entry level engineering designer. Recognized as a valuable asset by his previous employers,
Justin’s positions have included Management, Research and Development, IT, and Purchasing. Justin joined
Hosler Corp. as a draftsman. His immediate talents were evident, complementing and embracing Hosler
Corp.’s existing values and ideals. Justin’s background in management and IT has helped facilitate an
increase in productivity. As Project Manager, his duties include CADD, the submittal process, material
procurement, change orders, project close-out, and coordination with other trades and professionals.
Drawing from his IT experience, he has developed a web-based system to give on-site personnel
immediate access to information.
John Falatovich, Foreman (Superintendent)
Starting in 2000 in the mechanical field, John moved up to the position of foreman. He is universally
certified by the EPA for refrigerant and is a Wardflex and Gastite qualified installer. John has
experience as a foreman in hotels, nursing homes, apartment complexes, and restaurants. He has also
worked with geothermal systems and pool dehumidification.
Douglas V. Hosler
President
Olga Hosler
Controller
Justin Caspersen
Project Manager
Duane McHenry
Shop Foreman
John Falatovich
Foreman
Hosler Corp.
Page 5
Duane McHenry, Shop Foreman
Duane started in the mechanical business in 1998. During his career he has been involved with many
projects such as waste treatments plants, distribution centers, chiller plants, and schools. Prior to joining
Hosler Corp., Duane has served as Project Estimator, Coordinator, and installer. Owning and operating a
successful residential mechanical service business for several years added to Duane’s comprehensive
knowledge of the HVAC industry. He is EPA certified as well as Fujitsu and Nordyne factory trained.
Hosler Corp.
Page 6
C U R R E N T P R O J E C T S
Project Value Architect
Bloomsburg University
Columbia Hall
Bloomsburg, PA
$45,400 Greenman - Pedersen
County of Clinton
Clinton County Prison Refurbishment
McElwee, PA
$82,000 EADS Architects
Department of Conservation and
Natural Resources
Joint Park / Forestry Building
North Abington, PA
$140,200 LGA Partners
Department of General Services
Carbondale Readiness Center
Carbondale, PA
$357,400 Northeast Infrastructure, LLC
Juniata School District
Monroe Elementary School
Richfield, PA
$518,000 JPD Architects
Juniata School District
Fermanagh Elementary School
Mifflintown, PA
$594,000 JPD Architects
Misericordia College
Physicians Assistant Building
Dallas, PA
$464,000 Hemmler & Camayd
Municipality of Kingston
Rec. Center Chiller/Boiler Replacement
Kingston, PA
$190,192 Borton Lawson
Northumberland County
Northumberland County Jail
Coal Township, PA
$1,509,000 Buchart Horn
Hosler Corp.
Page 7
C O M P L E T E D P R O J E C T S
Project Value Architect
Benton Foundry
Cafeteria and Office Additions
Benton, PA
$129,000 Burkavage Design & Associates
Clarks Summit, PA
Berwick Area School District
Pool Upgrade
Berwick, PA
$453,763 Barry Isett & Associates, Inc.
Hazleton, PA
Bloomsburg Airport
Bloomsburg, PA
$29,525 Architect Central
Bloomsburg, PA
Bloomsburg University
Elwell Hall
Bloomsburg, PA
$390,000 RAL Architecture & Design
Lewisburg, PA
Bloomsburg University
Kehr Union Ballroom
Bloomsburg, PA
$24,500 The Palumbo Group
Scranton, PA
Bloomsburg University
Residence Hall and Bookstore
Bloomsburg, PA
$1,490,000 HKS, Inc.
Atlanta, GA
Bloomsburg University
Sutliff Hall
Bloomsburg, PA
$360,000 RAL Architecture & Design
Lewisburg, PA
Bloomsburg University
Vivarium Lab Upgrade
Bloomsburg, PA
$121,200 Martin & Rogers
Wilkes-Barre, PA
Central Columbia School District
High School
Bloomsburg, PA
$743,100 The Architectural Studio
Allentown, PA
Commonwealth Connections
Academy
Lehighton Teachers Center
Andreas, PA
$360,800 Crabtree Rohrbaugh & Associates
Mechanicsburg, PA
Danville Area School District
Middle School
Danville, PA
$171,000 LR Kimball
State College, PA
Hosler Corp.
Page 8
C O M P L E T E D P R O J E C T S C O N T ’ D
Project Value Architect
Dept. of General Services
State Office Building
Harrisburg, PA
$216,300 Gillan & Hartmann, Inc.
Mont Clare, PA
Federal Trade Commission
Forensic Lab Renovations
Washington, DC
$179,518 Design-build
Geisinger Health Systems
HFAM Operating Room
Danville, PA
$172,000 Ewing Cole
Philadelphia, PA
Geisinger Health Systems
Hughs Center
Danville, PA
$55,000 Martin & Rogers
Wilkes-Barre, PA
Geisinger Health Systems
Justin Drive Offices-Phase II
Danville, PA
$636,000 Hiller Albert Design Group
Milton, PA
Geisinger Health Systems
Radiology Reading Room
Danville, PA
$38,000 Martin & Rogers
Wilkes-Barre, PA
Geisinger Health Systems
Woodbine Lane
Danville, PA
$80,000 Martin & Rogers
Wilkes-Barre, PA
Golden Living Center
Mansion Renovations
Sunbury, PA
$109,125 J.F. Gayton III and Associates
Norvelt, PA
Jersey Shore School District
Elementary School
Jersey Shore, PA
$718,000 Crabtree Rohrbaugh & Associates
Mechanicsburg, PA
Lewisburg High School
Lewisburg, PA
$819,400 Crabtree Rohrbaugh & Associates
Mechanicsburg, PA
Lock Haven University
Parsons Union Building
Lock Haven, PA
$560,200 EwingCole
Philadelphia, PA
Hosler Corp.
Page 9
C O M P L E T E D P R O J E C T S C O N T ’ D
Project Value Architect
Midd-West School District
West Snyder Elementary
Beaver Springs, PA
$476,500 J.P.D. Architects, LLC
Lititz, PA
Montgomery Fire Dept.
Renovations to Carnival Grounds
Montgomery, PA
$26,700 Anthony H. Visco, Jr., Architects
Williamsport, PA
PennDOT
Rest Area 29
Snow Shoe, PA
$135,025 H.F. Lenz
PennDOT
Rest Area 30
Snow Shoe, PA
$128,282 H.F. Lenz
Philips
Reedsville Cafe
Reedsville, PA
$148,750 Structura
River Valley Transit
Trade and Transit II
Williamsport, PA
$728,200 LR Kimball
State College, PA
Sunbury Housing Authority
Scott Tower
Sunbury, PA
$133,400 B3 Architects
Union County
Day Reporting Center
Lewisburg, PA
$219,000 Hiller Architectural Group
Milton, PA
Wyalusing Area School District
L..I.F.E. Center
Wyalusing, PA
$99,400 LeFevre Wilk Architects, LLC
Selinsgrove, PA
Saturday, September 16, 2017
Attachment 1
Re: Jurisdictions
Hosler Corp. is licensed to do business in Pennsylvania.
Justin Caspersen
Hosler Corp.
Page 1 of 4
Saturday, September 16, 2017
Attachment 2
Re: Project Experience and References
Lock Haven University, Parsons Union Building, Lock Haven, PA
The Parsons Union Building project was a refurbishment of the University book store and common area.
Hosler Corp., as the HVAC prime contractor, was responsible for the demolition of two existing air
handlers, corresponding duct and piping, and original HVAC control system. We poured new concrete
pads with steel structural supports for two new 4-pipe air handlers. Hosler Corp. added eight new
variable air volume control boxes (VAVs) and new duct through the existing building and into the new
building addition. We added duct mounted hydronic reheat coils to existing duct systems and fin-tube
radiator throughout the building. The building’s existing pneumatic HVAC control system was
decommissioned and a new digital direct control system (DDC) was added and tied into the University’s
existing BAC system.
Contact:
J. Leonard Meckley, Jr., P.E.
Project Manager
Lock Haven University
95 West Fourth Street, Lock Haven, PA 17745
Phone: 570-484-2018
Fax: 570-484-2788
Cell: 570-850-1654
Original bid price:
$560,200
Final price:
$597,149
Hosler Corp. Responsible Amount:
$346,834
Original Completion Date:
August 19, 2016
Actual Completion Date:
September 26, 2016 (Change due to increased lead time for structural members, GC)
Performance Rating:
N/A
Page 2 of 4
Department of General Services, 22nd and Forster Street Office, Harrisburg, PA
This project was to replace two air handlers. Hosler Corp., as the lead prime contractor, was responsible
for the demolition of two existing air handlers, corresponding duct and piping, and original HVAC
control system. We extended the existing concrete equipment pads for the two new air handlers. Hosler
Corp. developed and maintained the DGS approved schedule. We added fourteen new VAVs and
ductwork tied into the existing duct system. New HVAC equipment controls were added and tied into
the building’s existing BAC system.
Contact:
Ronald Lyter
Construction Project Manager
Department of General Services
Room 321 Arsenal Building/18th and Herr Streets, Harrisburg, PA 17125
Phone: 717-787-7356
Fax: 717-772-4730
Original bid price:
$216,300
Final price:
$223,993
Hosler Corp. Responsible Amount:
$117,050
Original Completion Date:
April 20, 2016
Actual Completion Date:
May 23, 2016 (Change due to Owner’s request to delay removing building heat and mechanical
equipment lead time)
Performance Rating:
N/A
Page 3 of 4
Sunbury Housing Authority, Scott Tower, Sunbury, PA
The Scott Tower project was an air handler replacement. Hosler Corp., as the only prime contractor, was
responsible for the demolition of two existing air handlers, corresponding duct and piping, and original
HVAC control system. We constructed new steel structural supports for two new air handlers. Hosler
Corp. subcontracted a replacement of the electrical supplying the new air handlers. We added a duct
mounted electric reheat coil to existing duct system. The existing air handler controls were removed and
a new stand-alone control system was added.
Contact:
Sandra Ressler
Executive Director
Sunbury Housing Authority
705 Market Street, Sunbury, PA 17801
Phone: 570-286-8563
Fax: 570-286-2745
Original bid price:
$133,400
Final price:
$133,400
Hosler Corp. Responsible Amount:
$70,950
Original Completion Date:
April 17, 2017
Actual Completion Date:
July 16, 2017 (Change due to Owners request to delay removing existing heat)
Performance Rating:
N/A
Page 4 of 4
Bloomsburg University, New Residence Hall and Bookstore, Bloomsburg, PA
This project was to construct and 6 story dormitory building with a ground floor book store. Hosler
Corp., as a sheet metal subcontractor, was responsible for fabrication and installation of the sheet metal
duct, creating coordination drawings, and installing HVAC equipment. Hosler Corp. was able to
complete the project in accordance with the tight schedule.
Contact:
Craig Hosler
President
Benell, Inc.
3171 Columbia Boulevard, Unit B
Bloomsburg, PA 17815
Phone: (570) 784-0805
Fax: (570) 784-0303
Cell: (570) 380-9710
Original bid price:
$1,510,550
Final price:
$1,566,345
Hosler Corp. Responsible Amount:
$1,566,345
Original Completion Date:
June 15, 2017
Actual Completion Date:
June 15, 2017
Performance Rating:
N/A
Saturday, September 16, 2017
Attachment 3
Re: EMR
Our elevated EMR was caused by an injury due to a fall by an employee missing the last step
while climbing down a ladder in 2012. The employee thought he was stepping onto the floor, but was
one rung up the ladder. When he stepped back, he lost balance and ended up falling on his side. His tape
measure was attached to his belt and he landed on it, breaking his hip. This matter was taken very
seriously by the company. That the employee was the father of the owner of Hosler Corp. only added to
the effort to prevent any future accidents. This has been the only major incident since Hosler Corp.’s
founding in 2010.
Since this accident, Hosler Corp. has taken steps to inform and train our employees of possible
jobsite dangers. We have created and implemented a comprehensive Safety & Health Plan. Our weekly
jobsite meetings include safety as a key discussion point. Our employees have access and are required to
use all applicable personal protection equipment.
The only other minor incident was an employee cutting his finger on a sheet metal shear in 2015.
This incident did not result in any serious injury or lost days.
Justin Caspersen
Hosler Corp.
PA EXPERIENCE RATING MODIFICATION
File Number: 3285114 County: COLUMBIA
Experience Mod: 1.000 Address: 218 FOUNDRYVILLE RD
XREF: BERWICK PA 18603
Issue Date: 02/10/2017 Effective Term: 05/21/2017 - 05/21/2018
Card Number: 1
Governing Class Code: 0664
Employer Name: HOSLER CORP
Modification History Effective Date1.625 05/21/2016
1.563 05/21/2015
1.250 05/21/2014
Governing Class Code Rating Value Description664 3.12 HEATING OR VENTILATING
951 .24 SALESPERSON - OUTSIDE
953 .11 OFFICE
Year
City State
(A) (B) (C) (D) (E) (F)
(M)
(G) (H) (I) (J) (K) (L) (1) (2) (3) (4) (5) (6)
Page totals 0 0 0 0 0 0 0 0 0 0 0 0
Page 1 of 1 (1) (2) (3) (4) (5) (6)
All
oth
er
illn
esse
s
Away
From
Work
(days)
All
oth
er
illn
esse
s
Skin
Dis
ord
er
Skin
Dis
ord
er
Be sure to transfer these totals to the Summary page (Form 300A) before you post it.
Hosler Corp.
Pennsylvania
Date of
injury or
onset of
illness
He
ari
ng
Lo
ss
Classify the case
Days away
from workRemained at work
Case
No.
Where the event occurred (e.g.
Loading dock north end)
(mo./day)
Attention: This form contains information relating
to employee health and must be used in a manner
that protects the confidentiality of employees to the
extent possible while the information is being used
for occupational safety and health purposes. U.S. Department of Labor
You must record information about every work-related injury or illness that involves loss of consciousness, restricted work activity or job transfer, days away from work, or medical treatment
beyond first aid. You must also record significant work-related injuries and illnesses that are diagnosed by a physician or licensed health care professional. You must also record work-related
injuries and illnesses that meet any of the specific recording criteria listed in 29 CFR 1904.8 through 1904.12. Feel free to use two lines for a single case if you need to. You must complete an
injury and illness incident report (OSHA Form 301) or equivalent form for each injury or illness recorded on this form. If you're not sure whether a case is recordable, call your local OSHA office
for help.
Job Title (e.g.,
Welder)
Describe injury or illness, parts of body affected,
and object/substance that directly injured or
made person ill (e.g. Second degree burns on
right forearm from acetylene torch)
Form approved OMB no. 1218-0176
Berwick
Establishment name
CHECK ONLY ONE box for each case based on
the most serious outcome for that case:
Enter the number of
days the injured or ill
worker was:
Check the "injury" column or choose one type
of illness:
2014
Po
iso
nin
gP
ois
on
ing
He
ari
ng
Lo
ss
Inju
ry
Other record-
able cases
Re
sp
ira
tory
Co
nd
itio
n
Re
sp
ira
tory
Co
nd
itio
n
On job
transfer or
restriction
(days)Job transfer
or restriction
OSHA's Form 300 (Rev. 01/2004)
Public reporting burden for this collection of information is estimated to average 14 minutes per response, including time
to review the instruction, search and gather the data needed, and complete and review the collection of information.
Persons are not required to respond to the collection of information unless it displays a currently valid OMB control
number. If you have any comments about these estimates or any aspects of this data collection, contact: US
Department of Labor, OSHA Office of Statistics, Room N-3644, 200 Constitution Ave, NW, Washington, DC 20210. Do
not send the completed forms to this office.
Log of Work-Related Injuries and Illnesses
Employee's Name
Identify the person Describe the case
Occupational Safety and Health Administration
Inju
ry
Death
Year 2014
Street
City Zip 18603
0 0 0 0
(G) (H) (I) (J) OR
2 3 8 2 2 0
0 0(K) (L)
Total number of… Knowingly falsifying this document may result in a fine.
(M)
(1) Injury 0 (4) Poisoning 0
(2) Skin Disorder 0 (5) Hearing Loss 0
(3) Respiratory
Condition 0 (6) All Other Illnesses 0
Sign here
State
Employment information
Total number of
days away from
work
Total number of days of
job transfer or restriction
Public reporting burden for this collection of information is estimated to average 58 minutes per response, including time to review the instruction, search and gather
the data needed, and complete and review the collection of information. Persons are not required to respond to the collection of information unless it displays a
currently valid OMB control number. If you have any comments about these estimates or any aspects of this data collection, contact: US Department of Labor,
OSHA Office of Statistics, Room N-3644, 200 Constitution Ave, NW, Washington, DC 20210. Do not send the completed forms to this office.
Injury and Illness Types
Phone
Company executive
I certify that I have examined this document and that to the best of my knowledge the entries are true, accurate, and
complete.
570-861-0139
Douglas V. Hosler
U.S. Department of Labor
OSHA's Form 300A (Rev. 01/2004)
Summary of Work-Related Injuries and IllnessesOccupational Safety and Health Administration
Industry description (e.g., Manufacture of motor truck trailers)
Post this Summary page from February 1 to April 30 of the year following the year covered by the form
All establishments covered by Part 1904 must complete this Summary page, even if no injuries or illnesses
occurred during the year. Remember to review the Log to verify that the entries are complete and accurate
Using the Log, count the individual entries you made for each category. Then write the totals below,
making sure you've added the entries from every page of the log. If you had no cases write "0."
Employees former employees, and their representatives have the right to review the OSHA Form 300 in its
entirety. They also have limited access to the OSHA Form 301 or its equivalent. See 29 CFR 1904.35, in
OSHA's Recordkeeping rule, for further details on the access provisions for these forms.
Total number of
cases with days
away from work
Total number of cases
with job transfer or
restriction
10,590
Hosler Corp.
Form approved OMB no. 1218-0176
Title
Date
President
2/22/2015
HVAC Contractor
Establishment information
Total number of
deaths
Number of CasesBerwick
Your establishment name
125 East 6th Street
Pennsylvania
Total number of
other recordable
cases
Number of Days
Total hours worked by all employees last
year
Standard Industrial Classification (SIC), if known (e.g., SIC 3715)
Annual average number of employees
North American Industrial Classification (NAICS), if known (e.g., 336212)
10
Year
City State
(A) (B) (C) (D) (E) (F)
(M)
(G) (H) (I) (J) (K) (L) (1) (2) (3) (4) (5) (6)
1 Paul Celona Laborer Jump shear Finger cut due to operating without guard x
Page totals 0 0 0 0 0 0 1 0 0 0 0 0
Page 1 of 1 (1) (2) (3) (4) (5) (6)
All
oth
er
illn
esse
s
Away
From
Work
(days)
All
oth
er
illn
esse
s
Skin
Dis
ord
er
Skin
Dis
ord
er
Be sure to transfer these totals to the Summary page (Form 300A) before you post it.
Hosler Corp.
Pennsylvania
Date of
injury or
onset of
illness
He
ari
ng
Lo
ss
Classify the case
Days away
from workRemained at work
Case
No.
Where the event occurred (e.g.
Loading dock north end)
(mo./day)
Attention: This form contains information relating
to employee health and must be used in a manner
that protects the confidentiality of employees to the
extent possible while the information is being used
for occupational safety and health purposes. U.S. Department of Labor
You must record information about every work-related injury or illness that involves loss of consciousness, restricted work activity or job transfer, days away from work, or medical treatment
beyond first aid. You must also record significant work-related injuries and illnesses that are diagnosed by a physician or licensed health care professional. You must also record work-related
injuries and illnesses that meet any of the specific recording criteria listed in 29 CFR 1904.8 through 1904.12. Feel free to use two lines for a single case if you need to. You must complete an
injury and illness incident report (OSHA Form 301) or equivalent form for each injury or illness recorded on this form. If you're not sure whether a case is recordable, call your local OSHA office
for help.
Job Title (e.g.,
Welder)
Describe injury or illness, parts of body affected,
and object/substance that directly injured or
made person ill (e.g. Second degree burns on
right forearm from acetylene torch)
Form approved OMB no. 1218-0176
Berwick
Establishment name
CHECK ONLY ONE box for each case based on
the most serious outcome for that case:
Enter the number of
days the injured or ill
worker was:
Check the "injury" column or choose one type
of illness:
2015
Po
iso
nin
gP
ois
on
ing
He
ari
ng
Lo
ss
Inju
ry
Other record-
able cases
Re
sp
ira
tory
Co
nd
itio
n
Re
sp
ira
tory
Co
nd
itio
n
On job
transfer or
restriction
(days)Job transfer
or restriction
OSHA's Form 300 (Rev. 01/2004)
Public reporting burden for this collection of information is estimated to average 14 minutes per response, including time
to review the instruction, search and gather the data needed, and complete and review the collection of information.
Persons are not required to respond to the collection of information unless it displays a currently valid OMB control
number. If you have any comments about these estimates or any aspects of this data collection, contact: US
Department of Labor, OSHA Office of Statistics, Room N-3644, 200 Constitution Ave, NW, Washington, DC 20210. Do
not send the completed forms to this office.
Log of Work-Related Injuries and Illnesses
Employee's Name
Identify the person Describe the case
Occupational Safety and Health Administration
Inju
ry
Death
Year 2015
Street
City Zip 18603
0 0 0 0
(G) (H) (I) (J) OR
2 3 8 2 2 0
0 0(K) (L)
Total number of… Knowingly falsifying this document may result in a fine.
(M)
(1) Injury 1 (4) Poisoning 0
(2) Skin Disorder 0 (5) Hearing Loss 0
(3) Respiratory
Condition 0 (6) All Other Illnesses 0
Sign here
State
Employment information
Total number of
days away from
work
Total number of days of
job transfer or restriction
Public reporting burden for this collection of information is estimated to average 58 minutes per response, including time to review the instruction, search and gather
the data needed, and complete and review the collection of information. Persons are not required to respond to the collection of information unless it displays a
currently valid OMB control number. If you have any comments about these estimates or any aspects of this data collection, contact: US Department of Labor,
OSHA Office of Statistics, Room N-3644, 200 Constitution Ave, NW, Washington, DC 20210. Do not send the completed forms to this office.
Injury and Illness Types
Phone
Company executive
I certify that I have examined this document and that to the best of my knowledge the entries are true, accurate, and
complete.
570-861-0139
Douglas V. Hosler
U.S. Department of Labor
OSHA's Form 300A (Rev. 01/2004)
Summary of Work-Related Injuries and IllnessesOccupational Safety and Health Administration
Industry description (e.g., Manufacture of motor truck trailers)
Post this Summary page from February 1 to April 30 of the year following the year covered by the form
All establishments covered by Part 1904 must complete this Summary page, even if no injuries or illnesses
occurred during the year. Remember to review the Log to verify that the entries are complete and accurate
Using the Log, count the individual entries you made for each category. Then write the totals below,
making sure you've added the entries from every page of the log. If you had no cases write "0."
Employees former employees, and their representatives have the right to review the OSHA Form 300 in its
entirety. They also have limited access to the OSHA Form 301 or its equivalent. See 29 CFR 1904.35, in
OSHA's Recordkeeping rule, for further details on the access provisions for these forms.
Total number of
cases with days
away from work
Total number of cases
with job transfer or
restriction
14,615
Hosler Corp.
Form approved OMB no. 1218-0176
Title
Date
President
3/8/2016
HVAC Contractor
Establishment information
Total number of
deaths
Number of CasesBerwick
Your establishment name
125 East 6th Street
Pennsylvania
Total number of
other recordable
cases
Number of Days
Total hours worked by all employees last
year
Standard Industrial Classification (SIC), if known (e.g., SIC 3715)
Annual average number of employees
North American Industrial Classification (NAICS), if known (e.g., 336212)
13
Year
City State
(A) (B) (C) (D) (E) (F)
(M)
(G) (H) (I) (J) (K) (L) (1) (2) (3) (4) (5) (6)
Page totals 0 0 0 0 0 0 0 0 0 0 0 0
Page 1 of 1 (1) (2) (3) (4) (5) (6)
OSHA's Form 300 (Rev. 01/2004)
Public reporting burden for this collection of information is estimated to average 14 minutes per response, including time
to review the instruction, search and gather the data needed, and complete and review the collection of information.
Persons are not required to respond to the collection of information unless it displays a currently valid OMB control
number. If you have any comments about these estimates or any aspects of this data collection, contact: US
Department of Labor, OSHA Office of Statistics, Room N-3644, 200 Constitution Ave, NW, Washington, DC 20210. Do
not send the completed forms to this office.
Log of Work-Related Injuries and Illnesses
Employee's Name
Identify the person Describe the case
2016
Po
iso
nin
gP
ois
on
ing
He
ari
ng
Lo
ss
Inju
ry
Other record-
able cases
Re
sp
ira
tory
Co
nd
itio
n
Re
sp
ira
tory
Co
nd
itio
n
On job
transfer or
restriction
(days)Job transfer
or restriction
Occupational Safety and Health Administration
Inju
ry
Death(mo./day)
Attention: This form contains information relating
to employee health and must be used in a manner
that protects the confidentiality of employees to the
extent possible while the information is being used
for occupational safety and health purposes. U.S. Department of Labor
You must record information about every work-related injury or illness that involves loss of consciousness, restricted work activity or job transfer, days away from work, or medical treatment
beyond first aid. You must also record significant work-related injuries and illnesses that are diagnosed by a physician or licensed health care professional. You must also record work-related
injuries and illnesses that meet any of the specific recording criteria listed in 29 CFR 1904.8 through 1904.12. Feel free to use two lines for a single case if you need to. You must complete an
injury and illness incident report (OSHA Form 301) or equivalent form for each injury or illness recorded on this form. If you're not sure whether a case is recordable, call your local OSHA office
for help.
Job Title (e.g.,
Welder)
Describe injury or illness, parts of body affected,
and object/substance that directly injured or
made person ill (e.g. Second degree burns on
right forearm from acetylene torch)
Form approved OMB no. 1218-0176
Berwick
Establishment name
CHECK ONLY ONE box for each case based on
the most serious outcome for that case:
Enter the number of
days the injured or ill
worker was:
Check the "injury" column or choose one type
of illness:Date of
injury or
onset of
illness
He
ari
ng
Lo
ss
Classify the case
Days away
from workRemained at work
Case
No.
Where the event occurred (e.g.
Loading dock north end)
All
oth
er
illn
esse
s
Away
From
Work
(days)
All
oth
er
illn
esse
s
Skin
Dis
ord
er
Skin
Dis
ord
er
Be sure to transfer these totals to the Summary page (Form 300A) before you post it.
Hosler Corp.
Pennsylvania
Year 2016
Street
City Zip 18603
0 0 0 0
(G) (H) (I) (J) OR
2 3 8 2 2 0
0 0(K) (L)
Total number of… Knowingly falsifying this document may result in a fine.
(M)
(1) Injury 0 (4) Poisoning 0
(2) Skin Disorder 0 (5) Hearing Loss 0
(3) Respiratory
Condition 0 (6) All Other Illnesses 0
Berwick
Your establishment name
125 East 6th Street
Pennsylvania
Total number of
other recordable
cases
Number of Days
Total hours worked by all employees last
year
Standard Industrial Classification (SIC), if known (e.g., SIC 3715)
Annual average number of employees
North American Industrial Classification (NAICS), if known (e.g., 336212)
13
14,615
Hosler Corp.
Form approved OMB no. 1218-0176
Title
Date
President
3/6/2017
HVAC Contractor
Establishment information
Total number of
deaths
Number of Cases
570-861-0139
Douglas V. Hosler
U.S. Department of Labor
OSHA's Form 300A (Rev. 01/2004)
Summary of Work-Related Injuries and IllnessesOccupational Safety and Health Administration
Total number of
days away from
work
Total number of days of
job transfer or restriction
Public reporting burden for this collection of information is estimated to average 58 minutes per response, including time to review the instruction, search and gather
the data needed, and complete and review the collection of information. Persons are not required to respond to the collection of information unless it displays a
currently valid OMB control number. If you have any comments about these estimates or any aspects of this data collection, contact: US Department of Labor,
OSHA Office of Statistics, Room N-3644, 200 Constitution Ave, NW, Washington, DC 20210. Do not send the completed forms to this office.
Injury and Illness Types
Phone
Company executive
I certify that I have examined this document and that to the best of my knowledge the entries are true, accurate, and
complete.
Industry description (e.g., Manufacture of motor truck trailers)
Post this Summary page from February 1 to April 30 of the year following the year covered by the form
All establishments covered by Part 1904 must complete this Summary page, even if no injuries or illnesses
occurred during the year. Remember to review the Log to verify that the entries are complete and accurate
Using the Log, count the individual entries you made for each category. Then write the totals below,
making sure you've added the entries from every page of the log. If you had no cases write "0."
Employees former employees, and their representatives have the right to review the OSHA Form 300 in its
entirety. They also have limited access to the OSHA Form 301 or its equivalent. See 29 CFR 1904.35, in
OSHA's Recordkeeping rule, for further details on the access provisions for these forms.
Total number of
cases with days
away from work
Total number of cases
with job transfer or
restriction
Sign here
State
Employment information
Saturday, September 16, 2017
Attachment 4
Re: Health and Safety Citations
Hosler Corp. has not received any health or safety citations in the past 3 years.
Justin Caspersen
Hosler Corp.
Saturday, September 16, 2017
Attachment 5
Re: Qualification
Hosler Corp. was denied prequalification from Pennsylvania State University due to an EMR
higher than they allowed.
Justin Caspersen
Hosler Corp.
APPENDIX C
PRIME CONTRACTOR
QUALIFICATION STATEMENT
COVER SHEET
DGS Project Name ________________________________________________________
DGS Project Number ______________________________________________________
Check One:
__Corporation,
__Partnership,
__Individual,
__Joint Venture,
__Other ________________
Name of Firm ____________________________________________________________
Address_________________________________________________________________
Principal Office ___________________________________________________________
Owner or Authorized Representative __________________________________________
Renovate and Expand PennDOT District 4-0 Office
251-64 Phase 1
X
Hosler Corp.
906 North Vine Street, Berwick, PA 18603
906 North Vine Street, Berwick, PA 18603Douglas V. Hosler
SECTION 1 – INFORMATION ON FIRM
1.1 Background Information
a) How many years has the firm been in business? ________________________________
b) How many years has the firm been doing business in proposed contract field? ________
Under what former names has the firm conducted business? _____________________________________________________________________________________________________________________________________________________________________________________________________________________
c) Provide an Attachment 1 to this Qualifications Statement identifying all jurisdictions in which the firm is licensed or otherwise qualified to do business. List and provide copies of any business or trade licenses, certificates or registrations (to the extent that they apply to the Contract Work) held by the firm.
d) If the firm is a corporation, provide the following information:
Date of incorporation______________________________________________________
State of incorporation______________________________________________________
President’s name_________________________________________________________
Vice President’s name(s)___________________________________________________
Secretary’s name_________________________________________________________
Treasurer’s name_________________________________________________________
e) If the firm is a partnership, provide the following information:
Date of formation_________________________________________________________
Type of partnership_______________________________________________________
Names of partners________________________________________________________
f) If the firm is individually owned, provide the following information:
Date of formation_________________________________________________________
Name of owner___________________________________________________________
g) If the form of the firm is other than those listed above, describe it and name the principals: _______________________________________________________________________
_______________________________________________________________________
7 years
7 years
N/A
April 15, 2010
Pennsylvania
Douglas V. Hosler
Douglas V. HoslerDouglas V. Hosler
Douglas V. Hosler
N/A
N/A
N/A
SECTION 2 - EXPERIENCE AND PERFORMANCE
2.1 General
a) Provide the annual construction volume in dollars completed by the firm in the past three years:
Year _____ $_______________
Year _____ $_______________
Year _____ $_______________
b) Identify the percentage of work on similar projects the firm typically performs with its own work force _____
c) List the categories of work that the firm normally performs with its own forces on similar projects.
2.2 Project Experience and References
Submit as Attachment 2 to this Qualifications Statement:
a) Suggested number of Sheets/Pages:
▪ 3 sheets/(6 pages)
Three (3) detailed project descriptions for relevant projects that are similar in size and scope to the Contract Work. The project descriptions shall include, at a minimum, the following information presented in the order listed below:
i. Name of project, type of project and location
ii. Description of the project and relevance of work to the Contract Work
iii. Contact information for an owner representative familiar with the firm’s work performed on this project. Include name, address, telephone number(s) and e-mail address.
iv. The original bid/proposal price and the final contract price. If the project is ongoing, project the final price and relation to proposal price. Contract value for which the firm was/is responsible.
v. The original date for project completion and the actual completion date. If the project is ongoing, project the completion date and relation to original schedule.
vi. As available, performance ratings of the work evaluated by owner or owner’s representative.
2.3 Contractor Safety Record
Submit as Attachment 3 to this Qualifications Statement the information specified herein and verify this information by providing copies of OSHA 300/200 Forms or appropriate documentation from insurance carriers, as applicable. The firm may submit written explanations to comment on or clarify its safety record.
a) Provide the firm’s Workers Compensation Experience Modification Rating for the past three years, beginning with the most recent year available:
Year 1: __________ __________
2016 3,068,169
2015 1,937,810
2014 1,879,718
50%
Ductwork fabrication and install, demolition, equipment installation
2017 1.000
b)
c)
d)
SECTION 3 - REQUIRED DISCLOSURES
The firm shall answer the following questions with regard to the past three (3) years. If any question is answered in the affirmative, the firm shall submit in an Attachment 5 to this Qualifications Statement, for each affirmative answer, a written explanation which shall provide details concerning the matter in question, including applicable dates, locations, names of projects/project owners and current status of any such matter.
3.1 Is the firm currently debarred or suspended from doing business with any federal, state or local government agency or private entity?
Yes ___ No ___
3.2 Has the firm ever been debarred or suspended from doing business with any federal, state or local government agency or private entity?
Yes ___ No ___
3.3 Is the firm currently or has the firm been otherwise prohibited from doing business with any federal, state or local government agency or private entity?
Yes ___ No ___
3.4 Has the firm been denied prequalification (not including short listing), declared non-responsible, or otherwise declared ineligible to submit bids or proposals for work by any federal, state or local government agency or private entity?
Yes ___ No ___
3.5 Has the firm defaulted, been terminated for cause or otherwise failed to complete any project that it was awarded?
Year 2: 2016 1.625__________ __________
Year 3: 2015 1.563__________ __________
Provide the firm’s Total Lost Workday Incidence Rate (LWDIR) for the past three years, beginning with the most recent year available:
2016 0Year 1: __________ __________
Year 2: 2015 0__________ __________
Year 3: 2014 0__________ __________
*LWDIR Rate = Number of Lost Time Injuries & Illnesses x 200,000 ÷ Total Hours Worked
Provide the firm’s Recordable Incidence Rate (RIR) for the past three years:
Year 1: 2016 0__________ __________
Year 2: 2015 13.68__________ __________
Year 3: 2014 0__________ __________
*RIR Rate = Number of Injuries x 200,000 ÷ Total Hours Worked
Provide in an Attachment 4 to this Qualifications Statement a list of any health or safety citations issued by federal or state agencies for serious or willful violations issued in the past 3 years. Include a separate statement for any such violations and include the citation number, a brief description of the violation and the amount of penalty, if any, for each violation and current status of violation.
N/A
X
X
X
X
Yes ___ No ___
3.6 Has the firm been assessed or required to pay liquidated damages in connection with work performed on any project?
Yes ___ No ___
3.7 Has the firm had any business or professional license, registration, certificate or certification suspended or revoked?
Yes ___ No ___
3.8 Have any liens been filed against the firm as a result of its failure to pay subcontractors, suppliers, or workers?
Yes ___ No ___
3.9 Has the firm been denied bonding or insurance coverage or been discontinued by a surety or insurance company?
Yes ___ No ___
3.10 Has the firm been found in violation of any laws, including but not limited to contracting or antitrust laws, tax or licensing laws, labor or employment laws or environmental laws by a final decision of a court or government agency?
Yes ___ No ___
*Note: information regarding health and safety violations is addressed in a previous section.
3.11 Has the firm or its owners, officers, directors or managers been the subject of any criminal indictment or criminal investigation concerning any aspect of the firm’s business?
Yes ___ No ___
3.12 Has the firm been the subject to any bankruptcy proceeding?
Yes ___ No ___
SECTION 4 - REQUIRED REPRESENTATIONS In submitting this Qualifications Statement, along with the representations and authorizations listed on the Proposal Signature page and in Section 1.24, the firm also makes the following representations, which it understands are required as a condition of performing the Contract Work and receiving payment for same. 4.1 The firm will possess all applicable professional, business and trade licenses required for
performing the Contract Work. 4.2 The firm satisfies all bonding and insurance requirements as stipulated in the solicitation for
the Contract Work. 4.3 The firm and all subcontractors it employs in execution of the Contract Work shall be in full
compliance with the Commonwealth’s requirements for workers’ compensation insurance according to all applicable laws, and unemployment insurance according to all applicable laws.
X
X
X
X
X
X
X
X
4.4 The firm and all subcontractors it employs in execution of the Contract Work shall be in full compliance with all requirements of the Commonwealth’s prevailing wage law and Public Works Employment Verification Act.
4.5 If awarded the Contract Work, the firm represents that it will not exceed its current bonding
limitations when the Contract Work is combined with the total aggregate amount of all unfinished work for which the Contractor is responsible.
4.6 The firm represents that it has no conflicts of interests with the Commonwealth of
Pennsylvania and, if awarded the Contract Work, any potential conflicts of interest that may arise in the future will be disclosed immediately to the Department of General Services.
4.7 The firm represents the price offered in connection with its proposal for the Contract Work
was arrived at independently without consultation, communication or agreement with any other Proposer or competitor.
4.8 The firm will ensure that employees and applicants for employment are not discriminated
against because of their race, color, religion, sex or national origin.
APPENDIX C
PRIME CONTRACTOR
QUALIFICATION STATEMENT
COVER SHEET
DGS Project Name ________________________________________________________
DGS Project Number ______________________________________________________
Check One:
__Corporation,
__Partnership,
__Individual,
__Joint Venture,
__Other ________________
Name of Firm ____________________________________________________________
Address_________________________________________________________________
Principal Office ___________________________________________________________
Owner or Authorized Representative ____________________ _____________________
Renovate and Expand PennDOT District 4-0 Office
251-64 Phase 1
X
Nexgen Automation, Inc.4501 Chambers Hill Road Harrisburg, PA 171114501 Chambers Hill Road Harrisburg, PA 17111
Stephen Keefer
SECTION 1 – INFORMATION ON FIRM
1.1 Background Information
a) How many years has the firm been in business? ________________________________
b) How many years has the firm been doing business in proposed contract field? ________
Under what former names has the firm conducted business? _____________________________________________________________________________________________________________________________________________________________________________________________________________________
c) Provide an Attachment 1 to this Qualifications Statement identifying all jurisdictions in which the firm is licensed or otherwise qualified to do business. List and provide copies of any business or trade licenses, certificates or registrations (to the extent that they apply to the Contract Work) held by the firm.
d) If the firm is a corporation, provide the following information:
Date of incorporation___________________________________________________
State of incorporation______________________________________________________
President’s name_________________________________________________________
Vice President’s name(s)___________________________________________________
Secretary’s name_________________________________________________________
Treasurer’s name_________________________________________________________
e) If the firm is a partnership, provide the following information:
Date of formation_________________________________________________________
Type of partnership_______________________________________________________
Names of partners________________________________________________________
f) If the firm is individually owned, provide the following information:
Date of formation_________________________________________________________
Name of owner___________________________________________________________
g) If the form of the firm is other than those listed above, describe it and name the principals: _______________________________________________________________________
_______________________________________________________________________
1 Year
1 Year
N/A
November 1, 2016Pennsylvania
Douglas MarksTimothy WintersStephen KeeferDonald Eisenhauer
N/A
N/A
N/A
SECTION 2 - EXPERIENCE AND PERFORMANCE
2.1 General
a) Provide the annual construction volume in dollars completed by the firm in the past three years:
Year _____ $_______
Year _____ $_______________
Year _____ $_______________
b) Identify the percentage of work on similar projects the firm typically performs with its own work force _____
c) List the categories of work that the firm normally performs with its own forces on similar projects.
2.2 Project Experience and References
Submit as Attachment 2 to this Qualifications Statement:
a) Suggested number of Sheets/Pages:
▪ 3 sheets/(6 pages)
Three (3) detailed project descriptions for relevant projects that are similar in size and scope to the Contract Work. The project descriptions shall include, at a minimum, the following information presented in the order listed below:
i. Name of project, type of project and location
ii. Description of the project and relevance of work to the Contract Work
iii. Contact information for an owner representative familiar with the firm’s work performed on this project. Include name, address, telephone number(s) and e-mail address.
iv. The original bid/proposal price and the final contract price. If the project is ongoing, project the final price and relation to proposal price. Contract value for which the firm was/is responsible.
v. The original date for project completion and the actual completion date. If the project is ongoing, project the completion date and relation to original schedule.
vi. As available, performance ratings of the work evaluated by owner or owner’s representative.
2.3 Contractor Safety Record
Submit as Attachment 3 to this Qualifications Statement the information specified herein and verify this information by providing copies of OSHA 300/200 Forms or appropriate documentation from insurance carriers, as applicable. The firm may submit written explanations to comment on or clarify its safety record.
a) Provide the firm’s Workers Compensation Experience Modification Rating for the past three years, beginning with the most recent year available:
Year 1: __________ __________
2017 970,000.00
N/A
N/A
70%
Energy Management System Installation & Service
2017 1.000
b)
c)
d)
SECTION 3 - REQUIRED DISCLOSURES
The firm shall answer the following questions with regard to the past three (3) years. If any question is answered in the affirmative, the firm shall submit in an Attachment 5 to this Qualifications Statement, for each affirmative answer, a written explanation which shall provide details concerning the matter in question, including applicable dates, locations, names of projects/project owners and current status of any such matter.
3.1 Is the firm currently debarred or suspended from doing business with any federal, state or local government agency or private entity?
Yes ___ No ___
3.2 Has the firm ever been debarred or suspended from doing business with any federal, state or local government agency or private entity?
Yes ___ No ___
3.3 Is the firm currently or has the firm been otherwise prohibited from doing business with any federal, state or local government agency or private entity?
Yes ___ No ___
3.4 Has the firm been denied prequalification (not including short listing), declared non-responsible, or otherwise declared ineligible to submit bids or proposals for work by any federal, state or local government agency or private entity?
Yes ___ No x__
3.5 Has the firm defaulted, been terminated for cause or otherwise failed to complete any project that it was awarded?
Year 2: _N/A_________ __________
Year 3: _N/A_________ __________
Provide the firm’s Total Lost Workday Incidence Rate (LWDIR) for the past three years, beginning with the most recent year available:
2017 0Year 1: __________ __________
Year 2: N/A 0__________ __________
Year 3: N/A 0__________ __________
*LWDIR Rate = Number of Lost Time Injuries & Illnesses x 200,000 ÷ Total Hours Worked
Provide the firm’s Recordable Incidence Rate (RIR) for the past three years:
Year 1: 2017 0__________ __________
Year 2: N/A 0 __________ __________
Year 3: N/A __________ ____0_____
*RIR Rate = Number of Injuries x 200,000 ÷ Total Hours Worked
Provide in an Attachment 4 to this Qualifications Statement a list of any health or safety citations issued by federal or state agencies for serious or willful violations issued in the past 3 years. Include a separate statement for any such violations and include the citation number, a brief description of the violation and the amount of penalty, if any, for each violation and current status of violation.
N/A
X
X
X
Yes ___ No ___
3.6 Has the firm been assessed or required to pay liquidated damages in connection with work performed on any project?
Yes ___ No ___
3.7 Has the firm had any business or professional license, registration, certificate or certification suspended or revoked?
Yes ___ No ___
3.8 Have any liens been filed against the firm as a result of its failure to pay subcontractors, suppliers, or workers?
Yes ___ No ___
3.9 Has the firm been denied bonding or insurance coverage or been discontinued by a surety or insurance company?
Yes ___ No ___
3.10 Has the firm been found in violation of any laws, including but not limited to contracting or antitrust laws, tax or licensing laws, labor or employment laws or environmental laws by a final decision of a court or government agency?
Yes ___ No ___
*Note: information regarding health and safety violations is addressed in a previous section.
3.11 Has the firm or its owners, officers, directors or managers been the subject of any criminal indictment or criminal investigation concerning any aspect of the firm’s business?
Yes ___ No ___
3.12 Has the firm been the subject to any bankruptcy proceeding?
Yes ___ No ___
SECTION 4 - REQUIRED REPRESENTATIONS In submitting this Qualifications Statement, along with the representations and authorizations listed on the Proposal Signature page and in Section 1.24, the firm also makes the following representations, which it understands are required as a condition of performing the Contract Work and receiving payment for same. 4.1 The firm will possess all applicable professional, business and trade licenses required for
performing the Contract Work. 4.2 The firm satisfies all bonding and insurance requirements as stipulated in the solicitation for
the Contract Work. 4.3 The firm and all subcontractors it employs in execution of the Contract Work shall be in full
compliance with the Commonwealth’s requirements for workers’ compensation insurance according to all applicable laws, and unemployment insurance according to all applicable laws.
X
X
X
X
X
X
X
X
4.4 The firm and all subcontractors it employs in execution of the Contract Work shall be in full compliance with all requirements of the Commonwealth’s prevailing wage law and Public Works Employment Verification Act.
4.5 If awarded the Contract Work, the firm represents that it will not exceed its current bonding
limitations when the Contract Work is combined with the total aggregate amount of all unfinished work for which the Contractor is responsible.
4.6 The firm represents that it has no conflicts of interests with the Commonwealth of
Pennsylvania and, if awarded the Contract Work, any potential conflicts of interest that may arise in the future will be disclosed immediately to the Department of General Services.
4.7 The firm represents the price offered in connection with its proposal for the Contract Work
was arrived at independently without consultation, communication or agreement with any other Proposer or competitor.
4.8 The firm will ensure that employees and applicants for employment are not discriminated
against because of their race, color, religion, sex or national origin.
Attn: HVAC Mechanical Bidders September 19, 2017
Project: PennDot District 4-0 Office Renovations / Attachment No.2
Nexgen Automation, Inc. respectfully submits the following relevant project descriptions in accordance w/ Appendix C.
PROJECT NO.1
• Upper Adams School District / Biglerville, PA • Middle School Energy Management System Upgrade • Facilities Department (717) 677-7191
PROJECT NO.2
• Chambersburg Area School District / Chambersburg, PA • South Hamilton Elementary School Hot Water System Upgrade • Facilities Department (717) 263-9281
PROJECT NO.3
• Upper Adams School District / Biglerville, PA • High School Energy Management System Upgrade • Facilities Department (717) 677-7191
Please give me a call should you have any questions and thank you for the opportunity to serve.
Respectfully,
Steve Keefer Nexgen Automation, Inc. Cell # (610) 425-2928
Hosler Corp.
906 North Vine Street, Berwick, PA 18603
Ph. 570-861-0139 ∙ Fax 570-520-4630
ROLES Douglas V . H os l e r , P res iden t
• Roles
o Billing
o Drafting
• Skills
o Project Management
o Coordination between trades
o Coordination Drawings
o Foreman / Superintendent
o Sheet Metal Fabrication
o Welding
• Relevant Experience
o Many projects in both the project manager and foreman roles.
Douglas V. Hosler
President
Olga Hosler
Controller
Justin Caspersen
Project Manager
Kimm Naugle
Asst. Project Manager
Frederick King
Foreman
Duane McHenry
Shop Foreman
John Falatovich
Foreman
Robert Switzer
Foreman
Hosler Corp.
Page 2
Jus t in Caspe rsen , P ro j e c t Manage r
• Roles
o Project Manager
o Coordination
o O&M Manuals
• Skills
o Project Management
o Coordination between trades
o Coordination Drawings
• Relevant Experience
o Project Manager
▪ Present
• Dept. of General Services – Carbondale Readiness
• Dept. of Conservation and Natural Resources – Pinchot State Forest Office
• Northumberland County – Northumberland County Jail
▪ Previous
• Sunbury Housing Authority – Scott Tower – 2017
• PennDOT – Rest Area 29 – 2017
• PennDOT – Rest Area 30 – 2017
• Lock Haven University – Parsons Union Building – 2016
• River Valley Transit – Trade and Transit II – 2016
• Dept. of General Services – 22nd and Forster – 2016
• Bloomsburg University – Vivarium Lab – 2015
Hosler Corp.
Page 3
Kimm Naug le , Ass i s tan t P ro je c t Manage r
• Roles
o Assistant Project Manager
o Submittals
• Skills
o Project Management
o Submittal Coordination
• Relevant Experience
o Project Manager
▪ Present
• Municipality of Kingston – Kingston Recreational Center
o Assistant Project Manager
▪ Present
• Dept. of General Services – Carbondale Readiness
• Northumberland County – Northumberland County Jail
Hosler Corp.
Page 4
RESUMES
D O U G L A S V . H O S L E R , P R E S I D E N T
Experience
2017-Present
• President
• Project Manager
• Sheet Metal Installer / Fabricator
• Estimator
• Draftsman
1997-2010
• Sheet Metal Installer / Fabricator
o Fabricate sheet metal ductwork
o Install sheet metal ductwork
• Project Manager
o Successfully ran various projects
• Estimator
• Vice President
Certifications
• Refrigerant License
Hosler Corp.
Page 5
J U S T I N C A S P E R S E N , P R O J E C T M A N A G E R
Experience
2014-Present
• Project Manager
2002-2014
• Engineer
o Designed articulating boom cranes
o Designed truck bodies
o Bill of Material generation
o Technical Manual writing
• Purchasing
o Purchased inventory and material
• Information Technology
o Network Administrator and Tech Support (Local and Remote)
o Web Developer (Intranet and Internet)
• Shipping Manager
o Oversaw shipping and receiving operations
o Training
1999-2002
• R&D Engineer
o Designed conveyor systems and machinery
• Drafting
o 2D and 3D drafting
• CNC
o CNC laser programmer
• Information Technology
o Network Administrator and Tech Support
Education
• Pennsylvania State University
o Mechanical Engineering Technology
Certification
• OSHA 10
Hosler Corp.
Page 6
K I M M N A U G L E , A S S I S T A N T P R O J E C T M A N A G E R
Experience
2017-Present
• Assistant Project Manager
2016-2017
• Superintendent
o Project Planning
o Budgeting
o Change Orders
o Daily Reports
1997-2016
• Drywall Finisher
o Team supervision
o Installed and finished drywall
Education
• Colorado Technical University
o Project Management, B.S.
Certification
• OSHA 30
• Excavation and Trenching
• OSHA 10
DGS 951-64 PHASE 1
DEPARTMENT OF GENERAL SERVICES /
PENNDOT DISTRICT 4-0 OFFICE
PROJECT MANAGEMENT PLAN
Version 1.0
9/19/2017
Department of General Services / PennDOT District 4-0 Office
2
VERSION HISTORY
Version
#
Implemented
By
Revision
Date
Approved
By
Approval
Date
Reason
1.0 Justin Caspersen 9/19/2017 Initial plan submittal
Department of General Services / PennDOT District 4-0 Office
3
TABLE OF CONTENTS
1 INTRODUCTION .................................................................................................................... 4
1.1 Purpose of Project Management Plan ....................................................................... 4
2 SUMMARY OF PROJECT CHARTER ............................................................................... 4
The Project Charter outlines the scope, schedule, budget, milestones, delivery strategy construction, and
significant risks and mitigation strategies associated with the Project. ................................... 4
3 SCOPE MANAGEMENT ....................................................................................................... 4
3.1 Work Breakdown Structure ....................................................................................... 4
3.2 Change Control Management .................................................................................... 4
4 SCHEDULE/TIME MANAGEMENT ................................................................................... 4
4.1 Milestones ................................................................................................................. 5
5 COST/BUDGET MANAGEMENT ........................................................................................ 5
6 QUALITY MANAGEMENT .................................................................................................. 5
7 RISK MANAGEMENT ........................................................................................................... 6
7.1 Risk Log .................................................................................................................... 6
8 ISSUE MANAGEMENT ......................................................................................................... 6
8.1 Issue Log ................................................................................................................... 6
9 PROCUREMENT MANAGEMENT ..................................................................................... 6
10 COMPLIANCE RELATED PLANNING ............................................................................. 6
APPENDIX A: PROJECT MANAGEMENT PLAN APPROVAL ......................................... 7
APPENDIX B: REFERENCES ................................................................................................... 8
APPENDIX C: KEY TERMS ..................................................................................................... 9
APPENDIX D: RISK LOG ....................................................................................................... 10
APPENDIX E: ISSUE LOG ...................................................................................................... 11
Department of General Services / PennDOT District 4-0 Office
4
1 INTRODUCTION
1.1 PURPOSE OF PROJECT MANAGEMENT PLAN
This Project Management Plan (PMP) will describe the general responsibilities of the Project Team. In
addition to the PMP several plans will be developed and implemented to ensure compliance with this
PMP as well as State and Federal policy. The specific plans will include processes, flow diagrams,
responsibility matrices, organizational charts, and other pertinent information to guide the project staff.
The intended audience of the Bloomsburg University Student Recreational Center PMP is all project
stakeholders including the project sponsor, senior leadership and the project team.
2 SUMMARY OF PROJECT CHARTER
The Project Charter outlines the scope, schedule, budget, milestones, delivery strategy construction, and
significant risks and mitigation strategies associated with the Project.
3 SCOPE MANAGEMENT
3.1 WORK BREAKDOWN STRUCTURE
Project schedules will be created starting with the deliverables identified in the project’s Work Breakdown
Structure (WBS). Activity definition will identify the specific work packages which must be performed to
complete each deliverable. Activity sequencing will be used to determine the order of work packages and
assign relationships between project activities. Activity duration estimating will be used to calculate the
number of work periods required to complete work packages. Resource estimating will be used to assign
resources to work packages in order to complete schedule development.
3.2 CHANGE CONTROL MANAGEMENT
If any member of the project team determines that a change to the schedule is necessary, the project manager
and team will meet to review and evaluate the change. The project manager and project team must
determine which tasks will be impacted, variance as a result of the potential change, and any alternatives or
variance resolution activities they may employ to see how they would affect the scope, schedule, and
resources. If, after this evaluation is complete, the project manager determines that any change will exceed
the established boundary conditions, then a schedule change request must be submitted.
4 SCHEDULE/TIME MANAGEMENT
The project schedule will be reviewed and updated as necessary on a bi-weekly basis with actual start,
actual finish, and completion percentages which will be provided by task owners.
The project manager is responsible for holding bi-weekly schedule updates/reviews; determining impacts
of schedule variances; submitting schedule change requests; and reporting schedule status in accordance
with the project’s communications plan.
The project team is responsible for participating in bi-weekly schedule updates/reviews; communicating
any changes to actual start/finish dates to the project manager; and participating in schedule variance
resolution activities as needed.
Department of General Services / PennDOT District 4-0 Office
5
The project sponsor will maintain awareness of the project schedule status and review/approve any schedule
change requests submitted by the project manager.
4.1 MILESTONES
The table below lists the milestones for this project, along with their estimated completion timeframe.
Stage Milestones Estimated Completion from Stage Start
1 Notice to Proceed
1 Mobilization 14 days
2 New Chiller 200 days
2 Demo existing chiller 240 days
2 New Pumps and Piping 200 days
2 Underground Duct 180 days
2 TAB 240 days
3A 21 days
3B Roof Equipment 80 days
3B Install Fan Coils, duct, piping 90 days
3B TAB 105 days
4A 21 days
4B Roof Equipment 60 days
4B TAB 75 days
5A 21 days
5B Roof Equipment 80 days
5B Install Fan Coils, duct, piping 90 days
5B TAB 105 days
6A 21 days
6B Roof Equipment 80
6B Install Fan Coils, duct, piping 90
6B TAB 105 days
Final Contract Completion 728 days total
5 COST/BUDGET MANAGEMENT
Costs will be compared to budget on a monthly basis. Analysis and reports will discuss current and projected
costs and monthly payment requirements to assist in bond sales planning.
6 QUALITY MANAGEMENT
The Project Team Quality goal is for the Work to conform to project requirements without adverse effect
on schedule milestone. Hosler Corp. will assume the primary responsibility for the overall quality of the
Work under the oversight of Department of General Services. Hosler Corp. will perform the Quality
Assurance (QA)/Quality Control (QC) functions on the project. Hosler Corp. will develop and submit a
Quality Management Plan (QMP) that will describe how the Design-Builder will provide QA and QC for
design and construction of the Project. See Appendix 4 for the design-build Quality Management Plan.
The QMP provides the overall policies, organizational responsibilities, procedures, and the means of
ensuring that all items of work are in conformance with the contract. It also describes the review and checks
that will be performed on the design for the project components, and the inspection and tests that will be
performed on construction materials and workmanship to ensure the overall quality of the constructed
project. The QMP describes and defines participant roles; quality review responsibilities and activities;
Department of General Services / PennDOT District 4-0 Office
6
quality requirements for design/construction integration; the specific quality measures and application
instructions; and necessary quality control (QC) documentation and verifications to which technical reports,
project documents, design drawings, and construction documentation must comply.
7 RISK MANAGEMENT
The Project Management, in conjunction with other team members, will continuously evaluate project risk.
A process for evaluation, tracking, and reporting potential risk will be developed and will include tools to
assist in analysis of short term and long term impacts.
Providing current information to program staff is critical to ensure risk issues take into account the follow-
on phases of construction and not just those events that affect this project.
7.1 RISK LOG
See Appendix D for the Risk Log.
8 ISSUE MANAGEMENT
The Issue Management Plan defines the approach for the identification, analysis, and management of
project issues. It describes the process for addressing project issues. Issues arise from such things as
unmediated disputes, unaddressed concerns, or decisions that remain unresolved. They occur in all phases
of the project lifecycle and can have severe impacts to the project if not taken care properly.
8.1 ISSUE LOG
See Appendix E for the Issue Log.
9 PROCUREMENT MANAGEMENT
Items will be release for production upon receipt of approved submittal.
10 COMPLIANCE RELATED PLANNING
[Insert a list of compliance related processes the project must adhere to.]
Department of General Services / PennDOT District 4-0 Office
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Appendix A: Project Management Plan Approval
The undersigned acknowledge they have reviewed the Department of General Services / PennDOT District
4-0 Office Project Management Plan and agree with the approach it presents. Changes to this Project
Management Plan will be coordinated with and approved by the undersigned or their designated
representatives.
Signature: Date:
Print Name:
Title:
Role:
Signature: Date:
Print Name:
Title:
Role:
Signature: Date:
Print Name:
Title:
Role:
Department of General Services / PennDOT District 4-0 Office
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APPENDIX B: REFERENCES
The following table summarizes the documents referenced in this document.
Document Name
and Version
Description Location
M-Drawings Contract Drawings H:/PennDOT Dunmore/Drawings/M-
Dwgs.pdf
Specifications Contract Specifications H:/PennDOT
Dunmore/Specifications/Specifications.pdf
Department of General Services / PennDOT District 4-0 Office
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APPENDIX C: KEY TERMS
The following table provides definitions for terms relevant to this document.
Term Definition
[Insert Term] [Provide definition of the term used in this document.]
[Insert Term] [Provide definition of the term used in this document.]
[Insert Term] [Provide definition of the term used in this document.]
Department of General Services / PennDOT District 4-0 Office
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APPENDIX D: RISK LOG
PennDOT District 4-0 Office Risk Log (last updated xx.xx.xx)
# Risk Severity Prob-ability
Impact Rating Escalated? Risk Type Status
Date Logged Owner Mitigation Plan/Status
1 Sample Critical Impact Risk 4 4 16 No
Project Management
2 Sample high Impact Risk 3 4 12 No Testing
3 Sample Medium Impact Risk 2 2 4 Yes Training
4 Sample Low Impact Risk 1 2 2 Yes Project Management
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
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APPENDIX E: ISSUE LOG
PennDOT District 4-0 Office Issue Log
# Issue Severity Issue Type Status Date Logged Owner Status
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
Project: PennDOT District 4-0 Office, Dunmore, PA
Stage Task Start Date Days %Compl End DateDays DoneDays Left
Notice To Proceed 10/16/17 1 10/16/17 # #
1 Mobilization 10/16/17 14 10/29/17 # #
2 New Chiller 10/16/17 200 5/3/18 # #
2 Demo Existing Chiller 10/16/17 240 6/12/18 # #
2 New Pumps and Piping 10/16/17 200 5/3/18 # #
2 Underground Duct 10/16/17 180 4/13/18 # #
2 TAB 10/16/17 240 6/12/18 # #
3A 6/12/18 21 7/2/18 # #
3B Roof Equipment 7/2/18 80 9/19/18 # #
3B Install Fan Coils, Duct, Piping 7/2/18 90 9/29/18 # #
3B TAB 7/2/18 105 10/14/18 # #
4A 10/14/18 21 11/3/18 # #
4B Roof Equipment 11/3/18 60 1/1/19 # #
4B TAB 11/3/18 75 1/16/19 # #
5A 1/16/19 21 2/5/19 # #
5B Roof Equipment 2/5/19 80 4/25/19 # #
5B Install Fan Coils, Duct, Piping 2/5/19 90 5/5/19 # #
5B TAB 2/5/19 105 5/20/19 # #
6A 5/20/19 21 6/9/19 # #
6B Roof Equipment 6/9/19 80 8/27/19 # #
6B Install Fan Coils, Duct, Piping 6/9/19 90 9/6/19 # #
6B TAB 6/9/19 105 9/21/19 # #
Final Completion 9/21/19 1 9/21/19 # #
10/2/17 1/10/18 4/20/18 7/29/18 11/6/18 2/14/19 5/25/19 9/2/19
Notice To Proce ed
Mobilization
Ne w Chiller
Demo Existing Ch iller
Ne w Pumps and Piping
Underground D uct
TAB
Roof Equipment
Ins tall Fan Coils, Du ct, Pip in g
TAB
Roof Equipment
TAB
Roof Equipment
Install Fan Coils, Duct, Pip ing
TAB
Roof Equipment
Ins tall Fan Coils, Du ct, Pip in g
TAB
Final Completion
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Hosler Corp. © 2015 EMPLOYEE SAFETY AND HEALTH PLAN
Hosler Corp.
906 N. Vine Street
Berwick, PA 18603
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HOSLER CORP.
INDEX EMPLOYEE SAFETY AND HEALTH PLAN PAGE #
1. EMPLOYEE SAFETY AND HEALTH PLAN 3 - 4
2. REPORTING INJURIES AND ILLNESSES 4 - 5 3. ACCIDENT AND INJURY REPORTING AND INVESTIGATION 6
4. HANDLING EMERGENCIES 6 - 7 5. EMPLOYEE PERSONAL CONDUCT 7 - 8
6. EMPLOYEE RIGHTS 8-11 7. EMPLOYEE RESPONSIBILITIES 11-13
8. EMPLOYEE DISCIPLINE 13-14 9. COMPLIANCE POLICIES 14-15
10. THREATS OF VIOLENCE 15-16 11. GENERAL SAFETY RULES 16-18
12. CODE OF SAFE PRACTICES 18-20 13. EMPLOYEE COMPLIANCE WITH SAFETY RULES 20-22
14. FIRST AIDE AND EMPLOYEE HEALTH 22-24 15. UNIVERSAL PRECAUTIONS: METHODS OF PREVENTION 24-25
16. OFFICE SAFETY RULES 25-26 17. CUTS AND PUNCTURE PREVENTION 26-28
18. FALL PREVENTION 28-29 19. OFFICE EQUIPMENT AND MACHINES 29-30
20. FILE AND STORAGE CABINETS 30 21. PARKING AREAS 3 1 22. LIFTING AND CARRYING 31-35 23. MANAGING REPETITIVE MOTION DISORDERS 35-38
24. EQUIPMENT SAFETY RULES 38-39 25. EQUIPMENT SAFETY 39-40
26. EQUIPMENT CONTROLS 40-42 27. FIRE PROTECTION 42-44
28. FLAMMABLE AND COMBUSTIBLE LIQUID AND MATERIALS 44-46 29. PERSONAL PROTECTIVE EQUIPMENT 46-49
30. HAND TOOLS AND EQUIPMENT 49-50 31. SMALL TOOLS 50-52
32. LADDERS 52-54 32. EMPLOYEE SAFETY & HEALTH SUGGESTIONS 54-55
SAFETY AND HEALTH SUGGESTIONS 56
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EMPLOYEE SAFETY AND HEALTH PLAN
1. EMPLOYEE SAFETY AND HEALTH PLAN
1. Hosler Corp. has developed an EMPLOYEE SAFETY AND
HEALTH PLAN that meets the OSHA safety and healthy requirements for all employees.
2. Hosler Corp. wants to emphasize that our employee’s safety and health is uppermost in the minds of management, supervisors.
3. We want to emphasize that injury prevention is the responsibility of everyone, and all employees will become thoroughly knowledgeable with and observe all safety practices. Your cooperation in accident prevention will mean that your employment with Hosler Corp. will be safe.
4. Hosler Corp. Management requests your cooperation in preventing accidents.
5. Safety is not the sole responsibility of management, the supervisor, the experienced employee, or the new employee alone; it is the responsibility of every employee, every minute of the day or night whether at work, at home, or on the highway. Safety is an employee’s continuous responsibility.
6. Employees will know and understand the general safety rules that are
written in the EMPLOYEE SAFETY AND HEALTH PLAN and the specific safety rules pertaining to Hosler Corp.’s facility and particular job.
7. Employees are expected to use proper care in their work for their own sake and the sake of employees working with or near them. If you’re fellow worker is careless and performs his or her work improperly, call their attention to it. If he or she persists, report it to your supervisor.
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8. Safety can only be accomplished with the complete cooperation of all employees.
9. Because we are engaged in many diverse activities, some work assignments require special protective equipment.
10. Ask Hosler Corp.’s supervisor what safety equipment and measures are necessary for your assignment.
11. Be watchful for the safety of visitors, contractors, and new employees.
12. Contractors and visitors will comply with all Hosler Corp. rules and regulations. Report any conflicts to your supervisor.
13. Good housekeeping reflects your interest in your surroundings. A clean operation is usually a safe operation.
14. Hosler Corp. employees are responsible for their immediate environment and each employee is responsible for sharing in the cleanliness of their work areas. Do your part to keep your area clean.
2. REPORTING INJURIES AND ILLNESSES
1. If you see any condition, practices or methods of working in your area that looks dangerous to you, report it to your supervisor immediately.
2. If you observe conditions of great or unusual hazards with which you are not familiar, obtain proper instructions from your supervisor before you proceed.
3. If you feel ill or if you believe that someone working with you is ill, report it to your supervisor immediately.
4. The supervisor will know the appropriate action to take.
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5. You have the responsibility for reporting a work injury on the day it happens or on the first day you are aware that you have been injured.
6. Immediately report all injuries to your supervisor no matter how slight. (Immediately is interpreted as no more than one hour after the injury.) Infections will develop quickly even from a minor cut. Prompt medical treatment will be provided.
7. Hosler Corp. employee has the same responsibility to report any property damage immediately to their supervisor.
3. ACCIDENT AND INJURY REPORTING AND INVESTIGATION
All employees will keep in mind the purpose of accident investigation is to find the cause of the accident and to make recommendations to prevent future occurrences, not to assign blame. The investigation will focus on causes and hazards. The analysis of what happened, and why, is aimed at prevention of future occurrences.
A. Injury and Illness: Hosler Corp.’s Safety and Health Manager will be notified immediately of any occurrence of occupational serious injuries to staff, contracted personnel or private persons injured on the premises. Minor injuries or accidents can be reported through electronic mail or voice mail during regular work hours.
Upon notification Hosler Corp.’s Safety and Health Manager will:
1. Investigate the incident by site visit, interviews and any other means
necessary to establish the facts of the situation.
2. All work connected accidents, even though not resulting in injury or illness to the employee will be reported to the Safety and Health Manager.
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3. All work-connected accidents resulting in injury or illness, however minor, will be reported by the employee to the Safety and Health Manager.
4. The Safety and Health Manager will investigate all work connected injuries or illnesses that require treatment by a physician. The causative factors will be determined, and practicable measures will be put into place to abate the identified hazard.
B. Accidents: The majority of accidents do not cause injury or illness but result in property damage and/or lost time. These mishaps usually indicate an unsafe act, faulty procedure or a hidden hazard. Hosler Corp.’s Safety and Health Manager as necessary usually conducts investigation of these occurrences.
4. HANDLING EMERGENCIES
How an employee reacts to an emergency depends on who is involved, the extent of personal and property damage (or threat of damage), and the employee training. The employee won't know how you will react until there is a real emergency. Report any hazardous conditions immediately. - CALL 911 Every employee will know Hosler Corp.’s EMERGENCY PROCEDURES. Every employee will know the location of all fire alarms; fire exists, and fire extinguishers. All employees will know the proper use and locations of fire fighting and first aid equipment.
In the event of Hosler Corp.’s emergency:
1. Employees will assess the situation. An appointed employee will sound
the alarm in order to warn affected or potentially affected co-workers of the emergency situation.
2. Employees will follow the emergency action plan and participate in the appropriate responses as dictated by the emergency situation.
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3. Employees will NOT enter an area where they do not know the defined escape procedures and refuge areas.
4. Employees will know and follow the on-the-job emergency shutdown
procedures.
5. Employees will be trained to participate in emergency rescue operations.
In most cases, planning for an emergency makes the difference. Here are a few things you can do to help plan for Hosler Corp.’s emergency:
1. Practice controlling your emotions. This is not easy but you can do much to increase this control when you convince yourself you might save a life.
2. Spend some time and thought on how you would handle different kinds of emergencies. It will surprise you when an emergency arises how much of your self-training will apply to any situation.
3. Tell yourself over and over to stop long enough to understand what needs to be done. Just doing "something" is not enough. You will do the right thing by being prepared. Many people have suffered severely because someone ran for help when a little knowledge of first aide would have made all the difference.
5. EMPLOYEE PERSONAL CONDUCT
1. Obey all safety rules of Hosler Corp..
2. Use safety and personal protective equipment prescribed for the job.
3. Report observed hazards to the supervisor.
4. Any injury or accident will be promptly reported to your supervisor.
5. Yield right of way to employees handling materials and/or equipment.
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6. Restrict smoking to only authorized areas.
7. The personal possession of dangerous objects, such as firearms, explosives, and illegal knives, is forbidden.
8. The personal possession and/or being under the influence of alcohol will result in dismissal.
9. The personal possession and/or use of narcotics or dangerous drugs, including mood-altering drugs normally obtained by prescription but without a physician's authorization will result in dismissal.
6. EMPLOYEE RIGHTS
The Occupational Safety and Health (OSH) Act Section 11 (c) makes it illegal for employees to be discriminated against for exercising their rights and for participating in other job safety and health related employee activities. Hosler Corporation’s employees have the right to complain to their employers, their unions, OSHA or another government agency about workplace safety and health hazards. These protected activities include:
1. Complaining individually or with others directly to the Safety and Health Manager concerning job safety conditions
2. Filing formal complaints with government agencies such as OSHA or state safety and health agencies, fire departments, etc. (An employee's name can be withheld from the complaint, if so requested.)
3. Participating in workplace committees concerning safety and/or health matters.
4. Testifying before any panel, agency or court of law concerning job hazards.
5. Participating in walk-around inspections.
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6. Filing complaints under Section 11 (c) and giving evidence in connection with these complaints.
7. Employees cannot be punished for refusing a work assignment if they have a reasonable belief that it would put them in real danger of death or serious physical injury, provided that, if possible, they have requested the employer to remove the danger and the employer has refused; and provided that the danger cannot be eliminated quickly enough through normal OSHA enforcement procedures.
8. If an employee is punished or discriminated against in any way for exercising his or her rights under the OSH Act, the employee will report it to OSHA within 30 days. OSHA will investigate and, if the employee has been illegally punished, OSHA will seek appropriate relief for the employee.
9. If necessary, OSHA will go to court to protect the rights of Hosler Corporation’s employee. The law protects the rights of Hosler Corp. employees to safe and healthful working conditions.
10. Work in safe and healthy conditions and participate in a “Right to Know” training program, or if the employee is being, or has been exposed to concentrations of harmful substances higher than the exposure limits allowed by OSHA standards.
11. Receive training in general safe work practices and specific training with regard to hazards unique to any job assignment.
12. Receive (upon request) copies of Material Safety Data Sheets (MSDS), and training about the potential health hazards of materials and chemicals an employee uses or to which an employee will be exposed.
13. Refuse to perform work that would violate the Labor Code or occupational safety and health standard or order where such violation would pose a real and apparent hazard to his/her safety and health.
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14. The employees are encouraged to monitor and measure harmful substances in the workplace that are subject to OSHA standards.
15. See, and copy, if desired, records of the employee’s exposure to toxic substances, harmful physical agents and medical records and the records of exposure to toxic substances, harmful physical agents and medical records of employees with similar past or present jobs or working conditions.
16. Request an inspection of the worksite by making a complaint about unsafe and/or unhealthful working conditions to the Safety and Health Manager and/or OSHA. (The Safety and Health Manager will keep confidential the name of the person who makes a complaint.)
17. Have an employee representative accompany Hosler Corp.’s Safety and Health Manager and the OSHA inspector. Any employee will talk privately with the OSHA representative during an inspection.
18. See that any citation Hosler Corp. receives is posted, at or near, where the violation occurred.
19. Review Hosler Corp. log of Occupational Injuries and Illness OSHA Forms 300, 300A & 301 reports for the past 5 years.
20. Petition for necessary changes in occupational safety and health standards.
21. Be notified of, and participate in, any OSHA appeal proceedings.
22. Be informed of any variance application and take part in any permanent variance hearings.
23. Be informed of any Safety and Health Committee meetings and have the opportunity to attend these open meetings as an observer or become a representative to the Safety and Health Committee.
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24. Hosler Corp. ‘s employees who have questions about, or need help concerning these rights can receive information by contacting the nearest OSHA district office. They will also file complaints with the district office. Law requires OSHA, to keep their name confidential unless other wise directed by the employee.
25. Hosler Corp.’s employees cannot be laid off or discharged for refusing to work where any safety and health standard is violated and the violation creates a hazard to the employee or fellow employees. No employee is required to work at a job that is unsafe or unhealthful.
26. Hosler Corp.’s Safety and Health Manager will not discharge, suspend, demote or discriminate against employees who exercise their right to complain about safety and health matters. The state labor commissioner administers anti-discrimination provisions of the law.
7. EMPLOYEE RESPONSIBILITIES
Hosler Corp. organization contains provisions designed to protect the rights of Hosler Corp. employees to safe and healthful working conditions. The law also gives responsibilities to employees and these include the following:
1. Obey all occupational safety and health standards, rules, regulations and orders issued according to the law.
2. Do not undertake a job that you are not trained to do properly and safely.
3. Do not undertake a job that appears to be unsafe and do not use hazardous material without knowing and understanding the hazards, the proper way to handle the material, and the emergency procedures.
4. Do not remove, displace, damage, destroy, tamper with or carry off safety devices, safeguards, notices or warnings.
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5. Do not interfere with the use of safeguards by others and report all unsafe conditions observed or encountered so that they can be promptly investigated.
6. Use all equipment (i.e. hard hat, safety belt, lifeline), safety devices (i.e. machine guard, safety interlock), and methods or processes adopted for employee protection.
7. Always report any injuries and/or illnesses; even slight ones, so that Hosler Corp.’s Safety and Health Manager can investigate them
8. Hosler Corp.’s Safety and Health Manager reserves the right to terminate employment at any time for failure to follow safe practices or for engaging in activities that endanger the safety of any employee or member of the public.
9. Hosler Corp.’s Safety and Health Manager reserves the right to terminate employment at any time for failure to immediately report any injury, illness, hazard or unsafe condition.
10. Hosler Corp.’s Safety and Health Manager can substantiate employee misconduct and demonstrate compliance through training records and documented warning and discipline policy.
11. These records can usually help avoid, or successfully appeal, citations.
12. These defenses will not avoid payment of worker's compensation recovery to an employee injured due to his/her own misconduct.
13. Hosler Corp. will have a continuing economic interest in making sure that the working environment is safe and healthy for the employee.
14. Hosler Corp.’s Safety and Health Manager will guarantee the right of the employee to report any hazardous working condition and this report will be anonymous if the employee desires.
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15. No employee will be disciplined, discriminated against or discharged for reporting any such condition.
8. EMPLOYEE DISCIPLINE
1. Hosler Corp.’s Safety, health and work place security policies and procedures are clearly communicated and understood by all employees.
2. Managers and supervisors are expected to enforce the rules fairly and uniformly.
3. All employees are responsible for utilizing safe work practices, for following all directives, policies and procedures and for assisting in maintaining a safe work environment.
4. Hosler Corp.’s employees are also expected to cooperate fully with supervisors, and the Safety and Health Manager by completing training documentation forms and records.
5. Failure to comply with this necessary procedure will result in disciplinary action.
6. As part of each employee's performance report safety practices will be evaluated and rated.
7. Employees who contribute to the maintenance of a safe workplace will be recognized by the Safety and Health Manager, and will be eligible for participation in Hosler Corp.’s Safety Incentive Award Program. Criteria for eligibility will be any employee that is accident free for the full calendar year.
8. Employees who fail to follow safe work practices and/or procedures or who violate thee standards will be informed and trained.
9. Hosler Corp.’s employees will be subject to disciplinary action up to and including termination if they break safety rules or directives.
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10. Disciplinary measures are progressive and involve these four steps:
a. The first violation a safety and/or health violation will be noted, the supervisor will informally discuss the behavior with the employee, stating the potentially dangerous result and outlining the correct procedure, to ensure the employee understands.
b. A second violation will generate a formal written reprimand for the employee - The supervisor will continue to counsel the employee with regard to proper procedures.
c. A third violation will result in the suspension of the employee. The supervisor will have the option to continue counseling the employee with regard to proper procedures.
d. A fourth violation will result in the termination of the employee.
9. COMPLIANCE POLICIES
1. Hosler Corp.’s Safety and Health Manager has established the following policy to ensure compliance with their rules on workplace security.
2. Hosler Corp.’s Safety and Health Manager has committed to ensuring that all safety and health policies and procedures involving workplace security are clearly communicated and understood by all employees.
3. All Hosler Corp.’s employees are responsible for using safe work practices, for following all directives, policies and procedures, and for maintaining a safe and secure work environment.
4. Hosler Corp. system of ensuring that all employees, including supervisors and managers, comply with work practices that are designed to make the workplace more secure, not to engage in threats or any physical actions which create a security hazard for others in the workplace.
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5. Hosler Corp. will encourage employees to plan and to use good judgment in balancing the requirements of job performance and the safety issues.
6. Informing employees, supervisors and managers of the provisions of Hosler Corp. Injury and Illness Prevention Program for Workplace Security.
7. Evaluating the performance of all employees in complying with Hosler Corporation’s workplace security measures.
8. Recognizing employees who perform work practices which promote security in the workplace.
9. Providing training and/or counseling to employees whose performance are deficient in complying with work practices designed to ensure workplace security.
10. Disciplining employees for failure to comply with workplace security practices.
10. THREATS OF VIOLENCE
1. Hosler Corp. will take all threats of violence seriously and they will be investigated.
2. Any employee who makes a threat of violence towards any other individual will be disciplined and warned that any continuing threats are a basis for discipline up to and including discharge.
3. Certain situations, such as an employee brandishing a handgun at work will warrant termination.
4. A failure to take such threats seriously could expose Hosler Corp. to liability in the unfortunate event that the employee follows through on his or her threat.
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5. Hosler Corp. will investigate the threat thoroughly by interviewing witnesses and by taking written statements from any individuals who will have witnessed the employee make the threat.
6. Employees will not be intimidated into inaction. Employees will contact their supervisor and/or management immediately.
CONFRONTING VIOLENCE IN THE WORKPLACE
1. Never make counter-threats to an employee threatening violence.
2. Never humiliate an employee making threats of violence or engaging in
acts of violence.
3. Never allow an employee to continue to make threats of violence or fail to
take action because of intimidation.
4. Never allow an employee to escalate threats or acts of violence.
5. Check references on all job applicants before hiring anyone.
6. Do not engage in self-help. If an employee is engaging in threats or acts of violence, do whatever is necessary in self-defense.
7. However, never hesitate to summon the assistance of law enforcement to subdue a violent employee.
8. Never assume that a violent confrontation could never happen in Hosler Corporation’s workplace.
9. A false sense of security is the first step towards becoming a victim.
11. GENERAL SAFETY RULES
1. Employees will know and follow all safety rules and workplace procedures, and use all required and appropriate safety equipment.
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2. Employees will, on a daily basis, check to be sure that the work area and equipment are free of any potential hazards.
3. They will keep work areas neat and orderly and report any defective tools, equipment, machinery or hazardous conditions to the appropriate supervisory personnel.
4. Eating and smoking are permitted only in designated areas.
5. Employees will only perform work and/or operate equipment after they have been trained to perform the task safely.
6. Employees will use mechanical safeguards, obey warning signs and follow all equipment lockout procedures.
7. The employees will never cut corners on safety or take risks to rush a job to completion. Time lost in the event of an accident will be greater than any time saved.
8. The employee will report any complaints about dizziness, headaches, nausea, irritation, and skin dryness or other factors or discomfort.
9. They will also report all accidents, injuries, "near-misses", unsafe conditions and practices immediately to supervisory personnel.
10. Any employee whose capability and alertness is impaired by fatigue, illness, stress, medication or anyone known to be under the influence of liquor or drugs will not be allowed in the workplace until the employees' condition is returned to a safe and productive working level.
11. No employee is permitted on the worksite that has in their possession firearms, ammunition, or articles of a similar nature, without written and signed permission of Hosler Corp..
12. Failure to report an injury that happened on the job, prior to the end of the employee’s work shift, will mean grounds for disciplinary action up to and including discharge.
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13. Before obtaining medical attention, authorization for medical treatment will be given by the supervisor for on the job injuries.
14. Each employee is responsible for their own safety and will exercise care in avoiding injury to their co-workers and/or the public.
15. The Safety and Health Manager and/or supervisory personnel will encourage employee suggestions for improving safety and health issues.
12. CODE OF SAFE PRACTICES
1. Hosler Corp.’s Safety and Health Manager accepts responsibility for leadership of the Injury and Illness Prevention Program, for its effectiveness and improvement, and for providing the safeguards required to ensure safe working conditions.
2. Hosler Corp.’s Safety and Health Manager is responsible for developing proper attitudes toward safety and health and for ensuring that all operations are performed with procedures protecting the safety and health of all personnel involved.
3. Hosler Corp.’s Safety and Health Manager will insist that all employees observe and obey rules, regulations and order as necessary to sustain safe behavior at the worksite and will take such action as needed to obtain regulatory compliance.
4. Hosler Corp.’s Safety and Health Manager and employees are responsible for the operation of all aspects of the Injury and Illness Prevention Program including compliance with all rules and regulations and for using safe work practices while performing all work/job duties
5. Management and supervisors are available at all times to prevent injuries in the handling of material in working with equipment
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6. Hosler Corp.’s Safety and Health Manager will train all employees when:
a. The training program is first established.
b. New employees are hired.
c. Employees are given a new job assignment.
d. Whenever new substances, processes, procedures, or equipment are introduced to the workplace and they represent a new hazard.
e. Whenever Hosler Corp. receives notification of a new or previously unrecognized hazard.
f. All training will be done in the language understood by the employee and will be documented as part of the Injury and Illness Prevention Program.
7. Hosler Corp.’s Safety and Health Manager will provide mechanical physical and personnel safeguards for equipment to the maximum extent possible.
8. Hosler Corp.’s Safety and Health Manager will conduct safety and health inspections to find and eliminate unsafe working conditions or practices, to control health hazards, and to comply fully with the safety and health standards for every job.
9. Hosler Corp.’s Safety and Health Manager will keep appropriate records of steps taken to implement and maintain the Injury and Illness Prevention Program.
10. Hosler Corp.’s Safety and Health Manager will provide for employees training materials in areas of general safety and healthy work practices and provide safety instruction with respect to hazards specific to each employee's job assignment.
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11. Hosler Corp.’s Safety and Health Manager will provide a system for communicating with employees on occupational safety and health matters, and it will include provisions designed to encourage employees to inform the employer of equipment and materials hazards without fear of reprisal.
12. Hosler Corp.’s Safety and Health Manager will correct unsafe and unhealthy conditions and work practices in a timely manner based the severity of the hazard.
13. Hosler Corp.’s Safety and Health Manager will make sure all worksite lighting is adequate for the task and avoid congestion and over- crowding in all work areas.
14. Hosler Corp.’s Safety and Health Manager will make sure all worksites will be kept clean and orderly and all work surfaces will be kept dry and slip-resistant.
15. Hosler Corp.’s Safety and Health Manager will make sure all materials and equipment are stacked, labeled, repaired, maintained and stored in a safe manner.
16. Hosler Corp.’s Safety and Health Manager will make sure there are an adequate number of exits and all exits are marked with large visible signs and check on a monthly basis that the exits can be opened easily and are never locked and/or blocked.
17. Hosler Corp.’s Safety and Health Manager will set up a system of recognition and awards for outstanding safety practices and/or performance.
13. EMPLOYEE COMPLIANCE WITH SAFETY RULES
1. Horseplay or fighting and other acts that tend to have an adverse influence on the safety of employees will not be tolerated on Hosler Corporation’s property.
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2. Employees will refrain from running, except in extreme emergencies, or when authorized by Hosler Corp.
3. Employees will not have in their possession firearms, fireworks or explosives while on duty or on the property, unless authorized by Hosler Corporation.
4. Employees known to be under the influence of drugs or intoxicating substances that impair the employee’s ability to safety perform their assigned duties will not be allowed on the job while in that condition and employees will not use intoxicating beverages while at work.
5. Employees will not be permitted or required to work while their ability or alertness is so impaired by fatigue, illness, or other causes that it might unnecessarily expose the employee or others to injury.
6. Employees will not smoke on Hosler Corp. property except in designated areas.
7. Employees will use or wear the appropriate safety equipment provided by Hosler Corp. when and where required.
8. Employees will use eye protection in any area where there is any danger
to the eyes (such as punctures, abrasions, contusions or burns).
9. Only authorized employees will operate power equipment.
10. Employees will observe safety rules for all power tools and equipment.
11. Employees will obey posted safety rules, policies, and procedures.
12. Employees working around moving machinery will not wear jewelry and loose clothing. Long hair will be secured as not to interfere with equipment operation.
13. Employees spitting onto the floor, walls, sinks, drinking fountains, wastebaskets, trashcans, etc., is strictly forbidden.
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14. Employees will leave washroom facilities in a clean and orderly condition after using the facilities. Employees will practice good housekeeping at all times.
15. Employees will not use compressed air for blowing dust and/or other foreign particles from clothing.
16. Employees will promptly report unsafe conditions and injuries to their immediate supervisor.
17. Employees will keep all tools in safe working condition. They will not use defective tools or equipment. Employees will report any defective tools or equipment immediately to their supervisor.
18. Employees will properly maintain and be responsible for all personal
protective equipment.
19. Employees will not leave materials and/or equipment in aisles, walkways, roads or other points of exit.
20. Employees will not stand or sit on sides of moving equipment.
21. Posted safety rules will not be removed except by management’s authorization.
22. Employees will comply with all known federal, state and local safety laws and as well as Hosler Corp. regulations and policies.
VIOLATION OF CODE OF SAFE PRACTICES
WILL RESULT IN EMPLOYEE DISCIPLINARY ACTION
14. FIRST AIDE AND EMPLOYEE HEALTH
1. Medical emergencies can occur without warning and can require immediate action. To respond to such emergencies, adequate first aide facilities and training are required.
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2. Every employee will know where the first aid stations are located at the worksite. Every Hosler Corp. employee that has been CPR trained will be identified and known to all the other employees.
3. The first aid kit is fully equipped and is highly visible, and is inspected and replenished on a regular basis.
4. Emergency phone numbers are posted in prominent places.
5. All injuries, no matter how slight, will be reported to the supervisor.
6. No matter how slight the injury always obtain first aid for the injury and remember that an employee will NOT touch a wound with bare hands.
7. Do not move a victim unless necessary until you are sure what the injury is and have rendered first aide. If the employee is not sure how to render first aid find another employee that has the knowledge.
8. If the Safety and Health Manager is not available, the employee will call 911.
ONLY EMPLOYEES WITH FIRST AIDE AND CPR TRAINING CAN PERFORM FIRST AID MEASURES AND PROVIDE THE FOLLOWING:
1. Employee’s will wash a wound with an antiseptic preparation and only
sterile dressings on open wounds.
2. Employee’s will be prepared to treat shock since it always accompanies injuries.
3. Cover burns, as soon as possible, to avoid exposure to air. Get medical help immediately.
4. Check arterial bleeding by placing pressure between the wound and the heart. Never use a tourniquet unless there is no other way to stop the bleeding and save a life.
5. Give CPR immediately in cases of suffocation, drowning, or shock.
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6. Look for fractures and do not attempt to reset dislocations.
7. Do not attempt to remove foreign bodies from the eye. Get employee to eye wash station.
8. Remove false teeth and foreign objects from the mouth of an unconscious person.
15. UNIVERSAL PRECAUTIONS: METHODS OF PREVENTION
Hosler Corp. will follow the practices listed below and this can greatly reduce the chances of contracting a communicable disease while on the job:
1. Alter behavior to prevent exposure to fluids or substances capable of transmitting communicable diseases.
2. Use universal precautions:
A. Use care to avoid cuts with contaminated sharps such as needles, especially if blood-soiled. If sharp instruments are found during a search, immediately store them in puncture-proof containers, furnished by the department.
B. Preventing mucous membrane exposures.
C. Wear gloves when in contact with blood or fluids capable of transmitting communicable diseases.
D. Cleaning of blood from environmental surfaces (tables, walls, floors) will be done (while wearing latex gloves) using a freshly mixed solution of one part household bleach to ten parts water. Gloves and cleaning materials will be properly disposed of in a tightly tied plastic bag.
E. Wash hands frequently with soapy water, especially after possible exposure.
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F. Conduct interviews of clients in well-ventilated areas (to minimize exposure to TB).
If Hosler Corp.’s employee is exposed to blood:
A. Thoroughly wash exposed area with soap and water. If the wound is a puncture wound, make it bleed.
B. Report possible exposure to a supervisor if a supervisor is instantly available, and go immediately to the hospital emergency room. If hospital personnel determine you are at risk for infection, they will:
1. Discuss the incident and possible risks
2. Draw blood for baseline HIV and Hepatitis B antibody tests
2. If indicated, give you Gamma Globulin to prevent Hepatitis B
4. Discuss AZT prophylactics/treatment
5. If you elect to take AZT, you will be given a prescription for it
6. You will be told where and when to return for follow-up HIV antibody testing
C. If you were unable to contact a supervisor before seeking emergency treatment, report the situation to Hosler Corp.’s supervisor after medical attention has been obtained.
16. OFFICE SAFETY RULES
1. When lifting heavy objects, keep your back straight and do the actual lifting with your leg muscles.
2. Do not try to lift heavy objects while leaning over a desk, chair, or other object that force you to use poor lifting methods. You will compromise your back.
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3. Always get help for objects that are too heavy or too bulky.
4. Good housekeeping prevents fires and accidents. Keep offices clean and orderly. Employees are responsible for their own desk and work area.
5. Work at a safe speed. Always take time to be safe.
6. Hosler Corp. will keep aisles clear at all times.
7. Always walk in designated aisles and keep alert to your environment and where you are going.
8. Use caution where floor mats are used. Floor mats can easily shift and create a potential tripping hazard.
9. Always use handles on drawers, doors, and safes when opening or closing them. Using the handles is easy and it saves a crushed hand or fingers.
10. Use caution when approaching a door that can be opened toward you or against someone else.
17. CUTS AND PUNCTURE PREVENTION
1. Keep scissors, knives, and letter openers in a separate compartment of
your drawer where they can be seen and easily handled.
2. Keep fingers away from the point of operation on such items as staplers, whole punches, and paper cutters. Use these items the right way.
3. Secure the paper cutter with the safety latch when not in use.
4. Use rubber finger guards when working with stacks of paper.
5. Use a sponge or sealing device to moisten stamps and envelopes.
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6. If you have to clean up broken glass or other sharp objects, sweep up the pieces instead of picking them up by hand. Wrap the glass in paper and mark the contents before throwing in the trash.
7. Hosler Corp. employees use sharps will be monitored. This means any object used or encountered covered that can be reasonably anticipated to penetrate the skin or any other part of the body, and to result in an exposure incident, including, but not limited to, needle devices, scalpels, lancets, broken glass, broken capillary tubes, exposed ends of razors, dental wires and dental knives, and drills.
8. There are sharps disposal containers, needle less systems and sharps with engineered sharps injury protection) that isolate or remove the bloodborne pathogens hazard. All used sharps are to be put into these designated containers.
9. There is personal protective equipment (gloves that can’t be torn, punctured, or cut with the ability to function as a barrier and goggles) that is to be used when the sharps are filled with hazardous fluid and are being used during the working situations.
10. Hosler Corp. has established and maintains a Sharps Injury Log, which is a record of each exposure incident involving a sharp. The exposure incident is recorded on the log within 14 working days of the date the incident.
11. Sharps that not be being used are to be stored by sticking the needles and blades into a large blocks of styro-foam. This will prevent accidental stick accidents. When the employee is finished using to the sharp, the sharp is be disposed in the sharp container.
12. Shearing or breaking of contaminated needles and other contaminated sharps is prohibited.
13. All disposable sharps are prohibited from being reused.
14. Sharps containers are not opened, emptied, or cleaned or in any other manner that would expose any employee to the risk of sharps injury.
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15. Sharps containers are accessible to personnel and located as close as is feasible to the immediate area where sharps are used or can be reasonably anticipated to be found.
18. FALL PREVENTION
1. Keep file and desk drawers closed when not in use.
2. Keep floors clean. Even something as small as a pencil or paper clip could cause someone to slip and fall.
3. Keep wastebaskets, phone and extension cords out of walkways, as they are serious tripping hazards.
4. Watch your step. Do not read while walking and do not carry bulky objects that obstruct your view.
5. Wipe up wet spots promptly. Carry beverages in covered containers or on
trays to help prevent spills.
6. Wear shoes with moderate heels. They lessen fatigue, as well as give you firmer footing.
7. Be cautious of slack cuffs that are too long, leather heels, and untied shoestrings that can cause a fall.
8. Use chairs property and safely. Do not tilt back in a chair since this often results in overbalancing and a fall. Be sure your chair is behind you before you sit down.
9. Report defective chairs immediately to Hosler Corp.’s supervisor. These can be extremely dangerous, especially for the unsuspecting victim.
10. Do not stand on chairs, desks, or other office furniture. Whenever it is necessary to climb to reach something, a stepladder will be used. Do not accept any substitutes.
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11. When using a stepladder, be sure the stepladder spreaders are open and the ladder is placed on level ground.
12. Stay off the top two steps of the ladder.
13. Always face the front of the ladder going up or coming down.
14. Move the ladder to the area you need to access. Do not reach and extend out to the side. It's too easy too fall.
15. Always keep one hand free to balance you while ascending, standing, or descending the ladder.
16. There will only be one person on the stepladder at a time. Too much weight can break or weaken the ladder.
17. Always use handrails on stairways, and at entrances.
19. OFFICE EQUIPMENT AND MACHINES
1. Do not use or try to make repairs on any machine that you have not been
trained, instructed, or authorized to use. Keep hands, hair, and clothing away from moving parts of office machines.
2. Report malfunctions or potentially hazardous conditions to Hosler Corporation’s supervisor immediately. Do not try to fix a machine yourself. Meanwhile, to prevent others from using it, put a sign on the machine to indicate that it is out of order and unsafe to use.
3. Be sure all the equipment used by Hosler Corp. is grounded. Normally it is double insulated and has a UL approval.
4. Be alert for frayed wiring, especially near the flex point at the plug or where the cord enters the back of the machine. Beware: exposed wires can shock you or possibly start a fire.
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5. Watch your clothes when around machinery. Loose sleeves, scarves, long hair, belts, dangling jewelry, ties, and key chains are dangerous around machines with moving parts.
6. Before using office machinery, check the position. Make sure typewriters, duplicators, adding machines, and the like are firmly positioned on the working surface/table.
20. FILE AND STORAGE CABINETS
1. Avoid overloading top file drawers, it can bring the cabinet down on you. Too much weight near the front of a drawer can also cause overbalancing or tip over.
2. Pull out only one file drawer at a time to prevent the cabinet from toppling over. It also prevents bangs on the head or unexpected trips.
3. If unfamiliar with the file cabinet, test the drawers and do not pull them out too far if there is no locking/limit device on them.
4. Close a file drawer immediately if not using it. Close drawers gently and use handles. Fingers can get pinched if you use top or sides of drawers.
5. If any drawers or doors are stuck, do not struggle to open them. That is an easy way to cause a back injury or bring everything down on you. If stuck, call maintenance.
6. Storage shelves and cabinets will be securely bolted to the floor, a sturdy wall and/or each other. Shelves will be in easy reach and not overloaded.
7. All materials will be stored inside cabinets, files, and footlockers.
8. Keep heavy objects at floor level and out of walkways. This includes plants and furniture.
9. Keep combustible materials at least eighteen inches away from appliances like coffee makers, hot plates, space heaters, etc.
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21. PARKING AREAS
1. Observe all safety signs and markings in the parking areas.
2. Do not run in the parking area.
3. Be especially careful walking on wet sidewalks, or muddy ground.
22. LIFTING AND CARRYING
Mental Lifting: To handle materials safely, lift everything twice! FIRST, lift the load mentally. Plan every step before you do it physically. Even repetitive jobs can be thought through before hand. SECOND, lift with your legs, not your back.
Size up the load: How much does it weigh? How much do you weigh? Give it the heft test to see whether you can lift it - you don't want any surprises. If it feels OK, go ahead and lift it.
Get Help: If the load is too bulky or heavy for you to lift alone get help. Don't hesitate to ask someone else for a hand. A moment's help could save you from days of disability and pain.
Find a Better Way: Sometimes no one else is around to help, or the job is bigger than the two of you. Arrange for mechanical help from a pushcart, hand truck, wheelbarrow, or forklift.
Check the Pathway: Look for obstacles underfoot and overhead, spills, lighting, traffic (people or vehicles), and changes in elevation. Choose a clear route over the flattest surface, even if it takes a little longer.
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Solve High Load Problems: Lifting from a height above the head can be hazardous. Test the weight by pushing up on the load. Get as close to the load as possible, so it can slide down your body, close to you. Plan to lift down the same way you lift up - the right way.
Solve Repetitive Problems: Don't accept problems as 'the way things are". Recognize them as problems, and decide how you can avoid them in the future. Think through your job tasks. Do you really need to bend and reach so much, or can you think of a smarter way?
Hosler Corp. ‘s PHYSICAL LIFTING PLAN: Be sure to apply proper lifting techniques, whether working alone, as a team, or with the aide of a mechanical helper. Over the years, the effects of poor posture, being overweight, not lifting safely, or simple wear and tear accumulate and can lead to a "problem back".
You can't turn back the clock, but you can stop the cycle of back abuse and prevent injury by learning how your back works and how to lift, stand and sit with your back safely balanced. Protecting your back around the clock is your best insurance against back injury. You are the only one who's around to do it, both on and off the job.
The Results of Lifting: Most back injuries result from improper lifting. According to the principles of biomechanics, the worst lifting situation occurs when the body is extended over the load: the lower back becomes a fulcrum supporting the weight of the body plus the load. Twisting in this position invites injury.
How to Lift Properly: Look around your workplace. How could you reorganize to minimize how much you have to lift and how far you have to carry it? Discuss with your Hosler Corporation’s supervisor and coworkers ways to make lifting easier, and then incorporate these safer methods into your daily routine. Every move you make, on and off the job, depends on your back. So keep you back, and your safety, in mind throughout your day while you sit, stand, lift, or carry.
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Use your HEAD to SAVE your Back: Hosler Corp. employees will handle materials mentally before you handle them physically.
1. Look at the load. Observe the size and position of the load. Carefully look around for any surrounding hazards. If you have doubts, get help!
2. Keep the load close. Get close to the load and grasp firmly. Don’t hold the load away from your body. Hug it! The closer it is to your spine, the less force it exerts on your back. Keep your back in its natural alignment as you use your strong leg muscles to lift the load.
3. Grip the load securely. Injuries often occur when loads slip or fall due to an inadequate grip.
4. Face in the direction of the lift. Have your knees bent, tighten abdominal
muscles, take a deep breath and lift correctly. Center the load over your pelvis.
5. Get a firm footing. Keep your feet apart for a stable base; point toes out.
6. Bend your knees. Don't bend at the waist. Keep the principles of
leverage in mind. Don't do more work than you have to. Maintain your three natural back curves. Use leg and hip muscles to lift, not your back muscles.
7. Push, don't pull. Use good lifting techniques to load mechanical devices. Bend hip and knees while lifting and keep your back straight.
8. Tighten stomach muscles. Your abdominal muscles support your spine when you lift. Train muscle groups to work together.
9. Lift with your legs. Let your powerful leg muscles do the work of lifting, not your weaker back muscles. Maintain your three natural curves. Keep the weight of the load as close to the body as possible. Hold elbows in close to the body. Put the load down by bending at the hips and knees with your back straight.
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10. Team lifting. When team lifting, pick one person to call the signals. The leader will direct the team so you all lift together, walk in step, and lower the load together, using the lifting principles shown above.
11. Push rather than Pull. Whenever possible, push rather than pull. Then lift: apply the same lifting techniques in reverse to unload.
12. Clear the Way. Remove any hazards you see - and/or see that they are removed. Wipe up spills. Make sure the area is well lighted. Wait until traffic clears. Then transport the load, setting it down in the proper place.
13. Unload carefully. Set a load down as safely as you lifted it. Plan where you can put down the load. Pick your spot carefully so no one has to move the load again.
14. Keep your back upright. Whether you are lifting or putting down the load, don't add the weight of your body to the load. Avoid twisting; it is a common cause of injury.
15. Conditions. Bring your back and body to work in Hosler Corp. possible condition. Learning to reduce stress, combined with a sensible diet and exercise program, can relieve back pain and start you on the road to a happier, healthier, and more enjoyable lifestyle. Apply the principles of good body mechanics to lifting and material handling situations.
16. Watches for Dangerous Characteristics. Watch for protruding nails, sharp edges and other dangerous characteristics of the object being lifted and carried.
17. Keep Fingers Away. Keep fingers away from pinch points and wear protective gloves.
18. Too Heavy do not Lift . If the load is too heavy do not lift it and get help. If more than one person is carrying the load, allow one person to be the leader. The leader will coordinate carrying and timing of movements. Use available hand trucks and other appropriate equipment to aide in lifting.
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19. Object is Overhead . If the object is overhead, grip with palms up. Lower the object slowly and keep the object as close to the body as possible. Watch out for any protruding parts on the object.
23. MANAGING REPETITIVE MOTION DISORDERS
Repetitive Motion Disorders result from repeated motion of the same muscle and joint. Injuries are often related to incorrect posture, uneven load carrying, improper tools and excessive reaching. A serious form of Repetitive Motion Disorder is Carpal Tunnel Syndrome. The Carpal Tunnel is a space formed by the wrist bones and ligaments. Carpal Tunnel Syndrome is a compression of the median nerve that passes through this space in the wrist. This can lead to inflammation and swelling. Pain can show up in the hands, wrists, arms, and neck.
1. Ideal posture includes sitting straight in the chair, muscles relaxed with your body tilted slightly back. Each time you touch a key nerves (“electrical messengers”) tell muscles and tendons in your wrists and hands they’re needed to help you move your fingers. When you work with straight wrists and fingers, these nerves, muscles, and tendons stay realized and comfortable. So, they’re less likely to develop the strains and pains that all will be associated with keyboarding.
a. Obtaining good posture will mean being continually aware of your posture at the keyboard.
b. The goal is to keyboard with straight wrists, relaxed fingers, and straight posture until it becomes second nature.
c. Sit up straight, facing the computer straight on.
d. Hold you head at a slight downward tilt to avoid straining muscles in you neck and head.
e. Keep hands and wrists straight while keyboarding.
f. Touch you keys lightly by keeping your wrists and fingers relaxed.
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g. Keep your feet flat and pointed toward the workstation.
h. Adjust keyboard tray or desk height so that your wrists and hands are straight while keyboarding.
i. Adjust screen height so that the top of it is at about your eye level.
2. A straight wrist is a level, flat wrist. This position keeps extra pressure of
muscles, tendons, and nerves in your wrist and hand. When you work with straight wrists and fingers, these nerves, muscles, and tendons stay relaxed and comfortable. So, they’re less likely to develop the strains and pains that all will be associated with keyboarding.
3. Adjust your workstation
a. Adjust chair height and seat back so that you can keyboards with straight wrists and hands.
b. Position the keyboard so that your wrists and forearms are straight.
c. A telephone headset helps to keep you head upright and your body straight.
d. A copy stand will be the same height as the screen, to keep you from straining your neck or head.
e. A lower back pad, such as a pillow or rolled-up towel, can help support the lower back.
f. A mouse pad will allow the mouse to float friction free over it, requiring little effort.
4. Releasing tension for your wrists, hand and body.
a. Stretching: Place your hand out in front of you. Then spread your fingers as far apart as possible. Hold for five seconds. Relax. Repeat five times.
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b. Rotating: Rotate your wrists, keeping your fingers relaxed and your elbows still. First turn your palms up, and then rotate them down. Repeat fine times.
c. Shaking: Let your hands dangle from your wrists. Then shake your hands, first up and down, then sideways. Repeat until tension in your hands is gone.
d. Reaching: Place your arms over your head. With your fingers stretched, reach toward the ceiling. Hold for five seconds and then relax. Repeat five times.
e. Rolling: Using a wide circular motion, roll your head backward. Repeat five times.
f. Shifting: While sitting, move around in your chair. Slouch and slump, look away from the screen, dangle your arms. Repeat as often as necessary.
5. Immediately, report to your supervisor any symptoms such as pain or
soreness in joints, inflammation, lack of flexibility, etc. This will permit work modification or other changes to reduce the potential for repetitive motion disorders.
6. Use regular exercises focused around flexibility and strength to help avoid repetitive motion disorders. If the employee feels susceptible, ask the Safety and Health Manager for help in finding and learning appropriate exercises.
7. Take frequent breaks, a few minutes every hour, when doing a repetitive
motion task. Shake out tight muscles and take a few deep breaths. As appropriate, alternate repetitive motion tasks with other jobs.
8. Change position frequently. This will be accomplished by adjusting posture, seating equipment location, relationships between components such as computer screens, keyboards, etc.
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9. Avoid working repeatedly on overhead tasks or extremes of reach or strength. Use the correct hand tools for the job. Always be aware of body positioning appropriate for the task.
24. EQUIPMENT SAFETY RULES
1. Removal of any "Danger, Do Not Operate" equipment tags or locks by unauthorized personnel is prohibited and will result in termination, fines, and/or imprisonment.
2. Employees will NOT operate equipment without specific training.
3. Employees will NOT repair or adjust equipment while it is in operation. Be sure all tools are maintained in good repair.
4. Employees will NOT wear loose clothing, long sleeves, ties or jewelry
when working on machinery.
5. All employees will wear protective clothing and devices when required by safety rules or common sense.
6. Employees will NOT use defective equipment or equipment that has defective safety devices. Tampering with, or unauthorized use of, any machinery is prohibited.
7. Employees will NOT handle, tamper with or attempt to repair any electrical equipment, machinery, or air or water lines in any manner not within the scope of their duties.
8. Qualified repair personnel will be hired to modify and/or repair all equipment.
9. Equipment that appears to have been tampered with will not be used until it has been examined by a manager or technician authorized to approve its return to service.
10. Safety guards will be appropriate for grinders, saws, and other tools.
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11. Safety guards will never be removed, except when necessary to make adjustment or repairs, and will be replaced immediately upon completion of the work.
12. Shields and attachments will be appropriate and in good condition for use with power tools. Fixtures and attachments will be appropriate.
13. All cord-connected tools will be effectively grounded. \Electric cords will not be exposed to damage from other equipment. Damaged cords will be replaced immediately.
14. Guards are necessary over belts, blades, pulleys, chains and sprockets.
15. Portable fans will have screens with openings under 1/2 in. in size.
16. Hoisting equipment will be used for lifting heavy objects and will be rated appropriate to the task.
17. All pneumatic and hydraulic hoses will be checked regularly and before use for deterioration or damage.
18. Never use makeshift, damaged or defective scaffolding, rigging or staging.
19. Never use gasoline for cleaning.
20. Shut down machinery before cleaning, adjusting or repairing. Lock and tag the machine.
21. Never oil machines while they are in motion or operation and always use
brushes or hooks to dislodge chips from machines.
25. EQUIPMENT SAFETY
1. All worksites will be kept clean and orderly. All work surfaces will be kept
dry and slip-resistant. Air quality will be monitored on a scheduled basis.
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2. All scraps, debris and waste materials will be labeled and stored safely in appropriate containers. All protruding objects that cannot be removed will be flagged and/or covered so that everyone will be made aware of the objects. All scraps, debris and waste materials will be removed promptly from the worksite.
3. Combustible dust will be collected and removed to prevent accumulation. Metallic and/or conductive dust will be kept from entering or accumulating near electrical enclosures or equipment.
4. Only covered, labeled metal cans should be used for hydrocarbon waste (oil, gas, paint, etc.).
5. All oil or gas devices will be equipped with flame failure controls.
6. Any pits or floor openings will be covered or identified and guarded.
7. Any heavy objects stored overhead on shelves above 6 ft. will be secured
to prevent falling in the event of natural catastrophe.
8. Work clothing and environments will be adjusted to compensate for extremes of heat and cold. Employee will report environmental hazards immediately to the Safety and Health Manager and/or supervisory personnel.
9. No employee will work in a confined space without entry authorization,
specific training, appropriate monitoring and rescue equipment.
26. ENVIRONMENTAL CONTROLS
Most accidents are a combination of things. Many times you can violate the safe working rules without causing an accident. But you could break a rule when the other parts of the accident are present and waiting to turn your act into a disaster. Not every dangerous act produces an accident, but no accident is ever produced unless one or more dangerous acts are committed.
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Everyone is responsible for maintaining a clean, safe working area at all times. Housekeeping cannot be just fair; it will be excellent at all times for the sake of safety. Excellent housekeeping is a sign of good safety. A messy work area can always be counted on to produce accidents.
1. All work areas will be maintained with proper illumination.
2. All hazardous substances that will cause harm by inhalation, ingestion, skin absorption, or contact will be properly maintained.
3. Always explore the possibility of a. less harmful method or product being used.
4. Make sure that the work area's ventilation system is appropriate for the type of work being performed. Report any problems with the work area's ventilation system.
5. Personal protective equipment will be used when provided, and maintained wherever required.
6. Rest rooms and washrooms will be kept in a clean and sanitary condition.
7. All outlets for water not suitable for drinking are clearly identified.
8. Noise levels in the shop will be periodically monitored to determine if they are within acceptable levels.
9. Steps will be taken when possible to use engineering controls to reduce excessive noise levels.
10. Vacuuming, with appropriate equipment, will be done whenever possible
rather than blowing or sweeping dust.
11. Personal protective equipment will be used when provided, and maintained wherever required.
12. Where heat is a problem, all fixed work areas will be provided with spot cooling or air conditioning.
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13. Trash cans and dumpsters will be emptied on a regular basis.
14. Overhanging objects or long pieces of wood could cause injury.
15. Keep exits, entrances, and aisle ways clear; observe established aisles when passing through work areas.
16. Keep work areas neat and orderly and free of trip hazards such as extension cords, air hoses, loose banding, etc.
17. Good housekeeping will be recognized as an integral part of each job.
18. Oil, water, or other liquids that have spilled or leaked on the floor will cause slipping hazards. If you spill the liquid, clean it up and if help is required, notify Hosler Corp.’s superior.
19. Pick up your tools, scrap, and other items from the work area so that no one will slip or trip on them.
20. Oily rags will be placed in a covered metal container.
21. Keep debris from blocking access to ladders, electrical equipment, and other important areas in case of emergency.
22. Never leave nails or spikes sticking up in boards or planks. Promptly remove them or bend them over when found.
23. Never pick up sharp objects with your bare hands.
27. FIRE PROTECTION
General Requirements:
1. Portable fire extinguishers will be maintained in a fully charged and operable condition and kept in their designated places at all times when they are not being used.
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2. Extinguishers will be conspicuously located where they will be readily accessible and immediately available for use.
3. The selection of fire extinguishers for a given situation will depend upon the characteristics of a potential fire, the construction and occupancy of the individual property, the vehicle or hazard to be protected, ambient- temperature conditions, and other factors.
4. The number of extinguishers required would be determined by reference to the layout criteria included in this PLAN.
5. Only UL or FM approved fire extinguishers are permitted.
6. Only employees who have been trained in their proper use are permitted to use fire extinguishers.
7. Any damaged or apparently used fire protection equipment will be promptly reported to the area supervisor.
8. All fire extinguishers are to be kept at their designated locations. In case of fire, follow information on emergency reaction poster.
9. Access to extinguishers, sprinkler risers, switch boxes, fire alarms, and exits are to be kept clear and unobstructed at all times.
10. Fire doors are not to be blocked and will be in operating condition at all times.
Maintenance:
1. At regular intervals, not less than annually, or when specifically indicated
by an inspection, extinguishers will be thoroughly examined and/or recharged or repaired to ensure operability and safety, or replaced as needed.
2. Extinguishers removed from their locations to be recharged will be replaced by spare extinguishers during the period they are gone.
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3. Each extinguisher will have a durable tag securely attached to show the
maintenance or recharge date and the initial or signature of the person who performs this service.
28. FLAMMABLE AND COMBUSTIBLE LIQUID AND MATERIALS
1. Flammable liquid containers will be clearly labeled and stored in a protected separate area.
2. Flammable liquids will be used only in small quantities and in approved (UL or FM), self-closing containers.
3. Do not refuel a hot or running engine. Clean up spills before restarting.
4. Never use gasoline as a cleaner or solvent. Anyone who will do so is subject to immediate discharge.
5. Use only the proper transfer equipment when transferring a flammable liquid such as gasoline for refueling.
6. Never use an air hose for pressure to empty drums.
7. Lines or other containers holding gasoline, oil, grease and other flammable material will be thoroughly purged and tested for explosives by approved testing equipment before any burning or welding is done.
Scrap Receptacle - Type, Use and Directions:
Type:
1. All receptacles will be constructed of metal or other suitable type containers of non-flammable materials.
2. Paper or pasteboard cartons, wooden boxes or crates, and similar type
containers will not be used for collection of combustible materials.
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3. Receptacles, located outside of buildings, for combustible trash will be located at least 15 feet from the building or other combustible materials.
Use:
1. Employees will be instructed to use trash barrels for the disposal for paper lunch remnants, and all small scraps of a combustible nature.
2. Cigarette and cigar butts, matches, etc., will never be thrown in trash
receptacles.
3. Glass (broken empty jars, etc.), scrap metal, and similar material will be placed in special trash containers.
Directions:
1. Employees will NOT use or handle any hazardous materials that they have not received training specific to that individual hazardous material.
2. Employees will take all precautionary and safety measures when handling
potential hazards.
3. Employees will wash thoroughly after handling hazardous materials and
follow all special instructions. Employees will know what to do in any emergency.
4. Employees will know the location of eye wash fountains and safety showers in areas where corrosive materials and chemicals are handled.
5. Employees will keep all flammable or toxic chemicals in closed containers when not in use. Never mix chemicals without specific instructions.
6. Employees will understand standard operating procedures that have been
established for handling and cleaning up chemical spills. Keep all flammable materials away from any heat source.
7. Employees will NOT eat, drink or smoke in areas where hazardous materials and chemicals are present.
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8. Compressed gas cylinders will be stored upright and chained.
9. Employees will wear gloves and masks to prevent being exposed to solvents and breathing toxic vapors.
10. All materials that give off toxic, asphyxiating, suffocating or anesthetic fumes will be stored in remote or isolated locations when not in use.
11. Employees will know where to find Material Safety Data Sheets (MSDS) on all hazardous materials.
12 . Each container with a hazardous substance (i.e. vats, bottles, storage tanks) will be closed and labeled with product identity and hazardous warnings (defining the specific health and physical hazards).
29. PERSONAL PROTECTIVE EQUIPMENT
1. ALWAYS use appropriate Personal Protective Equipment (PPE) where required by safety rules or common sense. Hazards posing an immediate danger or having caused injuries in the past will be corrected.
2. Make sure PPE is clean; fits well and are free from damage.
3. If the equipment doesn't work, doesn't fit or is uncomfortable the employee will be less likely to use it.
4. If an employee does not wear the necessary PPE for the task, the employee is subject to discipline, suspension and even termination of employment.
Selecting Personal Protective Equipment (PPE:
It is important to select the right PPE for the job and to enforce its use. Purchase all "ANSI (American National Safety Institute) approved" protective equipment from a reputable supplier. The supplier can choose the right equipment for the specific application and train employees in its use.
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Information on PPE required for each task will be fund on MSDS, equipment operation information, the State's General Safety Orders and other Information on safety. When selecting protective equipment consider the following:
1. The specific hazard the employee is to be protected against.
2. Factors specific to the employee such as size of face or hand, vision, etc.
3. Factors that will encourage or discourage use of the equipment.
Personal Protective Equipment (PPE) includes:
1. Hard Hats
2. Gloves or Palm Guards
3. Eye (goggles or safety glasses) and Face Shield Protection
4. Foot Protection
5. Professional or Industrial Back Belt
6. Aprons or Protective Clothing
7. Respiratory Protection (dust masks or respirators)
8. Hearing Protection (ear plugs and ear muffs)
Eye/Face Protection:
Type: Glasses, Goggles, Face shields
Options: Lens material, Venting, Size, and Shape
Issues: Is impact protection required? Is radiation protection required (from lasers, welding, and the sun)? Are chemical hazards present? What chemicals? What form (fumes, vapors, liquid)? Are prescription glasses required?
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Eye Wash:
Options: Permanent, Portable, Hand Held (not acceptable)
Issues: Is plumbing present? Is other eye wash equipment available? The equipment will be within 100 feet (10 for strong corrosives) of
the work area.
Hearing Protection: Type: Ear plugs, Earmuffs
Options: Material, Shape, Disposability, Corded, and Banded
Issues: How noisy is the environment? How long will protection be required? Will the same person use the protection regularly?
Gloves: Options: Material, Cuff style/length, Lining, Grip, Size
Issues: What hazards are present (temperature, abrasion, vibration, chemicals)?
What part of the hand or arm needs protection? Is touch sensitivity necessary? Are gloves for wet or dry use?
Footwear:
Type: Work shoes, Over-the-sock boots, over boots
Options: Material, Height, Soles, Steel Toes, Size
Issues: How long will they be worn? What chemicals will they be exposed to? Are there heavy falling objects? What parts of the foot/leg require protection? Will they be used on slippery surfaces?
Clothing:
Type: Aprons, Boots or Shoe Covers, Coveralls, Hoods, Hairnets,
Options: Material, Color, Size
Issues: Do chemicals present a hazard? What chemicals? What concentrations? What form (fumes, vapors, liquid)?
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Is thermal and/or moisture protection required? Will the equipment be anti-static? Are impact resistance and/or visibility important? What other protective equipment will be used?
Hard-Hats:
Options: Material, Visor, Sweatband, and Rain Trough
Issues: How much impact resistance is required? Does the working environment have high temperature, rain, and sun? Provide sunscreen protection.
Respirator: Type: Particulate Mask, Cartridge/filter Mask, and Air Supplied Apparatus
Options: Shape, Cartridge Type, Full/half Face, Disposability, and Air Source
Issues: What contaminant is in the air? What concentration? What form (vapors, particles)? What is the oxygen content of the air? How long will the equipment be used? Will prescription glasses be needed? Is skin and eye protection required?
30. HAND TOOLS AND EQUIPMENT
1. All hand tools will be kept clean and in good repair and used only for the purpose for which designed.
2. Tools having defects that will impair their intended operation or render them in any way unsafe for use will be removed from service immediately.
3. When work is being performed overhead, tools not in use will be secured or placed in holders.
4. Throwing tools or materials from one location to another, from one
employee to another, or dropping them to lower levels, is not permitted.
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5. Only "non-sparking" tools will be used in locations where sources of ignition will contribute to a fire or explosion.
6. Power tools will be inspected, tested and determined to be in safe operating condition prior to use. Continued periodic inspections will be made to assure safe operating condition and proper maintenance.
7. Loose, fringed or frayed clothing, loose, untied, long hair, dangling jewelry, rings, chains, or wrist watches will not be worn while working with any power tool or machine.
8. Don't carry sharp tools in clothing. Always use the proper carrying case or tool kit.
9. All portable power tools will be rounded or double insulated.
10. Use only those power tools that you are authorized to use.
11. All power tools will be equipped with guards as required.
12. Do not use a file without a handle. Do not use a file as a pry tool.
13. Use tools only for the purpose for which they were intended.
14. Keep any personal tools and equipment in good condition at all times.
They will be inspected just as Hosler Corp. tools.
15. Inspect all impact tools for mushroomed heads.
16. Do not hammer on wrenches or use a pipe for extension.
31. SMALL TOOLS
Screw Drivers and Knives:
1. Screwdrivers and knives will be outfitted with a secure handle.
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2. Screwdrivers will be equipped with a non-conducting handle when used on
electrical work.
3. Screwdrivers will be inspected and repairs made if they have:
a. A loose or broken handle;
b. A cracked or broken blade;
c. Ends are worn or correct angles are missing; or
d. A bent shank.
4. Screwdrivers will not be used as a punch, lever, pry, etc.
5. Keep screwdriver blades in good condition and grind or file the tip square.
6. Select the correct size so it fits the screw snugly.
7. Never attempt to hold the work in one hand and use the screwdriver with the other. Instead use a vise to hold the piece being worked.
Pliers:
1. Pliers with sprung jaws or worn faces will not be used.
2. Worn joint pins will be replaced.
3. Pliers will never be used on nuts - use a wrench.
4. Grasp pliers handles near the end as you will be pinched if you grip close to the hinge.
5. Never use pliers on a hardened surface, as this only tends to dull the teeth and loosen the 'pliers' grip.
Electrical Tools:
1. All electrical tools will be grounded in one of two methods; either designed and clearly marked "Double Insulated", or by the use of a three prong plug.
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2. All wiring will be kept in good repair and dry.
3. Electrical tools will not be used in controlled atmospheres such as but not limited to: flammable/combustible areas, areas where there is a possibility of explosive gases, corrosive areas, etc.
4. Electrical tools that are used in conjunction with an extension cord will have a cord that is of a heavy-duty type construction. It will be, secured to the tool using a three-prong coupler. The extension cord will not be kinked, broken, showing exposed wires or having loose plug ends.
5. Extension cords will not be fixed to objects such as ladder rails, cabinets, walls, etc. The length of the cord will not extend more than 50 feet.
6. When drilling, sawing, fastening, soldering, welding, chipping, filing, and etc. employees will wear Industrial Grade Safety Glasses and/or proper face protection.
Hammers:
1. Make sure that hammerheads fit tightly.
2. Replace deformed heads and loose or split handles.
3. Grip the handle close to the end; don't choke up on it. It will be doing its work rather than letting it do the work. Never use hammer handles to pry or to tap objects.
32. LADDERS
General Requirements:
1. Only OSHA approved ladders are allowed on the job. This would be Class I Industrial wooden or fiberglass.
2. Straight and extension ladders require non-skid feet.
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3. Straight and extension ladders and stepladders are to be tied or secured when in use. At least 1/2" rope, 6 feet in length, will be applied to the top rung for this purpose.
4. Metal ladders will not be used if a fiberglass one is available. They are not as safe as fiberglass ones.
5. Portable ladders will be placed on a substantial base, and the area around the top and bottom of the ladder will be kept clean.
6. Ladders will not be used in the horizontal position or used as platforms, walkways or scaffolds.
7. Ladders are not to be placed in passageways, doorways, or any location where they will be displaced by work activities around them, unless protected by barricades or guards.
8. Side rails of ladders will extend at least 36 inches above the landing or
grab rails will be provided.
9. The use of ladders with broken or missing rungs, broken or split side rails, or other faulty or defective construction is prohibited.
10. Ladder that have open and hollow rungs and show signs of excessive corrosion and wear will be replaced.
11. All ladders will be inspected on a regular basis and tagged "unsafe to use" or "do not use”, when beyond repair.
12. When climbing a ladder, face the ladder and keep hands free for climbing.
I3. Don't stand on the top 3 rungs of a straight ladder without handholds unless you are protected by a safety belt.
14. Immediately remove damaged ladders from use when any unsafe condition is noted.
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15. Place ladders at approximately a 75-degree angle. Or place the bottom of the ladder 1 foot back for every 4 feet in height.
16. Don't place planks on the top of stepladders.
17. Don't stand on the top 2 steps of a stepladder.
18. Don't paint or coat wooden ladders with dark coatings or colors as this will impair the inspection of the ladder.
19. Painted or coated ladders which cannot be properly inspected will be removed from service.
20. Don't tie ladders together in order to get more height or other support for which ladders were not intended.
21. Do not use metal ladders within 4 feet of exposed live electrical parts.
22. Portable metal ladders will be marked.
33. EMPLOYEE SAFETY & HEALTH SUGGESTIONS
Introduction: On occasion, employees will not notify anyone of impending danger or hazards on the job. This will be due to a fear of reprisal, fear of rejection, lack of encouragement by their supervisor, or many other reasons. An informal, and when desired, anonymous method will provide another means for a bashful employee to inform us of important safety information.
Purpose: 1. The "EMPLOYEE SAFETY & HEALTH SUGGESTION FORM" is to be
used by employees to formally report hazards not handled directly by their superior or for the presentation of suggestions, to improve the safety & health of their job.
2. The form is designed to be used to ensure that:
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a. The employee is provided with a means of reporting a safety or health problem WITHOUT FEAR OF REPRISAL.
b. Feedback is provided to the employee on their suggestions, whether positive or negative.
Procedures:
1. Management will encourage employees to utilize the Safety & Health Suggestion Form at any time they would like to make a safety or health suggestion or observation.
2. Hosler Corp. will make the forms available where employees will easily find them.
3. The location will be readily identifiable and the deposit "boxes" will be made secure so that the completed forms can be collected by the person(s) so designated by the Safety and Health Manager. The forms will be collected daily.
4. If a hazard of imminent danger was to go unnoticed, the potential for a serious accident increases.
5. Any suggestion identifies a condition of imminent danger requires that immediate corrective action be taken.
6. The Safety and Health Manager will review the suggestions. It is important for the Safety and Health Manager to provide a response on the action to be taken. The employee will be thanked for their participation.
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HOSLER CORP. SAFETY AND HEALTH SUGGESTIONS FORM
Hosler Corp. employees are not required to work at a job he/she knows is not safe or healthful. Your cooperation in detecting hazards and in controlling them is a condition of your employment. Hosler Corp. employees are advised that the use of this form or other reports of unsafe conditions or practices are protected by law. It would be illegal for Hosler Corp. to take any action against an employee for exercising their rights to participate in communications involving safety. Hosler Corp.’s Safety and Health Manager will investigate any report or question as required by the Injury and Illness Prevention Program Standard and, if known, advice the employee who provided the information.
Description of unsafe condition or practice:
________________________________________________________________
________________________________________________________________ ________________________________________________________________
Causes or other factors: ________________________________________________________________
________________________________________________________________ ________________________________________________________________
Employee suggestions for improving safety: ________________________________________________________________ __
__________________________________________________________________
_______________________________________________________________
Has this been reported to the Safety and Health Manager? Yes___ No___
Employee Name: ________________________________ Date: _____________
Actions Taken:
________________________________________________________________ ________________________________________________________________
________________________________________________________________
Safety and Health Manager: _______________________ Date: ___________
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Quality Control Plan
Project Information:
DGS / PennDOT District 4-0 Office
906 North Vine Street
Berwick, PA 18603
Phone: 570-861-0139
Fax: 570-520-4630
www.hoslercorp.com
2
Hosler Corp.
Quality Control Plan Project Title: DGS / PennDOT District 4-0 Office
Introduction The purpose of Hosler Corp.’s Quality Control Plan (QCP) is to ensure that our Construction Team conducts
and completes this project in accordance with contract specifications and drawings. Hosler Corp.’s Quality
Control Representative (QCR) has the responsibility for ensuring that this project is completed in accordance
with the contract.
Subcontractors
All subcontractors hired by Hosler Corp. will comply with this QCP. They are as follows:
• Hosler Enterprise
• Accutech Testing
• …
3
PART A 4-Step Inspection Process
Hosler Corp.’s QCR shall prepare for, conduct and provide evidence of inspections of each Definable Scope of work
Features in four separate, distinct and consecutive steps. Attached are examples of our inspection forms that provide fill-in spaces for
preparation and observation results. A Final Inspection is conducted regarding all items. The QCR shall conduct the inspections using
a 4 step process, summarized as follows (forms 1-4 listed below are to be filled out by the subcontractor during the corresponding
phase of construction, forms are found on later pages of this sample QCP.
1. Preparatory Inspection Checklist: The QCR shall perform this inspection in preparation for and prior to the Initial inspection.
This phase shall ensure that all the required resources such as equipment, material, labor, approved documents, approved permits and
other Subcontract requirements are available and/or adhered to.
2. Initial Inspection Report: The QCR shall conduct an initial inspection at the beginning of each Definable scope of work feature
(see Part B-7 below) as soon as a representative portion of the work has been performed. The attached form can also be used for the
Follow up Inspections.
3. Follow up Inspection Report: The QCR shall conduct in-process periodic inspections as required Hosler Corp.’s submitted and
approved Inspection and Test Plan (ITP, see Part B-3 below). This is to ensure the project is in compliance with the requirements of
the plans and specifications.
4. Final Inspection/Acceptance Report: The QCR shall perform a final inspection of all work activities in accordance with the ITP.
Items not complete will be entered on a dated punchlist and follow-up inspections will be required. All punchlist work will be
completed prior to project acceptance.
PART B Quality Control Plan Requirements
Hosler Corp.’s QCP covers as a minimum the seven distinct topics listed below in accordance with the specification and drawings of
this subcontract. The following pages provide information for accomplishing this requirement.
Table of Contents 1. Resume including name, authority and responsibility of the QCR.
2. Submittal schedule.
3. Inspection and testing plan (ITP) listing the definable scope of work features.
4. List of Independent Testing and/or Engineering Organizations with description of services.
5. A plan for documenting the Quality Control Procedures.
6. Plan for scheduling, managing and reviewing shop drawings.
7. Exhibits (daily construction report, RFI and Inspection report).
4
Hosler Corp. Organizational Chart
Douglas V. Hosler – President – Started Hosler Corp. in 2009. Previously a Vice-President at a local mechanical contractor from 1997
to 2009. 15+ years of drafting and design, including CAD, experience. 18 years of sheet metal fabrication, installation, and controls
experience. Refrigerant certification. Plumbing training and experience. Extensive foreman experience.
Justin Caspersen – Project Manager – Previous position as Manager/Engineering Design/IT/Purchasing/Web Design from 2002 to
2014. Studied Mechanical Engineering at Pennsylvania State University. Over 15 years of CAD experience in 2D and 3D, including
solid modeling in Autodesk Inventor. 10+ years of management experience. Forklift trainer and certified operator. 15 years of sheet
metal design, machine setup and fabrication. Finite Element Analysis experience in stress computations of mobile articulating knuckle
boom cranes. OSHA 10 certification.
Kimm Naugle – Assistant Project Manager – B.S. in Project Management. 20 years of construction experience.
Frederick King – Foreman (Superintendent) – Over 25 years of field sheet metal fabrication and installation experience. Extensive
foreman experience. Air testing, pipe fitting and general carpentry experience. OSHA 30 certification
Robert Switzer – Foreman (Superintendent) – Over 20 years of field sheet metal fabrication and installation experience plus 2 years of
technical education. EPA certified. Military trained in air conditioning and mechanical repair. Foreman experience.
John Falatovich – Foreman (Superintendent) – Over 15 years of field sheet metal fabrication and installation experience. Foreman
experience.
Duane McHenry – Shop Foreman – Over 16 years of HVAC service, fabrication and installation experience including sheet metal,
hydronics, refrigeration, controls and pipe fitting. EPA certified. Fujitsu and Nordyne factory trained.
Douglas V. Hosler
President
Olga Hosler
Controller
Justin Caspersen
Project Manager
Robert Switzer
Foreman
Frederick King
Foreman
Duane McHenry
Shop Foreman
John Falatovich
Foreman
Kimm Naugle
Asst. Project Manager
5
1. Authority and Responsibility of QCR:
The QCR is ultimately responsible for the proper information being reported for the inspection check list, initial inspection reports,
any follow up inspection reports, as per QCR requirements. He will be involved with the coordination of any scheduling and/or
necessary inspections that take place over the course of this project.
2. Submittal Schedule
The attached SUBMITTAL SCHEDULE includes the submittal number, planned date of submittals, specification section, submittal
description, manufacturer or supplier and whether a test/inspection is required for each submitted item.
3. List of Independent Testing and/or Engineering Firms with Description of Services
Any proposed Independent Testing and/or Engineering firm that will be employed by Hosler Corp. are listed on the attached
INDEPENDENT TESTING LABS and ENGINEERS form. A description of the services provided is included.
4. Inspection and Test Plan (ITP) listing the definable scope of work features.
The attached TESTING AND INSPECTION PLAN includes the Inspection/test number, planned date/number of the Inspection/Test,
Technical Specification Section, Definable Scope of the Work Feature & Inspection/Testing Entity and Phone number.
5. Plan for Documenting Quality Control Procedures
Review and Management of all quality control documentation is the direct responsibility Hosler Corp.’s QCR who has the complete
support and dedication of Hosler Corp.’s owners, employees, management and staff. The QCR or their Designee shall be responsible
for completing the following:
• Complete Daily Reports of all visitors and work completed on the site every day.
• Maintain Testing Logs of everything done on site and from off site, independent testing laboratories as applicable.
• Maintain an Advisory Log to include all advisory notices, Non-conformance Reports, and Corrective Action Requests issued
to Hosler Corp. The log will include recipients, distribution date, date of correction and action done.
• Constantly Inspect the quality and completeness of the work being performed by all Employees and lower tier contractors
maintaining the utmost adherence to drawings, specifications, codes, OSHA, and other subcontract requirements.
• Submit Request for Information (RFI) for any discrepancy in the drawings and/or specifications.
• Conduct inspections following the Four Step Process and using the attached inspection forms.
• Ensure that all Record Drawings, including as-built drawings, are kept up to date and reviewed weekly. 6. Planning for Scheduling, Managing and Reviewing Shop Drawings
• Shop drawings and proposed materials, including samples, certificates and other submittals, will be submitted for approval in
accordance with the project specifications.
• It is Hosler Corp.’s intent to have all submittals and shop drawings approved prior to any planned site mobilization or the
start of construction.
• A Master Submittal Schedule is included in Part 8 below which includes details of the planned Submittal date, specification
section, submittal description and whether special inspection or Testing is required.
• Copies of Approve Shop Drawings and material submittals shall be forwarded to the jobsite Superintendent for his
information and reference file.
7. Exhibits (Daily Construction Report, RFI, & Inspection Reports)
6
• The attached exhibits are documentation Hosler Corp. uses from the beginning of a project through to the end of a project to
ensure that the client receives a quality product. INSPECTION AND TESTING PLAN
Project: DGS / PennDOT District 4-0 Office
Definable Feature of Work Insp/test Acceptance
Criteria
Company
Testing
Frequency Report
Form
Standard Witness
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
7
SUBMITTAL REGISTER Project: DGS / PennDOT District 4-0 Office
No. Planned Date Spec. Sect. Submittal Description Manufacturer
1 Submittal Schedule
2 Insurance Certificate
3 QCP
4 SSSP
5 Progress Schedule
6 Schedule of Values
7 Performance Bond
8
9
10
11
12
13
14
8
Inspection Test Plan
Contract #: Project No 251-64 Phase 1 Project: DGS / PennDOT District 4-0 Office
Contractors Name:
Hosler Corp. Location: Dunmore, PA
Definable Feature of Work
Inspection Test
Acceptance Criteria
Spec. Company Performing Test
Frequency Report Form
Code STD Witness
9
INSERT SUBCONTRACTOR CREDENTIALS HERE
10
Hosler Corp. CONTRACT DAILY REPORT 906 North Vine Street Berwick, PA 18603 570-861-0139 www.hoslercorp.com
Contract No. and Title Date Report No. Project No 251-64 Phase 1 - DGS / PennDOT District 4-0 Office
Contractor Hosler Corp.
Shift Hours Worked Weather From: To:
Contractor Manpower (By Labor Class)
No. Total Hours Subcontractor Manpower No. Total Hours
Contractor Equipment No. Total Hours Subcontractor Equipment No. Total Hours
Description of work performed today
Remarks by contractor (Delays, Interruptions, Deviations, Extra Work Activities, Unusual Occurrences, etc.)
Contractor Title Date Hosler Corp.
Comments and/or Exceptions
Hosler Corp. Representative Title Date
11
REQUEST FOR INFORMATION
Hosler Corp.
906 North Vine Street
Berwick, PA 18603
570-861-0139
www.hoslercorp.com
RFI #
Send To:
From: Douglas Hosler
Attention:
Title: President
Job # and Name: Project No 251-64 Phase 1 - DGS / PennDOT District 4-0 Office
Date:
Subject:
Phone Number: 570-861-0139
Please comment
Please review
Total pages, including cover:
Comments:
Douglas Hosler
12
4-STEP QUALITY INSPECTION CHECKLISTS
Subcontract No.: Project No 251-64 Phase 1 NTP Date:
Project: DGS / PennDOT District 4-0 Office Location: Dunmore, PA
Definable Scope of the work features (DFOW)
PROJECT TEAM
Superintendent :
Site Safety Officer :
Foreman :
Quality Control Representative :
PREPARATORY INSPECTION CHECKLIST DATE:
No. Item Description Yes No N/A Comments
1 Safety Has the Hazard Analysis been submitted for this review?
2 Safety Are there additions to the Job Hazard Analysis (JHA) and are they incorporated?
3 Safety Has the Site Specific Safety Plan been reviewed?
4 Safety Has the Emergency Action Plan including contact list been reviewed and posted on site?
5 Safety Are Materials Safety Data Sheets (MSDS) on hand and reviewed?
6 Safety Do all members have the required Personal Protective Equipment (PPE)?
7 Materials Does the project team have copies of all the approved submittals for this DFOW on site?
8 Equipment Are all operators certified to run the necessary equipment and is proof of certification on site?
9 Equipment Has a checklist been completed for all equipment prior to use and have copies been submitted to the General Contractor?
10 Permits Are the required work permits posted on site?
11 Plans/Specs Are the latest plans and specifications on site and have they been reviewed by the Superintendent?
12 Tolerances Is the Superintendent aware of all construction tolerances for this DFOW?
13 Testing Is there testing required for this DFOW?
14 Testing If required, is the third party testing agency available to perform the testing?
15 Inspect/Testing Has the QCR and RE reviewed the Inspection and Test Plan?
13
4-STEP QUALITY INSPECTION CHECKLISTS Continued
INITIAL INSPECTION CHECKLIST DATE:
No. Item Description Yes No N/A Comments
1 Safety Do all members have the required Personal Protective Equipment (PPE)?
2 Safety Is there any additional Job Hazard Analysis (JHA), and have they been reviewed by all staff?
3 Safety Is the site well organized and maintained?
4 Material Are the materials being used in strict compliance with the contract requirements?
5 Equipment Is the equipment being used in strict compliance with the contract requirements?
6 Equipment Have all the tools and equipment been verified that is meets manufacturer’s recommendations for operation?
7 Tolerances Is all work being installed per the tolerances detailed in the drawings and specifications?
8 Testing Are any test required for this DFOW and have they been completed and properly documented?
9 Inspections Does this DFOW require a Witness and Hold Point? If so, has it been properly documented?
10 Plans Are all variations to the original plans being updated on the as-built drawings?
FOLLOW-UP INSPECTION CHECKLIST DATE:
No. Item Description Yes No N/A Comments
1 Safety Do all members have the required Personal Protective Equipment (PPE)?
2 Safety Is the site well organized and maintained?
3 Materials and Equipment
Are the materials and equipment being used in strict compliance with the contract requirements?
4 Equipment Have all tools and equipment been verified that it meets manufacturer’s recommendation for operation?
5 Tolerances Is all work being installed per the tolerances detailed in the drawings and specifications?
6 Testing Are any test required for this DFOW, and have they been completed and properly documented?
7 Inspections Does this DFOW require a Witness and Hold Point? If so, has it been properly documented?
8 Plans Are all variations to the original plans being updated on the as-built drawings?
14
4-STEP QUALITY INSPECTION CHECKLISTS Continued
FINAL INSPECTION CHECKLIST DATE:
No. Item Description Yes No N/A Comments
1 Plans Are the as-built drawings completed for this DFOW?
2 Safety Have all affected areas been cleaned and/or returned to a condition that will protect others from injury or incident?
3 Testing Does the RE have copies of all the test results?
4 Material Are all unused materials returned or stored?
5 Equipment Have all equipment instructions been submitted to the RE?
6 Equipment Is all equipment tested and operable?
List of Punchlist items:
Anticipated Completion: Actual Completion:
Anticipated Completion: Actual Completion:
Anticipated Completion: Actual Completion:
Anticipated Completion: Actual Completion:
Anticipated Completion: Actual Completion:
Anticipated Completion: Actual Completion:
Anticipated Completion: Actual Completion:
Anticipated Completion: Actual Completion:
Anticipated Completion: Actual Completion:
Quality Control Representative: _____________________________ Date: _______________________
Staffing Plan v1.0.1 9/18/17
Staffing Plan
Project Information:
DGS / PennDOT District 4-0 Office
906 North Vine Street
Berwick, PA 18603
Phone: 570-861-0139
Fax: 570-520-4630
www.hoslercorp.com
Staffing Plan v1.0.1 9/18/17
T-3A Staffing Resource Role Requirements The following is a detailed breakdown of the roles required to execute the project. It includes: the project role, the project responsibility of the role, skills required, number of staff required to fulfill the role, the estimated start date and the expected duration the staff resource will be needed on the project.
Role Project
Responsibility
Skills Required Number of Staff
Required
Estimated Start Date
Duration Required FY05-06
Hosler Corp.
Project
Manager
Lead team, report
status
Project
Management
1 748 days
Assistant Project Manager
Generate submittals, RFIs
Clerical 1 3 months
Sheet Metal Workers
Install units, duct Sheet Metal Worker
2 748 days
Piping
Subcontractor
Install HVAC piping,
equipment startup
Pipe fitting,
refrigerant
2 748 days
Insulator Subcontractor
Install HVAC insulation
Insulation install 2 2 months
TAB
Subcontractor
Testing, adjusting,
balancing
NEBB Certification 2 1 month
Excavator Subcontractor
Excavation Machine operation 2 2 weeks
Staff Assigned to Roles The following is a detailed breakdown of the actual staff assigned to the project role, the amount of Full Time Equivalent (FTE) requested for the role, the actual FTE acquired, the labor rate and unit of the labor rate for the resource and the source from which the resource is recruited.
Role Name Requested
FTE Acquired
FTE Source
Hosler Corp.
Project Manager Justin Caspersen 2.00 3.00 Hosler Corp.
Assistant Project
Manager
Kimm Naugle .10 .30 Hosler Corp.
Foreman John Falatovich 3.00 17.00 Hosler Corp.
Sheet Metal Worker Fred King 1.00 25.00 Hosler Corp.
Staffing Plan v1.0.1 9/18/17
Role Name Requested FTE
Acquired FTE
Source
Piping Foreman Phil Hosler 3.00 10.00 Hosler Enterprise
Pipefitter Mike Reeder 1.00 3.00 Hosler Enterprise
Insulator TBD 1.00 TBD
Insulator TBD 1.00 TBD
TAB Professional Joseph DiAugustine 1.00 20.00 Accutech Testing
TAB TBD 1.00 Accutech Testing
Excavator Machine Operator
TBD 2.00 Carl E. Rinehimer Excavating
Excavator Labor TBD .50 Carl E. Rinehimer
Excavating
Total 16.60 20.00
T-3B Skill Training Training Needs The following are the detailed training needs to bring staff to a level of skill required for project execution.
Role/Staff Resource Training Program Hours
Required Description Program
Sheet Metal Worker Sheet Metal Worker Apprentice
Layout, fabrication, installation of sheet metal ductwork.
Associated Builders and Contractors (ABC)
T-3C Workforce Safety Safety Training The following are the safety training needs to bring staff to a level of skill required for project execution.
Role/Staff Resource Safety Program Hours Required
Sheet Metal Worker OSHA 10-Hour
Company Policy Hosler Corp. has a written safety manual and employees have a safety briefing weekly.
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