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Maintenance ◦ Projects ◦ Construction 2019

COMPANY PROFILE

TIM FOSTER

TIM FOSTER [email protected] Evans, GA 706.832.4340 www.timfostermpc.com

EXPERIENCE

My experience includes a vast background of various job duties within Beef Plants throughout the

country. These duties span (28) twenty-eight years.

01/2018 – Present

Nicholas Meats – Loganton, PA

Vac System Install

Hot Box Hydraulic & Process Piping Install

Basement Platform Install

Kill Floor Skinning Line Bench Install

Hot Box Steel Install

Waster Water Roto Screen Install

Shrink Tunnel Exhaust Fan Install

Post Knock Box Steel Install

Hot Box Chains Install

Hot Box 6” Drain Piping Install

Fab Pack Off Conveyor Install

180 Hydro-Therm Piping Install

01/2018 – Present

Colorado Premium Foods – Carrollton, GA

Rib Line Multivac Installation

Raw 8614 Cryovac Installation

Smoke Generators Installation

Relocation of Cryovacs

Chill Water Heat Exchanger Repairs

Install Brine Line to Relocated Injector

Relocate Rib Line Multi-Vac

Safety Guards (2) Tumbler Dumpers

Rib Rack Access Modifications

Sod and Irrigation Repair

Tempering Cooler Rack Install

TIM

FO

ST

ER

01/2018 – Present

American Beef – Chino, CA

Design Slaughter Addition

01/2018 – Present

DemKota Ranch Beef – Aberdeen, SD

Shackle Decline Modifications

Down Puller Shroud Modifications

Brisket Saw Relocation

Fab Rail Raise Index Modifications

Box Cooler Racking Install

Center Track Chain Replacement

Cold Water Tank Replacement

Repair Trolley Spreader

Repair Rail Support Steel – Break Line

Gasket Replacement for 109 Tube-Shell

Fix Bone Chute

OSHA Mandated Corrections

Auger Bearing Repair

Final Grading Area Renovations

Steam Line Modifications

Auger Bearing #9 Repair

Heat Exchanger Gasket Replacement

Meat Master Modifications

Offal Conveyor Modification

03/2018

TLI (The Livestock Institute) - Meatworks – Westport, MA

Erect Steel – Building Modifications, Install Process / Slaughter Equipment, Install Cattle Pen Barn.

04/2018

Alloy Hardfacing & Engineering Co., Inc – St. Paul and Joliet, MN

Rendering Modifications

03/2018 – 05/2018

Iowa Premium – Tama, IA

White Offal Room, Intestine and Tripe System Design and Layout.

01/2017 – 01/2018


Plant Retro-fit - Further Processing / Cooked Facility

Sous Vide Equipment Design and Installation

Boiler/Smokehouse Installation

Corn Beef Line Installation

TIM

FO

ST

ER

R&D Lab Installation

Cryovac Installation

VeMag Installation

Marination System Installation

Ground Beef Installation

Brine System Installation

Lactic Cabinet Installation

Box Conveyor Installation

Sanova System Installation

Bowl Chopper/Paddle Blender Installation

Weigh Price Labeler Installation

Relocate Slicing Line from Miami

Hot Water to Waste Water Modifications

Boning Table Extension

Relocate Miami RTE-Hot Dog Lines

Sanova Workstation Modifications

Modify Oven Ramps

Ground Beef Acid Application Installation

Install Chill Tank System

Hot Dog Ovens Installation

Install Sear Machine

Re-Pipe Air-Water Lines to Injectors

Install 2nd Pack-Off Conveyor in RTE

Brine Lines to Injections Install

Fabricate 32 Rib Racks

Fix Sous Vide Lids

Electrical System Study

Condensate Return Lines to Riser Ovens

Shrink Tunnel Guards

Remove Damaged Cooler Wall

RTE Acid Line Modifications

Flow Switches Replacement

Starter Control Panel Installation

Proteus – Install Temporary Emulsifiers

Proetus – Jacketed Tank Install

Proteus – System Installation

Proteus – Refrigeration System Install Location 1

Proteus – Glycol System Install

Proteus – Chilled Water Install

Proteus – Mix Tank Install

Proteus – Jacketed Tank Install

01/2018 – 02/2018

JBS Case Ready - Riverside, CA

Demo of Auto Product Packaging Equipment

TIM

FO

ST

ER

10/2017 – 11/2017

Nicholas Meats – Loganton, PA

Design & Build of New Fab Production Floor

Conveyor Installation

Freezer Rack Repair

Palletizer Repair

01/2017 – 12/2017

Colorado Premium Foods – Greeley, CO

Installation of Refrigeration Condenser

Design & Build Box Storage and Shipping Dock Facility

Proteus – IMP Panel Installation

Proteus – Mix Tank Installation

Proteus – Double Jacketed Tank Install

Proteus – Chilled Water Install

Proteus – Glycol System Install

11/2016 – 11/2016

Tippmann Construction/Brown Packing – Gaffney, SC

Design 80,000 SF Kill Floor and Hot Box Addition – Did not get the bid.

9/2016 – 12/2016

Passport/Tyson – Lexington, NE

Installation of Food Safety Intervention - Bovibrom

10/2016 – 11/2017


Design - Further Processing Area

12/2016 – 12/2017

DemKota Ranch Beef– Aberdeen, SD

Tripe Project

Fab Conveyor and Stand Modifications

Chute and Plow Modifications

Shackle Rail Replacement

Tripe Conveyor Modifications

Cryovac Modifications

Shackle Incline Modifications

Vacuum Pump Installation

2/2016 – Present

Colorado Premium Foods – Greeley, CO

Design Build New Construction

Combo Cooler Install

TIM

FO

ST

ER

Shipping Receiving Dock Install

Box Storage Addition

10/2015 – 12/2015

Colorado Premium Foods – Bridgeview, IL (Buedel Food’s)

Installation of Corned Beef Brisket Line

Office and Welfare Area Remodel

Installation of Chilled Brine System

10/2015 – 11/2015

Triple J Meats - Buffalo Lake, MN

Install New Rotating Kosher Box

Modify Rabbi Stand

8/2015 – 10/2015

Cimpl Meats (American Foods Group) – Yankton, SD

Assist General Contractor with Equipment Modifications (During Kill Floor Modification Shut Down)

Raise the Down-Puller

1/2015 – 06/2016

DemKota Ranch Beef (New Angus, LLC.) – Aberdeen, SD

Heat Exchanger Hot Water System and Process Piping

HVES System Installation

Carcass Wash Cabinet and System Piping Modifications

Hot Water Pasteurization System with Kosher Requirements

Processing Floor Boning Table Modifications, Bone Belt Installation, and Trim Belt Modifications

Full Box Line System Modifications

Trayformer and Case Sealer Installation

Overhead Chain Conveyor Modifications – Round Line

Boiler Economizers Installation

Ritual Slaughter Modifications – Harvest Floor

Final Acid Cabinet Relocation

HB 4 Switch and Sales Cooler Transfer

Kosher Kill Station Installation

Waste Water Cooling System Install Phase 1

Waste Water Cooling System Install Phase 2

Refrigeration Condenser Footer Steel Design

Basement Augers Installation

Screw Conveyor Shafts Installation

Classifier Installation

Lift Station Starter Repair

Cattle Chute Modifications

Acid Spray Bar Installation on Processing Trim Conveyors

Bone Belt UHMW Installation

Chilled Water Packaging System [Pac-Chill]

TIM

FO

ST

ER

Blood Drain Piping Modification

Spray Chill Level Control

Blood Pit Sump

Skinner Stands

Remove Section of Loin Trim Conveyor Modifications

HB1-2 Walking Beam Modifications

HB3-4 Walking Beam Modifications

Wing Drop Table Modifications

Relocate Acid Valves on Processing Floor Interventions

Tripe System EZ Heater Installation

Chill Water Line to Refiner

Processing Floor TM Entrance Modification

Refrigeration Condenser Stand Fabrication and Erection

Refrigeration Condenser Sump, Pumps and Piping Installation

Fabrication of Stainless Steel Sump Tank [16’ x 8’ x 10’]

Installation of Sodium Citrate Mixing System and Piping in the Knock Box and Sticking Pit Area

Trim Upgrade Modifications

Meat-Master and Reject Conveyor Installation

Intestine System Installation

Kill Floor Team Member Drop Skirt Stand Modifications

1/2015 – 3/2015

FM Meat Products – Ft. McCoy, FL

HVES Installation

USDA Stand Modifications

1/2015 – 3/2015

JBS USA – Hyrum, UT

Design Assistance of New Processing Floor

2/2014 – 7/2014

FPL Food – Augusta, GA

Fire Demolition and Kill Floor Rebuild

9/2013 – 2/2015

Creekstone Farms Premium Beef, LLC. – Arkansas City, KS

Fire Demolition and Processing Floor Rebuild

Bone Auger Project Installation

Refrigeration Replacement on Existing Processing Floor

Design of New Processing Floor

Co-Design of New Processing Building

Complete Fab Processing Installation

TIM

FO

ST

ER

4/2014 – 9/2014

JBS USA – Tolleson, AZ

Lid Stock Line Installation

Sales Cooler Modification Installation

9/2013 – 12/2013

JBS USA – Tolleson, AZ

Wendy’s Patty Line Installation

Tripe/Omasum Design and Installation

5/2013 – 6/2013

Proteus Industries – Boston, Mass

Engineering Services Protein Process

Equipment Skid Design

4/2013 – 5/2013

Buffalo Lake, MN – Triple J / Alle Processing

Installation of a Double Kosher Box

Fabrication and Installation of the Rabbi Stand and Lung Station

Fabrication and Installation of the Operator Stand

Electrical Service and Operator Controls

Hydraulic System Installation

4/29/2011 – 6/7/2013

Northern Beef Packers – Aberdeen, SD

Coordination & Management of the Plant Installations of all Utilities, Services, Equipment

and Processes.

Commission & Startup of all Processes

New Plant Construction (420,000 sf)

3/17/2009 – 3/10/2011

Tyson / IBP – Complex Engineer - Garden City, KS

Leadership of Maintenance Department(s) / Management of Maintenance Engineer(s)

Project Manager of all on-site Company Projects

Project List:

Replacement of 20” Underground Effluent Line

Batch Cooker replacements

Replacement of Condensate Return System

Rebuild of TASCO Wastewater Cells

Installation of Wastewater Roto-Screen

Numerous Auger Replacements

Installation of Tallow Filtering System

Installation of REB-1200, Tallow {Vertical Separation}

Replacement of Boiler Feed Water Pumping System

TIM

FO

ST

ER

Replacement of High Pressure Water Sanitation System

Replacement of Carcass Wash Pumps and Piping System

Replacement of 200 HP Air Compressors

Replacement of 700 HP Sullair NH3 Compressors

Installation of 600 HP Mycom NH3 Compressor

Replacement of Pumper Drums of House Accumulators

Replacement of 70 Hot Box Evaporators (in process)

Installation of 70 new NH3 Control Banks (in process)

Installation of new roof mounted NH3 Headers (in process)

Installation of new beams and 162 Cooler Rail Switches

Installation of New Slaughter Trayformers (in process)

Installation of Air Compressor Water Recirculation System

Installation of new NH3 Liquid Pumps

Installation of Dual VBS Hot Scales

Installation of HB2 (bromine-based, liquid antimicrobial) System

Installation of Finalyse - Pre-Harvest Cattle Spray System

Installation of Complete Re-Wiring of Processing Floor

Installation of New Cryovac Machines on Processing

Installation of new Test and Hold Combo Cooler

Installation of New Sortation Coolers (Retro)

Installation of (2) New Kill Floor AMU’s (in process)

Installation of numerous Power 90’s (MH)

Installation of new 10,000 box Flow Thru System

9/30/2005 – 3/1/2009

FPL Food LLC – VP of Engineering - Augusta, GA

Leadership of Maintenance Department(s)

Management of Maintenance Manager(s)

Management of Rendering Operations

Management of Wastewater Operations

Project Manager of all Company Projects

Project List:

Termet Spinal Vacuum System

Installation of IMS Down-puller / Jarvis Hock Restrainer

Installation of Multiple Systems Side Puller.

1st Leg Bench Renovation

Blood Chain and Head Chain Conveyor

Installation of VBS Live Scale

Installation of Carcass Tracking System

In-Floor Blood Pit Installation

Blood Pit Stimulator Installation

Offal Tri-Web Project design and Installation

Fab Floor Trim Belt Modifications.

Fab Floor Full Box Line Renovation.

Fab Floor Box Shipping – Flow thru Racking System

TIM

FO

ST

ER

Steak Addition – Project Design

Installation of KP Chub Line #2

Installation of Frozen Block Grinders (2)

Further Processing – Refrigeration Upgrade

Installation of 5# Patty Line “C”

Installation of Beef Crumbles Line

AccuPump Upgrade

Co-Design of New Further Processing Facility

Installation of Chub Lines

Installation of Chub Grinding System

Installation of Frozen Patty System

11/16/2004 – 9/5/2005

Maintenance Projects and Construction L.L.C

7/22/2005 – 9/5/2005

FPL Food LLC / Further Processing Facility – Augusta, GA

Management of Maintenance Department

Training of Company New Hire Maintenance Manager

1/17/2005 – 07/21/2005

Sunterra Meats – Alberta Canada

Installation of 45 Head / hour Beef Kill Floor (Complete)

Installation of 60 Head / hour Beef Fab Floor (Complete)

11/16/2004 – 10/28/2005

Rolandia Brazil - Corol / Prestcott Plant

Co-Design 150 head / hour Kill Floor

Co-Design Grinding System and Patty Line

Co-Design Cook / Marinate System

8/6/2004 – 12/31/2004

Shapiro Packing / FPL Food LLC – VP of Engineering

FPL Food LLC / Packing Company – Augusta, GA

Transfer of Ownership and Operations Startup

Grading Area Addition

AMR Area Addition

Fabrication Area Modification Design

Chuck Chain Installation Design

Grinding System and Chub Packaging Design

4/17/2003 – 8/6/2004

Maintenance Projects and Construction L.L.C. - Owner

Shapiro Packing Company – Augusta, GA

OSHA Abatement Issues

In term Plant Engineer

TIM

FO

ST

ER

Implementation of PMC

Implementation of MLS – Maintenance Labor System

Daily Maintenance Operations

Coordination with USDA and Plant QA personnel

Kill Floor Design Team Coordination

Ground Beef Maintenance

Ground Beef Projects

Frigorífico Santos Lugares – Montevideo, Uruguay

Engineering Adviser – Facility and Equipment Status

Frigorífico La Caballada – Salto, Uruguay

Engineering Adviser – Facility Construction

Beef Kill Renovations

Lamb Kill Renovations

Processing / Packaging Renovations

Building Improvements

Food Safety Interventions

Design Kosher Salt / Soak System and Building Addition

12/02/2002 – 4/10/2003

Iowa Quality Beef - Plant

Engineer/Project Engineer / Project Manager

Total Facility Remodel

Live Scale Installation

Crowd Pen and Serpentine Design and Installation

Restrainer Building Addition

Kill Floor Revision

Offal Area Revision

Fab Floor Design and Installation

Shipping Dock Building Addition

Packaging Design and Installation

Refrigeration System Revision

Hot Water System Design and Installation

High Pressure Sanitation System Design and Installation

Inedible Collection and Loadout System

Electrical System upgrade and MCC Addition

Pre-Evisceration Wash and Acid Rinse Installation

High Pressure Wash and Pasteurization System Installation

Head and Offal Acid Rinse Installation

Final Carcass Acid Rinse Installation

10/2001 – 12/1/2002

Future Beef Operations – Corporate Engineering - Director of Maintenance

Assist in the coordination, design, and construction of new facilities

Define, develop and implement the Direction of Engineering for multiple plant sites

TIM

FO

ST

ER

Define, develop, implement, and maintain the MLS (Maintenance Labor System) for multiple sites

Define, develop and implement a company wide Maintenance Training Program

Define, develop and implement a company wide Contractor Training Program

Define, develop and implement a company wide Attendance Policy

Promote, teach and believe that Safety is first

Define capital budget; develop capital requests forms, manage and coordinate all capital projects

Insure the Plant is constructed and maintained in a manner to prevent injuries

As of 11/2001- assume all roles and responsibilities of Future Beef Plant - Arkansas City

Plant Engineer (Business Unit Leader)

Manage and develop (2) Maintenance Engineers, (1) Process Controls Engineer, (7) Maintenance

Supervisors, (1) Wastewater Pre-treatment Environmental Engineer, (1) WWTP Lab Supervisor,

(1) Warehouse/Supply Manager, (1) Purchasing Supervisor, (1) Buyer, (1) Safety Director, (2) Health

Service Techs, and (12) Security Guards

Retention of (95) total maintenance department employees

To manage total facilities’ maintenance department. Coordinate with Operations, USDA, and FBO

Corporate personnel. Duties to include leadership, planning, budgeting, goal setting and reporting for all

aspects of the maintenance department

Project List:

Assist in the Cattle Dehair Revision

Edible Foot Operation High Voltage Stimulator

6/1999 – 10/2001

ConAgra Beef – Omaha Plant (Northern States)

Plant Engineer

Promote, teach and believe that Safety is first

Insure the Plant is maintained in a manner to prevent injuries.

Retention of (56) total maintenance employees.

Manage and develop (2) Maintenance Superintendents and (7) Maintenance Supervisors

Manage all aspects of the Maintenance Department to include (3) minutes or less per day of

maintenance downtime per department, maintain R&M, supply and labor budgets

Management of Maintenance Labor System (MLS) – Preventive and Predictive Maintenance.

Develop and administer a Skills Based Maintenance Training Program

Maintain a daily Energy Management System.

Define Capital Budget; submit requests and Manage all plant Capital Projects

Project List:

Plant Coordination of Kill Floor

Skinning Line Addition

Tripe Room Conversation

Mountain Chain Area Addition

Dressing Line Revision

Dressing Line Lighting Revision

Paunch Press and Load out Addition

TIM

FO

ST

ER

Fab Floor Revision

Packaging Revision

Ground Beef Revision

MAP (Modified Atmosphere Packaging) Line Revision

Bone Pre-breaker and Screw Transfer System

Welfare Building Addition

Air Compressor Building Addition

Offal Dock Addition

Boiler and Building Addition

Hot Water Storage Tank Addition

Blood Collection System

Phone System

Rendering Buss Duct Revision

Production Ethernet Network – Fiber Optics

Bone Cannon Addition

Mexican Export Requirements

24” Inedible Auger System to Rendering

Rendering System Upgrades

Raw Product Bin and System

Epoxy Flooring - Fab – Ground Beef

140 and 180 degree Water Systems

High Pressure Sanitation System

Pro-Man System Revisions

11/98 – 6/99

ConAgra Beef – Greeley Plant (Monfort Beef)

Project Engineer

Define Capital Budget; submit requests and manage all plant Capital Projects

Project List:

Pro-Man Addition

Fab Floor Gas Fired Air Make-up System

700 hp Ammonia Compressor(s) Installation

Evap-Condenser(s) System Installation

Fab Packaging Revision

Epoxy Flooring – Fab and Shipping Dock

Trim Upgrade Area Addition

11/1995 – 11/1998

ConAgra Beef – Corporate Engineering (Monfort Beef)

Corporate Energy Director

Indirectly manage and develop the (4) Beef Plant Energy Coordinators.Implement the Monfort Energy

Management Program in the (4) beef plants

Indirectly manage and develop the (4) beef plant Boiler and Refrigeration Departments

Manage the shrink program

Provide startup support during major capital projects

TIM

FO

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ER

Manage and co-manage capital projects

Project List:

Kill Floor Construction/Renovations

WWTP Construction/Renovations

Rendering (Inedible, Edible, Gel Bone, Blood Drying) Construction/Renovations

Chill Coolers Construction/Renovations

Pasteurization Systems Design and Installation

Hot Water Storages Systems Ammonia Refrigeration Systems

6/1994 – 11/1995

ConAgra Beef – Greeley Plant (Monfort Beef)

Plant Energy Coordinator

Implement the Monfort Energy Management Program

Manage and co-manage capital energy saving projects

Indirectly manage and develop the plant Boiler and Refrigeration Department

Project List:

Tank(s) Insulation and Steam / Condensate Revision.

Hot Water Storage Tanks

10/1991 – 6/1994

ConAgra Beef – DesMoines Plant (Monfort Beef)

Environmental Supervisor

Management of EPI Wastewater System

Management of (3) Wastewater Operators

Management of all City, County, and State Permits

Management of the By-Product Recovery System

Management of Rendering Odor Control System

Management of Paunch Land Application

Project List:

EPI – Wastewater System Revision

Cattle Pen High Pressure Wash-down System

180 degree Pick Heater Addition

6/1990 - 10/1991


Wastewater Operator

Operations and maintenance of the EPI Wastewater System

2/1990 – 6/1990


Hides Production EmployeeDrop Tank

Trim face plates

Fleshing Machine Operator

TIM

FO

ST

ER

10/1989 – 2/1990


Kill Floor Production Employee

Hock cutter

Bung Dropper

AREA OF CONCENTRATION AND EXPERTISE

• HR (Value of Team Members)

• HACCP

• Food Safety Programs

• Food Safety Interventions

• USDA Coordination

• Safe Work Areas

• Team Member Safety

• Humane Handling

• Carcass Tracking

• Slaughter Operations

• Kosher Operations

• Refrigeration Systems

• Carcass Chilling

• Shrink Management

• Carcass Sortation

• Processing

• Further Processing

• Ground Beef

• Material Handling

• Hides

• Rendering

• Wastewater

• Lagoon Operations

• Tripe Wash and Refine

• Offal Operations

• Water Heating and Chilling

• Boiler Operations

OTHER AREAS OF EMPHASIS

• Management of Hourly Mechanics, Maintenance Superintendents and Supervisors

• Cost Management

• Budget Definition and Management

• Energy Management

• Cost Savings Initiatives

• Value Engineering & Project Management

MPC is registered with the following Safety programs:

http://www.safetyservicescompany.com/

Safety Services Company is North America’s leading provider of safety and compliance training products and services.

Safety Services Contact Info: Paul Martinez Account Executive Global Compliance Solutions Safety Services Company a Div. of SSC (T) 888-519-6556 (F) 866-285-0140 2626 S. Roosevelt St. Suite #2 Tempe, AZ 85282 [email protected] www.safetyservicescompany.com

https://www.isnetworld.com/

ISN is the global resource for connecting corporations with safe, reliable contractors and suppliers from capital-intensive and public sector industries.

https://www.asme.org/

ASME is a not-for-profit membership organization that enables collaboration, knowledge sharing, career enrichment, and skills development cross all engineering disciplines, toward a goal of helping the global engineering community develop solutions to benefit lives and livelihoods.


mailto:[email protected]




https://www.asme.org/

ISN – Rating for MPC:

“A” – Grade Level

Grade Since 08/21/2013

Grade Component Status Points

Contractor Safety Information Exceptional 20 / 20

Safety Statistics Superior 25 / 25

RAVS Safety Program RAVS score is 100 30 / 30

Insurance Insurance Documents are Accepted 0 / 0

EMR Letters Rate is Verified - Not Qualified 5 / 5

Acknowledgement Form Chemical Process Safety Awareness

Grade Acknowledged 10 / 10

Subcontractor Management

Program Acceptable to use subcontractors. 5 / 5

Ammonia Awareness Program Acceptable to work with Ammonia. 5 / 5

Total 100 / 100

http://www.isnetworld.com/ContractorClientGrade/ceGradesList.aspx?E1NgepgNDYC6RfjVG4au91tFP9HKHbOnF84fR1%2buXCFJG6Eeb1Gtu8ajLn2KcGHr








MPC Safety Programs Table of Contents:

*All program details available upon request. [Or visit www.timfostermpc.com – Safety

Programs tab]

1. Company Safety Policies and Procedures

2. Safety Committees

3. General Safety Rules and Code of Safe Practices

4. Accident Investigation Plan

5. Assured Equipment Grounding Conductor Program & Ground Fault Circuit

Interrupters – (GFCI)

6. Bloodborne Pathogens

7. Disciplinary Programs

8. Electrical Safety: Qualified and Non-Qualified

9. Fall Protection

10. Fire Protection

11. First Aid & CPR

12. Hand & Power Tools

13. Hazard Communication – HAZCOM

14. Ladder & Stairway Safety

15. Lockout-Tagout: Control of Hazardous Energy

16. Noise Exposure – Hearing Conservation

17. Personal Protective Equipment – Assessments – PPE

18. Respiratory Protection Program

19. Rigging Equipment for Material Handling

20. Scaffolds

21. Trenching, Shoring, & Excavations

22. OSHA Inspections, Log 300, & Posting Requirements

23. Safety Meeting Minutes

24. Behavior Based Safety Program – (BBS)

25. Short Service Employee Policy – (SSE)

26. Subcontractor Management Plans & Management of Change

27. Ammonia Awareness

28. Gaseous Chlorine Awareness

29. Process Safety Management

http://www.timfostermpc.com/

MPC Injury & Illness Prevention Program

Table of Contents:

*All program details available upon request. [Or visit www.timfostermpc.com – Safety

Programs tab]

1. Safety & Health Program Summary

2. General Safety Rules

3. Safety Committee Policy

4. Job Hazard Analysis

5. Accident Investigation

6. Fire Prevention & Emergency Action Plans

7. Medical Services & First Aid

8. Workplace Violence Prevention

9. Slips, Trips & Falls

10. Office Safety

11. General Electrical Safety

12. Bloodborne Pathogens

13. Personal Protective Equipment

14. Manual Material Handling

15. Hazard Communication

16. Driver Safety

17. New Hire Orientation

18. Appendix Chapter - HAZWOPER

http://www.timfostermpc.com/

Year

City State

(A) (B) (C) (D) (E) (F)

(M)

(G) (H) (I) (J) (K) (L) (1) (2) (3) (4) (5)

Page totals 0 0 0 0 0 0 0 0 0 0 0

Page 1 of 1 (1) (2) (3) (4) (5)

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

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 LaborOccupational Safety and Health Administration

2010

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.

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)

Employee's Name Job Title (e.g.,

Welder)

Where the event occurred (e.g.

Loading dock north end)

Respirato

ry

Conditio

n

Respirato

ry

Conditio

n

On job

transfer or

restriction

(days)Job transfer

or restriction

Pois

onin

gP

ois

onin

g

Hearing L

oss

Inju

ry

Other record-

able cases

Identify the person Describe the case

Date of

injury or

onset of

illness

Inju

ry

Death(mo./day)

Form approved OMB no. 1218-017

Evans

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

illness:

Tim Foster-dba MPC (Maintenance Projects Construction)

GA

Hearing L

oss

Classify the case

Days away

from workRemained at work

Away

From

Work

(days)

Skin

Dis

ord

er

Skin

Dis

ord

er

Be sure to transfer these totals to the Summary page (Form 300A) before you post it.

Case

No.

Year 2010

Street

City Zip 30809

0 0 0 0

(G) (H) (I) (J) OR

5 4 1 3 3 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

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

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

Total number of

days away from

work

Total number of days of

job transfer or restriction


Injury and Illness Types

U.S. Department of Labor

OSHA's Form 300A (Rev. 01/2004)

Summary of Work-Related Injuries and IllnessesOccupational Safety and Health Administration


Title

Date

Owner

7/16/2013

Establishment information

Total number of

deaths

Number of Cases

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)

1

706-832-6719

Tim Foster

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.

50

Tim Foster - dba MPC (Maintenance Projects & Construction)

Sign here

State

Employment information

Evans

Your establishment name

1198 Newport Trail

GA

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

illnesses

Away

From

Work

(days) All

oth

er

illnesses

Skin

Dis

ord

er

Skin

Dis

ord

er


Case

No.

GA

Hearing L

oss

Classify the case

Days away



Evans

Establishment name



Enter the number of


worker was:

Check the "injury" column or choose one type of

illness:

Tim Foster dba MPC (Maintenance Projects and Construction)

Identify the Describe the case

Date of

injury or

onset of

illness

Inju

ry

Death(mo./day)

Pois

onin

gP

ois

onin

g

Hearing L

oss

Inju

ry

Other record-

able cases


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


Employee's

Name

Job Title (e.g.,

Welder)

Where the event

occurred (e.g.

Loading dock north

end)

Respirato

ry

Conditio

n

Respirato

ry

Conditio

n

On job

transfer or

restriction

(days)Job transfer

or restriction






2011OSHA'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

Year 2011

Street

City Zip 30809

0 0 0 0

(G) (H) (I) (J) OR

5 4 1 3 3 0

0 0(K) (L)


(M)



(3) Respiratory







Total number of

cases with days

away from work



restriction

Total number of

days away from

work









Title

Date

Owner

7/10/2013


Total number of

deaths

Number of Cases

Total number of

other recordable

cases

Number of Days


year




1

(706) 832-6719

Tim Foster

Phone

Company executive


complete.

1860.5


Sign here

State


Evans


1198 Newport Trial

GA

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)


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

Respirato

ry

Conditio

n

Respirato

ry

Conditio

n

On job

transfer or

restriction

(days)Job transfer

or restriction






2012

Pois

onin

gP

ois

onin

g

Hearing L

oss

Inju

ry

Other record-

able cases

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


Employee's

Name

Identify the Describe the case

Date of

injury or

onset of

illness

Inju

ry

Death(mo./day)

Job Title (e.g.,

Welder)


Evans

Establishment name



Enter the number of


worker was:


illness:

Tim Foster dba MPC (Maintenance Projects and Construction)

GA

Hearing L

oss

Classify the case

Days away



Where the event

occurred (e.g.

Loading dock north

end)

All

oth

er

illnesses

Away

From

Work

(days) All

oth

er

illnesses

Skin

Dis

ord

er

Skin

Dis

ord

er


Case

No.

Year 2012

Street

City Zip 30809

0 0 0 0

(G) (H) (I) (J) OR

5 4 1 3 3 0

0 0(K) (L)


(M)



(3) Respiratory



Evans


1198 Newport Trial

GA


Sign here

State

Company executive


complete.

3200

(706) 832-6719

Tim Foster

Phone


year




1

Total number of

other recordable

cases

Number of Days


Total number of

deaths

Number of Cases


Title

Date

Owner

7/10/2013




Total number of

days away from

work










Total number of

cases with days

away from work



restriction

Year

City State

(A) (B) (C) (D) (E) (F)

(M)

(G) (H) (I) (J) (K) (L) (1) (2) (3) (4) (5)

Page totals 0 0 0 0 0 0 0 0 0 0 0

Page 1 of 1 (1) (2) (3) (4) (5)

Away

From

Work

(days)

Skin

Dis

ord

er

Skin

Dis

ord

er


Tim Foster-MPC

GA

Hearing L

oss

Case

No.

Classify the case

Days away



Evans

Establishment name



Enter the number of


worker was:


illness:

Other record-

able cases


Date of

injury or

onset of

illness

Inju

ry

Death(mo./day)

Pois

onin

gP

ois

onin

g

Hearing L

oss

Inju

ry






Welder)



Respirato

ry

Conditio

n

Respirato

ry

Conditio

n

On job

transfer or

restriction

(days)Job transfer

or restriction






2013





Year 2013

Street

City Zip 30809

0 0 0 0

(G) (H) (I) (J) OR

5 4 1 3 3 0

0 0(K) (L)


(M)



(3) Respiratory







Total number of

cases with days

away from work



restriction

Total number of

days away from

work









Title

Date

Owner

1/27/2014


Total number of

deaths

Number of Cases

Total number of

other recordable

cases

Number of Days


year




1

706-832-6719

Tim Foster

Phone

Company executive


complete.

2306.5

Tim Foster - MPC

Sign here

State


Evans


1198 Newport Trl

GA

Year

City State

(A) (B) (C) (D) (E) (F)

(M)

(G) (H) (I) (J) (K) (L) (1) (2) (3) (4) (5)

Page totals 0 0 0 0 0 0 0 0 0 0 0

Page 1 of 1 (1) (2) (3) (4) (5)

Away

From

Work

(days)

Skin

Dis

ord

er

Skin

Dis

ord

er


Tim Foster - MPC

GA

Hearing L

oss

Case

No.

Classify the case

Days away



Evans

Establishment name



Enter the number of


worker was:


illness:

Other record-

able cases


Date of

injury or

onset of

illness

Inju

ry

Death(mo./day)

Pois

onin

gP

ois

onin

g

Hearing L

oss

Inju

ry






Welder)



Respirato

ry

Conditio

n

Respirato

ry

Conditio

n

On job

transfer or

restriction

(days)Job transfer

or restriction






2014





Year 2014

Street

City Zip 30809

0 0 0 0

(G) (H) (I) (J) OR

5 4 1 3 3 0

0 0(K) (L)


(M)



(3) Respiratory







Total number of

cases with days

away from work



restriction

Total number of

days away from

work









Title

Date

Owner Operator

1/7/2015


Total number of

deaths

Number of Cases

Total number of

other recordable

cases

Number of Days


year




1

706-832-6719

Tim Foster

Phone

Company executive


complete.

2730

Tim Foster - MPC

Sign here

State


Evans


1198 Newport Trl

GA

Year

City State

(A) (B) (C) (D) (E) (F)

(M)

(G) (H) (I) (J) (K) (L) (1) (2) (3) (4) (5) (6)

- - - - - - 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0

Page totals 0 0 0 0 0 0 0 0 0 0 0 0

Page 1 of 1 (1) (2) (3) (4)

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.


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 LaborOccupational Safety and Health Administration

2015

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.


Welder)





Job transfer

or restriction

Date of

injury or

onset of

illnessDeath(mo./day)

Days away

from work

Inju

ry

Hearing L

oss

Remained at work

Respirato

ry

Conditio

n

Respirato

ry

Conditio

n

On job

transfer or

restriction

(days)






Evans

Establishment name

CHECK ONLY ONE box for each case based on

the most serious outcome for that case:

Enter the number of


worker was:


illness:

Tim Foster dba MPC

GA

Classify the case

All

oth

er

illnesses

Away

From

Work

(days)

All

Oth

er

Illn

esses

Skin

Dis

ord

er

Skin

Dis

ord

er


Case

No.

Pois

onin

gP

ois

onin

g

Hearing L

oss

Inju

ry

Other record-

able cases

Year 2015

Street

City Zip 30809

0 0 0 0

(G) (H) (I) (J) OR

5 4 1 3 3 0

0 0(K) (L)


(M)



(3) Respiratory




Evans


1198 Newport Trl

GA

(706) 832-6719

Tim Foster

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.

Total number of

other recordable

cases

Number of Days

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


year

Annual average number of employees 1

Tim Foster dba MPC

State


Total number of

deaths

Number of Cases

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



restriction

2,820

Sign here



Title

Date

Owner

January 20, 2016

Engineering Services

Total number of

days away from

work



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.







Year

City State

(A) (B) (C) (D) (E) (F)

(M)

(G) (H) (I) (J) (K) (L) (1) (2) (3) (4) (5) (6)

- - - - - - 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0

Page totals 0 0 0 0 0 0 0 0 0 0 0 0

Page 1 of 1 (1) (2) (3) (4)

All

oth

er

illnesses

Away

From

Work

(days)

All

Oth

er

Illn

esses

Skin

Dis

ord

er

Skin

Dis

ord

er


Case

No.

Pois

onin

gP

ois

onin

g

Hearing L

oss

Inju

ry

Other record-

able cases


Evans

Establishment name



Enter the number of


worker was:


illness:

Tim Foster dba Maintenance Projects & Construction

GA

Classify the case

Respirato

ry

Conditio

n

Respirato

ry

Conditio

n

On job

transfer or

restriction

(days)






Job transfer

or restriction

Date of

injury or

onset of


Days away

from work

Inju

ry

Hearing L

oss

Remained at work


Welder)
















2016



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.

Year 2016

Street

City Zip 30809

0 0 0 0

(G) (H) (I) (J) OR

5 4 1 3 3 0

0 0(K) (L)


(M)



(3) Respiratory






Title

Date

Owner

January 24, 2017

Engineering Services

Total number of

days away from

work











Total number of

deaths

Number of Cases






Total number of

cases with days

away from work



restriction

2,390

Sign here


Total number of

other recordable

cases

Number of Days




year


Tim Foster dba Maintenance Projects & Construction

State

(706) 832-6719

Tim Foster

Phone

Company executive





Evans


1198 Newport Trl

GA

Year

City State

(A) (B) (C) (D) (E) (F)

(M)

(G) (H) (I) (J) (K) (L) (1) (2) (3) (4) (5) (6)

0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0

Page totals 0 0 0 0 0 0 0 0 0 0 0 0

Page 1 of 1 (1) (2) (3) (4)

All

oth

er

illn

esse

s

Away

From

Work

(days)

All

Oth

er

Illn

esse

s

Skin

Dis

ord

er

Skin

Dis

ord

er


Case

No.

Po

iso

nin

gP

ois

on

ing

He

ari

ng

Lo

ss

Inju

ry

Other record-

able cases


Evans

Establishment name



Enter the number of


worker was:

Check the "injury" column or choose one type

of illness:

Tim Foster - MPC

GA

Classify the case

Re

sp

ira

tory

Co

nd

itio

n

Re

sp

ira

tory

Co

nd

itio

n

On job

transfer or

restriction

(days)


and object/substance that directly injured or

made person ill (e.g. Second degree burns on

right forearm from acetylene torch)


Job transfer

or restriction

Date of

injury or

onset of


Days away

from work

Inju

ry

He

ari

ng

Lo

ss

Remained at work


Welder)
















2017



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.

Year 2017

Street

City Zip 30809

0 0 0 0

(G) (H) (I) (J) OR

5 4 1 3 3 0

0 0(K) (L)


(M)



(3) Respiratory






Title

Date

Total number of

days away from

work











Total number of

deaths

Number of Cases






Total number of

cases with days

away from work



restriction

3,300

Sign here



Total number of

other recordable

cases

Number of Days




year


Tim Foster - MPC

State

Phone

Company executive




Evans


1157 Oakton Trl

GA

Owner

706-832-4340 01/24/2017

U.S. Department of LaborOccupational Safety and Health Administration

OSHA’s Form 300A (Rev. 01/2004)Year 20__ __

Summary of Work-Related Injuries and IllnessesForm approved OMB no. 1218-0176

Total number ofdeaths

__________________

Total number ofcases with daysaway from work

__________________

Number of Cases

Total number of days awayfrom work

___________

Total number of days of jobtransfer or restriction

___________

Number of Days

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 work-related injuries or illnesses occurred during the year. Remember to review the Log

to verify that the entries are complete and accurate before completing this summary.

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 Part 1904.35, in OSHA’s recordkeeping rule, for further details on the access provisions for these forms.



Your establishment name __________________________________________

Street _________________________ _______

City ____________________________ State ______ ZIP _________

Industry description ( )

_______________________________________________________

Standard Industrial Classification (SIC), if known ( )

____ ____ ____ ____


e.g., Manufacture of motor truck trailers

e.g., 3715

(I ee the

Worksheet on the back of this page to estimate.)

_____________________

OR

____ ____ ____ ____ ____ ____

Annual average number of employees ______________

Total hours worked by all employees last year ______________

f you don’t have these figures, s

Sign here

Knowingly falsifying this document may result in a fine.

I certify that I have examined this document and that to the best of myknowledge the entries are true, accurate, and complete.

___________________________________________________________

___________________________________________________________

Company executive Title

Phone Date( ) - / /

Public reporting burden for this collection of information is estimated to average 58 minutes per response, including time to review the instructions, search and gather the data needed, andcomplete 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 anycomments about these estimates or any other aspects of this data collection, contact: US Department of Labor, OSHA Office of Statistical Analysis, Room N-3644, 200 Constitution Avenue, NW,Washington, DC 20210. Do not send the completed forms to this office.

Total number of . . .

Skin disorders ______

Respiratory conditions ______

Injuries ______


Poisonings ______

Hearing loss

All other illnesses ______

______

(G) (H) (I) (J)

(K) (L)

(M)(1)

(2)

(3)

(4)

(5)

(6)

Total number ofcases with jobtransfer or restriction

__________________

Total number ofother recordablecases

__________________

0

Tim Foster - MPC

5997

1157 Oakton Trl

0

0

Evans

0

GA

0

0

18

0

3

30809

25 192

3 3 0

0

0

0 0

5

0

4 1

706-832-4640

Owner

MPC REFERENCES/COLLEAGUES: Imagine That Engineering

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Frontline Industrial

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PhD Consulting

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